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BACKGROUND: To evaluate the bleaching efficacy of at-home carbamide peroxide (CP) gels in two concentrations, containing or not a desensitizing agent. MATERIAL AND METHODS: Forty incisors were divided into four groups (n=10), according to gel concentrations (10% or 22%), and presence or not of 3% potassium nitrate in the gel. A thin layer of gel was applied to the buccal surface of each tooth for 2h/day for 4 weeks. Bleaching efficacy was measured using a spectrophotometer, and ∆E*ab, ∆E00 and ∆WID were calculated. Measurements were performed at baseline, 7, 14, 21, 28, and 35 days following the first gel application. Data were analyzed by two-way RM-ANOVA and Tukey's test (α=0.05). RESULTS: Regarding gel concentration or potassium nitrate inclusion, both gels resulted in color change above the perceptibility thresholds, which were similar between gels. Regarding time, significant differences were observed between color change values at 7 days and other time periods. ∆WID ranged from 3.8 to 9.6. Significant moderate to strong positive correlation was observed among the parameters. CONCLUSIONS: Nor the CP concentration, neither the inclusion of potassium nitrate in the gel, had influence on bleaching efficacy. All gels were effective and showed good results from the first weeks' application. Key words:Tooth bleaching, carbamide peroxide, desensitizer, potassium nitrate, color.

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Aim: To evaluate the physicomechanical properties of different hybrid composites (Charisma Diamond - CD, Aura - AU, NT Premium - NT, Opallis - OP, Filtek Z250 ­ Z250) after 6 months of aging in distilled water. Methods: Discs were fabricated and color measurements were performed after 24 hours and at 7, 30, and 180 days. Flexural strength was determined using the three-point bending test. For the microhardness test, the specimens were flattened to obtain polished and flat surfaces and indentations. The results for ∆E and microhardness were analyzed by two-way repeated-measures ANOVA and Tukey's HSD test. The flexural strength results were analyzed by two-way ANOVA and Tukey's test (α=0.05). Results: The ∆E values for composite resins varied in the following order: CD (3.54)a < Z250 (4.70)ab < AU (4.95)ab < OP (5.20)ab < NT (6.23)b. ∆E values were lower for 24 h (3.84)a < 7 days (4.43)ab < 30 days (4.93)b. The highest values were observed after 180 days (ΔE = 6.54)c. The flexural strength of composite resins varied in the following order: CD (89.17 MPa)a < Z250 (73.06 MPa)b < OP (60.30 MPa)c < NT (51.28 MPa)c < AU (23.77 MPa)d. Flexural strength values were significantly higher for 24 h (68.62 MPa)a < 180 days (51.40 MPa)b. The microhardness of composite resins varied in the following order: Z250 (112.05)a < CD (102.15)ab < OP (92.04)bc < NT (87.77)d < AU (87.68)d. Microhardness was significantly higher for 180 days (113.44)a < 24 h (78.21)b. Conclusion: The microhybrid (Z250) and one of the nanohybrid composites (CD) performed better. The color stability and flexural strength of all tested composites decreased with storage time

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This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.