Assessment of Ca and P content variation in enamel during an eight-week bleaching protocol using energy dispersive X-ray fluorescence

Tooth bleaching is a simple technique performed with gels based on hydrogen peroxide molecules responsible for removing the tooth structure's pigmentation. The effects of the overuse of these agents on the tooth structure are not well established. Energy dispersive X-ray fluorescence (EDXRF) can be employed to analyze objects of biological origin as bone and tooth. It is very suitable analytical technique to detect demineralization processes in these tissues. The objective of this study was to use x-ray fluorescence to evaluate the effects on mineral content of enamel submitted to eight-week protocols of home bleaching gels (10% carbamide peroxide and 9.5% hydrogen peroxide), as well as bleaching strips. Four enamel fragments obtained from five teeth were subjected to bleaching for 8 weeks: Group 1- artificial saliva; Group 2-10% carbamide peroxide gel, 6 h daily; Group 3-9.5% hydrogen peroxide gel, two 30-minute applications; and Group 4-bleaching strips, twice daily for 30 min. The change in mineral content was assessed weekly using X-ray fluorescence (Artax 200). Differences were basically found in Group 4 for the concentrations of Ca and P after treatment with bleaching strips containing 10% hydrogen peroxide. For the Ca/P ratio, the differences were found in Group 2-15% carbamide peroxide (p < 0.05). X-ray fluorescence proved to be a suitable method for the evaluation of the mineral content, presenting the advantage of being able to evaluate the same area at different stages of the methodology.