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Pentru a intelege modul in care decurge albirea, trebuie discutate trei faze:
1) Difuzia peroxidului aplicat de la exterior in email si dentina;
2) Interactiunea petelor cu peroxidul;
3) Modificarile morfologice pe suprafata si in interiorul dintelui ce pot duce la
modificari optice.
A doua lege a difuziei a lui Fick stipuleaza ca difuzia unei molecule este
proportionala cu suprafata, coeficientul de difuzie si concentratia si este inver
proportional cu distanta.
Astfel mai multe studii au aratat imbunatatiri ale difuziei peroxidului prin:
concentratii mai mari de peroxide, aplicare prelungita, cresterea temperaturii, tubulii
dentari mai mari la tineri, activarea luminoasa.
Teoria sustine ca, dat fiind faptul ca peroxidul este solubil in apa, difuzia acestor
molecule are locprin spatiile interprismatice ale emailului si tubulii dentinali. Aceasta
difuzie nu are loc pasiv, ci este determinate de un gradient de concentratie determinat
de afinitatea chimica a fiecaui tesut dentinal.
Indiferent daca este aplicat direct sau prin intermediul unor reactii chimice, peroxidul
elibereaza oxygen active, rata de eliberare depinzand de temperature, concentratia
peroxidului, pH si prezenta unor catalizatori.
Oxigenul activ este atras de zonele bogate in electroni din zona moleculelor de pete
unde reactia reduce culoarea sau indeparteaza molecula rezultata.
In final, din punct de vedere fizic, albirea dintilor consta in cresterea luminozitatii si
reducerea cromoforilor din zona galben- albastru si rosu-verde (conform CIE Lab
system).
Determining how subtle enamel surface changes affect the tooth has been an area
of interest. Studies have found that rough surfaces create a more diffuse reflection,
turning the object brighter, whereas a smooth surface leads to more specular
reflection.
This up-to-date review of the literature illustrates that tooth whitening occurs in
three distinct phases, challenging the validity of the widely accepted “chromophore
effect” as the dominant mechanism of hydrogen peroxide. As such, this theory must
be modified to reflect the true complexity of the mechanisms that drive whitening.
Indeed, stains are not determined by the properties of the organic staining molecules
alone but are also affected by micromorphologic alterations on the tooth surface and
within the tooth structure; thus, whitening likely affects intact enamel and dentin
microstructures, an underrecognized concern (Kwon and Wertz 2016 ). In future
studies, an appreciation of the complexity of the tooth whitening process will
spearhead innovation toward materials and techniques that meet the ever-growing
interest in safely obtaining a brighter smile.