Clinical evaluation of domestic dental whitening strategies

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.14948

Keywords:

Esthetics; Tooth bleaching; Clinical trial; Peroxides.

Abstract

Tooth bleaching has become the first clinical option in reversing chromatic changes. This study evaluated the efficiency of four different approaches for home-based chemically induced tooth whitening. 32 patients were randomly distributed into four groups (n=8), according to the bleaching technique performed: G1: control group – at-home dental bleaching with 10% carbamide peroxide (Whiteness Perfect/FGM) delivered in a customized tray, G2: teeth whitening pen containing hydrogen peroxide (Walgreens), G3: night-time whitening gel (CVS) containing hydrogen peroxide and G4: whitening strips (3D White Oral B) containing 10% hydrogen peroxide. Chromatic changes (ΔE) were collected at baseline and at the middle and end of the treatment, using a digital spectrophotometer (EasyShade – Vita). Tooth sensitivity, gingival irritation, and degree of satisfaction were also recorded. The comparison between the average ΔE means, considering the final and initial values, revealed a statistically significant difference between the results obtained by G1 (ΔE2=11.65) and the other groups (ΔE2 of G2=4.38, G3=4.83 and G4 = 8.32). No significant difference was observed in the occurrence of tooth sensitivity and gingival irritation. The patients from G1 and G4 were more satisfied with the treatment outcome.

References

Afroz. S., Rathi, S., Rajput, G., & Rahman, S. A. (2013). Dental Esthetics and Its Impact on Psycho-Social Well-Being and Dental Self Confidence: A Campus Based Survey of North Indian University Students. J Indian Prosthodont Soc, 13(4), 455-460.

Al-Salehi, S., Wood, D., & Hatton, P. (2007). The effect of 24h non-stop hy¬drogen peroxide concentration on bovine enamel and dentine mineral content and microhardness. J Dent, 35, 845–850.

Auschill, T. M., Hellwig, E., Schmidale, S., Sculean, A., & Arweiler, N. B. (2005). Efficacy, side-effects and patients' acceptance of different bleaching techniques (OTC, in-office, at-home). Oper Dent, 30 (2), 156-163.

Auschill, T. M., Schneider-Del Savio, T., Hellwig, E., & Arweiler, N. B. (2012). Randomized clinical trial of the efficacy, tolerability, and long-term color stability of two bleaching techniques: 18-month follow-up. Quintessence Int, 43 (8), 683-694.

Braun, A., Jepsen, S., & Krause, F. (2007). Spectrophotometric and visual evaluation of vital tooth bleaching employing different carbamide peroxide concentrations. Dent Mater, 23 (2), 165-169.

Carey, C. M. (2014). Tooth Whitening: What We Now Know. J Evid Based Dent Pract, 14 (Suppl), 70-76.

Carlos, N. R., Bridi, E., Amaral, F. L. B., Franca, F. M. G., Turssi, C. P., Basting, R. T. (2016). Efficacy of home-use bleaching agents delivered in customized or prefilled disposable trays: A randomized clinical trial. Oper Dent, 42 (1), 30-40.

Colares, V. L. P., Lima, S. N. L., Sousa, N. C. F., Araújo, M. C., Pereira, D. M. S., Mendes, S. J. F., Teixeira, S. A., Monteiro, C. A., Bandeca, M. C., Siqueira, W. L., Moffa, E. B., Muscará, M. N., & Fernandes, E. S. (2019). Hydrogen peroxide-based products alter inflammatory and tissue damage-related proteins in the gingival crevicular fluid of healthy volunteers: a randomized trial. Sci Rep, 9 (1), 3457.

Cordeiro, D., Toda, C., Hanan, S., Arnhold, L. P., Reis, A., Loguercio, A. D., & Bandeira, M. C. L. (2019). Clinical Evaluation of Different Delivery Methods of At-Home Bleaching Gels Composed of 10% Hydrogen Peroxide. Oper Dent, 44 (1), 13-23.

da Costa, J. B., McPharlin, R., Hilton, T., Ferracane, J. I., & Wang, M. (2012). Comparison of two at-home whitening products of similar peroxide concentration and diferente delivery methods. Oper Dent, 37 (4), 333-339.

Demarco, F. F., Meireles, S. S., & Masotti, A. S. Over-the-counter whitening agents: a concise review. Braz Oral Res. 2009,23 (1):64-70.

Del Real Garcia, J. F., Saldana-Velasco, F. R., Sanchez-de la Rosa, S. V., Ortiz-García, Y. M., Morales-Velazques, G., Gómez-Meda, B. C., Zúñiga-González, G. M., Sánchez-Parada, M. G., & Zamora-Perez, A. L. (2019). In vivo evaluation of the genotoxicity and oxidative damage in individuals exposed to 10% hydrogen peroxide whitening strips. Clin Oral Investig, 23 (7), 3033-3046.

Eachempati, P., Kumbargere Nagraj, S., Kiran Kumar Krishanappa, S., Gupta, P., & Yaylali, I. E. (2018). Home-based chemically-induced whitening (bleaching) of teeth in adults. Cochrane Database Syst Rev, 12 (12), CD006202.

Epple, M., Meyer, F., & Enax, J. (2019). A Critical Review of Modern Concepts for Teeth Whitening. Dent J (Basel), 7 (3).

Fiorillo, L., Laino, L., De Stefano R., D'Amico C., Bocchieri, S., Amoroso, G., Isola, G., & Cervino, G. (2019). Dental Whitening Gels: Strengths and Weaknesses of an Increasingly Used Method. Gels, 5 (3).

Fatima, N., Ali Abidi, S. Y., & Meo, A. A. (2016). In vitro comparative study of two different bleaching agents on micro-hardness dental enamel. J Coll Physicians Surg Pak, 26, 83-86.

Huskisson, C. E., Jones, J., & Scott, P. J. (1976). Aplicação de escalas visual-analógicas à medida da capacidade funcional. Reumatologia, 15 (3), 185-187.

Kihn, P. W., Barnes, D. M., Romberg, E., & Peterson, K. (2000). A clinical evaluation of 10 percent vs. 15 percent carbamide peroxide tooth-whitening agents. J Am Dent Assoc, 131 (10), 1478-1484.

Klarić, E., Marcius, M., Ristić, M., Sever, I., Prskalo, K., & Tarle, Z. (2013). Surface changes of enamel and dentin after two different bleaching procedures. Acta Clin Croat, 52 (4), 419-429.

Leandro, G. A., Attia, M. L., Cavalli, V., do Rego, M. A., & Liporoni, P. C. (2008). Effects of 10% carbamide peroxide treatment and sodium fluoridetherapies on human enamel surface microhardness. Gen Dent, 56, 274–277.

Li, Y., Lee, S. S., Cartwright, S. L., & Wilson, A. C. (2003). Comparison of clinical efficacy and safety of three professional at-home tooth whitening systems. Compendium of Continuing Education in Dentistry, 24 (5), 357-360.

Lima Neto, C. F., Silva, C. B., Silva, M. A. B., Vitti, R. P., Silva Zanta, C. L. P., & Tonholo, J. (2018). Tooth whitening affects bond strength of adhesive systems in enamel. Rev Matéria, 23 (4).

Meireles, S. S., Goettems, M. L., Dantas, R. V., Bona, A. D., Santos, I. S., & Demarco, F. F. (2014). Changes in oral health related quality of life after den¬tal bleaching in a double-blind randomized clinical trial. J Dent, 42, 114-121

Mushashe, A. M., Coelho, B. S., Garcia, P. P., Rechia, B. C. N., da Cunha, L. F., Co¬rrer, G. M., & Gonzaga, C. C. (2018). Effect of different bleaching protocols on whiten¬ing efficiency and enamel superficial microhardness. J Clin Exp Dent, 10 (8), e772-775.

Naik, S., Tredwin, C. J., & Scully, C. (2006). Hydrogen peroxide tooth-whitening (bleaching): review of safety in relation to possible carcinogenesis. Oral Oncol, 42 (7), 668-674.

Oliveira, R. D., Paes Leme, A. F., & Giannini, M. (2005). Effect of a carbamide peroxide bleaching gel containing calcium or fluoride on human enamel surface microhardness. Braz Dent J, 16 (2), 103-106.

Pinto, M. M., Goncalves, M. L., Mota, A. C., Deana, A. M., Olivan, S. R., Bortoletto, C., Godoy, C. H., Vergilio, K. L., Altavista, O. M., Motta, L. J., & Bussadori, S. K. (2017). Controlled clinical trial addressing teeth whitening with hydrogen peroxide in adolescents: A 12-month follow-up. Clinics, 72 (3), 161-170.

Rezende, M., Loguercio, A. D., Kossatz, S., & Reis, A. (2016). Predictive factors on the efficacy and risk/intensity of tooth sensitivity of dental bleaching: a multi regression and logistic analysis. J Dent, 45, 1-6.

Selvamani, M., Madhushankari, G. S., Basandi, P. S., Donoghue, M., Nayak, V., & Diwakar, G. (2013). Effect of Vitality on Translucent Dentine – A Study. J Int Oral Health, 5 (2), 1-7.

Serraglio, C. R., Zanella, L., Dalla-Vecchia, K. B., & Rodrigues-Junior, S. A. (2016). Efficacy and safety of over-the-counter whitening strips as compared to home-whitening with 10 % carbamide peroxide gel--systematic review of RCTs and metanalysis. Clin Oral Investig, 20 (1), 1-14.

Sikri, V. K. (2010). Color: Implications in dentistry. J Conserv Dent, 13 (4), 249-55.

Vilhena, K. F. B., Nogueira, B. C. L., Fagundes, N. C. F., Loretto, S. C., Angelica, R. S., Lima, R. R., & Souza Júnior, M. H. S. (2019). Dental enamel bleached for a prolonged and excessive time: Morphological changes. Plos One, 14 (4), e0214948.

Wang, Y., Wen, X., Jia. Y., Huang, M., Wang, F., Zhang, X., Bai, Y., Yuan, G., & Wang, Y. (2020). Piezo-catalysis for nondestructive tooth whitening. Nat Commun, 11.

Zanolla, J., Marques, A., da Costa, D. C., de Souza, A. S., & Coutinho, M. (2017). Influence of tooth bleaching on dental enamel microhardness: a systematic review and meta-analysis. Aust Dent J, 62 (3), 276-282.

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Published

09/05/2021

How to Cite

SILVA, J. V. B. S. .; MELO, V. A. de .; DIAS, M. F.; LINS-FILHO, P. C.; SOUZA, F. B. de .; GUIMARÃES, R. P. Clinical evaluation of domestic dental whitening strategies. Research, Society and Development, [S. l.], v. 10, n. 5, p. e35610514948, 2021. DOI: 10.33448/rsd-v10i5.14948. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/14948. Acesso em: 29 jan. 2023.

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Section

Health Sciences