scholarly journals A comparative analysis of in-office vital 6% hydrogen peroxide activated charcoal tooth whitening treatment enhanced with an 810nm diode laser, compared to 35% hydrogen peroxide bleaching

2021 ◽  
Vol 76 (2) ◽  
pp. 64-71
Author(s):  
Shabeer I Hassim ◽  
Tufayl A Muslim

Laser dental bleaching is considered to be a contemporary approach to enhancing the in-office power bleaching procedure. Objective Investigate if laser enhanced 6% Hydrogen Peroxide (HP) solution is equivalent to 35% HP solution over a two-visit power bleaching treatment protocol. In a randomised double-blinded clinical trial, 43 patients were assigned to a group that received either the laser-enhanced 6% Hydrogen Peroxide (n=21) treatment, or the standard 35% Hydrogen Peroxide (n=22) treatment, over two visits, with a one-week interval. Activated charcoal HP paste was prepared for both groups. The laser enhanced 6% HP group received a dosage of 90 J/cm² per bleaching cycle using 810nm diode laser. Tooth colour was measured at the beginning and end of each session registering parameters L*, a* and b*, and tooth sensitivity. The calculated difference between these Parameters, ∆E, was the primary data focus. The mean ∆E over the treatment duration was used to answer the research question by a t-test to evaluate group differences at 5% significance level. The analysis revealed that the null hypothesis could not be rejected and the results were inconclusive. The observations expound the idea of an absorption enhancement mechanism, rather than a free radical activation, as the technique for improving bleaching outcomes.

2017 ◽  
Vol 15 (3) ◽  
pp. 185
Author(s):  
Dilcele Silva Moreira Dziedzic ◽  
Lucia Helena Ramos da Silva ◽  
Bruna Luiza do Nascimento ◽  
Marina Samara Baechtold ◽  
Gisele Maria Correr ◽  
...  

Aim: This study investigated the effect of an in-office bleaching technique on lightness, color and surface roughness of two commercially available materials: a resin-modified glass-ionomer cement and a nanohybrid resin composite. Methods: Twelve disk-shaped specimens were prepared with both materials. The samples were bleached with 35% hydrogen peroxide. Bleaching was tested initially onto a smooth surface and later onto a polished one of the same specimens. The effect of the treatments on lightness and color was verified with a spectrophotometer. Surface roughness was measured with a digital surface roughness tester. The data were statistically analyzed by repeated measures ANOVA and post hoc Tukey’s test (alpha = 0.05). Results: Significant variation in lightness and color was observed on the resin-modified glass-ionomer cement after the first bleaching procedure. Roughness increased significantly only after polishing the resin-modified glass-ionomer cement surface. Composite color variation was evident in the last observation period, but roughness and lightness variation due to bleaching and polishing was not significant. Conclusion: The bleaching treatment caused significant color alterations on the materials tested. This study observed that the application of in-office bleaching onto the glass-ionomer cement promoted clinically observable color alteration, and polishing after bleaching is contraindicated for this material.


2016 ◽  
Vol 73 (4) ◽  
pp. 267
Author(s):  
André Manoel Lima da Fonseca ◽  
Inger Campos Tuñas ◽  
Fábio Vidal ◽  
Fábio Ramôa Pires ◽  
Lucio Souza Gonçalves

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.


2021 ◽  
Vol 54 (2) ◽  
pp. 87
Author(s):  
Indes Rosmalisa Suratno ◽  
Irfan Dwiandhono ◽  
Ryana Budi Purnama

Background: Tooth discoloration can be treated with tooth bleaching. Bleaching using 40% hydrogen peroxide can reduce the shear bond strength of resin composite because there are free radicals on the tooth surface, so it can delay the restoration. The application of antioxidants can eliminate free radicals after the bleaching procedure and increase the shear bond strength of the composite resin. The common antioxidants are ascorbic acid and natural ingredients, such as pomegranate (Punica granatum L.). Purpose: To determine the effect of pomegranate extract gel on the shear bond strength of composite resin after 40% hydrogen peroxide bleaching application. Methods: This research used 32 maxillary first premolars that were divided into four groups. The samples were bleached, then the labial was prepared and antioxidant gel was applied: group P1 pomegranate gel extract of 5%, group P2 pomegranate gel extract of 10%, group K1 positive control ascorbic acid gel of 10% and group K2 as the negative control. The samples were restored with a nanohybrid composite resin. The shear bond strength was tested using a universal testing machine. The data were tested using a one-way ANOVA followed by a post-hoc LSD test. Results: The pomegranate gel extract increased the shear bond strength of the composite resin after the bleaching procedure of 40% hydrogen peroxide compared with the ascorbic acid gel group and the negative control group. The one-way ANOVA test showed a significant difference (p<0.05). The post-hoc LSD test showed significant differences between the treatment and negative control groups (p<0.05). Conclusion: The pomegranate gel extract as an antioxidant increased the shear bond strength of the composite resin restoration after the 40% hydrogen peroxide bleaching application.


BioResources ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 870-881
Author(s):  
Fangmin Liang ◽  
Guigan Fang ◽  
Jian Jiao ◽  
Yongjun Deng ◽  
Shanming Han ◽  
...  

The brightness of bleached bamboo chemo-mechanical pulp (CMP) is often too low to be used as a furnish in value-added paper products. In this study, preliminary optimization of various parameters of a modified hydrogen peroxide (H2O2) bleaching procedure for bamboo CMP pulps was performed using the inclusion of ethanol in the bleaching medium (IEBM). Compared with a conventional bleaching method, this modified process is aimed at improving bleaching efficiency and brightness ceiling of bamboo CMP with the proper usage of chemicals. The CMP was bleached to a brightness of 74.2% ISO at the usage level of 12% H2O2, which shows it increased by 7.4% ISO compared with the conventional method. For a brightness target of 72.0% ISO, bleaching with the IEBM method reduced the H2O2 consumption by approximately 60%. In addition, a higher activation energy of H2O2 for the IEBM method was calculated to be 23.3 kJ/mol, which was increased by 3.3 kJ/mol compared with the conventional method.


2014 ◽  
Vol 39 (6) ◽  
pp. E261-E268 ◽  
Author(s):  
CRG Torres ◽  
E Crastechini ◽  
FA Feitosa ◽  
CR Pucci ◽  
AB Borges

SUMMARY Objective To evaluate the influence of pH on the bleaching effect of hydrogen peroxide on chromogen agents. Method Hydrogen peroxide 50% was mixed with red wine or with an alcoholic solution of tobacco in glass cuvettes, resulting in final peroxide concentrations of 16.97% and 21.12%, respectively. The pH of this mixture was measured and adjusted with 3.3 M HCl solution or 2.5 M NaOH solution to obtain the final pH values of 3.0, 4.0, 5.0, 6.0, 7.0, 8.0, and 9.0. After mixing, the color of these solutions was evaluated in a reflectance spectrophotometer; readings were repeated after 10 minutes for the wine solution and 20 minutes for the tobacco solution. Ten samples were prepared for each solution at each pH. Color changes (Delta E) were calculated. The data were statistically analyzed using analysis of variance one-way and Tukey tests, with a significance level of 5%. Results There were significant differences among the different pH values for the wine and tobacco solutions (p=0.0001). The Tukey test showed that for both solutions, pH 9.0 resulted in a significantly greater bleaching effect than the other values tested. Conclusion The efficacy of hydrogen peroxide bleaching is directly proportional to the increase in its pH.


BioResources ◽  
2011 ◽  
Vol 6 (4) ◽  
pp. 4005-4011

Preliminary tests of a new hydrogen peroxide bleaching procedure for mechanical pulps were performed in a bleaching medium comprised of water and an alcohol, which is characterized by good miscibility with water, poor solvency for hemicelluloses, and good solvency for lignin. As compared with a conventional bleaching method, this modified process is aimed at reducing the removal of hemicelluloses while moderately increasing the dissolution of lignin. Results showed that an aspen CTMP pulp can be bleached to a target brightness with less bleaching chemicals and/or with a higher pulp yield. The laboratory studies demonstrate that this new bleaching process offers substantially enhanced efficiency and selectivity over the conventional peroxide bleaching. Overall, the brightness increased by about 5 ISO units for a given peroxide consumption and the yield increased by 2 to 3 percent at the same target brightness.


TAPPI Journal ◽  
2012 ◽  
Vol 11 (7) ◽  
pp. 37-46 ◽  
Author(s):  
PEDRO E.G. LOUREIRO ◽  
SANDRINE DUARTE ◽  
DMITRY V. EVTUGUIN ◽  
M. GRAÇA V.S. CARVALHO

This study puts particular emphasis on the role of copper ions in the performance of hydrogen peroxide bleaching (P-stage). Owing to their variable levels across the bleaching line due to washing filtrates, bleaching reagents, and equipment corrosion, these ions can play a major role in hydrogen peroxide decomposition and be detrimental to polysaccharide integrity. In this study, a Cu-contaminated D0(EOP)D1 prebleached pulp was subjected to an acidic washing (A-stage) or chelation (Q-stage) before the alkaline P-stage. The objective was to understand the isolated and combined role of copper ions in peroxide bleaching performance. By applying an experimental design, it was possible to identify the main effects of the pretreatment variables on the extent of metals removal and performance of the P-stage. The acid treatment was unsuccessful in terms of complete copper removal, magnesium preservation, and control of hydrogen peroxide consumption in the following P-stage. Increasing reaction temperature and time of the acidic A-stage improved the brightness stability of the D0(EOP)D1AP bleached pulp. The optimum conditions for chelation pretreatment to maximize the brightness gains obtained in the subsequent P-stage with the lowest peroxide consumption were 0.4% diethylenetriaminepentaacetic acid (DTPA), 80ºC, and 4.5 pH.


2018 ◽  
Vol 69 (8) ◽  
pp. 2081-2088 ◽  
Author(s):  
Alin Alexandru Odor ◽  
Edwin Sever Bechir ◽  
Deborah Violant ◽  
Victoria Badea

Moderate and severe periodontitis represents a challenge in the non-surgical periodontal therapy. Due to the lack of evidence regarding the antimicrobial effectiveness of 940 nm diode laser in periodontal treatment, this study aimed to evaluate the antimicrobial effect of hydrogen peroxide (H2O2) photolysis performed with 940 nm diode laser in the treatment of moderate and severe periodontitis. Twenty-five patients with 100 teeth were selected for this pilot study. The test teeth were randomly assigned to one of the four treatment groups: Group 1: scaling and root planning (SRP) (control group); and the following experimental groups: Group 2: H2O2; Group 3: 940 nm diode laser therapy; Group 4: 940 nm diode laser therapy and H2O2. Clinical examinations, like probing depth (PD), clinical attachment level (CAL) and bleeding on probing (BOP) were performed before and after the treatment. The microbiological evaluation, effectuated before and after the treatment, included nine periodontal bacteria species and investigated by means of real-time PCR assay. The clinical and bacterial differences in the tested groups, was assessed between control group and the other three experimental groups, as well as between the experimental groups. The total bacteria load was reduced for all four studied groups. Group 4 (diode laser + H2O2) showed significant bacterial reduction of the major periodontal bacteria like Pg., Tf., Td., Pi., Pm., Fn (p[0.001) than the other 3 groups (p]0.001). Also the periodontal clinical parameters, like PD, CAL and BOP showed a significant reduction after the photolysis of H2O2 with the 940 nm diode laser (p[0.001). Differences between tested groups showed a significant beneficial results in regard to Group 4.It is suggested that the photoactivation of H2O2 with the 940 nm diode laser can be used successfully in adjunctive to the non-surgical periodontal treatment as a bactericidal tool.


2011 ◽  
Vol 236-238 ◽  
pp. 1307-1312
Author(s):  
Chao Jun Wu ◽  
Chuan Shan Zhao ◽  
Jun Li ◽  
Ke FU Chen

In this paper, the effect of microwave treatment on the hydrogen peroxide bleaching of Soda-AQ wheat-straw pulp was investigated. The results showed that microwave treatment could increase the brightness of the hydrogen peroxide bleached pulp. The fiber coarseness of microwave enhancing peroxide bleached pulp was higher than that of the peroxide bleached pulp. However, the arithmetic average fiber length, the length weighted average fiber length and weight weighted average fiber length of the former was lower than that of the latter. Fourier transform infra-red spectroscopy (FTIR) and X-ray diffraction (XRD) spectra showed that CrI(%) crystallinity of microwave enhancing peroxide bleached pulp was similar as that of the peroxide bleached pulp but all higher than that of the Soda-AQ wheat-straw pulp. N·O′KI infra-red crystalline index of microwave enhancing peroxide bleached pulp were lower than that of the peroxide bleached pulp. The FTIR spectra of lignin showed that the microwave treatment had some influences on the methoxyl and phenolic group in lignin.


2012 ◽  
Vol 37 (5) ◽  
pp. 526-531 ◽  
Author(s):  
CRG Torres ◽  
CF Ribeiro ◽  
E Bresciani ◽  
AB Borges

SUMMARY The aim of the present study was to evaluate the effect of 20% and 35% hydrogen peroxide bleaching gels on the color, opacity, and fluorescence of composite resins. Seven composite resin brands were tested and 30 specimens, 3-mm in diameter and 2-mm thick, of each material were fabricated, for a total of 210 specimens. The specimens of each tested material were divided into three subgroups (n=10) according to the bleaching therapy tested: 20% hydrogen peroxide gel, 35% hydroxide peroxide gel, and the control group. The baseline color, opacity, and fluorescence were assessed by spectrophotometry. Four 30-minute bleaching gel applications, two hours in total, were performed. The control group did not receive bleaching treatment and was stored in deionized water. Final assessments were performed, and data were analyzed by two-way analysis of variance and Tukey tests (p&lt;0.05). Color changes were significant for different tested bleaching therapies (p&lt;0.0001), with the greatest color change observed for 35% hydrogen peroxide gel. No difference in opacity was detected for all analyzed parameters. Fluorescence changes were influenced by composite resin brand (p&lt;0.0001) and bleaching therapy (p=0.0016) used. No significant differences in fluorescence between different bleaching gel concentrations were detected by Tukey test. The greatest fluorescence alteration was detected on the brand Z350. It was concluded that 35% hydrogen peroxide bleaching gel generated the greatest color change among all evaluated materials. No statistical opacity changes were detected for all tested variables, and significant fluorescence changes were dependent on the material and bleaching therapy, regardless of the gel concentration.


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