scholarly journals Effect of 10% Carbamide Peroxide on Tooth Shade, Plaque Index and Gingival Index during Invisalign Treatment

2021 ◽  
Vol 9 (5) ◽  
pp. 48
Author(s):  
Dalia Seleem ◽  
Shaahin Dadjoo ◽  
Ambrose Ha ◽  
Caitlyn Santos ◽  
Sahar Mirfarsi ◽  
...  

Invisalign has improved periodontal health in comparison to traditional metal wire braces. Due to a growing interest in attaining better teeth esthetics, there are more adults seeking Invisalign treatment. Ten percent carbamide peroxide (CP) breaks down to 6.5% urea and 3.5% hydrogen peroxide, which elevates oral pH, removes stains, and diminishes caries by inhibiting plaque formation. The aim of this study is to investigate whether 10% CP use during Invisalign treatment can enhance tooth shade esthetics while decreasing plaque levels and improving gingival health indices. Twenty-eight patients at Western University dental center undergoing Invisalign were assigned to two groups where the experimental group applied daily bleaching material (10% CP, Ultradent Inc., South Jordan, UT, USA), while the control group did not for 4 weeks. Tooth shade, plaque index (PI), and gingival index (GI) were assessed at baseline and in 2-week intervals for 6 weeks. Results showed that 10% CP had significant change in tooth shade over the 2- and 4-weeks periods (p < 0.05) and significantly reduced plaque and gingival indices (p < 0.05), with minimal to no relapse after 2 weeks post-op. Thus, applying CP at 10% may be a useful application during Invisalign treatment in improving teeth shade and overall gingival health.

1988 ◽  
Vol 67 (2) ◽  
pp. 503-507 ◽  
Author(s):  
R.L. Boyd ◽  
P.J. Leggott ◽  
P.B. Robertson

For nine months we monitored the periodontal health of 81 adolescents undergoing orthodontic treatment with fixed appliances, to determine whether daily use of a brush-on 0.4% SnF 2 gel would be better than toothbrushing alone in maintaining periodontal health in these patients, and whether a gel supplying a high percentage of available Sn2+ ion would be more beneficial than a gel supplying a low percentage of available Sn2+ ion. The subjects were matched for age and sex and placed into a control group, which used toothbrushing alone, and two treatment groups, which used toothbrushing supplemented with daily use of a SnF2 gel. One treatment group used a gel with 98% available Sn2+ ion twice daily for the entire nine months. The other treatment group used a gel with less than 2% available Sn2+ once a day for six months, then twice a day for the remaining three months of the study. Clinical assessments (Plaque Index, Gingival Index, Bleeding Tendency, pocket depth, and coronal staining) were made before appliances were placed and at one, three, six, and nine months after appliances were placed. Results indicated that the group using the high-availability Sn 2+ gel twice daily had significantly lower Gingival Index and Bleeding Tendency scores at the one-, three-, six-, and nine-month examinations than did the control group. The group using the low-availability Sn2+ gel showed no significant differences in these assessments from the control group. Neither treatment group showed significant differences from the control group in Plaque Index or pocket depth. In the group using the high-availability Sn2+ gel, one subject developed mild coronal staining, and two developed moderate staining.


2003 ◽  
Vol 4 (1) ◽  
pp. 32-41 ◽  
Author(s):  
Khalid Almas ◽  
Mawahib Al-Harbi ◽  
Maryam Al-Gunaim

Abstract Esthetics plays an important role in dentistry today. Because of an increased emphasis on beauty and health, cosmetic dentistry has been the thrust to the forefront of many practices. Many health products are used for bleaching teeth, but all side effects are not known. Tooth sensitivity and gingival irritation are the most common side effects, but they are typically mild and transient in nature. The aim of this investigation was to evaluate objectively the effect of 10% carbamide peroxide gel (OpalescenceTM Utradent Inc, USA) on gingival health by measuring changes in Bleeding Index, Plaque Index, and Gingival Index. Eighteen subjects, 11 female and 7 male, age range 15-30 years (mean 24 years), were selected for the study as a convenient sample. Their teeth had either fluorosis, dental stains, smoking, or tetracycline staining. The Opalescence system was used as office monitored, at-home bleaching for three weeks. There was a statistically significant reduction in bleeding on probing (1% - 37%, p < 0.003), Plaque Index (4% - 50%, p < 0.000), and Gingival Index (2.5% - 34%, p < 0.002). Only two subjects reported tooth hypersensitivity, and none of the subjects complained about gingival irritation. There was a positive change in tooth color as far as staining was concerned. Further research including randomized controlled, double blind clinical trials is needed to confirm these findings and to examine other factors related to bleaching of teeth. Citation Almas K, Al-Harbi M. The Effect of A 10% Carbamide Peroxide Home Bleaching System on the Gingival Health. J Contemp Dent Pract 2003 February;(4)1:032-041.


2007 ◽  
Vol 14 (3) ◽  
pp. 155-158 ◽  
Author(s):  
Alicia S. Hochstetter ◽  
Maria Josefina Lombardo ◽  
Luciana D'eramo ◽  
Susana Piovano ◽  
Noemi Bordoni

The aim of the study was to evaluate the impact of a preventive-educational programme in a group of preschool children. The study's population group comprised 58 four-year-old children, with a mean age of 4.17±0.27. Plaque index and gingival index were determined, and a dental examination was performed. The children were randomly assigned to one of two groups: experimental and control. The experimental group received the educational component of the programme which was for children, parents and teachers. The preventive programme was applied to both groups and included topical application of 1.23% acidulated fluoride phosphate, pH 3.5, every 6 months. Outcomes were measured on day 8 and after 6 and 12 months under similar conditions to those at baseline. Results showed a significant decrease in gingival index and plaque index values and no significant increase in decay in the experimental group. The control group showed a significant increase in gingival index, plaque index, and decayed surfaces.


2012 ◽  
Vol 83 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Tony N. F. To ◽  
A. Bakr M. Rabie ◽  
Ricky W. K. Wong ◽  
Colman P. McGrath

Abstract Objective: To evaluate the effectiveness of diode laser gingivectomy as an adjunct to nonsurgical periodontal treatment in the management of periodontal health among patients receiving fixed orthodontic appliance therapy (FOAT). Materials and Methods: Thirty patients undergoing FOAT with gingival enlargement were block randomized into two treatment groups. The test group received diode laser gingivectomy (940-nm diode laser, ezlase, Biolase Technology Inc) as an adjunct to nonsurgical periodontal treatment. The control group received nonsurgical periodontal treatment only. For both groups, five periodontal parameters were assessed at baseline, 1 month, 3 months, and 6 months: Plaque Index, Gingival Index, bleeding on probing, probing pocket depth, and Gingival Overgrowth Index. Intra- and intergroup variations in the periodontal parameters were determined over time. Results: Both groups showed statistically significant improvements in periodontal health over the study period (P &lt; .05). However, significant improvements in periodontal health were evident earlier among the test group subjects (P &lt; .05). The magnitude of improvement in periodontal health compared to baseline was greater in the test group than in the control group for Gingival Overgrowth Index at 1 month (P &lt; .001) and 3 months (P &lt; .05), Gingival Index at 3 months (P &lt; .05) and 6 months (P &lt; .05), and probing pocket depth at 1 month (P &lt; .05). Conclusions: Nonsurgical periodontal management with or without the adjunct use of lasers can be effective in the management of gingival health problems among patients receiving FOAT. The adjunctive use of lasers can produce an earlier and greater improvement in gingival health.


Author(s):  
Amani A. Mirdad Mirdad ◽  

Aim: to assess the relationship between deep overbite with palatal impingement and periodontal health status in a cohort of adult Saudi dental patients. Materials and Methods:Ten patients (4 males and 6 females, aged 16 to 31 years old) with deep traumatic overbite and palatal impingement were examined. A Hawley retainer appliance with an anterior bite plate was provided for all patients.Pocket depth, bleeding index, gingival index, plaque index and mobility were recorded for four visits after using the appliance with fixed intervals in-between. Repeated measures analysis of variance (ANOVA) was used to assess the differences between visits, control /experimental teeth and surfaces (palatal /labial) for pocket depth, bleeding index, plaque index,gingival index and mobility.


2018 ◽  
Vol 75 (12) ◽  
pp. 1202-1208
Author(s):  
Bojana Davidovic ◽  
Mirjana Ivanovic ◽  
Dejan Bokonjic ◽  
Svjetlana Jankovic ◽  
Jelena Eric ◽  
...  

Background/Aim. Oral health is an important part of overall health. Good oral health is important for oral diseases prevention and health maintenance of respiratory system. The aim of the study was to evaluate oral hygiene and periodontal health parameters of asthmatic children and to compare them with children without asthma as well as to evaluate those parameters according to type of used medications and time of taking medications in children with asthma. Methods. This epidemiological study included 68 children with asthma and 68 children without asthma or any other chronic disease aged from 6 to 16 years. Parameters used in this study were Greene-Vermillion index, L?e-Silness gingival index and Community Periodontal Index (CPI). Results. Good oral hygiene (31.1%) was more present in children without asthma whereas poor hygiene (20.0%) was more frequent in children with asthma (p < 0.001). Healthy gingiva was more frequent in children without asthma (25%) while mild (58.8%) and moderate gingival inflammation (5.9%) were more frequent in the group of children with asthma (p < 0.01). Mean CPI values were higher in children with asthma (p < 0.001). Mean values of Plaque Index, Gingival Index and CPI did not show statistically significant difference in relation to type of administered medication. However, taking medications in the afternoon was related to higher mean values of Plaque Index and Gingival Index (p < 0.05) within the group of children with asthma. Conclusion. Children with asthma had poorer oral hygiene and were diagnosed with greater values of oral hygiene and periodontal indices compared with the group of children without asthma. For this reason, it is necessary to promote oral health and establish good oral hygiene habits in asthmatic children.


2012 ◽  
Vol 6 (1) ◽  
pp. 10-13
Author(s):  
NT Hashim ◽  
B Gobara ◽  
I Ghandour

ABSTRACT Aim The aim of this study is to assess the periodontal health status and its determinants among a group of mentally disabled children in Khartoum State and to compare it with a control group of children of normal intelligence. Methods Thirty seven mentally disabled children aged 8-10 years were examined at five centres of mentally disabled children in Khartoum State. A control group with normal intelligence quotient of a similar age and socioeconomic status was selected from schools nearby the centres visited. Both mentally disabled children and the children in the control group were examined for their plaque index, gingival index and periodontal pocket depth. A comparison was made between the mentally disabled children and the healthy children as well as between the subgroups of the mentally disabled children (mild, moderate, and severe). Questionnaires concerning the degree of mental disability, level of parent education, role of parents toward child oral health, were also used. Results The results revealed that the mentally disabled children showed higher scores of plaque and gingival index (1.9, 1.7 respectively) when compared with the plaque and gingival index of the control group (0.6, 0.6 respectively). No increase in gingival sulcus depth in both study and control group was found. According to the degree of mental disability there was statistically significant difference in plaque and gingival index among the mild, moderate and severe subgroups (P=0.001), the plaque and gingival index tend to increase with the severity of mental retardation. Conclusion. Mentally disabled children showed more plaque when compared with healthy controls. Periodontal disease was more prevalent among mentally disabled children as presented in the form of gingivitis and the degree of severity depends on the degree of mental disability.


Materials ◽  
2020 ◽  
Vol 13 (12) ◽  
pp. 2710 ◽  
Author(s):  
Maroun Ghaleb ◽  
Giovanna Orsini ◽  
Angelo Putignano ◽  
Sarah Dabbagh ◽  
Georges Haber ◽  
...  

This in vitro study aims to evaluate whether a solution of 10% sodium ascorbate (SA) may exert a beneficial effect on the bonding of composite to enamel after using different bleaching agents and protocols. Microtensile bond strength (µTBS) was evaluated on 72 freshly extracted human central incisors, divided into eight experimental groups and one control group (total n = 9): Group 1 serves as control (nonbleached). Group 2 was bleached with 5% carbamide peroxide. Group 3 was bleached with 5% carbamide peroxide and then treated with 10% SA. Group 4 was bleached with 10% carbamide peroxide. Group 5 was bleached with 10% carbamide peroxide, then treated with 10% SA. Group 6 was bleached with 16% carbamide peroxide. Group 7 was bleached with 16% carbamide peroxide, then treated with 10% SA. Group 8 was bleached with 6% hydrogen peroxide. Group 9 was bleached with 6% hydrogen peroxide, then treated with 10% SA. All groups were restored immediately after the different treatments using a resin composite. The µTBS values were measured using a universal testing machine and statistical analysis was performed by means of normality and variance analyses, SIDAK test for univariate test and multiple comparisons, and Student test to compare µTBS values of each group with the control. The mean µTBS values in groups 2, 4, 6, 8 were significantly lower than controls. For groups 3, 5, 7, 9, subjected to antioxidant (10% SA) application, all µTBS values increased significantly. However, only for Groups 3 and 5 there was no significant difference with the control. Applying 10% SA for 10 min may improve the bond strength composite/bleached enamel just when whitening is performed with 5% and 10% carbamide peroxide.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Suhail H. Al-Amad ◽  
Betul Rahman ◽  
Nadia Khalifa ◽  
Manal A. Awad

Abstract Background Candida’s potential association with dental caries has previously been reported in children. This research aimed at investigating the associations between Candida species in whole saliva and dental and periodontal health indices in a sample of adult patients. Methods A cross-sectional study involving 160 patients investigated the associations between Candida species collected by oral rinse technique, and Decayed, Missing, and Filled Surfaces (DMFS), and periodontal health indices. Chi-square and Independent Samples t-test were used to assess the associations between Candida carriage and confounding variables. Binary logistic regression was used to assess association strengths between Candida carriage and DMFS, adjusted for socio-demographic variables, diabetes mellitus and plaque index. Results Candida colonies were identified in 49 (30.6%) patients with CFUs ranging from 103 to 105 colonies per mL. The quantity of Candida CFUs increased with age (r = 0.200; p < 0.05). Among all dental and periodontal health indices, only DMFS was significantly associated with higher values of Candida carriage (p = 0.034), and this association was independent from sex, age, smoking, diabetes mellitus and plaque index (OR: 1.014; 95% CI 1.0–1.03; p = 0.048). Conclusion The association between Candida species in whole saliva and DMFS reported here supports an etiological role of Candida in dental cariogenesis among adults.


2010 ◽  
Vol 57 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Sava Matic ◽  
Mirjana Ivanovic ◽  
Predrag Nikolic

Introduction. During orthodontic treatment, there is increased risk of periodontal disease and caries. Therefore these patients must be trained to maintain proper oral hygiene to minimize risks. The aim of this study was to examine the effects of oral hygiene training with different devices as well as a motivation and remotivation in oral hygiene using brochures, verbal methods and tablets for plaque identification. Material and Methods. The study included 80 subjects, both genders, divided in control (20) and experimental groups (60). All examinees in the experimental groups used toothbrush Curaprox CP5460 for oral hygiene. Subjects in experimental group 1 used mouthwash Curasept ADS 205, in the experimental group 2 orthodontic toothbrush CD Ortho 60 and proximal toothbrush Curaprox CPS14 while subjects in experimental group 3 used proximal toothbrush Curaprox CPS14 and mouthwash Curasept ADS 205. All participants were given tablets erythrosine and brochure in which was explained and illustrated the use of the aforementioned means for oral hygiene. Control check ups were conducted at the beginning, after the first, third and sixth month of the preventive program. Results. The values of the examined parameters, plaque index (PI), gingival index (GI) and gingival bleeding index (GBI), in experimental groups were significantly lower compared to control group (p<0.05). Conclusion. Motivation, compliance and implementation of all preventive procedures proposed by this program, as well as regular controls, contributed in maintaining gingival health during orthodontic treatment.


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