The change of color by whiteness indexes and its psychosocial and self-perception effects when using low vs. high concentration whitening gels: a one-year follow-up.
Abstract Background: Dental bleaching in traditional concentrations generates greater sensitivity, in this respect new systems of lower concentration of hydrogen peroxide for tooth whitening appeared, with color stability unknown over time. The aim of this study was to compare the change and stability of color with low-concentration (6%) hydrogen peroxide gel in an in-office bleaching setting relative to conventional 37.5% gel including their effects on psychosocial and esthetic self-perception at one year. Methods: Patients (n=25) were assessed at 12 months post bleaching treatment ( whitening with 6% activated chemo gel of alkaline formula v/s traditional concentration 37.5% ). Color changes were measured objectively using total variation in color (ΔE) and subjectively using Vita Classical and Vita Bleached scale (ΔSGU) by calibrated evaluators (Kappa=0.85). The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and Oral Health Impact Profile (OHIP-14) aesthetic questionnaires were administered to measure self-perception and the psychosocial impact of the whitening procedure. Results: The effect (ΔE) of 37.5% HP (8.37 ± 2.73) was significantly better than that of 6% HP (5.27 ± 2.53) in terms of color rebound at one year of follow-up. There were significant differences in psychosocial impact and esthetic self-perception measurements prior to bleching versus the one-year post-whitening time points; positive effects were maintained. Conclusions: Low concentration (6%) achieved effective bleaching with good stability at one year. This was accompanied by a positive psychosocial impact and enhanced self-perception at follow-up. Trial registration: NCT03217994 Keywords: Bleaching, Randomized clinical trial, Low concentration, OHIP-14 , PIDAQ