The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures

Abstract This study aims to evaluate the effects of the home bleaching method on the surface microhardness and surface roughness of both polished and unpolished CAD-CAM resin composite materials. A polymer-infiltrated ceramic network (PICN) block, Enamic (VE), along with four resin composite blocks...

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Main Authors: Rasha A. Alamoush, Jiawei Yang, Abdulaziz Alhotan, Julfikar Haider, Burak Yilmaz, Alaaeldin Elraggal
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88014-3
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author Rasha A. Alamoush
Jiawei Yang
Abdulaziz Alhotan
Julfikar Haider
Burak Yilmaz
Alaaeldin Elraggal
author_facet Rasha A. Alamoush
Jiawei Yang
Abdulaziz Alhotan
Julfikar Haider
Burak Yilmaz
Alaaeldin Elraggal
author_sort Rasha A. Alamoush
collection DOAJ
description Abstract This study aims to evaluate the effects of the home bleaching method on the surface microhardness and surface roughness of both polished and unpolished CAD-CAM resin composite materials. A polymer-infiltrated ceramic network (PICN) block, Enamic (VE), along with four resin composite blocks (RCB) (Grandio [GN], Lava™ Ultimate [LV], BRILLIANT Crios [B], and Cerasmart [CS]), were prepared to dimensions of 14 mm × 12 mm × 2 mm and were categorized into unpolished and polished groups (n = 4). Microhardness measurements were conducted using a Vickers microhardness tester (300 gf load for 20 s) at various time points: before home bleaching, after home bleaching with 15% Opalescence for 8 h and for 56 h, 24 h after bleaching, and one month after bleaching. Surface topography was examined using a stylus contact profilometer (n = 4) and a scanning electron microscope (n = 3) at ×40 k magnification. Control specimens from each group were also measured. Data were analyzed using one-way ANOVA, Tukey’s post hoc test, two-way ANOVA and an independent t-test. The polished samples demonstrated a decrease in hardness after 8 h of bleaching, with the most significant reduction observed in VE, followed by GN, LV, CS, and BR. Significant differences were noted between all materials except for CS and LV. After 56 h, VE exhibited the greatest decrease in hardness, followed by GN, LV, BR, and CS, with significant differences between all materials except BR and CS. In the unpolished group, VE showed the highest reduction in hardness after 8 h of bleaching, followed by LV, GN, BR, and CS. After 56 h, the order was VE, LV, GN, CS, and BR, with significant differences observed between all materials except BR and CS. Similar trends in hardness reduction were observed at 24 h and 1 month post-bleaching. Additionally, hardness was significantly reduced after polishing for all materials. Overall, the reduction in hardness was significantly influenced by the type of material, the time, and the interaction between these factors (p < 0.05). Home bleaching using 15% carbamide peroxide significantly decreased microhardness. This effect was more pronounced in unpolished groups and with prolonged exposure. Further studies are recommended to determine the suitable concentration and duration of 15% carbamide peroxide application to ensure its use is safe for CAD-CAM materials.
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spelling doaj-art-8594fe13b9a54e8c94ab1784e23f5d872025-02-02T12:23:36ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-025-88014-3The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structuresRasha A. Alamoush0Jiawei Yang1Abdulaziz Alhotan2Julfikar Haider3Burak Yilmaz4Alaaeldin Elraggal5Department of Fixed and Removable Prosthodontics, School of Dentistry, The University of JordanApplied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong KongDepartment of Dental Health, College of Applied Medical Sciences, King Saud UniversityDepartment of Engineering, Manchester Metropolitan UniversityDepartment of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of BernDivision of Dentistry, School of Medical Sciences, The University of ManchesterAbstract This study aims to evaluate the effects of the home bleaching method on the surface microhardness and surface roughness of both polished and unpolished CAD-CAM resin composite materials. A polymer-infiltrated ceramic network (PICN) block, Enamic (VE), along with four resin composite blocks (RCB) (Grandio [GN], Lava™ Ultimate [LV], BRILLIANT Crios [B], and Cerasmart [CS]), were prepared to dimensions of 14 mm × 12 mm × 2 mm and were categorized into unpolished and polished groups (n = 4). Microhardness measurements were conducted using a Vickers microhardness tester (300 gf load for 20 s) at various time points: before home bleaching, after home bleaching with 15% Opalescence for 8 h and for 56 h, 24 h after bleaching, and one month after bleaching. Surface topography was examined using a stylus contact profilometer (n = 4) and a scanning electron microscope (n = 3) at ×40 k magnification. Control specimens from each group were also measured. Data were analyzed using one-way ANOVA, Tukey’s post hoc test, two-way ANOVA and an independent t-test. The polished samples demonstrated a decrease in hardness after 8 h of bleaching, with the most significant reduction observed in VE, followed by GN, LV, CS, and BR. Significant differences were noted between all materials except for CS and LV. After 56 h, VE exhibited the greatest decrease in hardness, followed by GN, LV, BR, and CS, with significant differences between all materials except BR and CS. In the unpolished group, VE showed the highest reduction in hardness after 8 h of bleaching, followed by LV, GN, BR, and CS. After 56 h, the order was VE, LV, GN, CS, and BR, with significant differences observed between all materials except BR and CS. Similar trends in hardness reduction were observed at 24 h and 1 month post-bleaching. Additionally, hardness was significantly reduced after polishing for all materials. Overall, the reduction in hardness was significantly influenced by the type of material, the time, and the interaction between these factors (p < 0.05). Home bleaching using 15% carbamide peroxide significantly decreased microhardness. This effect was more pronounced in unpolished groups and with prolonged exposure. Further studies are recommended to determine the suitable concentration and duration of 15% carbamide peroxide application to ensure its use is safe for CAD-CAM materials.https://doi.org/10.1038/s41598-025-88014-3CAD-CAM composite structuresPolymer-infiltrated ceramic networkHome bleachingVickers hardness15% carbamide peroxideSurface roughness
spellingShingle Rasha A. Alamoush
Jiawei Yang
Abdulaziz Alhotan
Julfikar Haider
Burak Yilmaz
Alaaeldin Elraggal
The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures
Scientific Reports
CAD-CAM composite structures
Polymer-infiltrated ceramic network
Home bleaching
Vickers hardness
15% carbamide peroxide
Surface roughness
title The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures
title_full The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures
title_fullStr The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures
title_full_unstemmed The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures
title_short The impact of bleaching using 15% carbamide peroxide on surface properties of CAD-CAM composite structures
title_sort impact of bleaching using 15 carbamide peroxide on surface properties of cad cam composite structures
topic CAD-CAM composite structures
Polymer-infiltrated ceramic network
Home bleaching
Vickers hardness
15% carbamide peroxide
Surface roughness
url https://doi.org/10.1038/s41598-025-88014-3
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