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Papadopoulou A, Dionysopoulos D, Strakas D, Kouros P, Vamvakoudi E, Tsetseli P, Kolokitha OE, Tolidis K. Exploring the efficacy of laser-assisted in-office tooth bleaching: A study on varied irradiation times and power settings utilizing a diode laser (445 nm). JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY. B, BIOLOGY 2024; 257:112970. [PMID: 38955079 DOI: 10.1016/j.jphotobiol.2024.112970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Revised: 06/09/2024] [Accepted: 06/26/2024] [Indexed: 07/04/2024]
Abstract
The aim of this study was to evaluate the effectiveness of a laser-assisted in-office tooth bleaching treatment, employing a diode laser (445 nm) using different power and time settings. Two hundred human incisors were collected for evaluating tooth color change (ΔΕ00) and whiteness index in dentistry (ΔWID) following laser-assisted tooth bleaching treatment. The specimens were distributed into 25 groups (n = 8) according to laser output power (0.5-2 W) and duration of irradiation (10-60 s) that was applied. ΔΕ00 and ΔWID were evaluated using a spectrophotometer at three points of time (24 h, 1 week and 1 month after treatments). Three-way ANOVA revealed that power, duration of laser irradiation, and time of measurement after bleaching treatments significantly affected both ΔΕ00 and ΔWID(p < 0.05). Furthermore, laser irradiation increased ΔΕ00 and ΔWID at all applied powers compared to the control group (p < 0.05), but this increase was dependent on the duration of irradiation. Laser irradiation significantly increased ΔΕ00 when the duration of operation was 50-60 s at 0.5-1 W, while at 1.5-2 W was significantly increased when the duration was 30-60 s. ΔWID was significant higher in the laser groups compared to the control group at all powers, except for 0.5 W where it was significant higher when the duration was 50-60 s. The outcomes of the study can help in selecting the suitable power settings and duration of laser exposure to achieve the optimal whitening results while ensuring the safety of the tooth pulp.
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Affiliation(s)
- Aggeliki Papadopoulou
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Dimitrios Dionysopoulos
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece.
| | - Dimitrios Strakas
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Pantelis Kouros
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Elli Vamvakoudi
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Petroula Tsetseli
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Olga-Elpis Kolokitha
- Department of Orthodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Kosmas Tolidis
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
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Memis I, Dionysopoulos D, Papadopoulos C, Mourouzis P, Davidopoulou S, Tolidis K. Effect of air-abrasion pretreatment with three desensitizing agents on efficacy of in-office tooth bleaching. J ESTHET RESTOR DENT 2024. [PMID: 38867494 DOI: 10.1111/jerd.13272] [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: 03/07/2024] [Revised: 05/15/2024] [Accepted: 06/02/2024] [Indexed: 06/14/2024]
Abstract
OBJECTIVE To evaluate the influence of air-abrasion of enamel with three different desensitizing powders on the whitening effect of a bleaching gel containing 40% H2O2, which was used for in-office tooth bleaching. MATERIALS AND METHODS Forty human incisors, extracted and prepared, were acquired for this study and subsequently randomized into four groups (n = 10). The control group specimens underwent no pretreatment prior to the bleaching procedure, whereas the remaining three groups underwent air abrasion using distinct desensitizing powders; (a) Sylc, which contains bioglass 45S5; (b) BioMinF, which contains calcium phospho-fluoro-silicate glass; and (c) MI Pearls, which contains nano-hydroxyapatite, 1 h preceding the Opalescence Boost PF 40% bleaching procedure. Color measurements were conducted using a double-beam UV-Vis spectrophotometer at four distinct time points (prior to bleaching, 24 h, 15 days, and 30 days post-bleaching). RESULTS Tooth color change outcomes revealed that there were no statistically significant results with respect to the interaction of the two criteria (treatments and time) (p = 0.990). Additionally, there were no statistically significant results with respect to the main effects of treatments (p = 0.385), while there were statistically significant effects with respect to the time criterion (p = 0.013). CONCLUSIONS The use of the tested desensitizing powders prior the bleaching procedure did not affect the tooth color change induced by the tested bleaching agent. CLINICAL SIGNIFICANCE Tooth color change and whiteness are not affected by air-abrasion desensitizing treatments when applied prior to in-office bleaching procedures.
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Affiliation(s)
- Ioannis Memis
- Department of Operative Dentistry, School of Health Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Dimitrios Dionysopoulos
- Department of Operative Dentistry, School of Health Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Constantinos Papadopoulos
- Department of Operative Dentistry, School of Health Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Petros Mourouzis
- Department of Operative Dentistry, School of Health Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Sotiria Davidopoulou
- Department of Operative Dentistry, School of Health Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Kosmas Tolidis
- Department of Operative Dentistry, School of Health Sciences, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Möbius D, Braun A, Franzen R. Evaluation of tooth color change after a bleaching process with different lasers. Odontology 2024:10.1007/s10266-023-00886-x. [PMID: 38367067 DOI: 10.1007/s10266-023-00886-x] [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: 02/10/2023] [Accepted: 11/28/2023] [Indexed: 02/19/2024]
Abstract
The aim of this in vitro study was to evaluate the efficiency of diode laser-activated bleaching systems for color change of teeth. 75 extracted teeth were studied in five different bleaching protocols. Group 1: diode laser 445 nm, 320 µm fiber, 0.5W, continuous wave mode, dose 53 J/cm2. Group 2: diode laser 970 nm, 320 µm fiber, 1W, continuous wave mode, dose 106.10 J/cm2. Group 3: diode laser 940 nm, bleaching handpiece, 7W, continuous wave mode, dose 105 J/cm2. Group 4: diode laser 940 nm, 300 µm fiber, 2W, continuous wave mode, dose 47.16 J/cm2. Group 5: bleaching process without laser activation. In groups 1, 2 and 5, teeth were bleached with Perfect Bleach Office + and in groups 3 and 4, LaserWhite20 bleaching gel was used. Tooth color was determined immediately after the bleaching process using a spectrophotometer. Color change data on the CIE L * a * b* system was analyzed statistically by the one-way ANOVA and Tukey's HSD test. All bleaching procedures resulted in a change of color. All laser groups (∆E * ab > 3) have statistically larger ∆E * ab values than the control group (∆E * ab = 0.73) (p < 0.05). The diode laser 445 nm has the largest ∆E * ab value (∆E * ab = 4.65) and results in a significantly higher color difference than all other groups. In terms of color score difference in VITA Shades, all laser-activated groups lead to a lightening effect while the control group leads to only a slight lightening effect. The diode laser 445 nm produced the greatest color difference. Laser-activated bleaching is more effective than conventional bleaching without light activation. The diode laser 445 nm performs best in this in vitro study.
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Affiliation(s)
- Danny Möbius
- Department of Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
| | - Andreas Braun
- Department of Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Rene Franzen
- Department of Operative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany
- AALZ Aachen Dental Laser Center, Aachen, Germany
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Takeuchi EV, Costa JLDSG, Silva CLDA, Barros APO, Machado BL, Casarin HH, Besegato JF, Kuga MC, Silva CM. Influence of blue and violet LED and infrared laser on the temperature of bleaching protocols in different concentrations of hydrogen peroxide. Photodiagnosis Photodyn Ther 2024; 45:104006. [PMID: 38336149 DOI: 10.1016/j.pdpdt.2024.104006] [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: 01/05/2024] [Revised: 01/30/2024] [Accepted: 02/06/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND The photo-acceleration of bleaching gels by lights has been extensively researched. However, the induced temperature increase during this process needs to be further evaluated to prevent damage to the dental pulp. Therefore, the objective of this study was to evaluate the surface and intrapulpal temperature kinetics of different concentrations of hydrogen peroxide (HP) gels photo-accelerated by blue or violet light and infrared laser. METHODS The whitening gels at concentrations of HP35, HP15, and HP6 % were irradiated with blue and violet LED/laser on the surface of a human canine tooth. The surface temperature variation (∆Ts) was evaluated using a pH meter, while the intrapulpal temperature variation (∆Ti) was assessed using a digital thermometer at intervals of 1, 15, and 30 min. Statistical analysis was conducted using a Two-way repeated measures ANOVA test, and Bonferroni post-test was applied at a significance level of 5 %. RESULTS All violet LED photo-accelerated groups showed a higher increase in ∆Ts compared to the blue LED/laser groups. However, there were no significant differences between the groups for ∆Ti. CONCLUSION Although the photo-acceleration of HP35 and HP15 % gels with violet LED/laser has a greater increase in surface temperature compared to HP6 % gel, the different light systems do not significantly increase the intrapulpal temperature.
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Affiliation(s)
- Elma Vieira Takeuchi
- Department of Dental Materials of the Postgraduate Program in Dentistry, Federal University of Pará - UFPA, Belém, PA, Brazil
| | | | | | - Antonia Patricia Oliveira Barros
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Barbara Leite Machado
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Heitor Hussni Casarin
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - João Felipe Besegato
- School of Dentistry, Federal University of Mato Grosso do Sul - UFMS, Campo Grande, MS, Brazil
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Cecy Martins Silva
- Department of Dental Materials of the Postgraduate Program in Dentistry, Federal University of Pará - UFPA, Belém, PA, Brazil
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Elrashid AH, Alsarh SA, Alotaibi DS, Albaqami MA, Algadhi SK, Alfaraj RA, Cicciù M, Minervini G. Microleakage effect of in-office bleaching on two types of nanohybrid composites with or without surface sealer. Technol Health Care 2024; 32:787-798. [PMID: 37483036 DOI: 10.3233/thc-230213] [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] [Indexed: 07/25/2023]
Abstract
BACKGROUND Bleaching is a highly common method used nowadays to treat tooth discolouration because it is a significant cosmetic issue, particularly with anterior teeth, however bleaching itself results in microleakage. OBJECTIVE This study aims to evaluate the impact of in-office bleaching on class V restoration microleakage with type 1 and type 2 composite restorations. METHODS Three hundred and twenty healthy, caries-free removed human anterior teeth were used in this in-vitro study. All extracted teeth had their buccal and lingual surfaces uniformly prepped for class V cavities. The 120 removed teeth were divided into two groups, with Group 1 receiving Tetric N-Ceram nanohybrid composite restorations and Group 2 receiving 3 M Filtek Z350 XT nanohybrid composite restorations. Groups 1 and 2 were further broken into four more subgroups of four each. The restorations were sealed with a G-Coat Plus resin. The p-value was kept at 0.005 for the data analysis using the Chi-square and Fisher exact tests. RESULTS Allocating microleakage among 320 study models revealed that 141 (44.1%) study samples had no microleakage, whereas 20 (6.3%), 54 (16.9%), and 105 (32.8%) study samples had microleakage up to, between, and greater than two-thirds of cavity depth. With a statistically significant p-value of 0.001, no microleakage was discovered in 85 (53.1%) lingual surfaces with Tetric N-Ceram nanohybrid composite restoration and 56 (35%) buccal surfaces with 3M Filtek Z350 XT nanohybrid composite restoration. 19.1% of samples of N-Ceram that were sealed and not bleached had no microleakage, according to analysis of microleakage across several groups. With a p-value of 0.001, the distribution of microleakage among various clusters was statistically notable. CONCLUSION According to the findings of the study, hydrogen peroxide bleaching has an enhanced impact on micro escape during dye dispersion. Both with and without bleaching, resin coating can be utilised to minimise marginal microleakage.
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Affiliation(s)
- Afra Hassan Elrashid
- Restorative Department of Dentistry, Annamuthajiah Campus, Riyadh Elm University, Riyadh, Saudi Arabia
| | | | | | | | | | - Reham Ahmad Alfaraj
- College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Marco Cicciù
- Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, Italy
| | - Giuseppe Minervini
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Naples, Italy
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Poyurovskaya IY, Vinnichenko YA, Kryazhinova IA, Rusanov FS, Korshunova AV. [Laboratory evaluation of the effectiveness and safety of the Chairside Light Whitening System fläsh]. STOMATOLOGIIA 2024; 103:16-22. [PMID: 38372602 DOI: 10.17116/stomat202410301116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/20/2024]
Abstract
THE AIM OF THE STUDY Optimization of methods for treating dental discoloration using whitening systems based on hydrogen peroxide by laboratory studying their chemical properties. MATERIAL AND METHODS The effectiveness of the bleaching system was assessed by quantitatively assessing the color change of model samples of hydroxyapatite (HAP) in the CIE L*a*b* system on a Spectron-M color analyzer after exposure to coloring food media. Safety assessment was carried out on samples made from teeth removed according to indications. RESULTS The results of laboratory tests allow us to conclude that the Chairside Light Whitening System professional teeth whitening system fläsh. (WHITEsmile GmbH, Germany) has high whitening efficiency with a whitening degree of ~84%, which significantly exceeds the norm of GOST R 702.3.004-2021. the microhardness of the enamel of samples exposed to the whitening gel for 15 minutes changes extremely little. After exposure of the studied samples to the Chairside Light Whitening System fläsh whitening system for 45 minutes, an increase in digital microhardness indicators is observed, which indicates the dynamics of processes demineralizing the hard tooth structure. CONCLUSIONS Chairside Light Whitening System fläsh professional teeth whitening system has high whitening efficiency with minimal impact on the teeth structure and high safety.
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Affiliation(s)
- I Ya Poyurovskaya
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - Yu A Vinnichenko
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - I A Kryazhinova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - F S Rusanov
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - A V Korshunova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
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Coppola G, Teodosio LM, Assis HC, Bertolini GR, Castro-Vasconcelos GA, Sousa-Neto MD, Lopes-Olhê FC. Chemical, morphological and microhardness analysis of coronary dentin submitted to internal bleaching with hydrogen peroxide and violet LED. Photodiagnosis Photodyn Ther 2023; 44:103862. [PMID: 37890812 DOI: 10.1016/j.pdpdt.2023.103862] [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: 08/31/2023] [Revised: 10/23/2023] [Accepted: 10/24/2023] [Indexed: 10/29/2023]
Abstract
BACKGROUND Violet LED has been used for internal bleaching, however its implications on coronary dentin composition are unclear. The present study aims to evaluate the effect of bleaching with violet LED, either associated with 35 % hydrogen peroxide or not, on microhardness, chemical composition, and morphological characteristics of coronal dentin. METHODS Thirty maxillary canines were selected to obtain 30 blocks of coronal dentin, distributed in 3 groups (n = 10): 35 % hydrogen peroxide (HP); violet LED (LED); HP 35 % + LED, (HP+LED). The chemical analysis was performed by FTIR and the morphological evaluation of the dentin structure by confocal laser scanning microscopy before (T0) and after treatment (T1). The microhardness analysis was performed by microdurometer after bleaching. The data were submitted to repeated measures ANOVA test (P> 0.05). RESULTS The intensity of the inorganic peaks decreased after bleaching for all groups (P = 0.003). There was an increase in the organic peak intensity after bleaching with HP, a decrease for LED, while HP+LED did not change the intensity (P = 0.044). Moreover, the inorganic/organic ratio decreased for HP (P = 0.022), while for LED and HP+LED there was no significant changes (P>0.05). HP and HP+LED showed lower microhardness values compared to LED (P< 0.05). Regarding morphological changes, an increase in the perimeter of the dentinal tubules was found for all groups, with the smallest increase being observed for LED. CONCLUSION HP bleaching decreased the chemical stability and microhardness of the coronal dentin, while the violet LED treatments had no significant impact on dentin stability. In all groups, there was an increase in exposure of the dentinal tubules after bleaching, which was less pronounced with the violet LED bleaching.
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Affiliation(s)
- Gabriel Coppola
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil
| | - Leonardo Moreira Teodosio
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil
| | - Helena Cristina Assis
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil
| | - Gunther Ricardo Bertolini
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil
| | - Gustavo Alexandre Castro-Vasconcelos
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil
| | - Manoel D Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil
| | - Fabiane Carneiro Lopes-Olhê
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, Rua Célia de Oliveira Meirelles 350, University of São Paulo, Ribeirão Preto, SP 14024-070, Brazil.
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Guedes RDA, Carlos NR, Turssi CP, França FMG, Vieira-Junior WF, Kantovitz KR, Bronze-Uhle ES, Lisboa-Filho PN, Basting RT. Hybrid light applied with 37% carbamide peroxide bleaching agent with or without titanium dioxide potentializes color change effectiveness. Photodiagnosis Photodyn Ther 2023; 44:103762. [PMID: 37640206 DOI: 10.1016/j.pdpdt.2023.103762] [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: 06/26/2023] [Revised: 08/20/2023] [Accepted: 08/21/2023] [Indexed: 08/31/2023]
Abstract
BACKGROUND The effectiveness of dental color change was assessed by incorporating titanium dioxide (TiO2) into 37% carbamide peroxide bleaching agent associated with hybrid light. METHODOLOGY Fifty bovine incisors were selected to receive the bleaching treatment, and separated into five groups (n = 10): 35% hydrogen peroxide (HP) (Whiteness HP, FGM/HP); 37% carbamide peroxide (CP) (Whiteness SuperEndo, FGM/CP); CP + hybrid light (HL) (CP HL); CP + 1% TiO2 (CP TiO2); CP TiO2 + hybrid light (CP TiO2 HL). The bleaching gels were applied to the dental surface for 30 min. Hybrid light (Whitening Plus, DMC/infrared laser diodes + blue LEDs +violet LEDs) was applied with 1 min of active light, alternating with 1 min of pause. A spectrophotometer (VITA Easyshade® Advance, Vita) was used to determine the color of the dental elements at baseline and time points after the 1st, 2nd and 3rd bleaching sessions. Color change effectiveness was evaluated using Vita Classical, CIEL*a*b*, WID and ΔEab, ΔE00 and ΔWID parameters. RESULTS Generalized mixed linear models for repeated measures (α = 5%) showed significant decrease in Vita Classical scores and a* and b* values, as well as an increase in L* and ∆WID values for all the groups. Higher color change values for ΔEab were observed for CP HL and CP TiO2 HL, while those of ΔE00 and ΔWID were higher for CP TiO2 HL at the end of the bleaching treatment. CONCLUSION Hybrid light applied with TiO2 incorporated into CP potentiated the effectiveness of the color change in the tooth structure.
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Affiliation(s)
- Rafaela de Almeida Guedes
- Rua José Rocha Junqueira, Faculdade São Leopoldo Mandic, 13, Bairro Swift, Campinas, São Paulo CEP: 13045-755, Brazil
| | - Natália Russo Carlos
- Rua José Rocha Junqueira, Faculdade São Leopoldo Mandic, 13, Bairro Swift, Campinas, São Paulo CEP: 13045-755, Brazil
| | - Cecilia Pedroso Turssi
- Rua José Rocha Junqueira, Faculdade São Leopoldo Mandic, 13, Bairro Swift, Campinas, São Paulo CEP: 13045-755, Brazil
| | | | | | - Kamila Rosamilia Kantovitz
- Rua José Rocha Junqueira, Faculdade São Leopoldo Mandic, 13, Bairro Swift, Campinas, São Paulo CEP: 13045-755, Brazil
| | - Erika Soares Bronze-Uhle
- School of Sciences, São Paulo State University (UNESP), Av. Eng. Luís Edmundo Carrijo Coube, 2085, Núcleo Res. Pres. Geisel, Bauru, São Paulo CEP: 17033-360, Brazil
| | - Paulo Noronha Lisboa-Filho
- School of Sciences, São Paulo State University (UNESP), Av. Eng. Luís Edmundo Carrijo Coube, 2085, Núcleo Res. Pres. Geisel, Bauru, São Paulo CEP: 17033-360, Brazil
| | - Roberta Tarkany Basting
- Rua José Rocha Junqueira, Faculdade São Leopoldo Mandic, 13, Bairro Swift, Campinas, São Paulo CEP: 13045-755, Brazil.
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Shi J, Bie YQ, Zong A, Fang S, Chen W, Han J, Cao Z, Zhang Y, Taniguchi T, Watanabe K, Fu X, Bulović V, Kaxiras E, Baldini E, Jarillo-Herrero P, Nelson KA. Intrinsic 1[Formula: see text] phase induced in atomically thin 2H-MoTe 2 by a single terahertz pulse. Nat Commun 2023; 14:5905. [PMID: 37737233 PMCID: PMC10516973 DOI: 10.1038/s41467-023-41291-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 08/29/2023] [Indexed: 09/23/2023] Open
Abstract
The polymorphic transition from 2H to 1[Formula: see text]-MoTe2, which was thought to be induced by high-energy photon irradiation among many other means, has been intensely studied for its technological relevance in nanoscale transistors due to the remarkable improvement in electrical performance. However, it remains controversial whether a crystalline 1[Formula: see text] phase is produced because optical signatures of this putative transition are found to be associated with the formation of tellurium clusters instead. Here we demonstrate the creation of an intrinsic 1[Formula: see text] lattice after irradiating a mono- or few-layer 2H-MoTe2 with a single field-enhanced terahertz pulse. Unlike optical pulses, the low terahertz photon energy limits possible structural damages. We further develop a single-shot terahertz-pump-second-harmonic-probe technique and reveal a transition out of the 2H-phase within 10 ns after photoexcitation. Our results not only provide important insights to resolve the long-standing debate over the light-induced polymorphic transition in MoTe2 but also highlight the unique capability of strong-field terahertz pulses in manipulating quantum materials.
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Affiliation(s)
- Jiaojian Shi
- Department of Chemistry, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - Ya-Qing Bie
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
- State Key Lab of Optoelectronic Materials and Technologies, Guangdong Province Key Laboratory of Display Material and Technology, School of Electronics and Information Technology, Sun Yat-sen University, Guangzhou, 510275 People’s Republic of China
| | - Alfred Zong
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
- Department of Chemistry, University of California, Berkeley, CA 94720 USA
| | - Shiang Fang
- Department of Physics, Harvard University, Cambridge, MA 02138 USA
- Department of Physics and Astronomy, Center for Materials Theory, Rutgers University, Piscataway, NJ 08854 USA
- Present Address: Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - Wei Chen
- Department of Physics, Harvard University, Cambridge, MA 02138 USA
| | - Jinchi Han
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
- School of Integrated Circuits, Peking University, Beijing, 100871 People’s Republic of China
| | - Zhaolong Cao
- State Key Lab of Optoelectronic Materials and Technologies, Guangdong Province Key Laboratory of Display Material and Technology, School of Electronics and Information Technology, Sun Yat-sen University, Guangzhou, 510275 People’s Republic of China
| | - Yong Zhang
- Center for Materials Science & Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - Takashi Taniguchi
- International Center for Materials Nanoarchitectonics, National Institute for Materials Science, 1-1 Namiki, Tsukuba, 305-0044 Japan
| | - Kenji Watanabe
- Research Center for Functional Materials, National Institute for Materials Science, 1-1 Namiki, Tsukuba, 305-0044 Japan
| | - Xuewen Fu
- Ultrafast Electron Microscopy Laboratory, The MOE Key Laboratory of Weak-Light Nonlinear Photonics, School of Physics, Nankai University, Tianjin, 300071 People’s Republic of China
| | - Vladimir Bulović
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | | | - Edoardo Baldini
- Department of Physics, Center for Complex Quantum System, The University of Texas at Austin, Austin, TX 78712 USA
| | - Pablo Jarillo-Herrero
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - Keith A. Nelson
- Department of Chemistry, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
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Papadopoulou A, Dionysopoulos D, Strakas D, Kouros P, Kolokitha OE, Tolidis K. Temperature changes in the pulp chamber and bleaching gel during tooth bleaching assisted by diode laser (445 nm) using different power settings. Lasers Med Sci 2023; 38:209. [PMID: 37698715 PMCID: PMC10497428 DOI: 10.1007/s10103-023-03863-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 08/23/2023] [Indexed: 09/13/2023]
Abstract
The aim of this in vitro study was to investigate the safety of using blue diode laser (445 nm) for tooth bleaching with regard to intrapulpal temperature increase operating at different average power and time settings. Fifty human mandibular incisors (n = 10) were used for evaluating temperature rise inside the pulp chamber and in the bleaching gel during laser-assisted tooth bleaching. The change in temperature was recorded using K thermocouples for the five experimental groups (without laser, 0.5, 1, 1.5 and 2 W) at each point of time (0, 10, 20, 30, 40, 50 and 60 s). As the average power of the diode laser increases, the temperature inside the pulp chamber also increases and that of the bleaching gel was significantly higher in all the experimental groups (p < 0.05). However, the intrapulpal temperature rise was below the threshold for irreversible thermal damage of the pulp (5.6 °C). Average power of a diode laser (445 nm) ranging between 0.5-2 W and irradiation time between 10-60 s should be considered safe regarding the pulp health when a red-colored bleaching gel is used. Clinical studies should confirm the safety and effectiveness of such tooth bleaching treatments. The outcomes of the present study could be a useful guide for dental clinicians, who utilize diode lasers (445 nm) for in-office tooth bleaching treatments in order to select appropriate power parameters and duration of laser irradiation without jeopardizing the safety of the pulp.
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Affiliation(s)
- Aggeliki Papadopoulou
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - Dimitrios Dionysopoulos
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
| | - Dimitrios Strakas
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - Pantelis Kouros
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - Olga-Elpis Kolokitha
- Department of Orthodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
| | - Kosmas Tolidis
- Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece
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11
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Matos ICRT, Kury M, de Melo PBG, de Souza LVS, Esteban Florez FL, Cavalli V. Effects of experimental bleaching gels containing co-doped titanium dioxide and niobium pentoxide combined with violet light. Clin Oral Investig 2023; 27:4827-4841. [PMID: 37369816 DOI: 10.1007/s00784-023-05113-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 06/07/2023] [Indexed: 06/29/2023]
Abstract
OBJECTIVES The objective of the study is to evaluate the bleaching potential of 6% hydrogen peroxide (6% HP) gels containing NF_TiO2 or Nb2O5 irradiated with a violet LED light and the effects on enamel mineral content and surface morphology. METHODS Particles were synthesized, and experimental gels were chemically analyzed by preliminary and accelerated stability tests, pH, and HP decomposition rate. Bovine enamel blocks were treated with 6% HP gels containing (n = 10): 5% NF_TiO2, 5% Nb2O5, 2.5% NF_TiO2 + 2.5% Nb2O5 or without particles (6% HP), irradiated or not with LED, and the control was treated with 35% HP. Color (∆E00) and whitening index (∆WID) variations, surface microhardness (SH), average roughness (∆Ra), Ca-P concentration (EDS), and enamel morphology (SEM) were assessed. Bleaching was performed in 3 sessions of 30 min and 7-day intervals. Data were submitted to two- (pH, decomposition rate, ∆E00, and ∆WID) or three-way ANOVA and Bonferroni (SH), Kruskal-Wallis (∆Ra), and Dunnet tests (α = 0.05). RESULTS No changes in the gel's color, odor, or translucency were observed. The pH (6 to 6.5) remained stable over time, and light irradiation boosted the HP decomposition rate. NF_TiO2 and Nb2O5-containing gels displayed higher ∆E00 and ΔWID when light-irradiated (p < 0.05). Nb2O5 and Nb2O5 + NF_TiO2 decreased enamel SH (p < 0.05), but no SH changes were found among groups (p > 0.05). No differences among groups were noted in ∆Ra, Ca-P content, and enamel morphology after treatments (p > 0.05). CONCLUSION Experimental light-irradiated 6% HP gels containing NF_TiO2 or Nb2O5 were chemically stable and exhibited bleaching potential comparable with 35% HP. CLINICAL RELEVANCE Low-concentrated HP gels containing NF_TiO2 or Nb2O5 and light-irradiated stand as a possible alternative to in-office bleaching.
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Affiliation(s)
- Iago César Ribeiro Teles Matos
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba, SP, Brazil
| | - Matheus Kury
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba, SP, Brazil
| | - Priscila Borges Gobbo de Melo
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba, SP, Brazil
| | - Leticia Vasconcelos Silva de Souza
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba, SP, Brazil
| | - Fernando Luis Esteban Florez
- Division of Dental Biomaterials, Department of Restorative Sciences, University of Oklahoma Health Sciences Center College of Dentistry, Oklahoma City, OK, USA
| | - Vanessa Cavalli
- Division of Operative Dentistry, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, 901 Limeira Av., Piracicaba, SP, Brazil.
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12
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Saran R, Ginjupalli K, George SD, Chidangil S, V K U. LASER as a tool for surface modification of dental biomaterials: A review. Heliyon 2023; 9:e17457. [PMID: 37408894 PMCID: PMC10319194 DOI: 10.1016/j.heliyon.2023.e17457] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 06/09/2023] [Accepted: 06/19/2023] [Indexed: 07/07/2023] Open
Abstract
In recent years, the application of lasers for modifying the surface topography of dental biomaterials has received increased attention. This review paper aims to provide an overview of the current status on the utilization of lasers as a potential tool for surface modification of dental biomaterials such as implants, ceramics, and other materials used for restorative purposes. A literature search was done for articles related to the use of lasers for surface modification of dental biomaterials in English language published between October 2000 and March 2023 in Scopus, Pubmed and web of science, and relevant articles were reviewed. Lasers have been mainly used for surface modification of implant materials (71%), especially titanium and its alloys, to promote osseointegration. In recent years, laser texturing has also emerged as a promising technique to reduce bacterial adhesion on titanium implant surfaces. Currently, lasers are being widely used for surface modifications to improve osseointegration and reduce peri-implant inflammation of ceramic implants and to enhance the retention of ceramic restorations to the tooth. The studies considered in this review seem to suggest laser texturing to be more proficient than the conventional methods of surface modification. Lasers can alter the surface characteristics of dental biomaterials by creating innovative surface patterns without significantly affecting their bulk properties. With advances in laser technology and availability of newer wavelengths and modes, laser as a tool for surface modification of dental biomaterials is a promising field, with excellent potential for future research.
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Affiliation(s)
- Runki Saran
- Department of Dental Materials, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Kishore Ginjupalli
- Department of Dental Materials, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Sajan D. George
- Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
- Centre for Applied Nanosciences, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Santhosh Chidangil
- Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Unnikrishnan V K
- Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
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13
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Manzoli TM, Costa JLDSG, Besegato JF, Zaniboni JF, Galvani LD, Dantas AAR, Kuga MC. Microstructural effect of different concentrations of hydrogen peroxide photoactivated with LED/laser. Photodiagnosis Photodyn Ther 2023; 42:103613. [PMID: 37201771 DOI: 10.1016/j.pdpdt.2023.103613] [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: 04/14/2023] [Revised: 05/08/2023] [Accepted: 05/12/2023] [Indexed: 05/20/2023]
Abstract
BACKGROUND The use of different concentrations of hydrogen peroxide (HP) photoactivated with LED/laser sources is recurrent; however, their influence on tooth structure is not yet fully elucidated. This study aimed to evaluate the pH, microhardness and surface roughness of different bleaching protocols photoactivated with LED/laser. METHODS Forty bovine incisors were sectioned (7×7×2mm) and randomized into four groups for analysis of pH (n=5), microhardness and roughness (n=10): HP35, HP6_L, HP15_L, HP35_L. The pH analysis was performed in the initial and final minute of the bleaching protocol. Microhardness and roughness were evaluated before and 7 days after the last bleaching session. Results were obtained from two-way ANOVA for repeated measures and Bonferroni post-test at a significance level of 5%. RESULTS HP6_L showed higher pH and greater stability between the initial and final evaluations, while the other groups showed similar pH with reduced values in the intragroup evaluation. No differences between groups in microhardness and roughness evaluations were observed. CONCLUSIONS Although HP6_L showed higher alkalinity and pH stability, none of the protocols reduced the microhardness and surface roughness of bovine enamel.
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Affiliation(s)
- Tatiane Miranda Manzoli
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - João Felipe Besegato
- School of Dentistry, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, MS, Brazil.
| | - Joissi Ferrari Zaniboni
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - Lucas David Galvani
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - Andréa Abi Rached Dantas
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, São Paulo 14801-903, Brazil.
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14
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Rocha ADO, Anjos LMD, Vitali FC, Santos PS, Bolan M, Santana CM, Cardoso M. Tooth Bleaching: A bibliometric analysis of the top 100 most-cited papers. Braz Dent J 2023; 34:41-55. [PMID: 37194856 DOI: 10.1590/0103-6440202305290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 02/24/2023] [Indexed: 05/18/2023] Open
Abstract
This study analyzes the characteristics of the top 100 most-cited papers related to tooth bleaching. A literature search was performed on the Web of Science up to March 2022. The number of citations was cross-matched with the citation count on Scopus and Google Scholar. The following data were collected: number and density of citations; authorship; year and journal of publication; study design and thematic; keywords; institution and country of origin. Spearman's correlation and Poisson regression were used to determine associations between the number of citations and study characteristics. The VOSviewer software was used to generate collaborative network maps for the authors and keywords. The number of citations ranged from 66 to 450. Papers were published between 1981 and 2020. The most frequent study design and topic were laboratory-based studies and 'interaction of the bleaching agent with dental tissues', respectively. Cochran M, Loguercio AD, Matis B, Reis A, and Suliman M were the authors with the highest number of papers. The countries with the most papers were the United States of America (USA) (28%) and Brazil (20%). Indiana University and State University of Ponta Grossa were the institutions with the most papers (6% each). There was a very strong correlation among the number of citations of the three databases. The 100 most-cited papers related to tooth bleaching were mainly published by the USA and Brazil, with laboratory-based studies addressing topics related to the effects of bleaching agents on tooth structure being the most prevalent.
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Affiliation(s)
- Aurélio de Oliveira Rocha
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
| | - Lucas Menezes Dos Anjos
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
| | - Filipe Colombo Vitali
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
| | - Pablo Silveira Santos
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
| | - Michele Bolan
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
| | - Carla Miranda Santana
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
| | - Mariane Cardoso
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis (Santa Catarina), Brazil
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15
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de Almeida ENM, Silva AM, Besegato JF, de Sousa Gomes Costa JL, Manzoli TM, de Andrade MF, Kuga MC. Effectiveness and color stability of non-vital dental bleaching photoactivated by violet LED on blood-stained teeth. Photodiagnosis Photodyn Ther 2023; 42:103329. [PMID: 36758735 DOI: 10.1016/j.pdpdt.2023.103329] [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: 11/20/2022] [Revised: 02/03/2023] [Accepted: 02/06/2023] [Indexed: 02/10/2023]
Abstract
BACKGROUND Few studies have investigated the effect of violet LED irradiation associated or not with bleaching agents on blood-stained teeth. This in vitro study aimed to evaluate the whitening efficacy and color stability of non-vital dental bleaching using 35% hydrogen peroxide (HP) photoactivated with violet LED (VL) compared to 35% HP alone and 35% HP photoactivated with blue LED (BL). METHODS Fifty bovine dental crowns were used to obtain specimens of 5 × 5 × 2 mm. After selection based on a previous colorimetric analysis, the specimens were blood-stained and randomly assigned into five groups (n = 10): control (no treatment); 35% HP, 35% HP/BL; 35% HP/VL; and VL. Three bleaching sessions were performed and the colorimetric analysis (∆Eab, ∆L, and ∆WID) was recorded after 7 days, 30 days, and 9 months of the last bleaching session. Two-way repeated measures ANOVA followed by Bonferroni post-hoc test was used at a significance level of 5%. RESULTS 35% HP, 35% HP/BL, and 35% HP/VL showed higher values of ∆Eab, ∆L, e ∆WID (P < 0.05), without intra- and intergroup differences (P > 0.05). C and VL were similar in all the evaluation times (P > 0.05), showing lower values of ∆Eab, ∆L, and ∆WID (P < 0.05). CONCLUSIONS 35% HP/VL can be a viable alternative for dental bleaching in endodontically-treated teeth, showing bleaching efficacy similar to 35% HP solely used, even after a 9-month follow-up. VL used alone was not effective to bleach blood-stained teeth.
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Affiliation(s)
- Eran Nair Mesquita de Almeida
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Aryvelto Miranda Silva
- Department of Dentistry, Federal University of Juiz de Fora (UFJF), Campus Governador Valadares, Governador Valadares, MG, Brazil
| | - João Felipe Besegato
- School of Dentistry, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, MS, Brazil
| | | | - Tatiane Miranda Manzoli
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Marcelo Ferrarezi de Andrade
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil
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16
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Nagarkar S, Loguercio AD, Perdigão J. Evidence-based fact checking for selective procedures in restorative dentistry. Clin Oral Investig 2023; 27:475-488. [PMID: 36607490 DOI: 10.1007/s00784-022-04832-z] [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: 08/17/2022] [Accepted: 12/18/2022] [Indexed: 01/07/2023]
Abstract
OBJECTIVES Similar to other dental specialties, there are many clinical procedures in restorative dentistry that may or may not be supported by good evidence. Thus, the effectiveness of these procedures is uncertain. The aim of this paper is to reduce this knowledge gap by critically inspecting selective procedures in restorative dentistry and exploring if these well-established or widely advocated treatment modalities are necessary for improving treatment outcomes based on the best available evidence. MATERIALS AND METHODS A MEDLINE search was conducted to identify research on selective procedures while focusing on clinical trials and systematic reviews. Due to their practical relevance in the decision-making process, cost-effectiveness analyses were also included. RESULTS Mixed results were identified regarding the included interventions. Some procedures had adequate evidence supporting them while others were mostly based on beliefs. CONCLUSIONS A critical review of the available literature indicates that some common restorative procedures lack adequate support from high-quality research evidence. CLINICAL RELEVANCE This paper attempts to highlight the need to critically examine the scientific validity of traditional knowledge and techniques through the context of current research evidence. This will not only help generate consensus between educators, clinicians, and researchers regarding restorative procedures but will also lead to improved patient care and outcomes.
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Affiliation(s)
- Sanket Nagarkar
- Park Dental Group, Minneapolis, MN, USA.,Department of Restorative Sciences, University of Minnesota, Minneapolis, MN, USA
| | - Alessandro D Loguercio
- School of Dentistry, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Jorge Perdigão
- Division of Operative Dentistry, Department of Restorative Sciences, University of Minnesota, 515 SE Delaware St, 8-450 Moos Tower, Minneapolis, MN, 55455, USA.
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17
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Bachiega-Silva B, Mayer-Santos E, Jurema ALB, Caneppele TMF, Brugnera-Junior A, de Freitas PM. In vitro effectiveness of different dental bleaching protocols using violet LED. Photodiagnosis Photodyn Ther 2023; 42:103245. [PMID: 36640856 DOI: 10.1016/j.pdpdt.2022.103245] [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: 07/02/2020] [Revised: 11/11/2022] [Accepted: 12/14/2022] [Indexed: 01/13/2023]
Abstract
PURPOSE There has been growing demand for dental bleaching worldwide, however, despite being effective, hydrogen peroxide (HP) can negatively affect the dental structure. Thus, new techniques, such as violet LED light have emerged and need to be studied. The aim of this study was to analyze and compare the effectiveness of violet LED light alone or combined with 35% HP gel. METHODS Six different tooth bleaching techniques (n = 10) were performed in intrinsically pigmented bovine teeth: G1 - 35% HP (1x/week for 4 weeks, 45 min of gel application); G2 - 35% HP (1x/week for 4 weeks, 15 min of gel application); G3 - violet LED (1x/week for 4 weeks); G4 - violet LED (2x/week for 2 weeks); G5 - violet LED (4x/week for 1 week); G6 - Violet LED + 35% HP (hybrid technique, 1x/week for 4 weeks, 15 min of gel application). Specimens were submitted to color evaluation at predetermined times using Konica Minolta® spectrophotometer, and the surface morphology (n = 3) was qualitatively analyzed by Scanning Electron Microscope (SEM). Data of the color change test were analyzed considering a 5% level of significance. RESULTS There was significant difference in color (p <0.05) for all groups after bleaching protocols. SEM analysis revealed that the greatest change in surface occurred in Group G1, with demineralization of the dental enamel. When considering the same time interval, there were no statistical differences for axis L*, but differences were shown for axis a* (G2, G3, G4 ≥ G1, G5 ≥ G6) and b* (G1, G2, G3, G4, G5 > G6). Regarding the comparison of ΔE00 between groups, results showed statistical difference between groups, with G1 ≥ G2, G5, G6 ≥ G3, G4. CONCLUSION Bleaching protocols with less time (15 min) or no exposure to 35% HP (violet LED, 4x/week) could promote bleaching results as those obtained by the conventional technique using 35% HP for 45 min, with no enamel surface changes, showing to be a promising alternative to tooth bleaching.
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Affiliation(s)
- Bruno Bachiega-Silva
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Eric Mayer-Santos
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Ana Luiza Barbosa Jurema
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, São José dos Campos, Brazil
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Moradi Z, Valizadeh S, Farhadi E, Asadollahi Y, Noroozian M, Chiniforush N. Microhardness change of human dental enamel due to power bleaching with different gels. Folia Med (Plovdiv) 2022; 64:961-968. [PMID: 36876555 DOI: 10.3897/folmed.64.e68223] [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: 05/03/2021] [Accepted: 11/04/2021] [Indexed: 01/01/2023] Open
Abstract
AIM Since the introduction of bleaching treatments in the office, different lights have been suggested to accelerate the bleaching reaction. This study aimed to evaluate the microhardness of tooth enamel after office bleaching using different materials.
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19
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Misilli T, Çarıkçıoğlu B, Deniz Y, Aktaş Ç. The impact of remineralization agents on dental bleaching efficacy and mineral loss in bleached enamel. Eur J Oral Sci 2022; 130:e12905. [PMID: 36349560 DOI: 10.1111/eos.12905] [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: 07/07/2022] [Accepted: 10/24/2022] [Indexed: 11/11/2022]
Abstract
This study evaluated the effect of remineralization agents on bleaching efficiency, enamel mineral changes, and post-bleaching color stability. A total of 112 enamel-dentin blocks were prepared from bovine teeth. Following initial color measurements, separate treatment regimens were carried out as follows: negative control (no treatment); positive control (bleaching only); bleaching, then NaF; bleaching + NaF (mix); bleaching, then CPP-ACPF; bleaching + CPP-ACPF (mix); bleaching, then nHAP+F; bleaching + nHAP+F (mix). Color measurements were repeated after immersion in distilled water for 7 days, and again after staining with coffee solution for 14 days. The CIELAB-based whiteness index was used to evaluate bleaching efficiency, and the CIEDE2000 color difference formula for color stability. Chemical investigation was performed using scanning electron microscopy with energy dispersive spectroscopy and X-ray diffraction analyses. The experimental groups showed significant increases in whiteness compared to the negative control, and the staining after bleaching did not result in statistically significant differences between the groups. Energy dispersive spectroscopic analysis revealed that bleaching protocols had no impact on elemental levels as well as the ratio of Ca/P. The combined use of bleaching agents with remineralization agents did not affect bleaching effectiveness but also did not provide an additional contribution.
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Affiliation(s)
- Tuğba Misilli
- Department of Restorative Dentistry, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Burak Çarıkçıoğlu
- Department of Pediatric Dentistry, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Yeşim Deniz
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Çağatay Aktaş
- Department of Prosthodontics, Faculty of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
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20
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Costa JLDSG, Nogueira BR, Batista de Oliveira Junior O, Pretel H. The influence of hydrogen peroxide concentration on the chemical kinetics of photo-accelerated tooth whitening. Photodiagnosis Photodyn Ther 2022; 40:103175. [PMID: 36332894 DOI: 10.1016/j.pdpdt.2022.103175] [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: 09/07/2022] [Revised: 09/20/2022] [Accepted: 09/21/2022] [Indexed: 11/11/2022]
Abstract
BACKGROUND The bleaching procedure consists of chemical principles of free radical release that react with chromophores, which results in an amount of energy released in this process. However, the evaluation of the electrical potential generated in these protocols has not yet been thoroughly investigated in the literature. Thus, this study aimed to examine variations in pH, mV, and temperature of different concentrations of hydrogen peroxide in the presence or absence of an intermittent LED/LASER photo acceleration system. METHODS The study was divided into six groups (n = 9) according to the concentration of hydrogen peroxide (6%, 15%, and 35%), associated or not with the photo acceleration system LED/LASER. We followed the variation of pH, mV, and temperature at 1, 5, 10, 15, and 30 min after gel manipulation. Data were evaluated by two-way ANOVA of repeated measures (α =0.05). RESULTS pH, mV, and temperature of the groups showed statistical differences both in the light and bleach and in the interaction between the two factors (p < 0.0001), where pH and mV were more influenced by the bleach and light factor, while the temperature was influenced by the bleach factor associated with light. HP15 presented the most significant change in pH, mV, and temperature. CONCLUSION The use of LED/laser increased the temperature of the gels and altered the pH and mV kinetics of HP6 and HP15, which did not occur in HP35, possibly due to the high ionic potential linked to the concentration.
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Affiliation(s)
- Joatan Lucas de Sousa Gomes Costa
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil
| | - Básia Rabelo Nogueira
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil
| | - Osmir Batista de Oliveira Junior
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil
| | - Hermes Pretel
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, 3rd floor, Humaitá Street, 1680 - Centro, Mail Box: 331, Araraquara, São Paulo 14801-903, Brazil.
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21
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Antunes EVG, Basting RT, do Amaral FLB, França FMG, Turssi CP, Kantovitz KR, Bronze-Uhle ES, Filho PNL, Basting RT. Titanium dioxide nanotubes in a hydrogen peroxide-based bleaching agent: physicochemical properties and effectiveness of dental bleaching under the influence of a poliwave led light activation. Clin Oral Investig 2022; 27:1745-1755. [PMID: 36441269 DOI: 10.1007/s00784-022-04802-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 11/22/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The effects of different concentrations of titanium dioxide (TiO2) into 40% hydrogen peroxide (HP) were evaluated as regards the effectiveness of dental color change either associated with activation by polywave LED light or not. MATERIALS AND METHODS TiO2 (0, 1, 5, or 10%) was incorporated into HP to be applied during in-office bleaching (3 sessions/40 min each). Polywave LED light (Valo Corded/Ultradent) was applied or not in activation cycles of 15 s (total time of 2 min). The color of 80 third molars separated into groups according to TiO2 concentration and light activation (n = 10) was evaluated at baseline and at time intervals after the 1st, 2nd, and 3rd bleaching sessions. RESULTS WID value was significantly higher when using HP with 5% TiO2 in the 2nd session than the values in the other groups (p < 0.05). After the 2nd and 3rd sessions, the ΔEab value was significantly higher when activated with light (p < 0.05) for all agents containing TiO2 or not. Zeta potential and pH of the agents were not modified by incorporating TiO2 at the different concentrations. CONCLUSIONS The 5% TiO2 in the bleaching agent could enhance tooth bleaching, even without light application. Association with polywave LED light potentiated the color change, irrespective of the presence of TiO2 in the bleaching gel. CLINICAL SIGNIFICANCE HP with 5% TiO2 could lead to a greater tooth bleaching response in the 2nd clinical session, as well as the polywave light can enhance color change.
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Affiliation(s)
| | - Rosanna Tarkany Basting
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Bairro Swift, Campinas, São Paulo, CEP: 13045-755, Brazil
| | | | | | - Cecilia Pedroso Turssi
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Bairro Swift, Campinas, São Paulo, CEP: 13045-755, Brazil
| | - Kamila Rosamilia Kantovitz
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Bairro Swift, Campinas, São Paulo, CEP: 13045-755, Brazil
| | - Erika Soares Bronze-Uhle
- School of Sciences, São Paulo State University (UNESP), Av. Eng. Luís Edmundo Carrijo Coube, 2085, Nucleo Res. Pres. Geisel, Bauru, São Paulo, CEP: 17033-360, Brazil
| | - Paulo Noronha Lisboa Filho
- School of Sciences, São Paulo State University (UNESP), Av. Eng. Luís Edmundo Carrijo Coube, 2085, Nucleo Res. Pres. Geisel, Bauru, São Paulo, CEP: 17033-360, Brazil
| | - Roberta Tarkany Basting
- Faculdade São Leopoldo Mandic, Rua José Rocha Junqueira 13, Bairro Swift, Campinas, São Paulo, CEP: 13045-755, Brazil.
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22
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Vimalanathan K, Scott J, Pan X, Luo X, Rahpeima S, Sun Q, Zou J, Bansal N, Prabawati E, Zhang W, Darwish N, Andersson MR, Li Q, Raston CL. Continuous flow fabrication of green graphene oxide in aqueous hydrogen peroxide. NANOSCALE ADVANCES 2022; 4:3121-3130. [PMID: 36132816 PMCID: PMC9419056 DOI: 10.1039/d2na00310d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 05/18/2022] [Indexed: 06/16/2023]
Abstract
Highly processible graphene oxide (GO) has a diversity of applications as a material readily dispersed in aqueous media. However, methods for preparing such free-standing GO use hazardous and toxic reagents and generate significant waste streams. This is an impediment for uptake of GO in any application, for developing sustainable technologies and industries, and overcoming this remains a major challenge. We have developed a robust scalable continuous flow method for fabricating GO directly from graphite in 30% aqueous hydrogen peroxide which dramatically minimises the generation of waste. The process features the continuous flow thin film microfluidic vortex fluidic device (VFD), operating at specific conditions while irradiated sequentially by UV LED than a NIR pulsed laser. The resulting 'green' graphene oxide (gGO) has unique properties, possessing highly oxidized edges with large intact sp2 domains which gives rise to exceptional electrical and optical properties, including purple to deep blue emission of narrow full width at half maximum (<35 nm). Colloidally stable gGO exhibits cytotoxicity owing to the oxidised surface groups while solid-state films of gGO are biocompatible. The continuous flow method of generating gGO also provides unprecedented control of the level of oxidation and its location in the exfoliated graphene sheets by harnessing the high shear topological fluid flows in the liquid, and varying the wavelength, power and pulse frequency of the light source.
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Affiliation(s)
- Kasturi Vimalanathan
- Flinders Institute for Nanoscale Science and Technology, College of Science and Engineering, Flinders University Adelaide SA 5001 Australia
| | - James Scott
- Environmental Engineering and Queensland Micro and Nanotechnology Centre, Griffith University Brisbane QLD 4111 Australia
| | - Xun Pan
- Flinders Institute for Nanoscale Science and Technology, College of Science and Engineering, Flinders University Adelaide SA 5001 Australia
| | - Xuan Luo
- Flinders Institute for Nanoscale Science and Technology, College of Science and Engineering, Flinders University Adelaide SA 5001 Australia
- Centre for Marine Bioproducts Development, College of Medicine and Public Health, Flinders University Adelaide SA 5042 Australia
| | - Soraya Rahpeima
- Flinders Institute for Nanoscale Science and Technology, College of Science and Engineering, Flinders University Adelaide SA 5001 Australia
- School of Molecular and Life Sciences, Curtin Institute for Functional Molecule and Interfaces, Curtin University Bentley Western Australia 6102 Australia
| | - Qiang Sun
- Centre for Microscopy and Microanalysis, The University of Queensland Brisbane QLD 4072 Australia
- Materials Engineering, The University of Queensland St Lucia QLD 4072 Australia
| | - Jin Zou
- Centre for Microscopy and Microanalysis, The University of Queensland Brisbane QLD 4072 Australia
- Materials Engineering, The University of Queensland St Lucia QLD 4072 Australia
| | - Nidhi Bansal
- School of Agriculture and Food Sciences, The University of Queensland St Lucia QLD Australia
| | - Elisabeth Prabawati
- School of Agriculture and Food Sciences, The University of Queensland St Lucia QLD Australia
| | - Wei Zhang
- Centre for Marine Bioproducts Development, College of Medicine and Public Health, Flinders University Adelaide SA 5042 Australia
| | - Nadim Darwish
- School of Molecular and Life Sciences, Curtin Institute for Functional Molecule and Interfaces, Curtin University Bentley Western Australia 6102 Australia
| | - Mats R Andersson
- Flinders Institute for Nanoscale Science and Technology, College of Science and Engineering, Flinders University Adelaide SA 5001 Australia
| | - Qin Li
- Environmental Engineering and Queensland Micro and Nanotechnology Centre, Griffith University Brisbane QLD 4111 Australia
| | - Colin L Raston
- Flinders Institute for Nanoscale Science and Technology, College of Science and Engineering, Flinders University Adelaide SA 5001 Australia
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Gomes Costa JLDS, Besegato JF, Zaniboni JF, Vitória MS, Gelio MB, Kuga MC. Whitening efficacy of low concentration hydrogen peroxide photoactivated with blue or violet LED. Photodiagnosis Photodyn Ther 2022; 39:103028. [PMID: 35872355 DOI: 10.1016/j.pdpdt.2022.103028] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 07/13/2022] [Accepted: 07/20/2022] [Indexed: 10/17/2022]
Abstract
BACKGROUND Bleaching protocols using low concentration hydrogen peroxide (HP) photoactivated with LED sources have been widely discussed. We evaluated the whitening efficacy of 15% HP photoactivated with blue or violet LED compared to 35% HP. METHODS Thirty bovine crowns were sectioned into 5 × 5 × 2mm specimens. After staining in black tea, the specimens were randomized into three groups (n=10): 35% HP, 15% HP + blue LED and 15% HP + violet LED. Two bleaching sessions were performed and the color assessment (∆L*, ∆a*, ∆b*, ∆Eab [CIELab], ∆E00 [CIEDE2000] and WID) was performed before, 24h after each session, 7 days and 1 month after the last session. Data were evaluated by two-way repeated measures ANOVA and Bonferroni post-test at a significance level of 5%. RESULTS All groups showed effective and similar results over 1 month of follow-up (p > 0.05), with only intragroup differences among the time intervals (p < 0.05). CONCLUSIONS The use of 15% HP photoactivated with blue or violet LED showed similar whitening efficacy compared to 35% HP. Thus, the association of low concentration bleaching gels with LED sources can provide a successful and less aggressive treatment in terms of color change.
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Affiliation(s)
| | - João Felipe Besegato
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil.
| | - Joissi Ferrari Zaniboni
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil.
| | - Matheus Sousa Vitória
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil.
| | - Mariana Bena Gelio
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil.
| | - Milton Carlos Kuga
- Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP, Brazil.
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Tekce AU, Yazici AR. Clinical comparison of diode laser- and LED-activated tooth bleaching: 9-month follow-up. Lasers Med Sci 2022; 37:3237-3247. [PMID: 35829976 DOI: 10.1007/s10103-022-03612-1] [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: 03/28/2022] [Accepted: 07/07/2022] [Indexed: 11/29/2022]
Abstract
This study aims to evaluate the effect of diode laser- or LED-activated tooth bleaching on color change, tooth sensitivity(TS), temperature variation, and gingival irritation (GI) for 9 months. Thirty-five subjects having anterior teeth with a color of A2 or darker were enrolled in the study. In a split-mouth design, one side of each arch was activated by a diode laser (Epic X, Biolase), and the other side was activated by an LED (Radii Plus, SDI) in conjunction with a bleaching agent (35%, Whiteness HP). The color change was evaluated by subjective (VitaClassic/Vita3D Master Bleachguide) and objective (spectrophotometer, Vita Easyshade) methods for up to 9 months. TS and GI were assessed by visual analogue scale (VAS) and gingival index, respectively, at the same recall periods. During the bleaching, the temperature variation was also recorded using a thermocouple. Statistical analyses were performed (p < 0.05). In the color evaluation, no statistically significant difference was found between diode laser and LED (p > 0.05), except for the 6-month spectrophotometric assessment (ΔE00, ΔEab), where higher values were obtained with the laser (p < 0.05). The temperature difference and maximum temperature with diode were found to be significantly higher than LED (p < 0.05). Higher values were obtained with LED when the mean temperatures were compared (p < 0.05). There was no difference between the two activation methods in terms of TS and GI at any of the recalls (p > 0.05). The bleaching activated either with diode laser or LED performed similar clinical performance in terms of effective color change, tooth sensitivity, and gingival irritation with minimum temperature variations.
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Affiliation(s)
- Aybuke Uslu Tekce
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Sıhhıye, 06100, Ankara, Turkey.
| | - A Ruya Yazici
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Sıhhıye, 06100, Ankara, Turkey.,Research and Application Center for Laser Applications in Dentistry, Hacettepe University, Ankara, Turkey
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25
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da Silva LMAV, Cintra LTA, de Alcântara S, Machado NEDS, Benetti F, Ervolino E, Briso ALF. Influence of violet LED associated or not with peroxide gel on inflammation, mineralization, and collagen fiber maturation in dentin and pulp tissue. Photodiagnosis Photodyn Ther 2022; 39:102959. [PMID: 35691564 DOI: 10.1016/j.pdpdt.2022.102959] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 06/01/2022] [Accepted: 06/08/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVES To evaluate the influence of violet LED, associated or not with a 17.5% hydrogen peroxide (HP) bleaching gel, on inflammation, mineralization in pulp tissue, and collagen fiber maturation in dentin and pulp tissue. MATERIALS AND METHODS The maxillary molars of eighty Wistar rats were distributed into four groups (n = 10): CONT - without treatment; HP - 30-minute application of 17.5% HP; LED - 20-minute application of violet LED; and HP+LED - application of PH and violet LED. Rats were euthanized and jaws were processed for histologic and immunohistochemical evaluation (IL-17, IL-23, and osteocalcin) and picrosirius red immediately after (T0), and at 7 (T1), 15 (T2), and 30 days (T3) post-treatment, with Wilcoxon, Mann-Whitney, paired T-test, and T-test (α = 0.05). RESULTS HP and HP+LED presented necrosis and severe inflammatory infiltrate. When compared to CONT group, LED presented severe osteocalcin (OCN) immunostaining in T2 and less immature fibers in T2 and T3. CONCLUSION The violet LED caused no severe damage to the pulp tissue, increased IL-17 and IL-23 expression in T0 when associated with HP, and had no influence on pulp tissue mineralization, besides accelerating the maturation of collagen fibers of dentin. CLINICAL RELEVANCE Violet LED therapy induced no inflammation in the pulp tissue of rats and played no role in pulp tissue fibrosis, besides accelerating the maturation of dentin collagen fibers.
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Affiliation(s)
- Livia Maria Alves Valentim da Silva
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry Araçatuba, José Bonifácio, Vila Mendonça, Araçatuba, São Paulo 1193, Brazil
| | - Luciano Tavares Angelo Cintra
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry Araçatuba, José Bonifácio, Vila Mendonça, Araçatuba, São Paulo 1193, Brazil
| | - Sibele de Alcântara
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry Araçatuba, José Bonifácio, Vila Mendonça, Araçatuba, São Paulo 1193, Brazil
| | - Nathália Evelyn da Silva Machado
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry Araçatuba, José Bonifácio, Vila Mendonça, Araçatuba, São Paulo 1193, Brazil
| | - Francine Benetti
- Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Edilson Ervolino
- Department of Basic Sciences São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - André Luiz Fraga Briso
- Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry Araçatuba, José Bonifácio, Vila Mendonça, Araçatuba, São Paulo 1193, Brazil.
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26
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Alshehri A, Kolker J, Teixeira E, Xie XJ, Fiegel J, Wertz P. Time Frame Analysis of Potassium Nitrate and Hydrogen Peroxide Diffusion into the Pulp Chamber. Oper Dent 2022; 47:357-365. [PMID: 35671228 DOI: 10.2341/21-006-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The primary objective of this study was to evaluate the effect of an innovative double-layer, single-application desensitizing/whitening technique of potassium nitrate (PN) and hydrogen peroxide (HP) diffusion at different time points. METHODS AND MATERIALS Specimens were prepared from extracted caries-free human molars (n=90). Teeth were randomly assigned into four groups: Group A (HP CTRL) treated with 25% HP for 45 minutes, group B (PN CTRL) received a single-layer treatment of 5% PN for 45 minutes, group C received the double-layer treatment of 5% PN and 25% HP for 45 minutes, and group D received a 3% PN incorporated in a 40% HP gel for 45 minutes. PN and HP concentrations were measured at 5, 15, 30, and 45 minutes using standard chemical kits. Group comparisons were made using a repeated measures analysis of variance (ANOVA) test. Pairwise tests for differences in diffusion were done, using the Tukey adjustment of p values for multiple comparisons. A significance level of 5% was used. RESULTS Group A showed no significant difference in HP diffusion rates between the 5- and 15- minute, 15- and 30-minute, or 30- and 45-minute time points; group D showed a similar trend; however, group C differed significantly at the 5-and 15-minute time points (p=0.0004), at the 15-and 30-minute time points (p=0.0026), and the 30- and 45-minute time points (p=0.0014). For PN diffusion, groups B and C had significantly different levels at the 15-, 30-, and 45-minute time points (p=0.0005, p=0.0002, and p<0.0001, respectively); and at the 15-, 30-, and 45-minute time points, groups D and C had significantly different PN diffusion (p=0.0327, p=0.0004, and p< 0.0001, respectively). Group C had significantly different PN diffusion at the 5- and 15-minute time points (p=0.0004), the 15- and 30-minute time points (p=0.0026), and at the 30- and 45-minute time points (p=0.0014). CONCLUSION The double-layer technique showed superior diffusion of PN into the pulp chamber and did not affect the diffusion of HP when compared to other techniques. The double-layer technique may be suggested as an alternative tooth-whitening treatment to minimize tooth sensitivity.
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Affiliation(s)
- A Alshehri
- *Abdullah Alshehri, BDS, MS, PhD, Conservative Dental Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | - J Kolker
- Justine Kolker, DDS, MS, PhD, College of Dentistry, Department of Operative Dentistry, University of Iowa, Iowa City, IA, USA
| | - E Teixeira
- Erica Teixeira, DDS, MS. PhD, College of Dentistry, Department of Operative Dentistry, University of Iowa, Iowa City, IA, USA
| | - X J Xie
- Xian Jin Xie, MS, MS, PhD, College of Dentistry, Department of Biostatistics, University of Iowa, Iowa City, IA, USA
| | - J Fiegel
- Jennifer Fiegel, BS, PhD, College of Engineering Department of Chemical and Biochemical Engineering, University of Iowa, Iowa City, IA, USA
| | - P Wertz
- Philip Wertz, MS, PhD, Department of Oral Pathology, Radiology and Medicine, Dows Institute for Dental Research, University of Iowa College of Dentistry & Dental Clinics, Iowa City, IA, USA
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Teodosio LM, Gambarini L, Faria-e-Silva AL, Pires-de-Souza FDCP, de Souza-Gabriel AE, Mazzi-Chaves JF, Sousa-Neto MD, Lopes-Olhê FC. Bleaching effect of violet LED of 405-410 nm on stained endodontically treated teeth. Photodiagnosis Photodyn Ther 2022; 39:102929. [DOI: 10.1016/j.pdpdt.2022.102929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 05/05/2022] [Accepted: 05/25/2022] [Indexed: 10/18/2022]
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28
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Shetty N, Saluja I, Shenoy R, Pangal S. Evaluation of the efficacy of diode laser in bleaching of the tooth at different time intervals using spectrophotometer: An in vitro study. J Conserv Dent 2022; 25:166-172. [PMID: 35720817 PMCID: PMC9205357 DOI: 10.4103/jcd.jcd_621_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 01/08/2022] [Accepted: 01/09/2022] [Indexed: 11/16/2022] Open
Abstract
Aim: This study aimed at comparative evaluation of the efficacy of tooth bleaching using different concentrations of carbamide peroxide (CP) with and without diode laser at 980 nm for 2.5 and 5 min time duration. Materials and Methods: Hundred intact human incisors were selected. Teeth were artificially stained using black tea solution. Samples were randomly allocated into four groups: Group I: distilled water, Group II: 15%, 20%, and 35% CP without laser, Group III: 15%, 20%, and 35% CP using diode laser for 2.5 min, and Group IV: 15%, 20%, and 35% CP using diode laser for 5 min. Color measurements were made using spectrophotometer. Data were statistically analyzed by ANOVA, repeated measures of ANOVA, and Tukey post hoc test. Results: 35% concentration of CP gave similar mean shade (ΔE) value at T2, as 15% CP at T3. At T3, 15% concentration of CP using diode laser for 2.5 min gave similar mean shade (ΔE) value, as 35% concentration of CP using diode laser for 2.5 min. Conclusion: 35% CP causes change in chroma and whitens the tooth at a faster rate with a significantly more lightening effect. Bleaching twice weekly produces a similar effect when using high or low concentrations of CP. Laser-assisted bleaching decreases the time of whitening process.
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Naik P, Valli K. Comparative study of effects of home bleach and laser bleach using digital spectrophotometer: An in vitro study. J Conserv Dent 2022; 25:161-165. [PMID: 35720824 PMCID: PMC9205359 DOI: 10.4103/jcd.jcd_568_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 01/03/2022] [Accepted: 01/05/2022] [Indexed: 11/04/2022] Open
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30
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Trevisan TC, Bortolatto JF, Rizzi G, Meloto BT, Dantas AAR, de Oliveira Junior OB. Clinical performance of 6% hydrogen peroxide containing TiO 2N nanoparticles activated by LED in varying wavelengths-a randomized clinical trial. Lasers Med Sci 2021; 37:2017-2024. [PMID: 34778937 DOI: 10.1007/s10103-021-03464-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 11/05/2021] [Indexed: 11/22/2022]
Abstract
This randomized, controlled, and double-blinded clinical trial evaluated the clinical performance of dental bleaching performed with 6% hydrogen peroxide containing TiO2-N nanoparticles exposed to blue and violet activation lights. Forty volunteers, selected according to the inclusion and exclusion criteria, were randomly distributed into four experimental groups (n = 10): 35% hydrogen peroxide (PH35)-control; 6% hydrogen peroxide (PH6) containing TiO2-N nanoparticles without light activation; PH6 activated with a blue LED (PH6A); and PH6 activated with a violet LED (PH6V). The three bleaching sessions consisted of 3 consecutive 16-min applications of the bleaching agent described for each group. The groups receiving LED activation were exposed to light intermittently every 1 min, with a total exposure time of 8 min in each application. Efficacy was determined by the color variation in the upper central incisors and canines, using reflectance spectroscopy analysis performed by a calibrated evaluator (ICC = 0.83). Tooth sensitivity was characterized according to the presence and intensity (SI) self-recorded in specific forms. The group treated with PH6V was as effective as the control group (PH35), whereas the groups PH6A and PH6 showed lower efficacy. Regardless of the activation, all groups treated with 6% hydrogen peroxide were less likely to cause sensitivity compared to the control group (PH35). The use pf PH6 activated by LED violet resulted in an effective and safe clinical protocol for in-office dental bleaching.Trial registration number: RBR-8pbydg; registration date: 08/29/2017.
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Affiliation(s)
- Tamara Carolina Trevisan
- Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP - Univ, Estadual Paulista, Araraquara, 14801-903, Brazil.
| | - Janaina Freitas Bortolatto
- Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP - Univ, Estadual Paulista, Araraquara, 14801-903, Brazil
| | - Giovana Rizzi
- Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP - Univ, Estadual Paulista, Araraquara, 14801-903, Brazil
| | - Bruna Tavoni Meloto
- Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP - Univ, Estadual Paulista, Araraquara, 14801-903, Brazil
| | - Andrea Abi Rached Dantas
- Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP - Univ, Estadual Paulista, Araraquara, 14801-903, Brazil
| | - Osmir Batista de Oliveira Junior
- Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP - Univ, Estadual Paulista, Araraquara, 14801-903, Brazil
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Guimarães DM, de Paula BLF, Rodrigues LM, Costi HT, Ghislain Rogez HL, Silva CM. Surface Morphological Changes and Predisposition to Staining in Dental Enamel Bleached with Different Hydrogen Peroxide Concentrations. Open Dent J 2021. [DOI: 10.2174/1874210602115010558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
The tooth bleaching treatment can cause structural changes in the surfaces of the teeth; these changes can increase the absorption of staining agents.
Purpose:
This study assessed surface morphological changes and predisposition to staining in dental enamel bleached with different hydrogen peroxide (HP) concentrations, with or without the use of a light source (LS).
Methods:
25 bovine incisor specimens were divided into five groups (n = 5): Control- no treatment; HP35 - hydrogen peroxide 35%; HP35+LED - hydrogen peroxide 35% + light emission; HP20 - hydrogen peroxide 20%; and HP7 - hydrogen peroxide 7,5%. Twenty days after bleaching, the specimens were immersed in staining solutions four hours a day for 28 days. The morphological alterations of the bovine enamel surface were evaluated by means of scanning electron microscopy, X-ray dispersive energy spectroscopy and predisposition to the staining of the brightened enamel by means of colorimetry.
Results:
ANOVA with Tukey's test (p<0.05) showed that HP7 had the highest ΔL values (p=0.176) (brightest), with a better lightening effect. The bleached groups exhibited morphological changes in the enamel. The groups did not exhibit significant changes in oxygen, calcium, and phosphorus values (p=0.020). The presence or absence of light was not significant (p=0.007) for the predisposition to staining in bleached teeth.
Conclusion:
The time of exposure to the staining solution was significant for staining bovine dental enamel. High concentrations of HP were not necessary for achieving effective bleaching. HP caused an increase in enamel porosity and depressions. The light source did not influence bleaching.
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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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Moran BM, Ziegelmann PK, Berger SB, Burey A, de Paris Matos T, Fernández E, Loguercio AD, Reis A. Evaluation of Tooth Sensitivity of In-office Bleaching with Different Light Activation Sources: A Systematic Review and a Network Meta-analysis. Oper Dent 2021; 46:E199-E223. [PMID: 35486507 DOI: 10.2341/20-127-l] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVES A systematic review and network meta-analysis were performed to answer the following research question: Are there differences in the risk and the intensity of tooth sensitivity (TS) among eight light activation systems for in-office bleaching in adults? METHODS Randomized controlled trials (RCTs) that compared at least two different in-office bleaching light activations were included. The risk of bias (RoB) was evaluated with the RoB tool version 1.0 from the Cochrane Collaboration tool. A random-effects Bayesian mixed treatment comparison (MTC) model was used independently for high- and low-concentration hydrogen peroxide. The certainty of the evidence was evaluated using the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) approach. A comprehensive search was performed in PubMed, Bridge Base Online (BBO), Latin American and Caribbean Health Sciences Literature database (LILACS), Cochrane Library, Scopus, Web of Science, and grey literature without date and language restrictions on April 23, 2017 (updated on September 26, 2019). Dissertations and theses, unpublished and ongoing trials registries, and IADR (International Association for Dental Research) abstracts (2001-2019) were also searched. RESULTS After title and abstract screening and the removal of duplicates, 32 studies remained. Six were considered to be at low RoB, three had high RoB, and the remaining had an unclear RoB. The MTC analysis showed no significant differences among the treatments in each network. In general, the certainty of the evidence was graded as low due to unclear RoB and imprecision. CONCLUSION There is no evidence that the risk and intensity of TS are affected by light activation during in-office bleaching.
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Affiliation(s)
- B M Moran
- *Bianca M Maran, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Western Paraná, Cascavel, Paraná, Brazil; Postgraduate Program in Dentistry, School of Dentistry, University of North Paraná, Londrina, Paraná, Brazil
| | - P K Ziegelmann
- Patrícia K Ziegelmann, DDS, MS, PhD, associate professor, Statistics Department and Post-Graduation Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - S B Berger
- Sandrine Bittencourt Berger DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, University of North Paraná, Londrina, Paraná
| | - A Burey
- Adrieli Burey, DDS, MS, PhD student, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - T de Paris Matos
- Thalita de Paris Matos, DDS, MS, PhD student, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - E Fernández
- Eduardo Fernández, DDS, MS, PhD, professor, Department Restorative Dentistry, University of Chile, Santiago de Chile, Chile; Professor, Universidad Autónoma de Chile, Instituto de Investigaciones Biomédicas, Santiago de Chile Chile
| | - A D Loguercio
- Alessandro D Loguercio, DDS, MS, PhD, adjunct professor, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - A Reis
- Alessandra Reis, DDS, MS, PhD, adjunctive professor, Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
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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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36
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Wijetunga CL, Otsuki M, Abdou A, Luong MN, Qi F, Tagami J. The effect of in-office bleaching materials with different pH on the surface topography of bovine enamel. Dent Mater J 2021; 40:1345-1351. [PMID: 34234048 DOI: 10.4012/dmj.2021-010] [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] [Indexed: 11/23/2022]
Abstract
This study evaluated the alterations of surface topography of the bovine enamel caused by different pH of in-office bleaching agents. 23% H2O2 with pH 5.5, 7.0 and 8.5 were applied on the bovine tooth specimens (n=10) and photo-irradiated for 10 min. The bleaching procedure was repeated three times and specimens were subjected to linear surface roughness (Ra) and Vickers microhardness test (VHN) at baseline and after three consecutive applications. The morphological alterations were observed before and after third bleaching application. Data were analyzed by two-way ANOVA followed by Tukey's HSD. The pH of the bleaching agent significantly affects the Ra and VHN (p<0.05). Low pH yielded a significant increase in Ra and decrease in VHN. All the groups showed morphological alterations and profound effect was found in pH 5.5 group. It was concluded that the pH of the bleaching agent can affect Ra, VHN and surface morphology.
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Affiliation(s)
- Chamari L Wijetunga
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Masayuki Otsuki
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Ahmed Abdou
- Biomaterials Department, Faculty of Dentistry, Modern University for Technology and Information
| | - Minh N Luong
- Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Feng Qi
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Cevval Ozkocak BB, Aytac Bal F. Effect of diode laser-assisted bleaching on the bond strength of different adhesive systems to enamel: Interfacial SEM analysis. Microsc Res Tech 2021; 84:1542-1552. [PMID: 33511727 DOI: 10.1002/jemt.23711] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 12/19/2020] [Accepted: 01/08/2021] [Indexed: 11/08/2022]
Abstract
The aim of this study was to investigate the effectiveness of diode laser-assisted bleaching on the shear bond strength (SBS) of different adhesive systems to enamel and examine the adhesive enamel interface under scanning electron microscope (SEM). 180 incisor teeth were randomly divided into three bleaching groups: (1) Unbleached control group, (2) Opalescence Boost (OB) 40%, and (3) Diode laser-assisted LaserWhite20 (LW20) 45%. After bleaching, each group was divided into two subgroups according to waiting time: immediately or 7 days' delay. The six groups were then divided into three subgroups based on the adhesive procedure: Single Bond 2 (SB2), Clearfil SE Bond (CSB), and Clearfil Universal Bond (CUB). After adhesive procedures, composite resin cylinders were bonded to the enamel surfaces. All specimens were subjected to a SBS test after 24 hr of storage in water. Data were analysed using three-way variance analysis (p < .05). Specimens were examined under a stereomicroscope and SEM. There was a significant difference between the groups bonded immediately and 7 days after bleaching (p < .05). SB2 after 7 days showed the highest SBS values (19.24 ± 2.18), whereas CUB showed the lowest values in both bleaching treatments and control groups (10.84 ± 1.66). SEM analysis of the unbleached specimens revealed long tags and uniform hybrid layer compared OB and LW20 bleaching groups. LW20 and OB bleaching adversely affected SBS to enamel when bonded immediately. Diode laser-assisted bleaching might be an alternative option due to the short working time but delaying bonding for 7 days after bleaching may not be enough for ideal adhesion. RESEARCH HIGHLIGHTS: Bleaching agents containing high concentration hydrogen peroxide reduces the enamel bond strength of adhesive systems. Postponing composite restorations for 7 days after bleaching may not be sufficient to achieve ideal adhesion. Diode laser-assisted bleaching may be preferred as an alternative bleaching method today due to its ability to shorten the operation time and cause minimal morphological changes on the enamel surface.
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Affiliation(s)
- Begum Busra Cevval Ozkocak
- Faculty of Dentistry, Department of Restorative Dentistry, Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - Fatma Aytac Bal
- Faculty of Dentistry, Department of Restorative Dentistry, Beykent University, Istanbul, Turkey
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Kiyuna RC, Martins LM, Hanzen TA, Reis A, Loguercio AD, Silva LM. Comparison of the Effect of Agitation on Whitening and Tooth Sensitivity of In-Office Bleaching: A Randomized Clinical Trial. Oper Dent 2021; 46:143-150. [PMID: 34143220 DOI: 10.2341/19-223-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/16/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVE This single-blind, split-mouth, randomized trial was aimed at evaluating the bleaching efficacy (BE) and tooth sensitivity (TS) of a 20% hydrogen peroxide (HP) bleaching agent used under active or passive application. METHODS AND MATERIALS Twenty-two patients with canines darker than C2 were selected. Teeth were bleached in two sessions, with a one-week interval between treatments. The bleaching agent was applied using active (HPactive) or passive (HPpassive) application. Each tooth in the HPactive-allocated hemiarch received bleaching gel with sonic activation after 10 and 30 minutes from the start of treatment, with rounded movements all over the buccal surface. The color changes were evaluated by subjective (Vita Classical and Vita Bleachedguide) and objective (VITA Easyshade Spectrophotometer) methods at baseline and 30 days after the second session. TS was recorded up to 48 hours after treatment using a 0-10 visual analog scale. Color change in shade guide units (SGUs) and ΔE was analyzed using a Wilcoxon test (α=0.05). The absolute risk and intensity of TS were evaluated using McNemar test and a Wilcoxon test, respectively (α=0.05). RESULTS Significant whitening was observed in both groups after 30 days of clinical evaluation. The activation did not significantly influence BE (ΔSGU HPpassive=5.6 and HPActive=5.8; p=0.98; and ΔE HPpassive=10.6 and HPactive=10.3; p=0.83). Absolute risk of TS (HPactive=36.4% and HPpassive=31.8%; p=0.94) was similar for both groups (Fisher exact test). TS intensity (visual analogue scale) was higher during the bleaching sessions and up to 24 hours thereafter for both groups, with no differences between groups (twoway analysis of variance and Tukey). CONCLUSION The active application of a 20% HP gel did not improve BE and TS.
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Álvarez-Quiceno D, Rojas-Martínez PA, Cruz-González AC. Change of dental color and temperature through two bleaching agents boosted with light emitted by diodes. J ESTHET RESTOR DENT 2021; 33:1010-1016. [PMID: 34092026 DOI: 10.1111/jerd.12794] [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: 02/10/2021] [Revised: 04/13/2021] [Accepted: 05/20/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The use of light sources during the application of bleaching can reduce the time and improve the results, but at the same time this can increase the dental temperature. The objective of this study was to evaluate the performance of two bleaching agents and the increase in dental temperature with the use of light emitted by diodes (LED)-unit. MATERIALS AND METHODS Forty third molars were obtained and randomized: the whiteness without lamp (WHN) and Pola office without lamp (PON) groups, two bleaching systems based on 35% hydrogen peroxide were used, according to manufacturer specifications. For the whiteness with lamp (WHL) and Pola office with lamp (POL) groups the same bleaching agents were light boosted. A spectrophotometer and ∆WID equation was used to record and analyzed teeth color. An infrared thermometer was used to record the external and internal temperature. A ∆T was obtained by the difference of the temperature of the groups with and without LED (WHN-WHL and PON-POL). For statistical analysis Kruskal-Wallis test and Anova test were performed. RESULTS The WHN, PON, WHL, and POL groups reported ∆WID values of 4.88 ± 1.08, 9.26 ± 3.27, 5.70 ± 2.48, 12.08 ± 5.44, respectively. The dates of internal temperature were 1.01 and 1.07°C, and for external temperature were 1.61 and 1.15°C respectively. CONCLUSIONS With the limitations of this study, both bleaching agents reported a significant increase in ∆WID with and without association of light. Significant temperature increases were also observed. The highest average temperature increase was approximately 1.61°C. CLINICAL SIGNIFICANCE Bleaching agents boosted with LED may improve the results of bleaching, but it is not essential to obtain good results.
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40
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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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Gümüştaş B, Dikmen B. Effectiveness of remineralization agents on the prevention of dental bleaching induced sensitivity: A randomized clinical trial. Int J Dent Hyg 2021; 20:650-657. [PMID: 34018341 DOI: 10.1111/idh.12524] [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: 01/08/2021] [Revised: 05/08/2021] [Accepted: 05/16/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This study aims to compare the use of different remineralization agents before in-office bleaching for decreasing bleaching induced sensitivity. METHODS A total of 64 volunteers were randomly divided into four groups. Before undergoing in-office bleaching with 38% hydrogen peroxide gel (three applications of 15 min each, one session), clinicians applied a placebo gel (control group), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), neutral sodium fluoride gel (NSF) or nano-hydroxyapatite solution (n-HAP) on all buccal surfaces of teeth. The gel was left undisturbed for 4 min. The efficacy of tooth whitening was assessed by determining the colour change using SGU. Patients recorded their tooth sensitivities on the VAS scale. Kruskal-Wallis test followed by Mann-Whitney U test was used to compare changes in tooth colour and intensity of tooth sensitivity between groups. RESULTS Overall, there was no significant difference in shade change between the groups. Control and CPP-ACP groups showed significantly higher rates of hypersensitivity than NSF and the n-HAP group (p < 0.05). CONCLUSIONS The use of a remineralization agent (n-HAP/NSF) before in-office bleaching did not affect the bleaching efficacy but did reduce tooth sensitivity. The before bleaching treatment use of an n-HAP solution can be suitable for reducing bleaching born sensitivity as well as commonly used NSF remineralizing gel before in-office tooth bleaching can reduce tooth sensitivity, the most common side effect associated with this procedure.
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Affiliation(s)
- Burak Gümüştaş
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Benin Dikmen
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey
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Qi F, Otsuki M, Hiraishi N, Hatayama T, Wijethunge CL, Tagami J. Effect of photo-thermal acceleration on in-office bleaching. Odontology 2021; 109:828-835. [PMID: 33991277 PMCID: PMC8387248 DOI: 10.1007/s10266-021-00612-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 03/26/2021] [Indexed: 11/30/2022]
Abstract
The purpose is to evaluate the effect of photo-thermal acceleration on in-office bleaching efficiency using a bleaching agent without photocatalysts in vitro. Artificially discolored bovine lower incisors were prepared, and the mixed in-office bleaching material contained hydrogen peroxide 23% was applied by following treatment for 10 min: high-(HI group) and low-intensity LED lights (LI group), oven at 38 °C (OV group), and room temperature at 23 °C (RT group). Color was measured before and after bleaching and color difference (∆E*) was calculated. The data were statistically analyzed using a two-way ANOVA and Tukey’s post hoc test. The temperature change (∆T) of applied bleaching agent in HI and LI groups was measured using a thermography and was analyzed using a T test. The bleaching procedures were repeated 6 times. Irradiation in the HI group resulted in the highest ΔE, followed by the LI group whose ΔE was significantly lower. Both irradiated modes exhibited higher ΔE compared to non-irradiated OV and RT groups which were not significantly different from each other. The average temperature rise of bleaching agents in HI and LI groups after 10 min irradiation was 15.00 °C and 11.80 °C, respectively. The effect of photo-thermal acceleration was proved for an in-office bleaching agent without photocatalysts in vitro.
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Affiliation(s)
- Feng Qi
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Masayuki Otsuki
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Noriko Hiraishi
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Takashi Hatayama
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Chamari Lasindra Wijethunge
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Junji Tagami
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
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Özer SY, Kapısız E. Comparison of Walking-Bleaching and Photon-Initiated Photoacoustic Streaming Techniques in Tooth Color Change of Artificially Colored Teeth. Photobiomodul Photomed Laser Surg 2021; 39:355-361. [DOI: 10.1089/photob.2020.4914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Senem Yiğit Özer
- Department of Endodontics, Faculty of Dentistry, Adnan Menderes University, Aydin, Turkey
| | - Ertuğrul Kapısız
- Department of Endodontics, Faculty of Dentistry, Adnan Menderes University, Aydin, Turkey
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Yusof EM, Abdullah SA, Mohamed NH. Influence of light and laser activation of tooth bleaching systems on enamel microhardness and surface roughness. J Conserv Dent 2021; 23:473-478. [PMID: 33911356 PMCID: PMC8066663 DOI: 10.4103/jcd.jcd_509_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 11/19/2020] [Accepted: 11/24/2020] [Indexed: 11/04/2022] Open
Abstract
Objective The objective of this study was to compare the effects of light and laser activation of in-office tooth bleaching systems on enamel microhardness and surface roughness. Materials and Methods Twenty-five enamel slabs were divided into three treatment groups: light-activated bleaching, laser-activated bleaching, and control. The baseline data were recorded for enamel microhardness (Vickers microhardness [VMH]) and surface roughness (Roughness average, Ra). The specimens were cured for 10 min upon hydrogen peroxide application for the light-activated bleaching group and activated with a laser source, 8 cycles, 10 s per cycle for the laser-activated group. The changes in VMH and Ra at days 1, 7, and 28 were evaluated. Kruskal-Wallis, Friedman, Wilcoxon, and Mann-Whitney tests were used to analyze both VMH and Ra between the treatment groups at different time intervals. Results There were a significant reduction in VMH values and significant differences between days 1, 7, and 28 against the baseline in the light-activated bleaching group (P = 0.001). The Ra values revealed significant differences in both light- (P = 0.001) and laser-activated (P = 0.033) groups. Conclusion Light activation of a bleaching agent caused a reduction in enamel microhardness and an increase in surface roughness when compared to laser activation.
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Affiliation(s)
- Eleena Mohd Yusof
- Centre for Restorative Dentistry Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh Campus, Jalan Hospital, Sungai Buloh, Selangor, Malaysia
| | | | - Nor Himazian Mohamed
- Department of General Dental Practice and Oral and Maxillofacial Imaging, Faculty of Dentistry, University Malaya, Kuala Lumpur, Malaysia
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Papadopoulos A, Dionysopoulos D, Strakas D, Koumpia E, Tolidis K. Spectrophotometric evaluation of the effectiveness of Er,Cr:YSGG laser-assisted intracoronal tooth bleaching treatment using different power settings. Photodiagnosis Photodyn Ther 2021; 34:102272. [PMID: 33798751 DOI: 10.1016/j.pdpdt.2021.102272] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 03/23/2021] [Accepted: 03/26/2021] [Indexed: 11/15/2022]
Abstract
BACKGROUND Non-vital tooth discoloration is a common condition in dental practice. The aim of this in vitro study was to evaluate the efficacy of intracoronal bleaching treatments of non-vital teeth either activated or not by Er,Cr:YSGG laser (2780 nm) operating at 1.25 or 2.5 W. METHODS Twenty four human canines were artificially stained after implementation of root canal treatment. Subsequently, the teeth were randomly divided into three groups (n = 8): Group 1 (control) received intracoronal bleaching treatment with a bleaching gel containing 35 % hydrogen peroxide for 40 min, Group 2 received the same treatment assisted with Er,Cr:YSGG laser (2780 nm) operating at 1.25 W average power for 30 s and Group 3 received the same treatment with Group 2, but the average power was adjusted to 2.5 W. The bleaching treatments repeated after one week. Spectrophotometric analysis of tooth color change (ΔE) was implemented 7 days after both bleaching sessions. RESULTS The results of two-way ANOVA revealed that there was a tendency of no significant difference in color change between the three experimental groups (p = 0.063). However, the between-group comparisons showed that laser 2.5 W group had significantly higher ΔE than the control group after the first bleaching session. Moreover, a significant interaction between bleaching treatment and number of applications was detected (p = 0.026). CONCLUSIONS Er,Cr:YSGG laser irradiation significantly increased ΔE only after the first bleaching session when operating at 2.5 W. After the second bleaching session ΔE was not different compared to the control group, irrespectively of the laser power settings.
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Affiliation(s)
- Athanasios Papadopoulos
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Dimitrios Dionysopoulos
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
| | - Dimitris Strakas
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Effimia Koumpia
- Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Kosmas Tolidis
- Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
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Stability and Influence of Storage Conditions on Nanofibrous Film Containing Tooth Whitening Agent. Pharmaceutics 2021; 13:pharmaceutics13040449. [PMID: 33810448 PMCID: PMC8066980 DOI: 10.3390/pharmaceutics13040449] [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: 02/27/2021] [Revised: 03/19/2021] [Accepted: 03/20/2021] [Indexed: 11/17/2022] Open
Abstract
Carbamide peroxide (CP), a tooth whitening agent, is chemically unstable. The present study explores stability enhancement of CP by loading in a nanofibrous film (CP-F) composed of polyvinyl alcohol/polyvinylpyrrolidone/silica mixture, using an electrospinning technique. Kept at a temperature range of 60–80 °C for 6 h, CP in CP-F showed significantly higher stability than that in a polymer solution and in water, respectively. Degradation of CP in CP-F could be described by the first order kinetics with the predicted half-life by the Arrhenius equation of approximately 6.52 years. Physicochemical properties of CP-F after long-term storage for 12 months at different temperatures and relative humidity (RH) were investigated using scanning electron microscopy, X-ray diffractometry, differential scanning calorimetry, and Fourier transform infrared spectroscopy. It was found that high temperature and high humidity (45 °C/75% RH) could enhance water absorption and destruction of the nanofibrous structure of CP-F. Interestingly, kept at 25 °C/30% RH, the nanofibrous structure of CP-F was not damaged, and exhibited no water absorption. Moreover, the remaining CP, the mechanical properties, and the adhesive properties of CP-F were not significantly changed in this storage condition. It is concluded that the developed CP-F and a suitable storage condition can significantly improve CP stability.
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Sobral MFP, Cassoni A, Tenis CA, Steagall W, Brugnera Junior A, Bagnato VS, Botta SB. Longitudinal, Randomized, and Parallel Clinical Trial Comparing a Violet Light-Emitting Diodes System and In-Office Dental Bleaching: 6-Month Follow-Up. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2021; 39:403-410. [PMID: 33567218 DOI: 10.1089/photob.2019.4764] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Objective: This in vivo study compared two bleaching techniques with regard to the degree of tooth sensitivity (TS), color change, and treatment stability for a 6-month follow-up period. Materials and methods: Sixty volunteers were selected according to inclusion and exclusion criteria and submitted to in-office bleaching. For group 1, we performed one bleaching session with a 35% hydrogen peroxide gel and a second bleaching session after 7 days; for group 2, we performed two bleaching sessions with two applications per session, each session with a 7-day interval, using a light-emitting diodes (LEDs) device emitting violet light (405-410 nm) without employing peroxide-containing bleaching gel. TS was recorded immediately before and immediately after each bleaching session using the Variance Analogic Scale. The color of upper central incisors and upper canines at baseline was recorded immediately after each bleaching session, after 15, 30, and 180 days, with a value-oriented shade guide used by two well-trained observers. Results: The two whitening protocols results were similar regarding the immediate effectiveness and 6-month stability of tooth whitening. Dental bleaching with violet LED did not promote postoperative pain sensitivity at any of the evaluated times. However, dental bleaching performed with 35% hydrogen peroxide promoted higher postoperative pain sensitivity. Conclusions: The violet light alone provided dental bleaching and had the clinical advantage of promoting less immediate postoperative sensitivity; however, an unwanted repigmentation occurred after dental bleaching with light alone.
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Affiliation(s)
| | | | | | | | - Aldo Brugnera Junior
- Department of Basic Optics and Applied Life Sciences FSC-USP, National Institute of Science and Technology INCT, São Paulo, Brasil
| | - Vanderlei Salvador Bagnato
- Departamento de Física e Ciência dos Materiais, Instituto de Física de São Carlos, Universidade de São Paulo, São Carlos, Brasil
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48
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Wijetunga CL, Otsuki M, Hiraishi N, Luong MN, Tagami J. Effect of pH of bleaching agent on tooth bleaching action in vitro. Dent Mater J 2021; 40:566-572. [PMID: 33456029 DOI: 10.4012/dmj.2020-191] [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] [Indexed: 11/23/2022]
Abstract
This study investigated the effect of pH of bleaching agent, photo-irradiation time or application times on bleaching action using hematoporphyrin-stained papers (HSPs) and artificially stained bovine-teeth (BT). 23% H2O2 with pH 5.5, 6.0, 7.0, 8.0 and 9.0 were applied on the specimens. HSP was photo-irradiated for 1, 3 and 5 min. BT were photo-irradiated for 10 min and the bleaching was repeated ten times (n=10). CIE L*a*b* of the specimens were measured before and after the procedure. Data were analyzed by repeated-measures ANOVA followed by multiple comparisons with Bonferroni correction. For the HSP, longer irradiation time and higher pH yielded significantly higher color difference (ΔE). As for BT, increasing application times and higher pH resulted in higher ΔE. It was concluded that the pH of the bleaching agent significantly improved the bleaching effect with increased photo-irradiation time for HSP and with an increase of repeated application times for BT.
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Affiliation(s)
- Chamari L Wijetunga
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Masayuki Otsuki
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Noriko Hiraishi
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Minh N Luong
- Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Anagnostaki E, Mylona V, Kosma K, Parker S, Chala M, Cronshaw M, Dimitriou V, Tatarakis M, Papadogiannis N, Lynch E, Grootveld M. A Spectrophotometric Study on Light Attenuation Properties of Dental Bleaching Gels: Potential Relevance to Irradiation Parameters. Dent J (Basel) 2020; 8:dj8040137. [PMID: 33339162 PMCID: PMC7765600 DOI: 10.3390/dj8040137] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 11/29/2020] [Accepted: 12/07/2020] [Indexed: 12/20/2022] Open
Abstract
Background: During in-office bleaching, appropriate light sources are applied in order to enhance the activity of the bleaching gels applied onto teeth. For this method to be effective, a high absorption of light within the gel is necessary. Variation in the light attenuation capability of the gel, the duration of application and light activation can contribute towards safety hazards associated with this procedure. Methods: In this study, seven different gels and hydrogen peroxide have been evaluated for their optical properties by means of spectrophotometry (440–1000 nm). The transmitted light spectrum was used to estimate the intensity loss for each gel. The mean intensity decreases observed were statistically analysed using an analysis of variance (ANOVA). Results: The five more-pigmented gels tested indicated a very similar intensity loss of around 80%, whereas the remaining two gels showed significantly less attenuation (predominantly, p < 10−6). Conclusions: Throughout the spectrum of wavelengths examined, and according to the underlying studies evaluated, five of the gels assessed demonstrated an attenuation high enough to possibly avoid overheating of the underlying enamel dentine and pulp. An evaluation of appropriate irradiation parameters is proposed.
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Affiliation(s)
- Eugenia Anagnostaki
- Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK; (V.M.); (S.P.); (M.C.); (E.L.); (M.G.)
- Correspondence:
| | - Valina Mylona
- Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK; (V.M.); (S.P.); (M.C.); (E.L.); (M.G.)
| | - Kyriaki Kosma
- Institute of Plasma Physics and Lasers, Hellenic Mediterranean University, Tria Monastiria, 74100 Rethymno, Greece; (K.K.); (V.D.); (M.T.); (N.P.)
| | - Steven Parker
- Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK; (V.M.); (S.P.); (M.C.); (E.L.); (M.G.)
| | - Marianna Chala
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, 16132 Genoa, Italy;
| | - Mark Cronshaw
- Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK; (V.M.); (S.P.); (M.C.); (E.L.); (M.G.)
| | - Vasilis Dimitriou
- Institute of Plasma Physics and Lasers, Hellenic Mediterranean University, Tria Monastiria, 74100 Rethymno, Greece; (K.K.); (V.D.); (M.T.); (N.P.)
| | - Michael Tatarakis
- Institute of Plasma Physics and Lasers, Hellenic Mediterranean University, Tria Monastiria, 74100 Rethymno, Greece; (K.K.); (V.D.); (M.T.); (N.P.)
| | - Nektarios Papadogiannis
- Institute of Plasma Physics and Lasers, Hellenic Mediterranean University, Tria Monastiria, 74100 Rethymno, Greece; (K.K.); (V.D.); (M.T.); (N.P.)
| | - Edward Lynch
- Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK; (V.M.); (S.P.); (M.C.); (E.L.); (M.G.)
- School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, NV 89154, USA
| | - Martin Grootveld
- Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK; (V.M.); (S.P.); (M.C.); (E.L.); (M.G.)
- School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, NV 89154, USA
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50
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Fernandes BM, Tanaka MH, De Oliveira ALBM, Scatolin RS. Color stability of dental enamel bleached with violet LED associated with or without Low concentration peroxide gels. Photodiagnosis Photodyn Ther 2020; 33:102101. [PMID: 33212268 DOI: 10.1016/j.pdpdt.2020.102101] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 11/06/2020] [Accepted: 11/09/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND This study aimed to evaluate the in vitro color of dental enamel bleached with the violet LED, associated with or without low-concentration of peroxide; analyzed in two time intervals: 24 h later and 6 months after the treatment. METHODS Ninety fragments of bovine teeth (6 × 6 mm and 3 mm thick) were randomly divided into 6 groups according to bleaching treatment: NB - no bleaching, VL - Violet LED, HP- 7.5 % hydrogen peroxide, HP + VL - 7.5 % hydrogen peroxide + violet LED, CP - 22 % carbamide peroxide, CP + VL - 22 % carbamide peroxide + violet LED. The color change was analyzed by using a spectrophotometer, at time intervals of 24 h and 6 months after performing the bleaching techniques (n = 12). Scanning electron microscopy (SEM) was performed to verify the enamel surface morphology after treatment (n = 3). RESULTS The color change data were analyzed using ANOVA and a post-hoc Tukey tests (α = 0.05). The VL group showed chromatic changes after 24 h of treatment, however the groups submitted to bleaching gel treatments associated with or without violet LED (CP + VL, CP, HP, HP + VL) showed the highest color change values at all time intervals analyzed, with color stability after 6 months of treatment for the CP + VL group. Scanning electron microscopy analysis showed the greatest change in enamel surface for Groups CP and HP. CONCLUSIONS It could be concluded that violet LED had immediate bleaching effect without promoting significant changes in enamel morphology, however the association with carbamide peroxide 22 % showed color stability and greater bleaching efficacy than the use of violet LED alone, after 6 months.
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Affiliation(s)
| | - Marcia Hiromi Tanaka
- Department of Post-graduation in Implantology, University of Santo Amaro, School of Dentistry, São Paulo, SP, Brazil.
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