Dentin hypersensitivity after teeth bleaching with in-office systems. randomized clinical trial

Purpose: To comparatively and prospectively compare in a randomized clinical trial, dentin hypersensitivity after treatment with three in-office bleaching systems, based on hydrogen peroxide at different concentrations, with and without light source activation. Methods: 88 individuals were included according to inclusion and exclusion criteria. Subjects were randomly divided into the following three treatment groups: Group 1 was treated with three 15-minute applications of hydrogen peroxide at 15% with titanium dioxide (Lase Peroxide Lite) that was light-activated (Light Plus Whitening Lase) with five cycles of 1 minute and 30 seconds each cycle, giving a total treatment time of 45 minutes; Group 2 was treated with three 10-minute applications of hydrogen peroxide at 35% (Lase Peroxide Sensy), activated by light (LPWL) same activation cycles than Group 1, with a total treatment time of 30 minutes; Group 3 was treated with only one application for 45 minutes of hydrogen peroxide at 35% (Whitegold Office) without light activation. Each subject underwent one session of bleaching on the anterior teeth according to the manufacturers' instructions. Dentin sensitivity was recorded with a visual analogue scale (VAS) at baseline, immediately after, and at 7 and 30 days after treatment using a stimulus of an evaporative blowing triple syringe for 3 seconds on the upper central incisors from a distance of 1 cm. A Kruskal-Wallis test followed by Mann-Whitney test was performed for statistical analysis. Results: All groups showed increased sensitivity immediately after treatment. Group 1 displayed less changes relative to baseline with no significant differences (P= 0.104). At 7 and 30 days after treatment, a comparison of VAS values indicated no significant differences between all groups (P= 0.598 and 0.489, respectively).

Can an LED-laser hybrid light help to decrease hydrogen peroxide concentration while maintaining effectiveness in teeth bleaching?

The aim of this study was to compare the bleaching efficacy of 35% hydrogen peroxide and 15% hydrogen peroxide with nitrogen-doped titanium dioxide catalysed by an LED-laser hybrid light. We studied 70 patients randomized to two groups. Tooth shade and pulpal sensitivity were registered. Group 1: 15% hydrogen peroxide with nitrogen-doped titanium dioxide. Group 2: 35% hydrogen peroxide. Both groups were activated by an LED-laser light. No significant differences were seen in shade change immediately, one week or one month after treatment (p > 0.05). Differences were seen in pulpal sensitivity (p < 0.05). The use of an LED-laser hybrid light to activate 15% hydrogen peroxide gel with N_TiO2 permits decreasing the peroxide concentration with similar aesthetic results and less pulpal sensitivity than using 35% hydrogen peroxide for bleaching teeth.

EFFECTIVENESS of CARBAMIDE PEROXIDE and SODIUM PERBORATE IN NON-VITAL DISCOLORED TEETH

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Studies on the characterization of dental whitening process by using both hyperspectral imaging and colorimeter techniques

A beautiful smile is directly related with white teeth. Nowadays oral care has increased and developed processes for beautiful smiles. Dental bleaching is frequently used in odontology, not just for health care also for aesthetic treatment. With the possibility of teeth bleaching, now the importance is in, how white the tooth is? Because color is relate to an individual perception. In order to assets teeth correct color identification has been developed many color guides, models, spaces and analytical methods. Spite all of these useful tools the color interpretation depends on environmental factors, position of the sample in the data acquisition and most importantly the instrument sensitivity. The commons methods have proved to be useful. They are easy to handle, some are portable but they do not have a high sensitivity. The present work is based on the integration of a new analytical technique for color acquisition. High spectral Image (HSI) is able to performed image analysis with high quality and efficiency. HSI is used in many fields and we used it for color image analysis within the bleaching process. The main comparison was done with the HSI and the colorimeter through the processes of two different bleaching protocols. The results showed that HSI has higher sensitivity than the colorimeter. During the analysis the dental surface with the HSI we were able to notice surface changes. These changes were analyzed by roughness studies.

Avaliação da alteração de cor, difusão de peróxido de hidrogênio e citotoxicidade trans-amelodentinária causadas por diferentes técnicas de clareamento dental

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Influência de diferentes procedimentos restauradores na resistência á fratura de dentes com cavidade classe IV submetidos ao clareamento dental interno

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ação do fluor na microdureza do esmalte humano submetido a dois tipos de agentes clareadores

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito de diferentes fontes luminosas e pré-condicionamento do esmalte na alteração de cor, penetração de H2O2 e citotoxicidade em dentes clareados

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Avaliação de uma nova composição de agente clareador sobre a microdureza do esmalte: associação do trimetafosfato de sódio e fluoreto de sódio ao peróxido de hidrogênio a 10%

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da microabrasão e do clareamento dental na rugosidade superficial e microdureza do esmalte dental: estudo longitudinal ‘in situ’

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Eficácia e sensibilidade dental resultante do clareamento dental de consultório com 6¢ H2O2/TiO_N. Estudo clínico randomizado controlado

Pós-graduação em Ciências Odontológicas - FOAR

Clareamento para dentes despolpados: revisão de literatura e considerações

The esthetics of the teeth is not a privilege of our days, because concerns in that effect have been reported since 1860. Faced with an endodontically treated tooth that presents any type of color change, professionals can use intracoronary bleaching, which is more conservative attempt to restore the normal color of teeth. Bleaching aims to remove pigments by oxidizing agents and for that, various techniques were developed. Among the risks of tooth whitening the external resorption is the most severe, which occurs when the whitening penetrates through the dentin tubules to the periodontal ligament and initiates an inflammatory response. To prevent external resorption is required to place an intracoronal bleaching barrier. It is important to know the time between the bleaching treatment for restoring procedure for getting a good sealing to prevent microleakage. This study aims to review the literature about the different types of bleaching agents and their risks.

Análise histológica e imunoistoquímica do tecido pulpar de ratos Wistar submetidos a procedimento clareador com duas concentrações de peróxido de hidrogênio

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Influência da clareação dentária sobre o tecido pulpar de ratos diabéticos: aspectos histológicos e imunológicos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)