Influence of Propolis Extract on Bleaching Effectiveness and Enamel Physical Properties

蜂胶提取物对漂白效果和牙釉质物理性能的影响

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Abstract

OBJECTIVES: This study evaluated the effects of propolis extract on dental enamel following tooth bleaching with 35% hydrogen peroxide (HP). MATERIALS AND METHODS: Sixty bovine enamel specimens were divided into six groups: Artificial Saliva (Control); Whiteness HP35% (HP35%); Whiteness HP35% + potassium nitrate desensitizer (HP35%+KF); Whiteness HP35% + potassium nitrate desensitizer + propolis extract (HP35%+KF+P); Whiteness HP35% + neutral fluoride + propolis extract (HP35%+F+P); and Whiteness HP35% + propolis extract (HP35%+P). The in-office bleaching protocol consisted of three sessions (3 × 15 minutes). Color change (ΔE*, ΔE(00), ΔWID), surface roughness (Ra), and microhardness (KHN) were evaluated at baseline (T(1)) and after 24 hours (T(2)). Color parameters were analyzed using generalized linear models (p ≤ 0.05), and Ra and KHN were assessed using a generalized linear mixed model for repeated measures (p ≤ 0.05). RESULTS: All HP-treated groups showed significantly greater color change compared to the control group. Surface roughness increased after bleaching; however, groups treated with desensitizers, fluoride, and/or propolis showed lower Ra values at T(2) compared to baseline. For microhardness, only the HP35%+KF+P group maintained KHN values comparable to the control group after bleaching. CONCLUSION: Propolis extract did not compromise the whitening efficacy or negatively affect enamel surface roughness or microhardness following treatment with high-concentration hydrogen peroxide.

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