Effect of Over-The-Counter Tooth-Whitening Products on Enamel Surface Roughness and Microhardness

Abstract

Background: To evaluate the efficacy of new over-the-counter tooth-whitening products on enamel surface roughness and microhardness. Methods: A total of 120 enamel specimens were prepared and randomly allocated into six groups. Group A was treated with 10% carbamide peroxide; Group B was immersed in distilled water; Group C was treated with hydrated silica, sodium hexametaphosphate toothpaste; Group D was treated with sodium bicarbonate; Group E was treated with 0.25% citric acid; and Group F was treated with hydrated silica, charcoal powder. Results: A, B, and D demonstrated decreased Ra, whereas Groups C, E, and F showed an increased Ra after whitening. The changes in Ra from T0 to T1 in each group was statistically significant (p < 0.001) except for Group B (p = 0.85). The groups showed decreased KHN after whitening, except for specimens in Group B (distilled water). The KHN from T0 to T1 decreased significantly for groups A, C, E, and F (p = 0.001). Significant difference was observed at T1 (p < 0.0001). Conclusion: Within the limitations of this study, it could be demonstrated that surface roughness and enamel microhardness changes were influenced by the type, composition, and exposure time of the whitening product.