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

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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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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Evaluation of In-office Vital Tooth Whitening Combined with Different Concentrations of At-home Peroxides: A Randomized Double-blind Clinical Trial

The Open Dentistry Journal ◽

10.2174/1874210601913010377 ◽

2019 ◽

Vol 13 (1) ◽

pp. 377-382

Author(s):

Leandro Féliz-Matos ◽

Ninoska Abreu-Placeres ◽

Luis Miguel Hernandez ◽

Carlos Ruiz-Matuk ◽

Patricia Grau-Grullón

Keyword(s):

Clinical Trial ◽

Hydrogen Peroxide ◽

Color Change ◽

Carbamide Peroxide ◽

Tooth Whitening ◽

Double Blind ◽

Tooth Color ◽

Positive Effects ◽

Double Blind Clinical Trial ◽

At Home

Background: The clinical evidence relate the effect of associating the in-office and at home vital tooth whitening, describing positive effects on tooth color change and reduction of dental sensitivity. Objective: The purpose of this randomized double-blind clinical trial was to evaluate the effect on the shortened application of in-office vital tooth whitening combined with different concentrations of at-home peroxides in the final tooth color change and dental sensitivity. Methods: Randomized double-blind clinical trial with 120 participants between 18-65 years, allocated in four tooth whitening treatment groups: G1= Carbamide Peroxide 10% + Hydrogen Peroxide 40%, G2= Carbamide Peroxide 15% + Hydrogen Peroxide 40%, G3= Carbamide Peroxide 20% + Hydrogen Peroxide 40%, G4= Hydrogen Peroxide 10% + Hydrogen Peroxide 40% was conducted. Tooth color was measured at baseline and dental sensitivity and tooth color change during and after treatment. Results: No statistical significant differences were found in tooth color change (superior arch p= 0.183 / inferior arch p= 0.374), and in dental sensitivity (p=0.268). Conclusion: Reducing the application time of in-office whitening, combined with in-home products was effective in improving the color. All groups resulted in identical final color change and dental sensitivity. Clinicaltrials.gov: NCT02682329 Available from: https://clinicaltrials.gov/ct2/show/NCT02682329?term=hydrogen+peroxide.

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

Operative Dentistry ◽

10.2341/18-196-c ◽

2019 ◽

Vol 44 (4) ◽

pp. E180-E189 ◽

Cited By ~ 2

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.

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Impact of Microabrasion on the Effectiveness of Tooth Bleaching

Brazilian Dental Journal ◽

10.1590/0103-6440201601494 ◽

2017 ◽

Vol 28 (5) ◽

pp. 612-617 ◽

Cited By ~ 2

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.

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

Brazilian Dental Journal ◽

10.1590/0103-6440201801726 ◽

2018 ◽

Vol 29 (2) ◽

pp. 133-139 ◽

Cited By ~ 7

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.

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The Whitening Effect and Histological Safety of Nonthermal Atmospheric Plasma Inducing Tooth Bleaching

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094714 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4714

Author(s):

Seoul-Hee Nam ◽

Byul Bo Ra Choi ◽

Gyoo-Cheon Kim

Keyword(s):

Alternative Energy ◽

Soft Tissues ◽

Inflammatory Responses ◽

Color Change ◽

Atmospheric Pressure Plasma ◽

Atmospheric Plasma ◽

Tooth Bleaching ◽

Histological Evaluation ◽

Light Sources ◽

Tooth Color

Various light sources have been applied to enhance the bleaching effect. This study was to identify the histological evaluation in oral soft tissues, as well as tooth color change after tooth bleaching by nonthermal atmospheric pressure plasma (NAPP). Nine New Zealand adult female rabbits were randomly divided into three groups (n = 3): group 1 received no treatment; group 2 was treated with NAPP and 15% carbamide peroxide (CP), which contains 5.4% H2O2, and group 3 was treated with 15% CP without NAPP. Color change (ΔE) was measured using the Shade Eye NCC colorimeter. Animals were euthanized one day later to analyze the histological responses occurring in oral soft tissues, including pulp, gingiva, tongue, buccal mucosa, and hard and soft palates. Changes in all samples were analyzed by hematoxylin and eosin staining and Masson’s trichrome. Teeth treated with plasma showed higher ΔE than that obtained with bleaching agents alone. Overall, the histological characteristics observed no appreciable changes. The combinational treatment of plasma had not indicated inflammatory responses as well as thermal damages. NAPP did not cause histological damage in oral soft tissues during tooth bleaching. We suggest that NAPP could be a novel alternative energy source to conventional light sources for tooth bleaching.

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The Influence of Post Bleaching Treatments in Stain Absorption and Microhardness

The Open Dentistry Journal ◽

10.2174/1874210616021000069 ◽

2016 ◽

Vol 10 (1) ◽

pp. 69-78 ◽

Cited By ~ 2

Author(s):

Horieh Moosavi ◽

Fatemeh Darvishzadeh

Keyword(s):

Color Change ◽

Enamel Surface ◽

Control Group ◽

Surface Microhardness ◽

Dental Bleaching ◽

Tooth Color ◽

Group 4 ◽

Group 3 ◽

Group 2

Objectives: This study investigated the effects of post bleaching treatments to prevent restaining and the change of enamel surface microhardness after dental bleaching in vitro. Methods: Sixty intact human incisor teeth were stained in tea solution and randomly assigned into four groups (n=15). Then samples were bleached for two weeks (8 hours daily) by 15% carbamide peroxide. Tooth color was determined both with a spectrophotometer and visually before bleaching (T1) and immediately after bleaching (T2). Next, it was applied in group 1 fluoride (Naf 2%) gel for 2 minutes, and in group 2 a fractional CO2 laser (10 mJ, 200 Hz, 10 s), and in group 3, nanohydroxyapatite gel for 2 minutes. The bleached teeth in group 4 remained untreated (control group). Then teeth placed in tea solution again. Color examinations were repeated after various post bleaching treatments (T3) and restaining with tea (T4) and color change values recorded. The microhardness was measured at the enamel surface of samples. Data was analyzed using ANOVA, Tukey HSD test and Dunnett T3 (α = 0.05). Results: Directly after bleaching (ΔE T3-T2), the treatment with nanohydroxyapatite showed significantly the least color lapse in colorimetric evaluation. In experimental groups, the color change between T3 and T4 stages (ΔE T4-T3) was significantly lower than control group (P < 0.05). Different methods of enamel treatment caused a significant increase in surface microhardness compared to control group (P < 0.05). Significance: Application of fluoride, fractional CO2 laser and nanohydroxyapatite as post bleaching treatments are suggested for prevention of stain absorption and increasing the hardening of bleached enamel.

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

Brazilian Dental Journal ◽

10.1590/0103-6440201701516 ◽

2017 ◽

Vol 28 (6) ◽

pp. 720-725 ◽

Cited By ~ 4

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.

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