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Costa JLDSG, Besegato JF, Zaniboni JF, Galvani LD, Kuga MC. Effects of tooth bleaching protocols with violet LED and hydrogen peroxide on enamel properties. Photodiagnosis Photodyn Ther 2022; 38:102733. [PMID: 35065278 DOI: 10.1016/j.pdpdt.2022.102733] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2021] [Revised: 01/13/2022] [Accepted: 01/18/2022] [Indexed: 11/19/2022]
Abstract
BACKGROUND This study evaluated the color change, enamel surface roughness and microhardness after different tooth bleaching protocols, using hydrogen peroxide (HP) and/or violet LED. METHODS Forty bovine specimens (7 × 7 × 2 mm) were randomly distributed into 4 groups: 35% HP, 6% HP, 6% HP + violet LED and violet LED alone. First, the specimens were stained with black tea and then submitted to two bleaching sessions of 30 min with an interval of 7 days. Color change (∆L*, ∆a*, ∆b* and ∆E00) after 24 h of each session and 1 week after the last session was evaluated. Enamel roughness and microhardness were evaluated immediately before the sessions, 24 h and 1 week after the last session. Data were evaluated by ANOVA for repeated measures and Bonferroni post-test or Kruskall-Wallis and Dunn tests (α = 0.05). Representative specimens from each group were analyzed by scanning electron microscopy. RESULTS 6% HP + violet LED and 35% HP showed the highest color change, while violet LED alone had the lowest results. Enamel roughness analyses showed that 6% HP + violet LED and 35% HP showed changes after two bleaching sessions. No differences were observed regarding enamel microhardness. CONCLUSIONS The use of 6% HP + violet LED showed enhanced bleaching efficacy compared to 35% HP. However, violet LED used alone exhibited the lowest color change. 6% HP + violet LED and 35% HP promoted changes on enamel roughness, while no microhardness changes was observed for any group.
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Affiliation(s)
- Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 1680 Humaitá Street, 3rd floor - Centro, Mail Box: 331, Araraquara, SP, Zip Code 14801-903, Brazil.
| | - João Felipe Besegato
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 1680 Humaitá Street, 3rd floor - Centro, Mail Box: 331, Araraquara, SP, Zip Code 14801-903, Brazil.
| | - Joissi Ferrari Zaniboni
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 1680 Humaitá Street, 3rd floor - Centro, Mail Box: 331, Araraquara, SP, Zip Code 14801-903, Brazil.
| | - Lucas David Galvani
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 1680 Humaitá Street, 3rd floor - Centro, Mail Box: 331, Araraquara, SP, Zip Code 14801-903, Brazil.
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 1680 Humaitá Street, 3rd floor - Centro, Mail Box: 331, Araraquara, SP, Zip Code 14801-903, Brazil.
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Klär V, Palarie V, Burkovski A, Karl M, Grobecker-Karl T. Pilot study on the applicability of boron-doped diamond electrodes for tooth whitening. Clin Exp Dent Res 2022; 8:757-762. [PMID: 35543493 PMCID: PMC9209806 DOI: 10.1002/cre2.586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 04/25/2022] [Accepted: 04/27/2022] [Indexed: 11/25/2022] Open
Abstract
Objectives While various approaches are available for tooth whitening, the basic concept employs the use of peroxides in the form of gels, which are applied to tooth surfaces. Previous studies have shown that reactive oxygen species acting as potent disinfectants can be produced using boron‐doped diamond (BDD) electrodes for the electrolysis of water. With these electrodes being applicable, for example, for endodontic treatment, it was the goal of this pilot study to use such electrodes for tooth whitening. Material and Methods Two groups (n = 10) of intact clinical crowns were obtained by horizontally cutting off roots of extracted human teeth. The crowns were either bleached by applying a commercially available agent based on 40% hydrogen peroxide or were immersed in saline undergoing electrolysis with BDD electrodes. Whitening of specimens was judged on standardized photographs by examiners with three different levels of experience. Statistical analysis was based on Gwet's AC2 coefficient with quadratic weights, Shapiro–Wilk tests, and two‐way analysis of variance of aligned rank transformed data (level of significance set at α = .05). Results Levels of reliability ranging from fair to substantial were recorded for single persons while the level of reliability ranged between fair and moderate for groups of raters. The level of experience had no significant effect on the ratings (p = .2500). The bleaching method had a significant effect on ratings (p = .0005) with BDD electrodes showing less effect. Conclusions Bleaching by applying BDD electrodes was possible, but was not as effective as the use of commercially available in‐office whitening gel. A potential explanation may be seen in different concentrations of reactive oxygen species.
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Affiliation(s)
- Virgilia Klär
- Department of Prosthodontics, Saarland University, Homburg/Saar, Germany
| | - Victor Palarie
- Laboratory of Tissue Engineering and Cellular Cultures, State University of Medicine and Pharmacy "N. Testemitanu", Chisinau, Moldova
| | - Andreas Burkovski
- Microbiology Division, Department of Biology, University of Erlangen-Nürnberg, Erlangen, Germany
| | - Matthias Karl
- Department of Prosthodontics, Saarland University, Homburg/Saar, Germany
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Maciel CRDO, Amorim AA, Oliveira RFDL, Vivanco RG, Pires-de-Souza FDCP. Whitening efficacy of popular natural products on dental enamel. Braz Dent J 2022; 33:55-66. [PMID: 35766717 DOI: 10.1590/0103-6440202204863] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 04/05/2022] [Indexed: 11/21/2022] Open
Abstract
The objective of this study was to evaluate the effect of natural bleaching products on the color, whiteness, and superficial properties of dental enamel. Seventy fragments of bovine teeth were obtained (6mm x 6mm x 2mm). Initial surface roughness (Surfcorder SE1700, Kosakalab), microhardness (HMV-2, Shimadzu), color (EasyShade, VITA), and surface gloss (Micro-Gloss 45º BYK, Gardner) readings were done. Samples were separated into five groups (n=14) according to the treatments used: CT-conventional toothpaste (negative control); CH-charcoal; TU-turmeric; BP-banana peel, and CP16%-16% carbamide peroxide gel (positive control, 4 h/day for 14 days), and then brushed for 560 cycles (T1) and 1200 cycles (T2), equivalent to 14 and 30 days of brushing. New measurements were performed after T1 and T2. The whiteness index for dentistry change (∆WID) and Weight loss (Wl) were calculated. CP16% demonstrated the highest (p<.05) color change (ΔE00) and ∆WID (2-way ANOVA, Bonferroni, p<.05). Surface gloss alterations were lower for TU, CP16%, and BP. CT and CH increased surface roughness (p<.05). CP16% decreased enamel microhardness. CH presented medium abrasiveness, and CT and TU, low abrasiveness. The popular bleaching products were not efficient for tooth whitening. Furthermore, brushing with charcoal increased the enamel surface roughness, and CP16% decreased enamel microhardness over time.
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Affiliation(s)
- Carla Roberta de Oliveira Maciel
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Av do Cafe, s/nº, Ribeirão Preto, Sao Paulo, 14040-904, Brazil
| | - Ayodele Alves Amorim
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Av do Cafe, s/nº, Ribeirão Preto, Sao Paulo, 14040-904, Brazil
| | - Rebeca Franco de Lima Oliveira
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Av do Cafe, s/nº, Ribeirão Preto, Sao Paulo, 14040-904, Brazil
| | - Rocio Geng Vivanco
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Av do Cafe, s/nº, Ribeirão Preto, Sao Paulo, 14040-904, Brazil
| | - Fernanda de Carvalho Panzeri Pires-de-Souza
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Av do Cafe, s/nº, Ribeirão Preto, Sao Paulo, 14040-904, Brazil
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Almutairi NM, Almotairiy BM, Alodib AA, Aldossari MA, Albabtain MO, Al-Dobaian BS, Marir NT, AlJurayyad MJ, Jeleudan WS, Alasiri MS. Influence of Hydrogen Peroxide on the Color, Opacity, and Fluorescence of Composite Resins: A Systematic Review. ANNALS OF DENTAL SPECIALTY 2022. [DOI: 10.51847/o1tnwk3cco] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Salem H, Kamel N, Hassan S, Elhefnawy S. Effect of application of turmeric extract powder solution on the color changes of non-vital teeth: An in-vitro study. J Int Oral Health 2022. [DOI: 10.4103/jioh.jioh_134_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
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Pretel H, Lucas de Sousa Gomes Costa J, Esteban Florez FL, Nogueira BR, Batista de Oliveira Junior O. Assessment of the temporal variation of electrical potential and pH of different bleaching agents. Heliyon 2021; 7:e08452. [PMID: 34877430 PMCID: PMC8628040 DOI: 10.1016/j.heliyon.2021.e08452] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 10/12/2021] [Accepted: 11/18/2021] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION Tooth whitening procedures are under continuous investigation to improve esthetic outcomes and reduce bleaching sensitivity (BS) precipitating from treatments. During the dental bleaching process it is known that the release of free radicals degrades the organic pigment molecules of the tooth and with this an amount of energy is released. Nonetheless, previous studies have never investigated the temporal correlation between of pH and electric potential (EP) generated in this treatment. OBJECTIVES Therefore, the objective of the present study was to investigate temporal variations of pH and EP associated with three different commercially available bleaching gels and the correlation levels between parameters of interest to provide relevant information regarding the kinetics of oxidation reactions in dental bleaching procedures. METHODS The study was divided into 3 groups (n = 9) in function of hydrogen peroxide concentration (either 6%, 15% and 35%). The temporal evolution of pH and EP values were determined using a highly-accurate and previously calibrated pH meter at specific time-points (5, 10, 15 and 30 min). RESULTS Data obtained were submitted to one-way ANOVA of repeated measures with Bonferroni post-test (α = 0.05). The results of the study showed difference in the factor gel concentration (p < 0,0001), time (p < 0,0001) and interaction (gel/time) (p = 0.002) while throughout the intervals evaluated the groups remained relatively stable and without significant difference in the intragroup variation of pH (p < 0.05) and in EDP only with significant difference in the 5 min interval of the 35% concentration. A 2nd order polynomial relationship test showed high correlation levels. CONCLUSION It can thus be concluded that there is a negative relationship between EP and pH variation in the different gel concentrations. CLINICAL SIGNIFICANCE The findings of the present study suggest that bleaching gels of higher concentration may provoke BS that are more intense and durable due to significant electric depolarization of neuronal extensions of pulpal tissues.
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Affiliation(s)
- Hermes Pretel
- São Paulo State University – UNESP, Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo, 14801-903, Brazil
| | - Joatan Lucas de Sousa Gomes Costa
- São Paulo State University – UNESP, Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo, 14801-903, Brazil
| | - Fernando Luis Esteban Florez
- The University of Oklahoma Health Sciences Center, Department of Restorative Sciences, Division of Dental Biomaterials, College of Dentistry, 1201 N. Stonewall Avenue, Oklahoma City, Oklahoma, 73117, USA
| | - Básia Rabelo Nogueira
- São Paulo State University – UNESP, Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo, 14801-903, Brazil
| | - Osmir Batista de Oliveira Junior
- São Paulo State University – UNESP, Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo, 14801-903, Brazil
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Topical application of Otosporin® before in-office bleaching: a split mouth, triple-blind, multicenter randomized clinical trial. Clin Oral Investig 2021; 26:2555-2564. [PMID: 34668065 DOI: 10.1007/s00784-021-04224-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 10/10/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVES To evaluate if the topical application of Otosporin® before in-office bleaching with a 35% hydrogen peroxide (HP) gel reduces the risk and intensity of tooth sensitivity (TS), as well as the bleaching effectiveness. MATERIALS AND METHODS Twenty participants were selected for this split mouth, triple-blind, multicenter randomized clinical trial. Before each bleaching session, the placebo was applied in the patient's hemi-arch and the other half received the Otosporin®, according to the randomization procedure. Both products were applied topically for 10 min. The 35% HP was applied in two sessions with a 1-week interval. The risk and intensity of TS were assessed using the Numerical Scale (NRS) and the Visual Analog Scale (VAS). The bleaching effectiveness were evaluated with the visual scales and with a digital spectrophotometer. The absolute risk of TS was compared by McNemar's test. To compare the intensity of TS, the Wilcoxon signed-rank test was used to evaluate the NRS, while the paired t test was used to evaluate VAS. Bleaching effectiveness (ΔSGUs and ΔEab, ΔE00, and ΔWID) was compared between groups using the paired t-test (α = 0.05). RESULTS No significant difference at risk (p = 1.0) and intensity of TS (p > 0.59; VAS and p = 1.00 for NRS) was detected between groups. For both groups, a significant bleaching was observed after 30 days of evaluation (p < 0.39). CONCLUSIONS The previous application of Otosporin® in the in-office bleaching did not reduce the risk and intensity of TS and did not affect the effectiveness of the bleaching. CLINICAL RELEVANCE The application of Otosporin® before in-office bleaching with 35% HP was not able to reduce the risk and intensity of TS.
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Kury M, Lins RBE, Resende BDA, Picolo MZD, André CB, Cavalli V. The influence of the renewal or the single application of the peroxide gel on the efficacy and tooth sensitivity outcomes of in-office bleaching-A systematic review and meta-analysis. J ESTHET RESTOR DENT 2021; 34:490-502. [PMID: 34623017 DOI: 10.1111/jerd.12827] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 09/22/2021] [Accepted: 09/26/2021] [Indexed: 01/14/2023]
Abstract
OBJECTIVE To answer the question: "Does the peroxide gel application regimen (single application vs. renewal) influence the efficacy and the tooth sensitivity outcomes of in-office tooth bleaching?" METHODS The search was done in Pubmed, Cochrane, LILACS, Scopus, Web of Science, and EMBASE in February 2021 (updated in July 2021). Randomized clinical trials (RCT) comparing the single application vs. the renewal protocols of HP were included. The meta-analyses were performed for the objective (ΔEab ), subjective (ΔSGU) color changes, and absolute risk of tooth sensitivity (TS). Heterogeneity was evaluated using Q test (I2 ). Cochrane Collaboration tool assessed the risk of bias (RoB). The GRADE evaluated the certainty of evidence. RESULTS Five RCT studies remained. Two studies showed high RoB, and three presented some concerns. No significant differences were observed between the protocols in terms of the ΔEab , ΔSGU, and TS. ΔEab exhibited substantial heterogeneity (I2 = 87%), while ΔSGU (I2 = 60%) and the TS (I2 = 62%) presented a moderate one. The certainty of evidence was considered low or very low, depending on the variable response and the evaluation time. CONCLUSION The application regimen (single vs. renewal of HP) did not impact color change or the absolute risk of TS. CLINICAL SIGNIFICANCE The renewal of bleaching gel during the in-office appointment may not be necessary. However, there is at least a low certainty of evidence. Because of this, further randomized clinical trials with appropriate methodology on this topic are encouraged.
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Affiliation(s)
- Matheus Kury
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Rodrigo Barros Esteves Lins
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Bruna de Almeida Resende
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Mayara Zaghi Dal Picolo
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Carolina Bosso André
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.,Department of Restorative Dentistry, Dental School, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Vanessa Cavalli
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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Ortega-Moncayo MG, Aliaga-Sancho P, Pulido C, Gutierrez MF, Rodriguez-Salazar E, Burey A, León K, Román-Oñate Y, Galvao Arrais CA, Loguercio AD, Dávila-Sánchez A. Is the use of a potassium nitrate dentifrice effective in reducing tooth sensitivity related to in-office bleaching? A randomized triple-blind clinical trial. J ESTHET RESTOR DENT 2021; 34:951-958. [PMID: 34617663 DOI: 10.1111/jerd.12826] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 09/21/2021] [Accepted: 09/24/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aims of this study were to evaluate whether the use of a dentifrice containing 5% potassium nitrate (KNO3 ) prior to and during in-office dental bleaching reduces bleaching-induced tooth sensitivity and affects bleaching efficiency. MATERIALS AND METHODS Thirty-eight individuals were randomly distributed into two groups (n = 19). The experimental group performed toothbrushing using a dentifrice containing 5% KNO3 , one week before treatment and before the first and second bleaching sessions. In the control group, a placebo dentifrice without KNO3 was applied as described for the first group. Tooth sensitivity was recorded on visual analog scales (VAS) and numeric rating scales (NRS) immediately and up to 48 h after bleaching sessions. Color change at different time intervals, was evaluated with shade guide units (∆SGU) and a digital spectrophotometer (∆E CIELab 1976 and CIEDE2000) at baseline and 7, 15, and 30 days post-bleaching. Mann-Whitney test and t-test were used to evaluate TS intensity for NRS and VAS scales, respectively, and T-test was used for color difference evaluation. RESULTS No significant difference in tooth sensitivity's absolute risk and intensity were observed between tested groups in any evaluated treatment time for NRS (p = 0.91) or VAS scales (p = 0.48). T-test showed no significant difference in both ∆E and ∆SGU tooth color among the experimental and control groups during the different evaluation times (p = 0.27). CONCLUSION The use of a dentifrice containing 5% KNO3 does not prevent post-operatory tooth sensitivity but allows the same whitening efficiency as a regular dentifrice. CLINICAL SIGNIFICANCE The use of a dentifrice-containing KNO3 did not prevent bleaching-induced tooth sensitivity when high-concentrated hydrogen peroxide was used for in-office bleaching.
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Affiliation(s)
- María Gracia Ortega-Moncayo
- Postgraduate Student. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, 170901, Ecuador
| | - Paulina Aliaga-Sancho
- Department of Restorative Dentistry and Dental Materials. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, Ecuador, 170901, Ecuador
| | - Camilo Pulido
- Department of Restorative Dentistry and Dental Materials. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, Ecuador, 170901, Ecuador
| | - Mario Felipe Gutierrez
- Facultad de Odontología, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, 7550000, Chile.,Facultad de Odontología, Universidad Finis Terrae, Av. Pedro de Valdivia 1509, Santiago, 7501015, Chile
| | - Estuardo Rodriguez-Salazar
- Department of Prosthodontics, School of Dentistry, Universidad Francisco Marroquin (UFM), Guatemala City, Guatemala
| | - Adrieli Burey
- Department of Biological and Health Sciences, School of Dentistry, Centro Universitario Cesumar Unicesumar, Centro, Brazil
| | - Katherine León
- Postgraduate Student. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, 170901, Ecuador
| | - Yolanda Román-Oñate
- Department of Prosthodontics. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, 170901, Ecuador
| | - Cesar Augusto Galvao Arrais
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Brazil
| | - Andrés Dávila-Sánchez
- Department of Restorative Dentistry and Dental Materials. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, Ecuador, 170901, Ecuador
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Karanasiou C, Dionysopoulos D, Naka O, Strakas D, Tolidis K. Effects of tooth bleaching protocols assisted by Er,Cr:YSGG and diode (980 nm) lasers on color change of resin-based restoratives. J ESTHET RESTOR DENT 2021; 33:1210-1220. [PMID: 34498792 DOI: 10.1111/jerd.12817] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 08/16/2021] [Accepted: 08/18/2021] [Indexed: 02/04/2023]
Abstract
OBJECTIVE To evaluate color change of three resin-based restorative materials after two laser-assisted in-office tooth bleaching protocols using Er,Cr:YSGG and diode (980 nm) lasers. MATERIALS AND METHODS A nanohybrid composite resin (EP), a Bis-GMA free composite resin (EPBio) and a resin-matrix CAD-CAM ceramic (HC) were tested. Ninety specimens were prepared and stored in artificial saliva. Group 1 received an in-office bleaching treatment using 40% H2 O2. The same bleaching procedure was assisted by Er,Cr:YSGG laser in Group 2 and by a diode laser (980 nm) in Group 3. Color measurements were performed using a double-beam UV-Vis spectrophotometer at four time intervals (before, 24 h, 15 and 30 days), converted to L*, a*, and b* units of the CIELAB color space and assessed on the basis of 50:50% acceptability (ΔΕab * = 2.7 and ΔΕ00 = 1.77) and 50:50% perceptibility (ΔΕab * = 1.2 and ΔΕ00 = 0.81) thresholds. Three-way ANOVA with repeated measurements was used for statistical analysis of the data. RESULTS Color and whiteness changes did not exceed the established 50:50% acceptability thresholds. EP presented the highest color change after the bleaching followed by EPBio and HC (p ≤ 0.05). Three-way ANOVA revealed that type of material and time interval significantly affected color change (p ≤ 0.001). CONCLUSIONS The tested bleaching treatments assisted by Er,Cr:YSGG and diode (980 nm) lasers did not induce unacceptable color and whiteness changes in the resin-based restorative materials. CLINICAL SIGNIFICANCE The tested Er,Cr:YSGG and diode (980 nm) laser-assisted tooth bleaching protocols which may be recommended to accelerate the clinical procedures cannot affect the color of the existing resin-based restorations in case they are accidentally exposed on the bleaching gel and laser irradiation.
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Affiliation(s)
- Christina Karanasiou
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Dimitrios Dionysopoulos
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Olga Naka
- Department of Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Dimitris Strakas
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Kosmas Tolidis
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Costa JLDSG, Besegato JF, Zaniboni JF, Kuga MC. LED/laser photoactivation enhances the whitening efficacy of low concentration hydrogen peroxide without microstructural enamel changes. Photodiagnosis Photodyn Ther 2021; 36:102511. [PMID: 34469795 DOI: 10.1016/j.pdpdt.2021.102511] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 08/27/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND The association of low concentration hydrogen peroxide (HP) and a light source has been widely used to achieve efficient bleaching. We investigated the colorimetric and microstructural changes of bovine enamel bleached with 6% HP associated or not with a hybrid light source system of violet light and laser (LED/laser). METHODS Twenty bovine crowns were used to obtain specimens of 7 × 7 × 2 mm. Then, they were randomized in two groups (n=10): 6% HP and 6% HP + LED/laser. After staining with dark tea solution, three bleaching sessions were performed. Colorimetric evaluation (∆L*, ∆a*, ∆b*, ∆E00 [CIEDE2000] and WID) after 24 hours of each session and 7 days after the final bleaching session was performed. Enamel Vickers microhardness at baseline, 24 hours and 7 days after the last bleaching session were also evaluated. Two-way repeated measures ANOVA and Bonferroni post-test was used at a significance level of 5%. RESULTS 6% HP and 6% + HP LED/laser showed satisfactory bleaching results. The group photoactivated showed higher WID values (p<0.05). Differences between groups were observed for ∆E00, ∆L* and ∆a* (p<0.05), except for ∆b* (p>0.05). Intra-group differences were also found (p<0.05). Regarding microhardness, no inter or intra-group differences were observed (p>0.05). CONCLUSIONS The photoactivation with LED/laser enhanced the whitening efficacy of 6% HP compared to the group without photoactivation. Thus, the LED/laser activation appears to be a good option when using low concentration HP-based agents. In addition, both bleaching protocols did not cause changes on enamel microhardness.
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Affiliation(s)
- Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil.
| | - João Felipe Besegato
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil.
| | - Joissi Ferrari Zaniboni
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil.
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil.
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Silva LM, da Costa Lacerda ÍA, Dos Santos DB, Herkrath FJ, da Silva KL, Loguercio AD, de Moura Martins L. Is the at-home bleaching treatment applied only on the lingual surface as effective as that on the buccal surface? A randomized clinical trial. Clin Oral Investig 2021; 26:1551-1560. [PMID: 34410498 DOI: 10.1007/s00784-021-04128-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 08/03/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVES This double-blind randomized clinical trial compared the effectiveness and bleaching sensitivity (BS) of at-home dental bleaching performed on the buccal surface and on the lingual surface. METHODS Using a split-mouth design, 25 patients were assigned to two bleaching groups: 10% hydrogen peroxide (White Class 10%, FGM) applied once daily for 60 min to the buccal surface (BSB) and 10% hydrogen peroxide (White Class 10%, FGM) applied once daily for 60 min to the lingual surface (LSB), both for 14 days. The color was evaluated before bleaching, after the first and second weeks, and 1 month after the bleaching using Vita Classical and Vita Bleachedguide scales and a Vita Easyshade spectrophotometer. BS was recorded daily using a 0-4 numerical rating scale and a 0-10 visual analogue scale. The following statistical tests were used: color changes (Mann-Whitney), absolute risk of BS (McNemar's exact), and the intensity of BS (Mann-Whitney). In all statistical tests, the significance level was 5%. RESULTS Significant bleaching was observed after the end of bleaching in both groups, with higher bleaching effectiveness for BSB when compared to LSB (p < 0.05). Regarding BS, no significant difference was observed between groups (p = 1.00). CONCLUSIONS The 10% hydrogen peroxide (White Class 10%, FGM) applied in at-home bleaching performed on the lingual surface did not promote a similar result of color change compared to on the buccal surface. Regarding BS, there was no significant difference between the groups. CLINICAL RELEVANCE The at-home bleaching performed on the lingual surface promotes a lower result in the color change. BS is similar between the groups. CLINICAL TRIAL REGISTRATION NUMBER RBR-283byt.
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Affiliation(s)
- Luciana Mendonça Silva
- School of Dentistry, Graduate Program in Dentistry, Federal University of Amazonas, Manaus, AM, Brazil
| | | | | | - Fernando José Herkrath
- Instituto Leônidas E Maria Deane, Fundação Oswaldo Cruz, State University of Amazonas, Manaus, AM, Brazil
| | - Karine Letícia da Silva
- Departament of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | | | - Leandro de Moura Martins
- School of Dentistry, Graduate Program in Dentistry, Federal University of Amazonas, Manaus, AM, Brazil
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Reis-Prado AHD, Grossi IR, Chaves HGDS, André CB, Morgan LFDSA, Briso ALF, Cintra LTA, Benetti F. Influence of Hydrogen Peroxide on Mineralization in Dental Pulp Cells: A Systematic Review. FRONTIERS IN DENTAL MEDICINE 2021. [DOI: 10.3389/fdmed.2021.689537] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Dental bleaching agents show the ability to permeate through dental hard tissues, which may lead to pulp tissue changes. This systematic review (PROSPERO register: CRD42020213767) is aimed at understanding the effects of bleaching agents on the process of mineralization of the pulp tissue.Methods: Only in vitro studies evaluating the influence of hydrogen peroxide (HP) on mineralization in dental pulp cells were included. Studies without a non-bleached control group or cells after co-treatment with a bleaching agent other than HP and/or carbamide peroxide were excluded. The primary outcomes evaluated were alkaline phosphatase (ALP) activity and mineralized nodule deposition. The mineralization markers analysis in dental pulp cells and the cell viability were considered secondary outcomes. Two independent authors conducted a systematic search (PubMed/MEDLINE, Scopus, Embase, Cochrane Library, and OpenGrey until January 2021) with no language restrictions and performed data extraction. The quality assessment was appraised according to a modified Joanna Briggs Institute critical appraisal checklist.Results: The search resulted in 473 studies, and 11 were considered eligible. Overall, a reduction in the process of mineralization was observed among pulp cells after bleaching. A reduction in the ALP activity was reported in the mostly bleached groups using different protocols and analysis periods of nine studies. Regarding mineralized nodule deposition, 6 studies reported a significant reduction from 7 to 21 days among bleached groups. Of those three studies that investigated other mineralization markers, two found a reduction in the expression of dentin matrix acidic phosphoprotein (DMP)-1, dentin sialophosphoprotein (DSPP), and matrix extracellular phosphoglycoprotein (MEPE) among some bleaching gel concentrations. In contrast, one study showed a greater expression of osteopontin (OPN) and osteocalcin (OCN) in 100 μmol/L HP after 5 or 10 min of exposure, and another study showed significant induction of DSPP in concentrations of up to 0.5 mmol/L HP.Conclusion: Especially, high concentrations of bleaching gel reduce the potential of mineralization in pulp cells in in vitro studies; however, different HP concentrations, bleaching protocols, and analysis periods can influence this outcome.
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A Comparative Evaluation of Nanohydroxyapatite-Enriched Hydrogen Peroxide Home Bleaching System on Color, Hardness and Microstructure of Dental Enamel. MATERIALS 2021; 14:ma14113072. [PMID: 34199770 PMCID: PMC8199990 DOI: 10.3390/ma14113072] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 05/28/2021] [Accepted: 06/01/2021] [Indexed: 02/03/2023]
Abstract
This study aimed to evaluate two hydrogen peroxide (HP)-based at-home bleaching systems in order to analyze whether nano-hydroxyapatite (nHA) addition may represent a reliable and safe solution for tooth whitening without altering dental microstructure and hardness. Human third molars (N = 15) were treated with two bleaching agents, one containing 6%HP (6HP) and the other 6% HP nHA-enriched (6HP-nHA) with average particle diameter ranging from 5-20 nm. Their effects on enamel were assessed using a spectrophotometer, Vickers microhardness (VMH) test and Scanning Electron Microscopy (SEM), comparing the treated groups with the non-treated control group (CTR). Color analysis revealed improvement in whiteness in both groups compared to CTR. VMH test results showed no differences among the groups. SEM analysis highlighted no evident changes in the enamel microstructure of tested groups compared to CTR. At high magnification, in 6HP group, a slight increase in irregularities of enamel surface morphology was observed, while 6HP-nHA group displayed removal of the aprismatic layer but preservation of the intact prismatic structure. These results suggest that the 6HP-nHA agent may be recommended to provide reliable whitening treatment, without damaging the enamel micromorphology and hardness.
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Costa JLDSG, Besegato JF, Kuga MC. Bleaching and microstructural effects of low concentration hydrogen peroxide photoactivated with LED/laser system on bovine enamel. Photodiagnosis Photodyn Ther 2021; 35:102352. [PMID: 34051345 DOI: 10.1016/j.pdpdt.2021.102352] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 05/14/2021] [Accepted: 05/21/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Tooth whitening protocols with low concentration hydrogen peroxide (HP) appear to minimize the microstructural effect on teeth. In addition, light sources have been used to enhance bleaching efficiency. This study evaluated the color change and microhardness of a protocol with 6% HP photoactivated by LED/laser in comparison with 35% HP. METHODS Twenty bovine incisors were randomized in two groups: 6% HP + LED/laser and 35% HP (n=10). Teeth were submitted to staining using dark tea. Three whitening sessions were carried out according to the manufacturer's instructions. Enamel microhardness (VHN) and color change evaluation (∆L*, ∆a*, ∆b*, ∆E00 [CIEDE2000], and WID) before 24 hours and 7 days after the last whitening session were performed. Two-way repeated ANOVA and Bonferroni post-test was used (α = 0.05). RESULTS Both groups showed perceptible color changes, being more pronounce for 35% HP. Differences were observed for ∆a*, ∆b* and ∆E00 (p≤0.027), except for ∆L* (p>0.05). Differences were also found in the comparison among the evaluation times within the same group (p≤0.027), except for ∆a* results (p>0.05). WID showed that 35% HP exhibited high whiteness values. Regarding microhardness, the groups did not show significant differences (p>0.05). However, 35% HP showed decreased values after 7 days of the last whitening session compared to the baseline (p≤0.027). CONCLUSIONS 6% HP + LED/laser promoted perceptible color change, but not comparable with 35% HP. No differences on enamel microhardness were observed between the whitening protocols. However, 35% HP showed decreased hardness after 7 days of whitening compared to baseline.
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Affiliation(s)
- Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - João Felipe Besegato
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
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Impact of Bleaching before or after Veneer Preparation on Color Masking Ability of Laminate Veneers: An In Vitro Study. BIOMED RESEARCH INTERNATIONAL 2021; 2021:6611173. [PMID: 33997023 PMCID: PMC8099513 DOI: 10.1155/2021/6611173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 03/26/2021] [Accepted: 04/15/2021] [Indexed: 11/17/2022]
Abstract
Purpose This study evaluates the effect of bleaching before or after veneer preparation and the depth of preparation on color masking ability of laminate veneers. Methods. Sixty extracted premolars were artificially stained to vita shade A4, verified by digital spectrophotometer (Vita Easy Shade V), and then divided into three groups: NB = nonbleached, BBP = bleaching before preparation, and BAP = bleaching after preparation. Based on the preparation depths, each group was further divided into two subgroups: S1 = 0.5 mm and S2 = 1.0 mm. BBP and BAP were subjected to one session of in-office bleaching using 35% hydrogen peroxide. IPS e-max CAD veneers of 0.5 and 1.0 mm thickness (corresponding to the preparation depths) of the same shade and translucency (HT A1) were cemented immediately to the bleached surfaces. Immediately after cementation, the color change ΔE between the baseline (after staining) and the resulted shades was measured using the Vita Easy Shade V digital spectrophotometer and CIELab color system. Results Bleached groups exhibited a significant ΔE value compared to the nonbleached group (p < 0.05). BAP showed the highest ΔE value. No significant difference was found between BBP and BAP. S2 revealed a significant ΔE value than S1 (p < 0.05). No significant difference was found between S1of BAP and S2 of NB, BBP, and BAP (p > 0.05). Regarding the color coordinates, the difference between the tested groups was highly significant in lightness (ΔL∗) (p < 0.001), while no significant differences were found in green/red value (Δa∗) and yellow/blue value (Δb∗) (p > 0.05). Conclusions In cases of severe tooth discoloration, one session of in-office bleaching before or after veneer preparation and the preparation depth do not influence the color masking ability of laminate veneers.
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Costa JLDSG, Nogueira BR, de Oliveira Junior OB, Pretel H. Association of microabrasion and tooth whitening with LED/laser system in the treatment of incisor hypomineralization: 3-year follow-up. Photodiagnosis Photodyn Ther 2021; 33:102197. [PMID: 33515762 DOI: 10.1016/j.pdpdt.2021.102197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 01/11/2021] [Accepted: 01/22/2021] [Indexed: 10/22/2022]
Abstract
The hypomineralization of enamel is characterized as a defect in the quality of the enamel during the maturation process. This presents with clinical consequence as a whitish and rough appearance that effects the aesthetics of the dental elements. In recent years there has been a significant increase in this pathology, which has led to a great demand from professionals in the search for knowledge and appropriate technique to treat cases. Minimally invasive therapy may be sufficient for the aesthetic return of the altered enamel. Thus, the present clinical case aimed to present an aesthetic treatment of enamel hypomineralization in the upper incisors with a minimally invasive approach of association of microabrasion with low concentration tooth whitening photoaccelerated by violet LED and infrared laser. The follow-up of the case was performed for 3 years and the association of the techniques proved effective in returning the aesthetics and well-being of the patient, appearing as a good conservative alternative for the treatment of enamel hypomineralization.
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Affiliation(s)
| | - Básia Rabelo Nogueira
- Department of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University, UNESP, Araraquara, SP, Brazil.
| | | | - Hermes Pretel
- Department of Restorative Dentistry, Araraquara School of Dentistry, São Paulo State University, UNESP, Araraquara, SP, Brazil.
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