scholarly journals Impact of Microabrasion on the Effectiveness of Tooth Bleaching

2017 ◽  
Vol 28 (5) ◽  
pp. 612-617 ◽  
Author(s):  
Camila Evelyn Perete-de-Freitas ◽  
Paula Damasceno Silva ◽  
André Luis Faria-e-Silva
Keyword(s):  
Hydrogen Peroxide ◽  
Color Change ◽  
T Test ◽  
Tooth Bleaching ◽  
Repeated Measure ◽  
Tooth Color ◽  
Color Changes ◽  
Bleaching Procedure ◽  
To Receive ◽  
Paired T Test

Abstract The aim of the present study was to evaluate the effect of prior microabrasion on the teeth color change and tooth bleaching effectiveness. Eight sound molars were mesio-distally sectioned and the halves were randomly allocated to receive enamel microabrasion or non-abrasion (control) in one of surfaces (buccal or lingual), while the remaining surface received the other treatment. The tooth color on baseline was evaluated by spectrophotometer (CieL*a*b system). After the microabrasion procedure, the tooth color was measured again. Following, the specimens were bleached with 35% hydrogen peroxide for two sessions with one-week interval. The color was re-evaluated 7 days after each section and 30 days after the second session. The effect of enamel microabrasion on color changes was evaluated by paired T-test. Deltas L*, a*, b*, and E were calculated and data submitted to 2-way repeated measure ANOVA followed by Tukey`s test. Paired T-test was also used to assess possible differences on the ultimate color achieved after tooth bleaching. Enamel microabrasion reduced the lightness and increased the redness of specimens. Specimens that received microabrasion presented higher values of ∆L* than control after each bleaching procedure; and higher ∆a* after the 2nd bleaching session. However, the prior enamel microabrasion did not affect the ultimate values of color parameters. Despite enamel microabrasion have modified the tooth color, this procedure did not affect the ultimate results achieved with tooth bleaching using a high-concentrated hydrogen peroxide.

scholarly journals Can ozone or violet light improve the color change or physicochemical properties of hydrogen peroxide-bleached tooth?

2021 ◽  
Vol 32 (4) ◽  
pp. 19-30
Author(s):  
Nayara Rodrigues Nascimento Oliveira Tavares ◽  
Alexia da Mata Galvão ◽  
Lia Dietrich ◽  
Roberta Furtado Carvalho ◽  
Robinson Sabino Silva ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Surface Roughness ◽  
Color Change ◽  
Repeated Measure ◽  
Color Changes ◽  
Violet Light ◽  
Atomic Force ◽  
Measure Anova ◽  
Before And After ◽  
To Receive

Abstract: This study investigated the bleaching effectiveness and the physicochemical effects on enamel of violet light and ozone, associate or not to hydrogen peroxide, compared to 35%-hydrogen peroxide. Enamel-dentin blocks from human molars were randomly allocated to receive one of the following bleaching protocols (n=15): (HP) 35%-hydrogen peroxide, (VL) violet light, (OZ) ozone, the association between hydrogen peroxide with ozone (OZ+HP) or violet light (VL+HP). All protocols were performed in two sessions with a 48h interval. Color (spectrophotometer) and mineral composition (Raman spectroscopy) were measured before and after the bleaching. Color changes were calculated by ΔEab, ΔE00, and whitening index (WI). The surface roughness was measured with an atomic force microscope. Data were analyzed by One-way or Two-way repeated measure ANOVA followed by the Tukey’s test (α = 0.05). The lowest color change values (either measured by WI, ΔEab, or ΔE00) were observed for VL and OZ used with no HP. Violet light associate with HP was unable to improve the color changes observed for the peroxide alone, in combination with OZ and HP, the highest color changes were verified. Regardless of bleaching protocol, the bleached enamel presented higher contents of PO4 and CO3 -2 than those observed at baseline. All bleaching protocols resulted in similar enamel surface roughness. Both the VL and the OZ caused reduced effects on the enamel color change when used alone. The ozone therapy improved the bleaching effect in the group that received the association of HP.

scholarly journals Association Between In-Office And At-Home Tooth Bleaching: A Single Blind Randomized Clinical Trial

2018 ◽  
Vol 29 (2) ◽  
pp. 133-139 ◽  
Author(s):  
João Lima Rodrigues ◽  
Patrícia Souza Rocha ◽  
Silvia Letícia de Souza Pardim ◽  
Ana Cláudia Vieira Machado ◽  
André Luis Faria-e-Silva ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Rating Scale ◽  
Maximum Level ◽  
Tooth Bleaching ◽  
Tooth Color ◽  
Color Changes ◽  
Bleaching Procedure ◽  
To Receive ◽  
At Home

Abstract This controlled randomized clinical trial evaluated the effect of associating at-home and in-office bleaching procedures on tooth sensitivity (TS) and bleaching effectiveness. Forty patients subjected to on session of in-office bleaching with 38% peroxide hydrogen. Subsequently, the patients were randomly allocated to receive a second session of in-office bleaching or to use a tray containing 10% carbamide peroxide delivered during 7 consecutive days. The worst TS score reported during or after each bleaching procedure was recorded using a verbal rating scale and TS risk (score different from 0) was calculated. Color changes were measured 7 days after each in-office session (for patients receiving in-office procedures only) or after the end of at-home bleaching (for the combined protocol), and 6 months after the last procedure for both bleaching protocols. Color was assessed by a spectrophotometer and by color match with the Vita Classical and Bleach guide scales. Statistical analyses were carried out to assess possible differences between the protocols regarding the outcomes and to analyze the effect of time of assessment on color changes. The bleaching protocol did not affect the risk for and the maximum level of TS reported, irrespective of the time of assessment. In the color evaluation, the bleaching protocol also did not affect the ultimate tooth color. In conclusion, after one in-office bleaching session, there was no difference in bleaching effectiveness and TS between performing a second in-office session and associating it with 1-week at-home bleaching.

scholarly journals In-Office Tooth Bleaching for Adolescents Using Hydrogen Peroxide-Based Gels: Clinical Trial

2017 ◽  
Vol 28 (6) ◽  
pp. 720-725 ◽  
Author(s):  
Marcela Leticia Leal Gonçalves ◽  
Antonio Carlos da Silva Tavares ◽  
Ana Carolina Costa da Mota ◽  
Luiz Alberto Plácido Penna ◽  
Alessandro Melo Deana ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hydrogen Peroxide ◽  
Statistical Significance ◽  
Young Patients ◽  
Tooth Bleaching ◽  
Controlled Clinical Trial ◽  
Tooth Sensitivity ◽  
Tooth Color ◽  
Bleaching Procedure ◽  
Shade Guide

Abstract The aim of the present study was to evaluate colorimetric changes and tooth sensitivity in adolescents and young patients submitted to tooth bleaching with 20% and 35% hydrogen peroxide. A randomized, controlled, clinical trial was conducted with 53 patients aged 11 to 24 years who were allocated to groups based on the use of the following commercial products: Whiteness HP - FGM® (35% hydrogen peroxide); Whiteness HP Blue Calcium - FGM® (35% hydrogen peroxide); and Whiteness HP Blue Calcium - FGM® (20% hydrogen peroxide). After the bleaching procedure, the visual analog scale was used to measure tooth sensitivity and the Vita Classical Shade guide was used to determine changes in tooth color. Statistical analysis involved the Friedman, Kruskal-Wallis and Student-Newman-Keuls tests, with p≤0.05 considered indicative of statistical significance. The addition of calcium contributed to a reduction in tooth sensitivity, especially when the lower concentration of hydrogen peroxide (20%) was used. Tooth sensitivity occurred in a transitory way and did not influence the tooth bleaching process. Significant differences in color were found after each of the two bleaching sessions. In-office tooth bleaching was considered an effective method for adolescents and young adults. Further studies in this population are necessary in order to fully evaluate the effects of bleaching in young teeth.

scholarly journals Dental bleaching with and without LED/Laser association: a split-mouth controlled study

2016 ◽  
Vol 73 (4) ◽  
pp. 267
Author(s):  
André Manoel Lima da Fonseca ◽  
Inger Campos Tuñas ◽  
Fábio Vidal ◽  
Fábio Ramôa Pires ◽  
Lucio Souza Gonçalves
Keyword(s):  
Hydrogen Peroxide ◽  
Diode Laser ◽  
Tooth Bleaching ◽  
Controlled Study ◽  
Dental Bleaching ◽  
Color Changes ◽  
Anterior Teeth ◽  
Color Scale ◽  
Bleaching Procedure ◽  
Visual Color

Objective: The aim of this study was to compare dental color changes after a one-session tooth bleaching procedure using 35% hydrogen peroxide with and without hybrid light (LED/diode laser) activation. Material and Methods: 20 volunteers were included in a split-mouth controlled clinical trial. A 35% hydrogen peroxide gel was applied directly on the buccal surface and adjacent areas of all upper anterior teeth. The six teeth were divided into two groups: the upper right incisors and canine were submitted to the tooth bleaching with the gel and the hybrid light (LED/diode laser) while the left incisors and canine were submitted to tooth bleaching with only the gel. Dental color was measured with a visual color scale and a spectrophotometer at five different moments: initial appointment, immediately after prophylaxis, and 14, 30 and 180 days after bleaching. Results: The comparison between the results of both treatments (with and without LED/laser) did not show any statistically significant differences (p > 0.05; Wilcoxon’s test) neither for objective (spectrophotometer) nor for subjective evaluations (visual color scale). Conclusion: The results of the present study showed that there are no differences in dental color changes between dental bleaching with gel and LED/Laser activation and dental bleaching with only gel.

scholarly journals Effect of the Purple Corn Beverage “Chicha Morada” in Composite Resin during Dental Bleaching

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Eric Dario Acuña ◽  
Leyla Delgado-Cotrina ◽  
Francisco Aurelio Rumiche ◽  
Lidia Yileng Tay
Keyword(s):  
Hydrogen Peroxide ◽  
Green Tea ◽  
Composite Resin ◽  
Color Change ◽  
Color Measurement ◽  
Distilled Water ◽  
Dental Bleaching ◽  
Color Changes ◽  
Bleaching Procedure ◽  
Purple Corn

During dental bleaching the staining potential of the surface would increase. This study aims to evaluate the staining susceptibility of one bleached composite resin after the exposure to three different beverages: Peruvian purple corn based beverage (chicha morada), green tea, and distilled water. Thirty disk-shaped specimens of one nanofill composite resin were prepared. The specimens were then divided into six groups (n=5): purple corn (P), purple corn + bleaching (PB), green tea (T), green tea + bleaching (TB), distilled water (W), and distilled water + bleaching (WB). In groups that received bleaching, two sessions of bleaching with 35% hydrogen peroxide were done. Following bleaching, specimens were exposed to each liquid thirty minutes daily. Color was measured with a digital spectrophotometer. For statistical analysis, color measurement differences between the obtained results were used: during bleaching, after bleaching, and during + after bleaching. Two-way ANOVA was used to compare the color changes in the resins of all groups (p<0.05). We conclude that all the evaluated beverages produced changes of color in the composite resin regardless of the bleaching procedure. However, purple corn was the only beverage that caused a perceptible color change (ΔE>3.3).

Correlation Among Methods to Measure Tooth Color in Clinical Trials Evaluating Tooth Bleaching

2019 ◽  
Vol 1 (1) ◽  
pp. 46-52 ◽  
Author(s):  
André Luis Faria-e-Silva
Keyword(s):  
Repeated Measures ◽  
Color Change ◽  
Correlation Coefficients ◽  
Wilcoxon Test ◽  
Tooth Bleaching ◽  
Color Measurement ◽  
Tooth Color ◽  
Color Changes ◽  
Assessment Time ◽  
Shade Guide

<P>Objective: This study aimed to assess possible differences in results provided by two shade guides and a spectrophotometer used to measure the color changes during tooth bleaching. </P><P> Methods: Fifty-six patients underwent two sessions of in-office tooth bleaching with a 35% hydrogen peroxide with a week of an interval between them. The color evaluation was performed using shade match with two guide scales (Vita Classical, and Vita Bleach Guide) and a spectrophotometer providing CieLab data. The color was assessed at baseline and 7 days after each session, and 30 days after the last session. Data from scales were arranged in scores according to lightness (lowest to highest) and the color changes were calculated based on baseline data. For CieLab data, &#916;L, &#916;a, &#916;b, and &#916;E were calculated for each assessment time. Differences between the color changes observed in each session were assessed by Wilcoxon test (&#945; = 0.05). Friedman`s test and One-way repeated measures ANOVA were used to analyze color changes among the assessment times. Spearman`s test was used to evaluate the correlation between the shade guide scores and data from Cielab. </P><P> Results: All methods of color measurement demonstrated any additional effect of second bleaching session on color change, and stable color after 30 days (p < 0.001 for all methods). Both shade guide scales presented low correlation coefficients with &#916;L, and moderate coefficients with &#916;b, Δa, and &#916;E. </P><P> Conclusion: Despite the weak/ moderate correlation among the methods used to measure tooth color, all methods showed similar results of tooth bleaching effectiveness.</P>

scholarly journals Photobiomodulation vs. Placebo on Post-Bleaching Sensitivity and Color Change: A Split-Mouth Clinical Study

2020 ◽  
Vol 14 (1) ◽  
pp. 267-274
Author(s):  
Caroline C. de Silva ◽  
Cristiane de M. Alencar ◽  
Brennda L. F. de Paula ◽  
Fernanda F. de A. Jassé ◽  
Jesuína L. N. Araújo ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Color Change ◽  
Tooth Bleaching ◽  
Low Level Laser Therapy ◽  
Tooth Color ◽  
Pain Evaluation ◽  
Level Laser ◽  
Significant Difference ◽  
The Right ◽  
Post Hoc

Objective: This study aimed to investigate the efficiency of Photobiomodulation (PBM) with low-level LASER therapy compared to placebo in post-bleaching sensitivity and color change during a three-week office bleaching treatment. Methods: A split-mouth model was used to evaluate 21 subjects. The right and left hemi-archs were randomized to one of two groups: GP (placebo): simulated LASER application followed by tooth bleaching with 35% hydrogen peroxide; and GL: treated with PBM followed by tooth bleaching with 35% hydrogen peroxide. A four-degree modified Visual Analog Scale (VAS) was used to assess tooth sensitivity after the application of an evaporative stimulus (stimulated pain). In addition, a daily questionnaire was used to measure unstimulated pain. The color change was measured using a spectrophotometer. The Friedman and Wilcoxon tests were used to analyze data sensitivity. Color results were statistically analyzed using Analysis Of Variance (ANOVA) followed by the Tukey post-hoc test. Results: There was no significant difference between GP and GL for stimulated pain evaluation (p> 0.05). However, there was a significant difference between the groups for unstimulated pain evaluation (p≤ 0.05). In addition, ΔE data did not reveal any significant difference in tooth color between groups at any time (p> 0.05). Conclusion: PBM prevented post-bleaching sensitivity compared to placebo, based on the daily pain assessment questionnaires. PBM did not compromise the quality of bleaching treatments.

scholarly journals INFLUENCE OF DIFFERENT METHODS OF WHITENING ON THE STRUCTURE OF HARD TISSUES OF TEETH

2019 ◽  
Vol 19 (4) ◽  
pp. 136-140
Author(s):  
A.V. Lemeshko ◽  
V.V. Kovalenko ◽  
Y.Y. Vodoriz ◽  
I.M. Tkachenko
Keyword(s):  
Hydrogen Peroxide ◽  
Negative Impact ◽  
Tooth Bleaching ◽  
Chemical Components ◽  
Chemical Agent ◽  
Common Procedure ◽  
Tooth Color ◽  
Bleaching Procedure ◽  
Direct Restoration ◽  
Hard Tissues

Nowadays 74% of people believe that an imperfect smile has a negative impact on their careers, and 92% believe that it is one that contributes to success in their personal lives. The desire of patients to have an aesthetically perfect smile has always aroused great interest from dentists and has led to the active development of such a trend in aesthetic dentistry, such as teeth whitening. The color of the crowns of teeth and the inherent color characteristics play an important role in the perception of the appearance of the person, the formation of his image and self-esteem. Therefore, they affect the quality of life of a person due to his dental health. There are 5 main treatments for altered teeth: microabrasion, teeth whitening, direct restoration of composites, veneering, restoration of ceramic and metal-ceramic crowns. In recent years, conservative treatments, which include different types of whitening, have been favored to achieve maximum aesthetic results in the correction of altered teeth. For whitening, a considerable number of different remedies are offered that allow the tooth color to change relatively quickly. Nowadays, the world of dental practice is increasingly paying attention to the development of more cost-effective methods that meet the aesthetic needs of patients. The most common procedure for improving the color of the crowns of teeth today is whitening, which does not affect the reduction of the volume of hard tissues of the tooth. Teeth whitening is a restoration of the natural color of the teeth with the application of a chemical agent that oxidizes the organic pigments of the hard tissues of the tooth. Bleaching process is possible due to the ability of the active chemical components ( carbamide peroxide, hydrogen peroxide) to penetrate into enamel and dentin to all parts of the tooth. These substances break down into oxygen radicals, which destroy the colored pigments, the formation of which leads to discoloration of the teeth. The structure of the tooth does not change. Nowadays, home, professional and combined teeth whitening are widely used. The effect of bleaching is analyzed using a scanning electron microscope. Most studies did not report significant changes in the surface morphology of enamel after bleaching with low concentrations of urea peroxide and hydrogen peroxide. Similarly, studies evaluating the effects of higher concentrations of hydrogen peroxide (35%) and carbamidee peroxide (35%) have also reported no significant changes in the morphology of the enamel surface. In general, it is obvious that tooth sensitivity is a common clinical side effect after a teeth whitening procedure. However, the sensitivity is transient and disappears shortly after the bleaching procedure has been stopped.

Is a Single Preliminary Session of In-office Bleaching Beneficial for the Effectiveness of At-home Tooth Bleaching? A Randomized Controlled Clinical Trial

2019 ◽  
Vol 44 (4) ◽  
pp. E180-E189 ◽  
Author(s):  
SC Vaez ◽  
ACC Correia ◽  
TR Santana ◽  
MLC Santana ◽  
AC Peixoto ◽  
...  
Keyword(s):  
Color Change ◽  
Tooth Bleaching ◽  
Controlled Clinical Trial ◽  
Fisher Exact Test ◽  
Tooth Color ◽  
Exact Test ◽  
Color Changes ◽  
Time Required ◽  
Preliminary Session ◽  
At Home

Summary Objectives: To evaluate the effect of combining in-office with at-home bleaching procedures in terms of the time required to obtain satisfactory tooth color, final color changes, and tooth sensitivity (TS) reported by patients. Methods and Materials: Twenty-six patients enrolled in this study used 10% carbamide peroxide in a bleaching tray for 1 h/d until satisfactory tooth color was obtained. One-half of the participants underwent a preliminary session of in-office tooth bleaching with 35% hydrogen peroxide for 45 minutes. The time in days for the patients to obtain satisfactory tooth color by at-home bleaching procedures was recorded. The color change of the maxillary canines was assessed using the Vita Bleachedguide 3D Master scale and a spectrophotometer at 1 week and after the end of bleaching procedures. Participants' satisfaction with their smile was recorded using a visual analog scale, and TS was determined throughout the entire treatment. Data were analyzed by t-test, Mann-Whitney test, or Fisher exact test (α=0.05). Results: The combined protocol reduced (by an average of 3.7 days) the time required to obtain satisfactory tooth color but increased the risk and level of TS. No difference in the final tooth color change (around 5.0 shade guide units; ΔE=11.6–14.9), or the level of patients' satisfaction with their smile, was observed. Conclusions: A preliminary session of in-office bleaching reduced the time necessary to obtain satisfactory tooth color with at-home bleaching but increased the risk and level of TS.

scholarly journals Effect of tooth enamel staining by coffee consumption during at-home tooth bleaching with carbamide peroxide

2020 ◽  
Vol 49 ◽  
Author(s):  
João Victor Frazão CÂMARA ◽  
Luine de Paiva Pereira Santos de SOUZA ◽  
Daniel Otero Amaral VARGAS ◽  
Isabel Ferreira BARBOSA ◽  
Gisele Damiana da Silveira PEREIRA
Keyword(s):  
Color Change ◽  
Tooth Enamel ◽  
Correct Diagnosis ◽  
Coffee Consumption ◽  
Tooth Bleaching ◽  
Carbamide Peroxide ◽  
Tooth Color ◽  
Bleaching Procedure ◽  
Group 2 ◽  
At Home

Abstract Introduction Obtaining the result expected during tooth bleaching requires a correct diagnosis of the type of staining presented. The causes of tooth staining differ depending on the etiological factor. Objective To assess the color change caused by the immersion of bovine teeth in coffee solution during at-home tooth bleaching using a 16% carbamide peroxide gel. Material and method Thirty-three sound bovine teeth were assigned to three groups of eleven teeth each: 1 – Teeth bleached (TB) four hours per day for 21 days; 2 – TB four hours per day for 21 days and immersed in coffee solution immediately after tooth bleaching; 3 – TB four hours per day for 21 days and immersed in coffee solution four hours after the end of tooth bleaching. Immersed in coffee was performed for 15 minutes and tooth color was assessed before the start of the bleaching procedure and after 21 days with an intraoral spectrophotometer. Test Shapiro-Wilk was used to assess homoscedasticity and data were submitted to one-factor Analysis of Variance (ANOVA) and Tukey’s test (p <0.05). Result The color change observed in group 1 (5.76 ± 2.74)A was not statistically different from group 2 (8.83 ±5.11)A, which was immersed in coffee solution immediately after tooth bleaching, and from group 3, which was immersed in coffee solution four hours after tooth bleaching (8.20 ±3.71)A. Conclusion Coffee did not interfere with the tooth bleaching results, regardless of the time after the procedure. Hence, diet restrictions are not necessary during tooth bleaching.

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