Effect of Short- and Long-term Use of Home and In-Office Bleaching with Carbamide Peroxide and Hydrogen Peroxide on Bleaching with Carbamide Peroxide and Hydrogen Peroxide on Enamel Microhardness Enamel Microhardness

Bleaching is a well-known esthetic dental treatment performed to lighten the tooth shade. Among different cosmetic dental procedures, including direct and indirect tooth-colored restorations, bleaching is likely the most conservative approach. Bleaching has been accepted well by patients and proven as a safe and effective approach. Objective: Tooth bleaching can be conducted at home or in offices. This study was performed to compare the enamel microhardness before bleaching and one and eight weeks after the application of different bleaching agents. Methods: Forty human premolars were randomly divided into four groups, and their buccal surface underwent a Vickers microhardness test before and after bleaching. Bleaching was performed with 40% hydrogen peroxide (HP) in-office bleaching agent (n = 10), 15% HP at-home bleaching agent (n = 10), and 15% carbamide peroxide (CP) at-home bleaching agent (n = 10) for two weeks. Ten samples were stored in artificial saliva and set as the control group. The microhardness of the samples was measured again one and eight weeks after bleaching. Results: The microhardness significantly decreased in the four groups one week after bleaching. Conclusion: The enamel microhardness was temporarily decreased by in-office bleaching. However, the microhardness increased with time and returned to the baseline value. Although the enamel microhardness initially reduced, it increased eight weeks after 15% CP at-home bleaching agent was applied.

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Effect of Four Bleaching Regimens on Color Changes and Microhardness of Dental Nanofilled Composite

International Journal of Dentistry ◽

10.1155/2009/313845 ◽

2009 ◽

Vol 2009 ◽

pp. 1-7 ◽

Cited By ~ 11

Author(s):

Simone Xavier Silva Costa ◽

Anne Buss Becker ◽

Alessandra Nara de Souza Rastelli ◽

Leonor de Castro Monteiro Loffredo ◽

Marcelo Ferrarezi de Andrade ◽

...

Keyword(s):

Hydrogen Peroxide ◽

Vickers Hardness ◽

Artificial Saliva ◽

Control Group ◽

Carbamide Peroxide ◽

Mean Values ◽

Color Changes ◽

Before And After ◽

And Control ◽

Cielab Color

Objective. The purpose of this study was to compare the color changes and microhardness of a nanocomposite after four bleaching regimens.Materials. Twenty-five specimens(n=25)were made with a nanocomposite resin (Filtek Supreme XT). The specimens were divided into five groups equally(n=5): bleaching groups and control group, as follows: G1: artificial saliva at37∘C; (control) G2: hydrogen peroxide (HP) at 7%; G3: hydrogen peroxide (HP) at 35%; G4: carbamide peroxide (CP) at 10%; G5: carbamide peroxide (CP) 35%. Color measurements were made with spectrophotometer using CIELAB color scale. The Vickers hardness (VHN) measurements were performed at the top surface. The data were analyzed with two-way Analysis of Variance.Results.ΔE and VHN mean values into the groups were not statistically different, however, the VHN mean values before and after storage and bleaching showed statistically significant differences.Conclusion. Nanocomposite samples showed no significant alteration (color and microhardness) after bleaching. Thus, no replacement of restorations is required after bleaching.

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Edemogenic test and hydrogen peroxide degradation rate of bleaching gels with different desensitizing agents

Brazilian Dental Science ◽

10.14295/bds.2018.v21i2.1526 ◽

2018 ◽

Vol 21 (2) ◽

pp. 157

Author(s):

André Luiz Fraga Briso ◽

Marjorie Oliveira Gallinari ◽

Francine Benetti ◽

Diego Valentim ◽

Carlos Roberto Emerenciano Bueno ◽

...

Keyword(s):

Hydrogen Peroxide ◽

Vascular Permeability ◽

Subcutaneous Tissue ◽

The Other ◽

Tooth Bleaching ◽

Control Group ◽

Carbamide Peroxide ◽

Desensitizing Agents ◽

Bleaching Gels ◽

At Home

Objective: The at-home bleaching technique leads to the intimate contact of the bleaching gel with gingival tissues, so this study evaluated the immediate inflammatory response, through the edemogenic test, induced by at-home bleaching gels of 10% carbamide peroxide with different desensitizing agents, the quantification of hydrogen peroxide released and bleaching gels pH. Material and Methods: Forty-eight rats were divided into groups (n=12): CTRL-control group, WP-Whiteness Perfect 10% (FGM Produtos Odontológicos, Joinville, SC, Brazil), OPA-Opalescence 10% (Ultradent Products Inc., South Jordan, IT, USA), and PB-Power Bleaching (BM4, Palhoça, SC, Brazil). For the edemogenic test, all rats received an intravenous injection of Evan's Blue; after 30 min, 0.2 mL of each bleaching gels was injected into the subcutaneous tissue of the rats, and the results of the vascular permeability were assessed after 3 and 6h. The amount of HP released and pH of each product was also determined. Data were submitted to statistical test (p<0.05). Results: At 3h, the PB showed higher vascular permeability than the other groups. At 6h, the PB produced similar vascular permeability than WHI, and higher than OPA and CTRL groups. The OPA group had a higher vascular permeability at 6h compared to 3h; there is no difference in other groups. The PB group had higher HP concentrations than the other groups. Conclusion: In general, the PB caused a more considerable amount of inflammatory edema and higher amount of HP released. This results suggesting that these bleaching gels cause greater aggression in soft gingival tissues that eventually ends up in contact with bleaching products KeywordsTooth bleaching; Carbamide peroxide; Hydrogen peroxide; Capillary permeability.

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Combination of at-home and in-office bleaching techniques: case series

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720200003620190149 ◽

2021 ◽

Vol 69 ◽

Author(s):

Marcela Alvarez FERRETTI ◽

Matheus KURY ◽

Beatriz Curvello de MENDONÇA ◽

Marcelo GIANNINI ◽

Vanessa CAVALLI ◽

...

Keyword(s):

Hydrogen Peroxide ◽

Case Series ◽

Tooth Bleaching ◽

Central Incisor ◽

Carbamide Peroxide ◽

Tooth Sensitivity ◽

Tooth Color ◽

Shade Guide ◽

At Home

ABSTRACT Tooth bleaching is one of the most conservative aesthetic techniques. At-home and in-office bleaching may be performed, as well as the combination of both techniques. As this combination may be done in different manners, distinct orders of combinations were proposed in this report. A 24 years-old man, whose upper central incisor and canine shades were A2 and A3 respectively, was initially treated by chair-side with 40-min application of 40% hydrogen peroxide (HP) for two sessions. Afterwards, an two-week overnight at-home bleaching was performed with 10% carbamide peroxide (CP). The shade of upper central incisors changed to 1M1 and canine was B1. Conversely, a 30 years-old woman was firstly conducted with at-home bleaching (overnight 4-weeks 10% CP) and, subsequently, with a single appointment of in-office bleaching for 45 minutes (35% HP). The shade of her upper central incisor changed from A1 to 0.5M1 and the upper canine from A3 to B1. The VITA classical (A1-D4) shade guide and VITA Bleached guide 3D-MASTER were used to determine the tooth color during the treatments. In both bleaching treatments, patients reported no significant tooth sensitivity and the final outcomes met their expectation.

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Effects of Amorphous Calcium Phosphate Administration on Dental Sensitivity during In-Office and At-Home Interventions

Dentistry Journal ◽

10.3390/dj6040052 ◽

2018 ◽

Vol 6 (4) ◽

pp. 52 ◽

Cited By ~ 2

Author(s):

Giacomo Oldoini ◽

Antonino Bruno ◽

Anna Genovesi ◽

Luca Parisi

Keyword(s):

Hydrogen Peroxide ◽

Calcium Phosphate ◽

Amorphous Calcium Phosphate ◽

Potassium Fluoride ◽

Tooth Bleaching ◽

Carbamide Peroxide ◽

Casein Phosphopeptides ◽

Group 2 ◽

Group 1 ◽

At Home

Background. Tooth bleaching is the most frequently employed whitening procedure in clinics. The major side effect of tooth bleaching is dental sensitivity during and after the treatment. Here, we evaluated whether the administration of amorphous calcium phosphate (ACP), during in-office and at-home procedures may impact on dental sensitivity. Methods. Eighty patients, responding to the study requirements were enrolled according to the following criteria. Group 1 (n = 40), received in-office, 10% ACP prior to 30% professional hydrogen peroxide application. The whitening procedure continued at home using 10% carbamide peroxide with 15% ACP for 15 days. Group 2 (n = 40) received only 30% hydrogen peroxide application and continued the whitening procedures at home, using 10% carbamide hydroxide, without ACP- Casein phosphopeptides (CPP), for 15 days. Dental sensitivity was recorded with a visual analogue scale (VAS) at baseline, immediately after, and at 15 days after treatment in the two groups. Results. We observed that patients receiving ACP in the bleaching mixture experienced decreased dental sensitivity (* p ≤ 0.05), as detected by VAS scale analysis immediately following the procedures. Patients receiving ACP-CPP during at-home procedures showed a statistically significant (*** p ≤ 0.0001) reduction of dental sensitivity. Conclusions. We demonstrated that ACP-CPP administration, while exerting the same whitening effects as in control subjects receiving potassium fluoride (PF), had an impact on the reduction of dental sensitivity, improving patient compliance.

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Brushing Effect of Abrasive Dentifrices during At-home Bleaching with 10% Carbamide Peroxide on Enamel Surface Roughness

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-7-1-25 ◽

2006 ◽

Vol 7 (1) ◽

pp. 25-34 ◽

Cited By ~ 14

Author(s):

Luís Roberto Marcondes Martins ◽

Claudia Cia Worschech ◽

José Augusto Rodrigues ◽

Gláucia Maria Bovi Ambrosano

Keyword(s):

Surface Roughness ◽

Artificial Saliva ◽

Enamel Surface ◽

Tooth Bleaching ◽

Carbamide Peroxide ◽

Peroxide Bleaching ◽

Human Enamel ◽

Over Time ◽

At Home

Abstract During tooth bleaching abrasive dentifrices might change the outer superficial enamel. The aim of this in vitro study was to evaluate the roughness of human enamel exposed to a 10% carbamide peroxide bleaching agent at different times and submitted to different superficial cleaning treatments. The study consisted of 60 sound human enamel slabs, randomly assigned to different treatment groups: G1 - not brushed; G2 - brushed with a fluoride abrasive dentifrice; G3 - brushed with a non-fluoride abrasive dentifrice; and G4 - brushed without a dentifrice. There were 15 enamel slabs per group. Slabs of molar teeth were obtained and sequentially polished with sandpaper and abrasive pastes. A perfilometer was used to obtain the mean of Ra value on the surface of each specimen to initial and experimental times. Bleaching was performed on the enamel surface for six hours daily. After that, each slab received a cleaning surface treatment and was stored in artificial saliva. Analysis of variance (ANOVA) and Tukey's HSD hoc analysis (α =0.05) revealed significant differences in roughness values over time for enamel bleached and treated with different superficial cleaning methods. G1 and G4 showed no significant differences in roughness over time, G2 and G3 showed a significant increase in the surface roughness values. This in vitro investigation showed the sole use of 10% carbamide peroxide did not alter the enamel surface roughness, but the cleaning treatments that employed the use of brushing with abrasive dentifrices resulted in a significant increase of enamel surface roughness. Citation Worschech CC, Rodrigues JA, Martins LRM, Ambrosano GMB. Brushing Effect of Abrasive Dentifrices during At-home Bleaching with 10% Carbamide Peroxide on Enamel Surface Roughness. J Contemp Dent Pract 2006 February;(7)1:025-034.

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Clinical and Spectrophotometric Evaluation of LED and Laser Activated Teeth Bleaching

The Open Dentistry Journal ◽

10.2174/1874210601610010242 ◽

2016 ◽

Vol 10 (1) ◽

pp. 242-250 ◽

Cited By ~ 20

Author(s):

R. Lo Giudice ◽

G. Pantaleo ◽

A. Lizio ◽

U. Romeo ◽

G. Castiello ◽

...

Keyword(s):

Hydrogen Peroxide ◽

Mean Value ◽

Ease Of Use ◽

Bleaching Agent ◽

Carbamide Peroxide ◽

Power Sources ◽

Chromatic Scale ◽

Whitening Agent ◽

Auxiliary Power ◽

Before And After

Background: Auxiliary power sources (LED and laser) are used in in-office teeth bleaching techniques to accelerate the redox reaction of the whitening gel to increase ease of use, to improve comfort and safety, and to decrease the procedure time. Objective: The aim this study is to evaluate the efficiency of the teeth whitening procedures performed with hydrogen peroxide and carbamide peroxide, LED or Laser activated. Method: 18 patients, affected by exogenous dyschromia, were treated with a bleaching agent composed by 35% hydrogen peroxide and 10% carbamide peroxide. They were divided into two groups: in the first group the bleaching agent was activated by a LED lamp; in the second group it was activated by a Laser diode lamp. Both groups were subjected to 3 bleaching cycle of 15’ each. The chromatic evaluations were performed before and after one week from the treatment, using a chromatic scale and a spectrophotometer. The mean value of pre, post bleaching and follow-up were analyzed using a T-test, with results statistically significant for P<0,05. Results: Results showed that the variations in brightness, chroma and hue are significantly influenced by the interaction between the whitening agent and the original colour of the teeth. Laser-activation has marginally improved the bleaching effectiveness. All patients treated with laser activation complained an increase in dental sensitivity. Conclusion: The use of laser-activating systems did not improve the efficacy of bleaching.

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Improving shear bond strength of metallic brackets after whitening

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.25.5.038-043.oar ◽

2020 ◽

Vol 25 (5) ◽

pp. 38-43

Author(s):

Juan Fernando Aristizábal ◽

Angela Patricia Polanía González ◽

James A. McNamara

Keyword(s):

Hydrogen Peroxide ◽

Bond Strength ◽

Shear Bond Strength ◽

Artificial Saliva ◽

Tooth Bleaching ◽

Sodium Ascorbate ◽

Control Group ◽

Antioxidant Treatment ◽

Significance Level ◽

Significant Difference

ABSTRACT Objective: To evaluate a protocol for bonding metallic brackets after bleaching with hydrogen peroxide (HP). Methods: 60 extracted maxillary premolar were randomly divided into an unbleached control group and two groups bleached with a solution of 35% hydrogen peroxide prior to bonding. The teeth in one of the treated groups were bonded immediately after bleaching; while the other group was treated with 10% sodium ascorbate immediately after bleaching and before bonding. The teeth in all groups were stored in an artificial saliva solution for 7 days after bonding. The shear bond strength data was measured in megapascals (MPa) and the fail attempts were verified. The significance level was established at p< 0.05. Results: The unbleached group, in which brackets were bonded to untreated enamel, had the highest bond strength values (11.0 ± 5.7MPa) in comparison to the bleached group (7.14 ± 40MPa), in which brackets were bonded to recently bleached enamel. Slightly improved bond strength was observed in the antioxidant group (8.13 ± 5.4MPa), in which the teeth were bleached and then the antioxidant was applied to the teeth before bonding. Unbleached and bleached groups showed statistically significant difference for shear bond strength (p=0.03) and load strength (p=0.03); no significant differences were noted between unbleached and antioxidant groups (p=0.52). Conclusion: The antioxidant treatment applied immediately after bleaching was effective in reversing the reduction in shear bond strength of brackets after tooth bleaching.

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A comparative study of the effects of two carbamide peroxide bleaching agents on the structure of enamel

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720160003000083024 ◽

2016 ◽

Vol 64 (3) ◽

pp. 293-298

Author(s):

Roberto Paulo de ARAÚJO ◽

Danilo Barral de ARAÚJO ◽

Márcio Cajazeira AGUIAR

Keyword(s):

Electron Microscopy ◽

Artificial Saliva ◽

Control Group ◽

Bleaching Agent ◽

Carbamide Peroxide ◽

Peroxide Bleaching ◽

The Third ◽

Dental Whitening ◽

Different Sources ◽

Scanning Electron

ABSTRACT Objective: Considering that different sources of carbamide peroxide bleaching agent may cause greater or lesser damage to the enamel and may have reduced effectiveness in dental whitening, the aim of this study was to compare the effects on the structure of enamel of two bleaching agents, drugstore-compounded and commercial carbamide peroxide bleaching agents. Methods: The specimens in the first group (drugstore-compounded carbamide peroxide) and second group (commercial carbamide peroxide) were treated with to 16% carbamide peroxide for 4 h per day for 20 days. The third group served as a control and was kept in artificial saliva during the test period. After the treatments, all specimens were examined via scanning electron microscopy. Results: Changes in the enamel morphology were similar in both experimental groups, but these changes were greater than those observed in the control group. The changes were mild and included only pores. Conclusion: There were no differences regarding damage to the enamel between drugstore-compounded and commercial carbamide peroxide bleaching agents.

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Spectrophotometric assessment of tooth bleaching under orthodontic braquets bonded with different materials

Revista de Odontologia da UNESP ◽

10.1590/1807-2577.03617 ◽

2017 ◽

Vol 46 (5) ◽

pp. 267-272

Author(s):

Camila Maria Lima de CASTRO ◽

Higor Catta Preta BORGES ◽

Karoline Cardoso Ferro BARROS ◽

Natanael Barbosa dos SANTOS ◽

Larissa Silveira de Mendonça FRAGOSO

Keyword(s):

Artificial Saliva ◽

Positive Control ◽

Negative Control ◽

Tooth Bleaching ◽

Control Group ◽

Control Groups ◽

Orthodontic Bracket ◽

Tooth Color ◽

Bleaching Action ◽

At Home

Abstract Introduction patients have been submitted to tooth bleaching during orthodontic treatment for aesthetic purposes or to anticipate the replacement of restorations after completion of the treatment. Objective to evaluate the effectiveness of tooth bleaching under orthodontic brackets bonded with different materials. Material and method a hundred bovine enamel blocks were divided into two groups, at-home and in-office tooth bleaching. In-office bleaching was subdivided into five groups (n = 10): HP (control - without brackets); SA(t) - brackets bonded with Transbond XT, without bleaching; SA(fm) - brackets bonded with Orthodontic Fill Magic, without bleaching; HP(t) - brackets bonded with Transbond XT subjected to bleaching; and HP(fm) - brackets bonded with Orthodontic Fill Magic subjected to bleaching. At-home bleaching followed the same treatments, only replacing the bleaching agent. Spectrophotometric assessment was used for tooth color determination at three moments: 1) before staining (baseline); 2) after staining; 3) after bonding the brackets and bleaching procedures. Data were submitted to ANOVA and analyzed by Tukey's test (p < 0.05). Result For both types of bleaching, the control group had an effective bleaching action. Groups using Transbond XT presented greater bleaching potential among the groups with orthodontic accessory, but the bleaching action differed from the positive control. Groups using Orthodontic Fill Magic presented no bleaching action, resembling the negative control groups (artificial saliva). Conclusion the orthodontic bracket impaired the effectiveness of the at-home and in-office bleaching treatment, regardless of the resin used for bonding.

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Do different bleaching protocols affect the enamel microhardness?

European Journal of Dentistry ◽

10.4103/1305-7456.149634 ◽

2015 ◽

Vol 09 (01) ◽

pp. 025-030 ◽

Cited By ~ 22

Author(s):

Rafael Francisco Lia Mondelli ◽

Taisa R. Conti Garrido Gabriel ◽

Fabio Antonio Piola Rizzante ◽

Ana Carolina Magalhães ◽

Juliana Fraga Soares Bombonatti ◽

...

Keyword(s):

Hydrogen Peroxide ◽

Artificial Saliva ◽

In Vitro Study ◽

Tooth Bleaching ◽

Control Group ◽

Light Activation ◽

Surface Microhardness ◽

Surface Alteration ◽

Bovine Enamel

ABSTRACT Objective: Tooth bleaching tends to increase enamel roughness and porosity, in addition to reducing surface microhardness. The aim of this in vitro study was to evaluate the effects of bleaching treatments using different hydrogen peroxide (HP) concentrations, with and without light activation on bovine enamel microhardness. Materials and Methods: The buccal surfaces of sixty bovine incisors were flattened and polished and the enamel specimens were divided into six groups: G1: Control, exposed to artificial saliva; G2: 35% HP applied in two sessions (45’ each); G3: 35% HP applied in two sessions (3 × 15’ each); G4: 35% HP applied in one session (3 × 7’30”) plus hybrid light (HL); G5: 25% HP applied in one session (3 × 7’30”) plus HL; and G6: 15% HP applied in one session (3 × 7’30”) plus HL. After the treatment, the enamel specimens were stored in artificial saliva. The surface microhardness (Knoop) was measured at the baseline, 24 h and 7 days after bleaching. The data was analyzed using the ANOVA test, followed by the Tukey–Krummer test (P < 0.05). Results: All bleaching procedures lead to a decrease in surface microhardness when compared with the control group after 24 h. The lowest change in surface microhardness was found in the specimens treated with 15% HP plus HL. However, 35% HP plus HL induced the highest decrease in surface microhardness. After 7 days of remineralization, the surface microhardness returned to normal levels for all bleached specimens. Conclusion: Therefore, it can be concluded that the bleaching protocols caused a slight enamel surface alteration. However, the remineralization process minimized these effects.

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