1
|
Batista LAS, dos Reis-Prado AH, Chaves HGDS, de Arantes LC, Morgan LFSA, André CB, Suzuki TY, Benetti F. Can different agents reduce the damage caused by bleaching gel to pulp tissue? A systematic review of basic research. Restor Dent Endod 2023; 48:e39. [PMID: 38053785 PMCID: PMC10695728 DOI: 10.5395/rde.2023.48.e39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 08/14/2023] [Accepted: 08/16/2023] [Indexed: 12/07/2023] Open
Abstract
Objectives This study aimed to investigate the effectiveness of different topical/systemic agents in reducing the damage caused by bleaching gel to pulp tissue or cells. Materials and Methods Electronic searches were performed in July 2023. In vivo and in vitro studies evaluating the effects of different topical or systemic agents on pulp inflammation or cytotoxicity after exposure to bleaching agents were included. The risk of bias was assessed. Results Out of 1,112 articles, 27 were included. Nine animal studies evaluated remineralizing/anti-inflammatories agents in rat molars subjected to bleaching with 35%-38% hydrogen peroxide (HP). Five of these studies demonstrated a significant reduction in inflammation caused by HP when combined with bioglass or MI Paste Plus (GC America), or following KF-desensitizing or Otosporin treatment (n = 3). However, orally administered drugs did not reduce pulp inflammation (n = 4). Cytotoxicity (n = 17) was primarily assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay on human dental pulp cells and mouse dental papilla Cell-23 cells. Certain substances, including sodium ascorbate, butein, manganese chloride, and peroxidase, were found to reduce cytotoxicity, particularly when applied prior to bleaching. The risk of bias was high in animal studies and low in laboratory studies. Conclusions Few in vivo studies have evaluated agents to reduce the damage caused by bleaching gel to pulp tissue. Within the limitations of these studies, it was found that topical agents were effective in reducing pulp inflammation in animals and cytotoxicity. Further analyses with human pulp are required to substantiate these findings. Trial Registration PROSPERO Identifier: CRD42022337192.
Collapse
Affiliation(s)
- Letícia Aparecida Silva Batista
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | | | | | - Lara Cancella de Arantes
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | | | - Carolina Bosso André
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | - Thaís Yumi Suzuki
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | - Francine Benetti
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| |
Collapse
|
2
|
Yang Y, Xue Q, Zhang Y, He X, Li Z, Yang J. Quantitative analysis of the degree of demineralization for bleached enamel by optical coherence tomography. Photodiagnosis Photodyn Ther 2023; 43:103686. [PMID: 37399915 DOI: 10.1016/j.pdpdt.2023.103686] [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: 03/23/2023] [Revised: 06/14/2023] [Accepted: 06/30/2023] [Indexed: 07/05/2023]
Abstract
BACKGROUND Tooth bleaching imparts whitening effects along with adverse effects such as increased tooth sensitivity and enamel surface changes. Herein, we employed optical coherence tomography (OCT), a nondestructive optical detection technique, for evaluation of tooth enamel after treatment with peroxide-based bleaching agents. METHODS Fifteen enamel samples were bleached using 38% acidic hydrogen peroxide-based bleach, subjected to OCT scanning, and then cross-sectioned and imaged under polarized light microscopy (PLM) and transverse microradiography (TMR). OCT cross-sectional images were compared with PLM and TMR. The depth and severity of demineralization produced in the bleached enamel were measured by OCT, PLM, and TMR. Comparison between the three techniques was performed using Kruskal-Wallis H non-parametric test and Pearson correlation. RESULTS In comparison with PLM and TMR, OCT clearly detected the changes in the enamel surface after hydrogen peroxide bleaching. Significant correlations (p<0.05) were observed in lesion depth between OCT and PLM (r=0.820), OCT and TMR (r=0.822), and TMR and PLM (r=0.861). There was no statistically significant difference in demineralization depth values measured by OCT, PLM, and TMR (p>0.05). CONCLUSION OCT can allow real-time, non-invasive imaging of artificially bleached tooth models and automatically measure the early changes in the enamel lesion structure upon exposure to hydrogen peroxide-based bleaching agents.
Collapse
Affiliation(s)
- Yuhao Yang
- Department of Endodontics, Affiliated Stomatological Hospital, Nanchang University, Nanchang, Jiangxi 330006, China; Jiangxi Key Laboratory of Oral Biomedicine, Nanchang, Jiangxi 330006, China
| | - Qiaoqiao Xue
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, Jiangxi 330063, China
| | - Yubao Zhang
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, Jiangxi 330063, China
| | - Xingdao He
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, Jiangxi 330063, China
| | - Zekun Li
- Department of Endodontics, Affiliated Stomatological Hospital, Nanchang University, Nanchang, Jiangxi 330006, China; Jiangxi Key Laboratory of Oral Biomedicine, Nanchang, Jiangxi 330006, China
| | - Jian Yang
- Department of Endodontics, Affiliated Stomatological Hospital, Nanchang University, Nanchang, Jiangxi 330006, China; Jiangxi Key Laboratory of Oral Biomedicine, Nanchang, Jiangxi 330006, China.
| |
Collapse
|
3
|
Alhotan A, Abdelraouf RM, Alhijji S, De Vera MAT, Sufyan A, Matinlinna JP, Hamdy TM. Colour Parameters and Changes of Tea-Stained Resin Composite Exposed to Whitening Pen (In Vitro Study). Polymers (Basel) 2023; 15:3068. [PMID: 37514457 PMCID: PMC10383341 DOI: 10.3390/polym15143068] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Revised: 07/14/2023] [Accepted: 07/15/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND One of the crucial factors influencing the longevity of anterior aesthetic dental restorations is the colour stability of resin composites. Bleaching and whitening have become popular methods for enhancing dental aesthetics. Home whitening techniques, such as special pens, are widely available commercially. This in vitro study aimed to determine the efficiency of a whitening pen in removing tea stains from resin composite by measuring colour differences (ΔE00). Additionally, the study aimed to evaluate the variations in colour parameters measured by extra-oral and intra-oral spectrophotometers. METHODS A total of 45 disc-shaped resin composite specimens were randomly divided into three groups; Group 1: stored in artificial saliva (control), Group 2: stored in artificial saliva followed by a whitening pen application, and Group 3: stored in tea followed by a whitening pen application. Colour measurements were taken three times for each specimen using two spectrophotometers (extra-oral and intra-oral devices); T1: before storage (baseline), T2: after storage in artificial saliva or tea for 6 days; and T3: after one week of whitening pen application in groups 2 and 3. The data were statistically analyzed using one-way ANOVA followed by the Tukey post hoc test (p ≤ 0.05). The independent sample t-test was also employed. The equation of CIEDE2000 (ΔE00) was used to calculate the colour difference between the dry, as-prepared specimens (baseline), and those after storage or bleaching. The colour changes exceeding the acceptability threshold (∆E00 = 1.8) were considered unacceptable. RESULTS After whitening, the colour of the specimens stored in brewed tea (Group 3) remained unacceptable, as indicated by both the extra-oral and intra-oral spectrophotometers (ΔE00 = 4 and 2.9, respectively). Groups 1 and 2 exhibited lower ΔE00 values than Group 3 (p = 0.01 *). No significant difference was observed between Group 1 (stored in artificial saliva) and Group 2 (stored in artificial saliva and then bleached) (p = 0.3). Significant differences were consistently observed between the data obtained from the extra-oral spectrophotometer and the intra-oral one. CONCLUSIONS The whitening pen proved ineffective in removing tea stains from resin composites. Although significant differences were found between the values obtained by the two spectrophotometers (extra-oral and intra-oral), both devices confirmed the unacceptable colour of the tea-stained resin composites after whitening.
Collapse
Affiliation(s)
- Abdulaziz Alhotan
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 12372, Saudi Arabia
| | - Rasha M Abdelraouf
- Biomaterials Department, Faculty of Dentistry, Cairo University, Cairo 11553, Egypt
| | - Saleh Alhijji
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 12372, Saudi Arabia
| | | | - Aref Sufyan
- College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Jukka P Matinlinna
- Division of Dentistry, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
| | - Tamer M Hamdy
- Restorative and Dental Materials Department, Oral and Dental Research Institute, National Research Centre (NRC), El Bohouth St., Dokki, Giza 12622, Egypt
| |
Collapse
|
4
|
da Silva KL, Favoreto MW, Centenaro GG, Bernardi LG, Borges CPF, Reis A, Loguercio AD. Can all highly concentrated in-office bleaching gels be used as a single-application? Clin Oral Investig 2023; 27:3663-3671. [PMID: 37017758 DOI: 10.1007/s00784-023-04980-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 03/24/2023] [Indexed: 04/06/2023]
Abstract
OBJECTIVE This in vitro study aims to evaluate of hydrogen peroxide (HP) diffusion into the pulp chamber, bleaching efficacy (BE), and pH stability (pH) of single-application high concentrated in-office bleaching gels. MATERIALS AND METHODS Eighty-eight healthy premolars were randomly into eleven groups (n = 8) according to the in-office dental bleaching: DSP White Clinic 35% calcium (DW), Nano White 35% (NW), Opalescence XTra Boost 40% (OB), Pola Office + 37.5% (PO), Potenza Bianco Pro SS 38% (PB), Total Blanc 35% (TB), Total Blanc One-Step 35% (TO), Whiteness Automixx 35% (WA), Whiteness Automixx Plus 35% (WP), and Whiteness HP Blue 35% (WB). A group not exposed to bleaching agents was the control group (CG). All bleaching agents were applied in one session with a single application. After the bleaching procedure, the concentration of HP diffusion (μg/mL) into the pulp chamber was assessed using UV-Vis spectrophotometry. The BE (ΔEab and ΔE00) was evaluated before and 1 week after the bleaching procedure using a digital spectrophotometer. The pH of each bleaching gel was evaluated by digital pHmeter. The one-way ANOVA and Tukey's was used for a statistical analysis (α = 0.05). RESULTS The concentration of HP diffusion into the pulp chamber was higher in all in-office bleaching gels when compared to CG (p < 0.0000001). However, there are a significant difference between them (p = 0.0001). A significant BE was observed in all in-office bleaching gels (p < 0.0001 for ΔEab and ΔE00), with a significant difference between them (p < 0.0001). PO, OB, TB, WP, and WB showed a higher BE when compared to DW, PB, and WA (p < 0.0001). Most bleaching gels were slightly acidic or alkaline during the total application time, while DW, PB, TB, and WA showed a high acidic behavior after 30 min of application. CONCLUSIONS A single application was able to produce a bleaching efficacy. However, usually, gels with slightly acidic or alkaline pH during the application time reduces the HP diffusion into the pulp chamber. CLINICAL RELEVANCE The single-application of bleaching gels with slightly acidic or alkaline and stable pH decreased the penetration of hydrogen peroxide into the pulp chamber in in-office bleaching and maintained the bleaching efficacy.
Collapse
Affiliation(s)
- Karine Letícia da Silva
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Michael Willian Favoreto
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Gabrielle Gomes Centenaro
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Laís Giacomini Bernardi
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | | | - Alessandra Reis
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil.
| |
Collapse
|
5
|
Altınışık H, Akgül S, Nezir M, Özcan S, Özyurt E. The Effect of In-Office Bleaching with Different Concentrations of Hydrogen Peroxide on Enamel Color, Roughness, and Color Stability. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16041389. [PMID: 36837018 PMCID: PMC9961799 DOI: 10.3390/ma16041389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 01/23/2023] [Accepted: 01/27/2023] [Indexed: 05/13/2023]
Abstract
The aim of this study is to evaluate the effectiveness of in-office bleaching in esthetic dentistry on the roughness and color stability of the enamel surface, using different concentrations of hydrogen peroxide (HP). Fifty human incisors were randomly divided into 5 groups (n = 10). No bleaching was performed in the control group. For these groups, concentrations of 40% HP with fluoride (F), 35% HP with calcium (Ca), 25% HP with nano-hydroxyapatite (nHA) and 18% HP with nHA were used for bleaching in the test groups. Surface roughness was assessed at baseline after bleaching occurred. Color measurements were first obtained at baseline, then after the first and second sessions of bleaching, and, finally, after the staining protocol. Scanning electron microscopy and atomic force microscopy were performed. Statistical analysis was conducted with a one-way ANOVA, followed by a post hoc Tukey's test and a paired-samples t-test (p < 0.05). All the bleaching gels used exhibited a similar color change (p > 0.05). Bleaching gels containing 18% HP with nHA and that containing 35% HP with Ca caused less surface roughness of the enamel. Of these concentrations, 25% HP with nHA caused the most surface roughness and no significant difference was observed, compared with 40% HP with F. The highest coloration after bleaching was observed in 40% HP with F and 25% HP with nHA. The lowest coloration was obtained in 35% HP with Ca and 18% HP with nHA but no significant difference was observed between them and the control group. A concentration above 18% HP does not increase the bleaching effectiveness. The results show that 18% HP with nHA and 35% HP with Ca resulted in the least increase in enamel surface roughness when compared to high-concentrate HP; however, it also prevented recoloration after bleaching.
Collapse
Affiliation(s)
- Hanife Altınışık
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Ankara 06510, Turkey
- Correspondence: or ; Tel.: +90-555-880-64-18
| | - Sinem Akgül
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Ankara 06510, Turkey
| | - Merve Nezir
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Ankara 06510, Turkey
| | - Suat Özcan
- Department of Restorative Dentistry, Faculty of Dentistry, Gazi University, Ankara 06510, Turkey
| | - Esra Özyurt
- İzmir Training Dental Hospital, İzmir 35160, Turkey
| |
Collapse
|
6
|
Palandi SDS, Kury M, Picolo MZD, Esteban Florez FL, Cavalli V. Effects of black tea tooth staining previously to 35% hydrogen peroxide bleaching. BRAZILIAN JOURNAL OF ORAL SCIENCES 2022. [DOI: 10.20396/bjos.v22i00.8668082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Aim: To determine if the artificial staining with black tea (BT) influences the enamel microhardness before in-office bleaching and if BT staining is necessary to evaluate the efficacy of bleaching with 35% hydrogen peroxide Methods: Enamel/dentin blocks were randomized into groups according to the staining protocol (n=5/group): (CO) control – maintained in artificial saliva solution (AS); (BT4) immersed in black tea solution for 4 h; (BT24) immersed in black tea solution for 24 h. After the staining protocols, all specimens were kept in AS for one week, followed by bleaching (three sessions of HP application for 40 min). Knoop surface microhardness (kgF/mm2) was determined at baseline (T0), after staining (T1), after 7 days of storage in AS (T2), and after bleaching (T3). The color (ΔE00) and coordinate changes (ΔL, Δa, Δb) were measured using a digital spectrophotometer at T0 and T3. Data were submitted to one-way (ΔE00, ΔL, Δa, Δb) or two-way ANOVA repeated measures (kgF/mm2) and Tukey’s test (a=5%). Results: The staining protocols (BT4 and BT24) promoted significantly lower microhardness (T1 and T2, p<0.05) than CO, whereas CO was the only group to maintain microhardness values over time. Bleaching promoted perceptible ΔE00 without a significant difference among the groups regardless of the staining protocol (p=0.122). CO and BT4 showed no differences in terms of ΔL and Δa (p>0.05), but BT4 displayed a higher Δb than CO. Conclusion: The artificial staining with BT negatively affected the enamel surface microhardness and was not essential to evaluate the efficacy of 35% hydrogen peroxide bleaching.
Collapse
|
7
|
Pin WF, Benati MRDL, Souza AGCD, Ferraz LN, Vitti RP, Scatolin RS. EVALUATION OF MINERAL CONTENT OF TOOTH ENAMEL AFTER APPLICATION VIOLET LED ASSOCIATED WITH 35% HYDROGEN PEROXIDE. Photodiagnosis Photodyn Ther 2022; 38:102852. [PMID: 35390522 DOI: 10.1016/j.pdpdt.2022.102852] [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: 01/14/2022] [Revised: 03/28/2022] [Accepted: 04/03/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND The aim of this study was to evaluate the microhardness and quantify the presence of minerals (Calcium and Phosphorous) of tooth enamel submitted to bleaching with violet LED light, either associated with 35% hydrogen peroxide gel, or not. METHODS Bovine incisors were selected and divided into 4 Groups according to the bleaching technique used: C- Without bleaching (Control); VL- violet LED; HP- 35% Hydrogen Peroxide; HP+VL- 35% Hydrogen Peroxide + violet LED. The response variables were surface microhardness (n=12), Energy Dispersive Spectroscopy (EDS) (n=6) and scanning electron microscopy (SEM) (n=3). RESULTS The 2-way ANOVA test with repeated measures showed that there was difference in the microhardness values of enamel in the specimens in all of the Groups when the values measured in the initial and final time intervals were compared, however, without significant differences between the values of the different treatments in both time intervals. The results with reference to EDS were analyzed with the 1-way ANOVA test. There was difference among the Groups only in the Ca%, with Group HP obtaining the lowest values, with significant difference from those of the C Group. SEM images showed a smooth, homogeneous enamel surface and similarity among the Groups, irrespective of the treatment performed. CONCLUSIONS Therefore, it was concluded that the changes caused in enamel by the use of violet LED Light, either associated with 35% hydrogen peroxide, or not, did not differ from those of non-bleached tooth enamel, showing absence of harm to the mineral content of tooth enamel resulting from the use of violet LED.
Collapse
Affiliation(s)
- Weslley Felipe Pin
- Herminio Ometto University Center, School of Dentistry, Araras SP, Brazil
| | | | | | - Laura Nobre Ferraz
- Herminio Ometto University Center, School of Dentistry, Araras SP, Brazil
| | - Rafael Pino Vitti
- Herminio Ometto University Center, School of Dentistry, Araras SP, Brazil
| | | |
Collapse
|
8
|
Tooth whitening effects on dental enamel, oxidation or reduction? Comparison of physicochemical alterations in bovine enamel using Synchrotron-based Micro-FTIR. Dent Mater 2022; 38:670-679. [DOI: 10.1016/j.dental.2022.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 01/10/2022] [Accepted: 02/15/2022] [Indexed: 11/19/2022]
|
9
|
Dias S, Mata A, Silveira J, Pereira R, Putignano A, Orsini G, Monterubbianesi R, Marques D. Hydrogen Peroxide Release Kinetics of Four Tooth Whitening Products-In Vitro Study. MATERIALS 2021; 14:ma14247597. [PMID: 34947191 PMCID: PMC8708249 DOI: 10.3390/ma14247597] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 11/15/2021] [Accepted: 12/06/2021] [Indexed: 11/17/2022]
Abstract
Tooth whitening efficacy can be influenced by several factors, of which concentration and application time are two of the most important. This in vitro study aimed to evaluate the initial content and release kinetics of the hydrogen peroxide (HP) content, or the carbamide peroxide (CP) content as converted to its HP equivalent, of four tooth whitening products with different concentrations (6% HP, 16% CP, 10% CP, and 5% CP). Titrations with Cerium Sulphate IV were performed to determine HP concentration. HP release kinetics were evaluated by a spectrophotometric technique. The results were expressed as the mean values and 95% confidence interval of the percentage of hydrogen peroxide content during release kinetics. One sample t-test, one-way ANOVA, Tukey post hoc testing, and Pearson correlation testing were used, as appropriate, with a significance level of α = 0.05. The concentration of titrated HP was higher than that indicated by the manufacturers in all tested products (p < 0.01). At the minimum application times indicated by the manufacturers, all products released at least 85% of HP content; the gel containing 10% CP registered the lowest release at 85.49 (81.52–89.46). There was a significant HP release in all products during the application times indicated by the manufacturers. Further studies are needed to assess in vitro release kinetics.
Collapse
Affiliation(s)
- Susana Dias
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (A.M.); (J.S.); (R.P.)
| | - António Mata
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (A.M.); (J.S.); (R.P.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| | - João Silveira
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (A.M.); (J.S.); (R.P.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| | - Ruben Pereira
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (A.M.); (J.S.); (R.P.)
| | - Angelo Putignano
- Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60100 Ancona, Italy; (A.P.); (G.O.); (R.M.)
| | - Giovanna Orsini
- Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60100 Ancona, Italy; (A.P.); (G.O.); (R.M.)
| | - Riccardo Monterubbianesi
- Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60100 Ancona, Italy; (A.P.); (G.O.); (R.M.)
| | - Duarte Marques
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (A.M.); (J.S.); (R.P.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
- Postgraduate Program in Prosthodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
- Correspondence: ; Tel.: +351-966486375
| |
Collapse
|
10
|
Meireles SS, Santos ME, Lustosa ÍMC, Leite ELL. Effects of a reduced in-office bleaching protocol with 37.5% hydrogen peroxide on effectiveness and tooth sensitivity: A double-blind randomized clinical trial. J ESTHET RESTOR DENT 2021; 33:824-831. [PMID: 34180574 DOI: 10.1111/jerd.12744] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 03/31/2021] [Accepted: 04/30/2021] [Indexed: 12/18/2022]
Abstract
OBJECTIVE This randomized clinical trial evaluated the effectiveness and tooth sensitivity (TS) of 37.5% hydrogen peroxide (37.5HP) in-office bleaching with reduced protocol. MATERIALS AND METHODS Forty participants with shade mean C2 or darker for the six maxillary anterior teeth were randomly allocated into two treatment groups (n = 20): two (37.5HP2) or three (37.5HP3) 8 min applications/clinical session. Three clinical sessions were performed with a 1 week interval. Color evaluations were done with a spectrophotometer at baseline and 1 week post-bleaching. TS was measured during and up to 48 h after bleaching using a five-point numeric rating scale. Color change was evaluated by Student's t-test for independent samples. The absolute risk and intensity of TS were analyzed by Fisher's and Mann-Whitney/Friedman tests (p < 0.05). RESULT Both treatment groups resulted in a significant tooth whitening 1 week post-bleaching (p < 0.001). There were no significant differences between 37.5HP2 and 37.5HP3 for ΔE*ab , ΔE00 and ∆WID . Also, there were not differences between groups regarding high absolute risk (p = 1.0) and low intensity of TS at all time assessments (p > 0.7). CONCLUSIONS The in-office bleaching with two 37.5% HP applications produced the same whitening degree, risk and intensity of TS to that performed with three gel applications. CLINICAL SIGNIFICANCE Clinicians should opt to use a neutral 37.5% HP in-office bleaching gel for two 8 min applications/clinical session because produces the same whitening effectiveness, risk and low intensity of TS as the protocol proposed by manufacturer (three 8 min applications).
Collapse
Affiliation(s)
- Sônia Saeger Meireles
- Department of Operative Dentistry, Federal University of Paraiba, João Pessoa, Paraiba, Brazil
| | | | | | - Eva Lis Lopes Leite
- Department of Operative Dentistry, Federal University of Paraiba, João Pessoa, Paraiba, Brazil
| |
Collapse
|
11
|
Silva DP, Resende BA, Kury M, André CB, Tabchoury C, Giannini M, Cavalli V. Intrapulpal Concentration of Hydrogen Peroxide of Teeth Restored With Bulk Fill and Conventional Bioactive Composites. Oper Dent 2021; 46:E158-E170. [PMID: 34662908 DOI: 10.2341/20-091-l] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2020] [Indexed: 11/23/2022]
Abstract
This study evaluated intrapulpal concentration and hydrogen peroxide (HP) penetration at the interface of teeth restored with bioactive composites, using conventional or bulk-fill composites. Cylindrical cavities were prepared on the buccal surface of bovine incisor crowns (n=20) and restored with: resin modified glass-ionomer (RMGI, Riva Light Cure, SDI), non-bioactive bulk-fill composite (FB, Filtek Bulk, 3M Oral Care), non-bioactive conventional composite (FZ, Filtek Z350, 3M Oral Care), bioactive bulk-fill composite (AC, Activa BioActive, Pulpedent), and bioactive conventional composite (BII, Beautifil II, Shofu). After 5,000 thermal cycles, restorations (n=10) were exposed to high (35% HP [4 applications of 8 min/session-4 sessions]) or low (9.5% HP [30 min/day-14 days]) concentration bleaching protocols. After the last bleaching application, the HP intrapulpal concentration was determined. Additional teeth were restored, pigmented with rhodamine B solution, and HP penetration around the interface was observed under laser scanning confocal fluorescence microscopy (LSCFM, n=3). The presence of gaps at the interface was observed on replicas of the cross-sectioned samples under scanning electron microscopy (SEM, n=5). Data were submitted to one-way (gap analysis) and twoway analysis of variance (ANOVA; HP intrapulpal concentration) and Tukey test (α=0.05). The LSCFM images were qualitatively analyzed. The restored teeth submitted to 35% HP presented higher HP intrapulpal concentration than teeth submitted to 9.5% HP (p<0.05). No differences in HP intrapulpal concentration was observed among groups (p>0.05) when exposed to 9.5% HP. Lower HP intrapulpal concentration was observed for teeth restored with RMGI exposed to HP 35%, when compared with teeth restored with nonbioactive conventional (FZ; p=0.004) and bulk-fill composites (FB; p=0.01). No gap formation was observed at the outer enamel adhesive interface for all restorative materials. LSCFM images showed that 35% HP promoted greater degradation of rhodamine B at the enamel, except for RMGI. In this context, RMGI promoted lower HP intrapulpal concentration than non-bioactive conventional and bulk-fill composites.
Collapse
|
12
|
Nakamura K, Shirato M, Shishido S, Niwano Y, Kanno T, Sasaki K, Lingström P, Örtengren U. Reactions of dental pulp to hydrogen peroxide photolysis-based antimicrobial chemotherapy under ultraviolet-A irradiation in rats. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2020; 212:112042. [PMID: 33027729 DOI: 10.1016/j.jphotobiol.2020.112042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 09/21/2020] [Accepted: 09/23/2020] [Indexed: 10/23/2022]
Abstract
Hydrogen peroxide photolysis-based antimicrobial chemotherapy that utilizes ultraviolet-A irradiation (UVA-H2O2 photolysis) has been previously proposed as a method of treatment of cariogenic biofilm. Therefore, in the present study, we aimed to assess time-dependent reactions in the dental pulp of rats after UVA-H2O2 photolysis. Maxillary first molars were treated. UVA irradiation (wavelength: 365 nm) with 3 wt% H2O2 was performed for 90 s at a radiant emittance of 500-2000 mW/cm2 on the rats for 3 consecutive days or only 1 day. The animals were sacrificed at Days 1, 3, 7, and 21 after the treatment for the histological evaluation of inflammatory cells and immunohistochemistry of heat shock protein (HSP)-25, a marker of odontoblasts. Tertiary dentin formation was evaluated at Day 21 by histomorphometry and micro-CT analysis. UVA-H2O2 photolysis elicited little infiltration of inflammatory cells, but disturbances in the odontoblast layer and/or presence of localized degenerative tissue were observed on Day 3. This condition was followed by a healing process that was characterized by the reappearance of HSP-25 positive odontoblast-like cells at Day 7 and tertiary dentin formation at Day 21. The amount of tertiary dentin formed was dependent on the intensity of treatment; repeated UVA irradiations of H2O2 at 2000 mW/cm2 resulted in the largest amount of tertiary dentin formation at the pulp horn regions. Our findings suggest that UVA-H2O2 photolysis treatment can be used to treat dental caries clinically because the post-treatment inflammatory reaction was minimal and tertiary dentin formation was substantial, which may prove effective in protecting dental pulp from external irritants. As a cautionary consideration, the radiant emittance of the UVA irradiation should be carefully optimized before clinical application.
Collapse
Affiliation(s)
- Keisuke Nakamura
- Department of Advanced Free Radical Science, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan.
| | - Midori Shirato
- Department of Advanced Free Radical Science, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan
| | - Shunichi Shishido
- Department of Advanced Free Radical Science, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan
| | - Yoshimi Niwano
- Faculty of Nursing, Shumei University, 1-1 Daigaku-cho, Yachiyo, Chiba 276-0003, Japan
| | - Taro Kanno
- Department of Advanced Free Radical Science, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan
| | - Keiichi Sasaki
- Department of Advanced Free Radical Science, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan; Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan
| | - Peter Lingström
- Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, SE-405 30, Gothenburg, Sweden
| | - Ulf Örtengren
- Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, SE-405 30, Gothenburg, Sweden
| |
Collapse
|
13
|
Effects of different bleaching application time on tooth color and mineral alteration. Ann Anat 2020; 233:151590. [PMID: 32931915 DOI: 10.1016/j.aanat.2020.151590] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 07/20/2020] [Accepted: 08/03/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND The effects of HP-based products upon dental enamel are inconclusive. PURPOSE The purpose of this study was to evaluate the colour and mineral changes caused by the bleaching agent applications at different durations on the enamel surface. BASIC PROCEDURES 60 caries-free lower central incisor extracted for periodontal reasons were standardized for enamel and dentin thickness after cone-beam computed tomography (CBCT) measurements in terms of mineral (n = 24) and colour change (n = 36). All teeth were divided into 3 groups according to different bleaching durations for colour (n = 12) and mineral change (n = 8) measurements. The samples for mineral change were examined with the -energy scattering X-ray (EDX, JSM-6390 LV, Jeol Inc., Japan) device before and 2 weeks after the application. For colour change, the measurement of the samples was performed with spectrophotometer device (VITA EasyShade 4.0, Germany). Opalescence Boost PF 40% (Ultradent Products, USA) was applied for 20 min (min) in Group 1, 40 min in Group 2 and 60 min in Group 3. In order to determine the efficacy of bleaching, colour measurements were repeated at 24 h, 7 and 14 days after the application. In the intragroup comparison, Friedman and Wilcoxon tests were used for non-normally distributions, while repeated variance analysis and paired t test were used for normally distributions in dependent variables. In the intergroup comparison, ANOVA and LSD tests were used for normally distributions, while Kruskal-Wallis and Dunn tests were used for non-normally distributions in independent variables. p < 0.05 was considered significant. MAIN FINDINGS In the study, statistically significant difference was observed between all groups in terms of colour change at different measurement times (p < 0.05). The highest ΔE00 values were observed in Group 3 (ΔE003 = 8.37 ± 2.15); the lowest value was observed in Group 1 (ΔE001 = 4.74 ± 1.26). Ca values were similar increase among all groups (p > 0.05). The highest Ca values were observed in Group 3 (69.91 ± 5.34); the lowest value was observed in Group 2 (66.08 ± 1.50). P values were similar increase among all groups (p > 0.05). The lowest P values were observed in Group 3 (26.54 ± 5.92); the highest value was observed in Group 2 (29.86 ± 2.26). PRINCIPAL CONCLUSIONS Effective whitening was achieved in all study groups. When the results are evaluated as versatile in terms of bleaching effectiveness and mineral change, the most ideal bleaching duration was determined as 40 min (Group 2).
Collapse
|
14
|
Fiorillo L, Laino L, De Stefano R, D'Amico C, Bocchieri S, Amoroso G, Isola G, Cervino G. Dental Whitening Gels: Strengths and Weaknesses of an Increasingly Used Method. Gels 2019; 5:gels5030035. [PMID: 31277412 PMCID: PMC6787621 DOI: 10.3390/gels5030035] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Accepted: 07/01/2019] [Indexed: 02/07/2023] Open
Abstract
Many people nowadays undergo treatments to improve their aesthetics, often neglecting the general state of health. Aesthetics and appearance have become of prime importance, perhaps correlating with of the advent of social networks and digital photographs. One of the most requested aesthetic treatments for dentists is dental bleaching through the use of whitening gels. Dental bleaching is a treatment which involves an improvement in the chrome of the teeth in a short time, and this treatment appears not invasive for the patients. In-office and at-home bleaching treatments can be found. The purpose of this scientific study is to evaluate all of the advantages and disadvantages of this medical treatment. In this study, were report information and items related to bleaching side effects. Dentists often find themselves in disagreement on this topic. The PICO (Population/Intervention/Comparison/Outcome) question investigated was: Are dental patients who have dental bleaching an increased risk of teeth damage? All of the data in the literature has been collected, and all of the side effects of this treatment were evaluated. 263 studies emerged from initial research; only 14 were screened after screening, as they contained sufficient data to evaluate the side effects of treatment. One certain thing emerged; among the contraindications to the treatment of dental bleaching dentinal hypersensitivity could be cited. In fact, one of the most reported undesirable effects regards this problem. Other studies have evaluated pain, color improvement and duration, or patient satisfaction. Dental bleaching is a treatment that aims to improve the aesthetics of our patients; this is also reflected from a psychological point of view and therefore has effects on general health. However, the whitening treatment is not suitable for everyone and must be carefully evaluated by a specialist. This treatment also entails maintenance by the patient and therefore better compliance to normal oral hygiene procedures.
Collapse
Affiliation(s)
- Luca Fiorillo
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy.
- Department of Biomedical and Surgical and Biomedical Sciences, Naples University, 80100 Naples, Italy.
| | - Luigi Laino
- Department of Biomedical and Surgical and Biomedical Sciences, Naples University, 80100 Naples, Italy
| | - Rosa De Stefano
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, Messina University, 98100 Messina, Italy
| | - Cesare D'Amico
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy
| | - Salvatore Bocchieri
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy
| | - Giulia Amoroso
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy
| | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, School of Dentistry, Messina University, 98100 Messina, Italy
| |
Collapse
|