دورية أكاديمية
أعرض في EDS

In-office dental bleaching in adolescents using 6% hydrogen peroxide with different application tips: randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: In-office dental bleaching in adolescents using 6% hydrogen peroxide with different application tips: randomized clinical trial.
المؤلفون: Carneiro TS; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil .; Universidad Rey Juan Carlos , Facultad de Ciencias de la Salud , IDIBO, Madrid , España ., Favoreto MW; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil ., Ferreira MWC; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil ., Bernardi LG; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil ., Andrade HF; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil ., Bandeca MC; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil ., Reis A; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil ., Ceballos García L; Universidad Rey Juan Carlos , Facultad de Ciencias de la Salud , IDIBO, Madrid , España ., Loguercio AD; Universidade Estadual de Ponta Grossa , Departamento de Dentística Restauradora , Ponta Grossa , Brasil .
المصدر: Journal of applied oral science : revista FOB [J Appl Oral Sci] 2023 Oct 27; Vol. 31, pp. e20230216. Date of Electronic Publication: 2023 Oct 27 (Print Publication: 2023).
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Faculdade de Odontologia de Bauru, USP Country of Publication: Brazil NLM ID: 101189774 Publication Model: eCollection Cited Medium: Internet ISSN: 1678-7765 (Electronic) Linking ISSN: 16787757 NLM ISO Abbreviation: J Appl Oral Sci Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Bauru, SP : Faculdade de Odontologia de Bauru, USP, [2003]-
مواضيع طبية MeSH: Tooth Bleaching* , Tooth Bleaching Agents* , Dentin Sensitivity*, Humans ; Adolescent ; Hydrogen Peroxide ; Treatment Outcome ; Gels
مستخلص: Objective: Despite the availability of in-office bleaching gels with a 6% concentration of hydrogen peroxide (HP), these gels have not been evaluated in younger patients. They are commercially available with a tip, associated or not with a brush, where the tip with a brush spreads the gel over the entire surface to have a smaller thickness (thin layer) since the manufacturers indicate the application of a thin layer of gel. This randomized, split-mouth, double-blind clinical trial evaluated the efficacy of in-office bleaching with 6% HP in adolescents using different application tips, as well tooth sensitivity (TS) and aesthetic self-perception.
Methodology: Sixty participants were randomized for 6% HP self-mixing bleaching gel tip design: without brush and with brush. In-office bleaching was performed in 3 sessions of 50 minutes. Color change was evaluated using a digital spectrophotometer (ΔE ab , ΔE 00 , and ΔWI D ) and color guide (ΔSGU), the absolute risk and intensity of TS with a visual analogue scale and aesthetic self-perception with the oral aesthetic scale (a=0.05).
Results: The groups achieved similar bleaching regardless of the application tip (p>0.05). However, only for ΔWI D , a significant mean difference (MD) was observed in the third week (MD 2.3; 95% CI 1.2 to 3.3; p < 0.001) and at one month (MD 1.6; 95% CI 0.6 to 2.6; p < 0.03) favoring the tip without brush. Regarding TS, 45% in the tip-without-brush group and 33% in the tip-with-brush group reported TS (odds ratio 0.61; 95% CI 0.29 to 1.28; p<0.02), with low TS intensity (MD 0.05; 95% CI -0.06 to 0.17; p>0.36). All patients reported improved aesthetic self-perception after bleaching (MD -1.3; 95% -1.8 to -0.9; p<0.001).
Conclusions: Regardless of the tip used bleaching with 6% HP achieved a bleaching efficacy and improved the aesthetic self-perception. However, a lower risk of TS for application using the tip with brush was observed.
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المشرفين على المادة: BBX060AN9V (Hydrogen Peroxide)
0 (Tooth Bleaching Agents)
0 (Gels)
تواريخ الأحداث: Date Created: 20231101 Date Completed: 20231102 Latest Revision: 20231103
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10609651
DOI: 10.1590/1678-7757-2023-0216
PMID: 37909527
قاعدة البيانات: MEDLINE
الوصف
تدمد:1678-7765
DOI:10.1590/1678-7757-2023-0216