The use of scanning electron microscopy in evaluating the effect of a bleaching agent on the enamel surface.

In this paper we present the results of an experiment with a commercial gel containing carbamide peroxide (CP) 15% (Opalescence 15% PF), aimed to assess the effects of this bleaching agent on the enamel surface of extracted human teeth, by using scanning electron microscopy (SEM). Opalescence 15% PF was applied on two quadrants of twelve extracted permanent, decay-free, human teeth, for 3 hours or 8 hours; for four teeth the application was performed once, while for eight teeth the treatment was repeated daily for 14 days (in order to simulate the usual clinical protocol of at-home bleaching). One quadrant of each tooth was used for control and the remaining quadrant was etched for 40 seconds with a gel containing 37% phosphoric acid. No differences concerning the micromorphology of tooth surface were observed by SEM, on the samples treated with Opalescence 15% PF once, for 3 or 8 hours, when compared to the control. Various, mainly minor changes occurred in samples treated with Opalescence 15% PF for 3 hours or 8 hours daily, for 14 days. On the other hand, the acid-etched samples had an irregular surface, which suggests important alterations of the prismatic structure of the enamel. These are the first studies of this type performed in Romania.

The suspensory muscle of the duodenum.

The suspensory muscle of the duodenum continues the muscular layers of the duodenum, which is consequently surrounded on its mesenteric border only by the muscularis mucosae. Between the muscle bundles of the suspensor there is much loose connective and adipose tissue. Microganglions of no more than 90 cells may be found between the muscle bundles of the suspensor. In their superior part, the muscle bundles have connective sheaths, which are continuous with the adventitia of the aorta and celiac trunk. It is most probable that the suspensor acts like a sphincter and is innervated contrarily to the duodenum.