Effect of Fluoride Treatments on Bleached Enamel Microhardness and Surface Morphology

Purpose: To evaluate the effect of three different fluoride treatments on the surface microhardness and morphology of human enamel exposed to two different bleaching agents. Materials and Methods: Twenty-three extracted human third molars were sectioned to obtain 90 enamel fragments, mounted on acrylic resin supports, polished and randomly divided into 9 groups (n = 10). The specimens were exposed to a combination of two bleaching agents (22% carbamide peroxide [CP] and 38% hydrogen peroxide [HP]) and three fluoride treatments (0.05% NaF daily, 0.2% NaF weekly and 5% NaF final topical fluoridation). The positive control group specimens were not exposed to bleaching agents or fluoride treatments. The negative control group specimens were exposed to the bleaching agents but none of the fluoride treatments. All specimens were stored in artificial saliva during the entire experiment, and enamel microhardness was evaluated. Surface microhardness data were statistically analysed using two-way ANOVA and Tukey's post-hoc test at a significance level of ? = 0.05. Additionally, three specimens of each experimental group were examined under SEM. Results: Two-way ANOVA revealed significant differences between the experimental groups (p 0.05). The bleached group specimens which did not receive fluoride treatment exhibited significantly lower microhardness than those treated with fluoride (p 0.05). Varying degrees of surface changes were observed among the experimental groups. Conclusion: Both bleaching agents significantly reduced enamel microhardness and the topical fluoride treatments after bleaching significantly enhanced the surface microhardness of the enamel. The surface morphology of the enamel was altered after bleaching and fluoride treatments. Keywords: enamel, fluoride treatments, surface microhardness, surface morphology, tooth bleaching