Effect of a Combined Bleaching Regimen on the Microhardness of a Sealed Methacrylate-based and a Silorane-based Composite

Statement of Problem: The use of tooth bleaching agents has been very popular treatment in dentistry. The bleaching agents have an inherent potential to impair surface properties of existing composite resin restorations. Purpose: This study evaluated the effect of a combined bleaching regimen on the surface microhardness of a Silorane-based and a sealed methacrylate-based composite. Materials and Method: Forty-five specimens of methacrylate-based composite (Ice) and 18 specimens of Silorane composite (Filtek Silorane, 3M ESPE; USA) were prepared and randomly divided into 5 (1-5) and 2 (6-7) groups (n=9), respectively. After 8-week aging, groups 1 and 6 were remained with no treatment. In groups 2, 4 and 5, the specimens were covered by a surface sealant and light cured. In groups 3, 4, 5 and 7, the specimens were bleached with hydrogen peroxide 40% and then carbamide peroxide 20% for seven days. In group 5, after bleaching, the sealant was removed by polishing. Surface microhardness was measured and the data were analyzed using one-way ANOVA and Tukey tests (α=0.05). Results: The microhardness values of groups 2 to 4 were significantly lower than that of group1 (p <0.05). There was no significant difference among groups 1, 5, 6 and 7 (p> 0.05). Conclusion: The combined bleaching regimen used in this study had a substantial negative effect on methacrylate and sealed methacrylate composites but not on Silorane composite. Polishing following the bleaching on the sealed composite yielded a hardness value similar to that of unsealed methacrylate composite (control).