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Pavani CC, Fagundes TC, Sundfeld D, Santin GC, Machado LS, Bertoz APDM, Schott TC, Sundfeld RH. Influence of daily usage times on patients' compliance during at-home bleaching: a randomized clinical trial. J Appl Oral Sci 2023; 31:e20230181. [PMID: 37820182 PMCID: PMC10519669 DOI: 10.1590/1678-7757-2023-0181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 08/03/2023] [Accepted: 08/14/2023] [Indexed: 10/13/2023] Open
Abstract
The effectiveness of at-home dental bleaching treatments depends on the time that bleaching products are in contact with the teeth surface and, consequently, on the adequate use of associated custom acetate trays. OBJECTIVE This randomized single-blinded trial aimed to analyze if the daily usage time of these products influences the patient's compliance behavior when submitted to monitored at-home dental bleaching. Secondary outcomes were color change and tooth sensitivity. METHODOLOGY Sixty-six volunteers were randomly distributed into three groups (n=22): patients were instructed to use the trays for 2 (G2), 4 (G4), and 8 (G8) hours daily. The daily dental bleaching compliance behavior was measured using a microsensor inserted into the trays. Subjective and objective color evaluation assessments were adopted at baseline (T0), one (T1), two (T2), and three weeks (T3) after the beginning of the bleaching treatment, as well as two weeks after the treatment (T4). Tooth sensitivity was analyzed using the VAS scale, ranging from T1 to T4. RESULTS G2 showed a greater degree of cooperation than G8 and cooperation was inversely proportional to the recommended usage time. Significantly higher color change was observed in the upper arch for G8 when compared to G2 in subjective analysis, from T1 to T4. There were no statistical differences between the groups in objective analysis. CONCLUSION Shorter recommended usage time of the bleaching product may improve the patient's compliance with at-home dental bleaching treatments. However, increased daily usage time may promote better subjective color change. Bleaching sensitivity was more significant in the first week for a longer time of use.
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Affiliation(s)
- Caio César Pavani
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Ticiane Cestari Fagundes
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Daniel Sundfeld
- Centro Universitário Uningá - UNINGÁ, Departamento de Odontologia Restauradora e Prótese Dentária, Maringá, PR, Brasil
| | | | - Lucas Silveira Machado
- Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia, Departamento de Odontologia Conservadora, Porto Alegre, RS, Brasil
| | - André Pinheiro de Magalhães Bertoz
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | | | - Renato Herman Sundfeld
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
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Fioresta R, Melo M, Forner L, Sanz JL. Prognosis in home dental bleaching: a systematic review. Clin Oral Investig 2023:10.1007/s00784-023-05069-0. [PMID: 37273018 DOI: 10.1007/s00784-023-05069-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 05/08/2023] [Indexed: 06/06/2023]
Abstract
OBJECTIVES The aim of this systematic review was to evaluate the prognosis of at-home dental bleaching using low concentration bleaching products. MATERIALS AND METHODS This review was conducted was performed following the recommendations of the 2020 PRISMA statement and was registered in the International Prospective Register of Systematic Reviews (PROSPERO-CRD42022360530). The PICO question was "What is the prognosis of home teeth whitening treatment?". An advanced electronic search was made in three databases: PubMed, Web of Science, and Embase. RESULTS The database search led to the retrieval of 225 articles. After elimination of duplicate references, the titles and abstracts of the articles were analyzed with respect to the eligibility criteria, and 24 studies were included for the development of the systematic review. CONCLUSIONS Most authors state that the color remains stable between 1 and 2.5 years regardless of the type of bleaching agent or the forms of administration, and color stability in cases of severe discolorations presents a higher degree of recurrence. CLINICAL RELEVANCE Given the growing demand for dental cosmetic treatments, the following systematic review may aid the clinician's continuing education and evidence-based practice by providing knowledge on the field of at-home dental bleaching agents and their long-term effects.
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Affiliation(s)
- Rossella Fioresta
- Departament of Stomatology, Facultat de Medicina i Odontologia, Universitat de València, C. Gasgó Oliag, 1, 46010, Valencia, Spain
| | - María Melo
- Departament of Stomatology, Facultat de Medicina i Odontologia, Universitat de València, C. Gasgó Oliag, 1, 46010, Valencia, Spain.
| | - Leopoldo Forner
- Departament of Stomatology, Facultat de Medicina i Odontologia, Universitat de València, C. Gasgó Oliag, 1, 46010, Valencia, Spain
| | - José Luis Sanz
- Departament of Stomatology, Facultat de Medicina i Odontologia, Universitat de València, C. Gasgó Oliag, 1, 46010, Valencia, Spain
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Bizreh Y, Milly H. Effect of bioactive glass paste on efficacy and post-operative sensitivity associated with at-home bleaching using 20% carbamide peroxide: a randomized controlled clinical trial. Eur J Med Res 2022; 27:194. [PMID: 36195927 PMCID: PMC9531444 DOI: 10.1186/s40001-022-00826-5] [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: 08/03/2022] [Accepted: 09/26/2022] [Indexed: 11/10/2022] Open
Abstract
Background The aim of this study was to evaluate the effect of bioactive glass (BAG) 45S5 paste on colour change and tooth sensitivity (TS) when used in combination with 20% carbamide peroxide (CP) during at-home vital tooth bleaching. Methods Twenty-four patients were selected and assigned into two experimental groups (n = 12) in a double-blind study design. Each patient received 20% CP followed by the application of either BAG paste or non-active placebo paste. The shade evaluation was performed using a digital spectrophotometer based on the CIE L*a*b* colour space system at different time points and the overall colour changes ΔE were calculated. TS was evaluated using visual analogue scale (VAS). The values of ΔE and TS were statistically analysed using paired t-test. The level of statistical significance was established at p = 0.05. Results The overall colour changes (ΔE) between baseline and each time point showed no significant differences between BAG and placebo groups (p > 0.05). The use of BAG paste significantly decreased TS reported by the participants. Conclusions The association of BAG paste with at-home bleaching treatment presents a promising method as it decreased TS and did not deteriorate bleaching efficacy. Trial registration This study was approved and registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) under Registration number: ACTRN12621001334897.
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Affiliation(s)
- Yazan Bizreh
- Department of Restorative Dentistry, Faculty of Dental Medicine, Damascus University, Mazah, Damascus, Syria
| | - Hussam Milly
- Department of Restorative Dentistry, Faculty of Dental Medicine, Damascus University, Mazah, Damascus, Syria.
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Ribeiro MES, Lopes RM, Aranha ACC, Medeiros IS, Lima RR, Souza Júnior MHSE, Loretto SC. Is prolonged bleaching more harmful to dental enamel than daily dietary and hygienic oral habits? Braz Oral Res 2021; 35:e113. [PMID: 34816901 DOI: 10.1590/1807-3107bor-2021.vol35.0113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 03/24/2021] [Indexed: 11/21/2022] Open
Abstract
The ultrastructural and mechanical properties of enamel surface were evaluated after prolonged bleaching treatments with 10% carbamide peroxide in the presence or absence of orange juice (erosive challenge) and toothbrushing (abrasive challenge). In total, 145 incisor bovine teeth were used in this study. Twenty-five samples were prepared for the ultrastructural evaluations, and 120 samples were prepared for microhardness and roughness tests. These 120 samples were divided into eight experimental groups (n = 15): G1- artificial saliva; G2- abrasion; G3- erosion; G4- dental bleaching; G5- erosion + abrasion; G6- bleaching + abrasion; G7- bleaching + erosion; and G8- bleaching + erosion + abrasion. All groups were tested at T0 (before treatment), T1 (14 days), T2 (21 days), and T3 (28 days). Two-way analysis of variance for repeated measures and the post hoc Sidak tests (p ≤ 0.05) were used. The roughness evaluation demonstrated an increase in damage for all experimental groups with an increase in the time period. For microhardness, the groups exposed to artificial saliva (AS) and abrasive challenge did not show any differences at any time points, while the other groups showed a decrease in microhardness from T0 to T3. Ultrastructural evaluation showed different surface alterations in response to the treatments. Despite prolonged bleaching periods, the procedure caused lesser enamel surface alterations than exposure to orange juice alone or in combination with brushing.
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Affiliation(s)
- Mara Eliane Soares Ribeiro
- Universidade Federal do Pará - UFPA, School of Dentistry, Dental Materials Laboratory, Belém - PA, Brazil
| | - Raquel Marianna Lopes
- Universidade de São Paulo - USP, School of Dentistry, Department of Restorative Dentistry, São Paulo, SP, Brazil
| | - Ana Cecília Corrêa Aranha
- Universidade de São Paulo - USP, School of Dentistry, Department of Restorative Dentistry, São Paulo, SP, Brazil
| | - Igor Studart Medeiros
- Universidade de São Paulo, School of Dentistry, Department of Biomaterials and Oral Biology, São Paulo, SP, Brazil
| | - Rafael Rodrigues Lima
- Universidade Federal do Pará - UFPA, Institute of Biological Sciences, Laboratory of Functional and Structural Biology, Belém - PA, Brazil
| | | | - Sandro Cordeiro Loretto
- Universidade Federal do Pará - UFPA, School of Dentistry, Dental Materials Laboratory, Belém - PA, Brazil
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Donassollo SH, Donassollo TA, Coser S, Wilde S, Uehara JLS, Chisini LA, Correa MB, Cenci MS, Demarco FF. Triple-blinded randomized clinical trial comparing efficacy and tooth sensitivity of in-office and at-home bleaching techniques. J Appl Oral Sci 2021; 29:e20200794. [PMID: 34614118 PMCID: PMC8523096 DOI: 10.1590/1678-7757-2020-0794] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 06/29/2021] [Indexed: 11/22/2022] Open
Abstract
Objective Our study aims to compare the efficacy and tooth sensitivity following in-office (35% hydrogen peroxide) or at-home (10% carbamide peroxide) bleaching treatments both preceded by 2% potassium nitrate (2%KF) desensitizing gel. Methodology 130 volunteers were randomly allocated to a) in-office bleaching and a placebo at-home protocol; or b) in-office placebo and at-home bleaching treatment. 2% KF was applied for 10 min before both treatments. Objective color evaluation was performed (spectrophotometer CIEL*a*b* system and CIEDE2000) to calculate the color change (ΔE00). Subjective evaluation was performed using the VITA classical shade guide followed by shade variation (ΔSGU) at the beginning and end of bleaching treatment and 2 weeks post-bleaching. Tooth sensitivity was daily recorded using a Likert scale varying from 1 (no sensitivity) to 5 (severe sensitivity). Analysis was carried out using non-parametric tests. Results Regarding the color change, at-home bleaching resulted in significant color improvement compared to in-office treatment for the parameters Δb* (p=0.003) and Δa* (p=0.014). Two weeks post-bleaching, the at-home treatment resulted in significant color improvement compared to in-office treatment for the parameters Δb* (p=0.037) and ΔE00 (p=0.033). No differences were observed in either ΔSGU parameters. Concerning sensitivity, patients treated with in-office bleaching reported more tooth sensitivity than the at-home group only on the first day after bleaching started, without significant differences in the other periods evaluated (p>0.05). Conclusions At-home and in-office bleaching, preceded by a desensitizing agent, were effective for vital teeth bleaching and 10% carbamide peroxide produced a higher whitening effect than 35% hydrogen peroxide in the short time evaluation. Tooth sensitivity rates were similar for the two techniques tested.
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Affiliation(s)
- Sandrina Henn Donassollo
- Universidade Federal de Pelotas, Programa de Pós-Graduação em Odontologia, Rio Grande do Sul, Pelotas, Brasil
| | - Tiago Aurélio Donassollo
- Faculdade Especializada na Área da Saúde do Rio Grande do Sul.,Faculdade de Odontologia, Rio Grande do Sul, Passo Fundo, Brasil
| | - Sumaia Coser
- Faculdade Especializada na Área da Saúde do Rio Grande do Sul.,Faculdade de Odontologia, Rio Grande do Sul, Passo Fundo, Brasil
| | - Sabrina Wilde
- Faculdade Especializada na Área da Saúde do Rio Grande do Sul.,Faculdade de Odontologia, Rio Grande do Sul, Passo Fundo, Brasil
| | - Juliana Lays Stolfo Uehara
- Faculdade Especializada na Área da Saúde do Rio Grande do Sul.,Faculdade de Odontologia, Rio Grande do Sul, Passo Fundo, Brasil
| | | | - Marcos Britto Correa
- Universidade Federal de Pelotas, Rio Grande do Sul, Passo Fundo, Pelotas, Brasil
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Hu X, Xie L, Xu Z, Liu S, Tan X, Qian R, Zhang R, Jiang M, Xie W, Tian W. Photothermal-Enhanced Fenton-like Catalytic Activity of Oxygen-Deficient Nanotitania for Efficient and Safe Tooth Whitening. ACS APPLIED MATERIALS & INTERFACES 2021; 13:35315-35327. [PMID: 34291910 DOI: 10.1021/acsami.1c06774] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The growing demand for charming smiles has led to the popularization of tooth bleaching procedures. Current tooth bleaching products with high-concentration hydrogen peroxide (HP, 30-40%) are effective but detrimental due to the increased risk of enamel destruction, tooth sensitivity, and gingival irritation. Herein, we reported a less-destructive and efficient tooth whitening strategy with a low-concentration HP, which was realized by the remarkably enhanced Fenton-like catalytic activity of oxygen-deficient TiO2 (TiO2-x). TiO2-x nanoparticles were synthesized with a modified solid-state chemical reduction approach with NaBH4. The Fenton-like activity of TiO2-x was optimized by manipulating oxygen vacancy (OV) concentration and further promoted by the near-infrared (NIR)-induced photothermal effect of TiO2-x. The TiO2-x sample named BT45 was chosen due to the highest methylene blue (MB) adsorption ability and Fenton-like activity among acquired samples. The photothermal property of BT45 under 808 nm NIR irradiation was verified and its enhancement on Fenton-like activity was also studied. The BT45/HP + NIR group performed significantly better in tooth whitening than the HP + NIR group on various discolored teeth (stained by Orange II, tea, or rhodamine B). Excitingly, the same tooth whitening performance as the Opalescence Boost, a tooth bleaching product containing 40% HP, was obtained by a self-produced bleaching gel based on this novel system containing 12% HP. Besides, negligible enamel destruction, safe temperature range, and good cytocompatibility of TiO2-x nanoparticles also demonstrated the safety of this tooth bleaching strategy. This work indicated that the photothermal-enhanced Fenton-like performance of the TiO2-x-based system is highly promising in tooth bleaching application and can also be extended to other biomedical applications.
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Affiliation(s)
- Xingyu Hu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Li Xie
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Zhaoyu Xu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Suru Liu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Xinzhi Tan
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Ruojing Qian
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Ruitao Zhang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Mingyan Jiang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Wenjia Xie
- Department of Prosthodontics I, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Weidong Tian
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Engineering Research Center of Oral Translational Medicine, Ministry of Education & National Engineering Laboratory for Oral Regenerative Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.,Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
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Terra R, da Silva KL, Vochikovski L, Sutil E, Rezende M, Loguercio AD, Reis A. Effect of Daily Usage Time of 4% Hydrogen Peroxide on the Efficacy and Bleaching-induced Tooth Sensitivity: A Single-blind Randomized Clinical Trial. Oper Dent 2021; 46:395-405. [PMID: 34425585 DOI: 10.2341/20-058-c] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2019] [Indexed: 11/23/2022]
Abstract
OBJECTIVE Compare the risk/intensity of tooth sensitivity (TS) and color change of a 30-minute vs. the recommended 120-minute application time of 4% hydrogen peroxide (HP) for at-home bleaching. METHODS A single-blind, parallel, randomized clinical trial was conducted with 92 adult patients with caries and restoration-free anterior teeth A2 or darker, randomly allocated to two groups. Bleaching trays containing 4% HP were used for three-weeks. A four-week regimen was also offered to the patients for the 30-min group after the end of the 3-week protocol. The color change was assessed with the Vita Classical (VITA Zahnfabrik, Bad Säckingen, Germany) and Vita Bleachedguide shade guides (VITA Zahnfabrik) and the Vita Easyshade spectrophotometer (VITA Zahnfabrik) at baseline, weekly, and 30 days after the bleaching. The absolute risk and the intensity of TS were assessed daily using the 0-10 visual analogue scale (VAS) and 5-point Numerical Rating Scale (NRS) scale, and patient satisfaction was recorded with a Likert 0-7 scale. Risk of TS (Fisher's test), intensity of TS in NRS scale (Mann-Whitney test), VAS scale (t-test), and a color change (t-test) were compared. RESULTS The 30-minute group saw color change of around 1 SGU inferior to the 120-minute group in all-time assessments (p<0.05). After an extra week of bleaching, mean color change was similar (p>0.05). Patient satisfaction was high for both groups (p>0.05). CONCLUSIONS A four-week protocol of at-home dental bleaching with 4% HP for 30 minutes/day whitened teeth similarly to the 120 minutes/day protocol, with low intensity of dental sensitivity and high patient satisfaction.
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Effects of preoperative air-powder polishing and rubber-cup prophylaxis on tooth bleaching: randomized controlled split-mouth clinical study. Clin Oral Investig 2021; 25:6007-6014. [PMID: 34145478 DOI: 10.1007/s00784-021-04023-2] [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: 12/31/2020] [Accepted: 06/01/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE This clinical study aimed to compare the effects of preoperative air-powder polishing and rubber-cup prophylaxis on tooth bleaching. MATERIALS AND METHODS Twenty-three patients with tooth discoloration were enrolled in this randomized controlled split-mouth experimental study. Before bleaching, air-powder polishing (APP) and rubber-cup polishing (RCP) techniques were applied on either side of the mouth. A 40% hydrogen peroxide bleaching agent was applied twice for 15 min for the in-office bleaching treatment. The tooth bleaching effects were assessed immediately and 1 week after bleaching. RESULTS There were no significant differences between the prophylaxis groups with respect to all color parameters (ΔL, Δa, Δb, ΔSGU, and ΔE00) immediately after bleaching (p > 0.05). At 1-week assessment period, there were no significant differences between the prophylaxis groups with respect to all color parameters (p > 0.05), except ΔE00 (p < 0.05). CONCLUSION Immediately after the bleaching treatment, the two prophylactic techniques produced similar efficacy. One week after the bleaching treatment, the APP technique produced higher levels of color changes. CLINICAL RELEVANCE APP prophylaxis before bleaching treatment may reduce the application time and the number of sessions to achieve the desired color. TRIAL REGISTRATION ClinicalTrial.gov ID: NCT04407910.
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Llena C, Villanueva A, Mejias E, Forner L. Bleaching efficacy of at home 16% carbamide peroxide. A long‐term clinical follow‐up study. J ESTHET RESTOR DENT 2020; 32:12-18. [DOI: 10.1111/jerd.12560] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 11/22/2019] [Accepted: 12/11/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Carmen Llena
- Department of StomatologyUniversitat de València Valencia Spain
| | | | - Elena Mejias
- Department of StomatologyUniversitat de València Valencia Spain
| | - Leopoldo Forner
- Department of StomatologyUniversitat de València Valencia Spain
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