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At least 109 records · Page 6Linked to original sources
PubMed2003

Peroxide degradation kinetics of a direct application percarbonate bleaching film.

PURPOSE: To evaluate the hydrogen peroxide (HP) degradation kinetics of a 19% sodium percarbonate (5.3% HP released) direct application bleaching gel on the tooth surface and in saliva during use. METHODS: This was a single center, 14 subject trial, where both maxillary and mandibular teeth were treated. Peroxide concentrations in the tooth scraping sample were determined at 10 minutes, 30 minutes, 1 hour, 2 hours, and 4 hours. Peroxide concentrations in the saliva were determined at 5, 10, 20, 30, and 60 minutes after test product application. RESULTS: The median peroxide concentrations on the teeth at 10 minutes, 30 minutes, 1 hour, 2 hours, and 4 hours of daytime wear were 4.7, 3.5, 1.5, 0.3 and 0.1% respectively, demonstrating significant substantivity of peroxide on the tooth surface. In contrast, the median peroxide concentrations in the saliva at 5, 10, and 20 minutes of daytime wear were very low; 0.001, 0.0001 and 0.0001% respectively. By 30 minutes, median salivary concentrations of peroxide were below the limit of detection (0.00007%). A comparison was made to previously reported data from other peroxide degradation studies with strips, trays and a paint-on tooth bleaching product.

Adult↗
PubMed2004

Effects of hydrogen peroxide bleaching strip gels on dental restorative materials in vitro: surface microhardness and surface morphology.

OBJECTIVE: This study examined the effects of peroxide tooth bleaching, including Crest Whitestrips hydrogen peroxide gel treatments, on the surface hardness and morphology of common dental restorative treatments. METHODOLOGY: American Dental Association (ADA) recommended dental restorative materials, including amalgam, dental gold, porcelain, glass ionomer, and composites, were prepared according to manufacturers' instructions. A cycling treatment methodology was employed which alternated ex vivo human salivary exposures with bleaching treatments under conditions of controlled temperature and durations of treatment. Bleaching treatments included commercial Crest Whitestrips bleaching gels, which utilize hydrogen peroxide as the in situ bleaching source, and several commercial carbamide peroxide bleaching gels. Control treatments included placebo gels and an untreated group. Crest Whitestrips bleaching included treatment exposures simulating recommended clinical exposures (14 hours), along with excess bleaching simulating exposure to five times suggested Crest Whitestrips use. At the conclusion of treatments, surface microhardness measures and surface morphological assessments with standard and variable pressure (VP-) SEMs were conducted to assess the effects of bleaching exposure on the surface morphology and structural integrity of the restoratives. RESULTS: Surface microhardness and SEM measures revealed no significant deleterious effects on the restoration surfaces from Whitestrips gels. CONCLUSION: These results confirm that tooth bleaching from the selected commercial hydrogen peroxide or carbamide peroxide bleaching systems does not produce changes in surface morphology or microhardness of common dental restorative materials. These results support the clinical safety of the selected commercial bleaching systems to the oral environment, matching results obtained from long-term use of these ingredients applied in dental offices and available in commercial formulations.

Carbamide Peroxide↗
PubMed2003

Effects of Crest Whitestrips bleaching on surface morphology and fracture susceptibility of teeth in vitro.

OBJECTIVE: This study examined the effects of peroxide tooth bleaching, including Crest Whitestrips hydrogen peroxide treatments, on the fracture susceptibility and surface morphology of human tooth enamel in vitro. METHODOLOGY: Extracted human molars were ground and polished to prepare a uniform substrate for bleaching treatments. A cycling treatment methodology was employed which alternated ex vivo human salivary exposures with bleaching treatments under conditions of controlled temperature and durations of treatment. Bleaching treatments included commercial Crest Whitestrips bleaching gels, which utilize hydrogen peroxide as the in situ bleaching source, and several commercial carbamide peroxide bleaching gels. Control treatments included placebo gels and an untreated group. Crest Whitestrips bleaching included treatment exposures simulating recommended clinical exposures (14 hours of bleaching), along with excess bleaching simulating exposure to five times the suggested Crest Whitestrips use. At the conclusion of treatments, surface color measurements were taken to ensure tooth bleaching. Surface microhardness measures and surface morphological assessments with SEM were conducted to assess the effects of bleaching exposure on the surface morphology and mineral integrity of the teeth. These latter measures were then complemented with assessments of fracture susceptibility utilizing detailed analyses of crack propagation resulting from post-treatment microhardness indentations. RESULTS: Surface microhardness and SEM measures revealed no deleterious effects on the enamel surfaces from any of the bleaching products assessed. This included conditions of excess bleaching exposure or "overbleaching." The analysis of fracture susceptibility similarly revealed no significant effects from tooth bleaching, regardless of the peroxide source. CONCLUSIONS: These results confirm that tooth bleaching from the selected commercial hydrogen peroxide or carbamide peroxide bleaching systems do not produce changes in surface morphology, microhardness or fracture susceptibility of human tooth enamel under in vitro cycling conditions of treatment matching clinical bleaching exposures. These results support the clinical safety of the selected commercial bleaching systems to vital dentition, matching results obtained from the long-term use of these ingredients applied in dental offices and available in commercial formulations.

Analysis of Variance↗
PubMed2005

The effect of carbamide peroxide treatment on metal ion release from dental amalgam.

OBJECTIVES: There is concern that hydrogen peroxide generated by tooth bleaching agents may cause enhanced metal ion release (including mercury) from dental amalgam following contact. The aim of this in vitro study was therefore to investigate the effect of a carbamide peroxide (CP) based tooth bleaching gel on metal ion release from dental amalgam. METHODS: Dental amalgam discs were prepared according to the manufacturers' instructions. These were treated with either a 10% carbamide peroxide (CP) gel or a 0% CP gel for 24h. Discs were carefully wiped with cotton wool before immersion in distilled water (20 ml) for 24h at 37 degrees C. Following immersion, water samples were taken for metal ion release determination (Ag, Cu, Hg and Sn) using inductively coupled plasma mass spectrometry methods. The specimens were further evaluated for surface changes using scanning electron microscopy (SEM) and Talysurf surface roughness measurements. RESULTS: The differences in concentration of metal ions released after treatment with the 10% CP gel and a placebo gel treatment were not statistically significant (p>0.05). For example, mercury release following treatment with the 10% CP gel and the 0% CP gel was found to be 1.17(0.5) and 0.57(0.1)microgcm(-2), respectively. Roughness measurements for samples treated with the 10% CP gel and 0% CP gel were 2.23(0.47) and 1.74(0.16)microm, respectively, again showing no significant difference between groups (p>0.05). SEM images of the amalgam surfaces showed no apparent differences between treatments. SIGNIFICANCE: Treatment with a 10% CP gel did not significantly enhance subsequent metal ion release from dental amalgams compared to a control gel, contradicting previously published studies.

Carbamide Peroxide↗
PubMed1998

Bleaching teeth: report of a survey, 1997.

Vital tooth bleaching is here--it is a viable, predictable concept providing great patient acceptance and satisfaction. Practitioners are advised to educate patients routinely about bleaching and to upgrade themselves and their auxiliary staff to be able to accomplish all aspects of bleaching.

Humans↗
PubMed1992

Bleaching the natural dentition to match the color of existing restorations: case reports.

Vital tooth bleaching has become a popular and successful treatment. This treatment may be performed under controlled conditions in the dental office or it may be used under monitored, prescribed conditions with a 10% or 15% carbamide peroxide solution, applied by the patient at home. This paper presents the use of both types of systems in a unique application to modify the color of the natural dentition to match that of existing restorations.

Adult↗
PubMed2006

Brushing effect of abrasive dentifrices during at-home bleaching with 10% carbamide peroxide on enamel surface roughness.

During tooth bleaching abrasive dentifrices might change the outer superficial enamel. The aim of this in vitro study was to evaluate the roughness of human enamel exposed to a 10% carbamide peroxide bleaching agent at different times and submitted to different superficial cleaning treatments. The study consisted of 60 sound human enamel slabs, randomly assigned to different treatment groups: G1--not brushed; G2--brushed with a fluoride abrasive dentifrice; G3--brushed with a non-fluoride abrasive dentifrice; and G4--brushed without a dentifrice. There were 15 enamel slabs per group. Slabs of molar teeth were obtained and sequentially polished with sandpaper and abrasive pastes. A perfilometer was used to obtain the mean of Ra value on the surface of each specimen to initial and experimental times. Bleaching was performed on the enamel surface for six hours daily. After that, each slab received a cleaning surface treatment and was stored in artificial saliva. Analysis of variance (ANOVA) and Tukey's HSD hoc analysis (alpha =0.05) revealed significant differences in roughness values over time for enamel bleached and treated with different superficial cleaning methods. G1 and G4 showed no significant differences in roughness over time, G2 and G3 showed a significant increase in the surface roughness values. This in vitro investigation showed the sole use of 10% carbamide peroxide did not alter the enamel surface roughness, but the cleaning treatments that employed the use of brushing with abrasive dentifrices resulted in a significant increase of enamel surface roughness.

Analysis of Variance↗
PubMed1999

In vitro penetration of the pulp chamber by three brands of carbamide peroxide.

PURPOSE: Vital tooth bleaching has become a popular procedure for whitening teeth. Most home bleaching products contain 10% carbamide peroxide. The purpose of this in vitro study was to measure the quantity of hydrogen peroxide that reaches the pulp chamber from three carbamide peroxide products: Opalescence, Sparkle, and Rembrandt. MATERIALS AND METHODS: Seventy roots of extracted premolars were amputated approximately 3 mm apical to the cementoenamel junction, and the pulp tissues were removed. They were divided into three experimental groups (n = 20) and a control group of 10 teeth. An acetate buffer solution was placed in the pulp chamber before the crown was exposed to the bleaching agent at 37 degrees C for 25 minutes. The buffer solution was removed and reacted with leukocrystal violet and horseradish peroxidase. The optical density of blue color that developed was measured at a wavelength of 596 nm and read from a standard curve for hydrogen peroxide quantity. RESULTS: The measured amounts of hydrogen peroxide were 3.605 +/- 1.405, 1.282 +/- 0.762, and 0.339 +/- 0.251 micrograms for the Opalescence, Sparkle, and Rembrandt groups, respectively. A statistically significant difference in the hydrogen peroxide levels was observed by analysis of variance (p < .05) among the three groups. It was concluded that the penetration of commercial bleaching products was different even though the products were labeled as having the same 10% carbamide peroxide. CLINICAL SIGNIFICANCE: Carbamide peroxide penetration to the pulp varies significantly for various commercial bleaching products. This may result in different levels of tooth sensitivity or bleaching efficacy.

Carbamide Peroxide↗
PubMed1997

Historical development of whiteners: clinical safety and efficacy.

Since the introduction in 1989 of a home tooth-bleaching technique, the practice has become widespread in the USA. Safety concerns led the Food and Drug Administration (FDA) to temporarily ban sales in 1991 but the ban was later lifted, and the American Dental Association (ADA) now issues guidelines for safety and efficacy. Early information on safety of home bleaching products was often skewed because they were being compared out of context with those designed to be used only in the dental office. The early studies also failed to put the risks into perspective with the risks from other routine dental procedures. The risks are minimized with the systems supplied by dentists because he or she is able to diagnose any problems or special needs, to plan appropriate treatment and to fabricate, fit and adjust the prosthesis used to apply the material. A wide variety of disfigurements may now be treated successfully at home using preparations supplied by the dental practitioner.

American Dental Association↗
PubMed1995

Molecular mechanisms of the bleaching actions associated with commercially-available whitening oral health care products.

An increased public awareness in dental aesthetics has resulted in the wide availability of techniques of tooth bleaching, both in the dental chair and at home. This article reviews the aetiology of tooth discolouration both at the clinical and the molecular level, together with methods of alleviating such discolouration. Much of the therapeutic and aesthetic actions of commercially-available tooth whiteners, gels, oral rinses and other dentifrices are predominantly dependent on their ability to act as oxidants. A novel method of evaluating these aspects of dentifrice activity is also described: high resolution proton nuclear magnetic resonance (NMR) spectroscopy is a virtually non-invasive, multi component bioanalytical technique that can be employed to study oxidation/reduction reactions at the molecular level and is utilised here to investigate the mechanisms of action of a newly developed dentifrice (Ultrawhite Opal, Janina International). Such methodology also offers much potential for studies concerning the numerous chemical reactions occurring within the oral environment.

Dentifrices↗
PubMed1999

Colorimetric assessment of laser and home bleaching techniques.

PURPOSE: This study recorded in vitro color change of three tooth bleaching techniques that included laser-activated hydrogen peroxide and two concentrations of carbamide peroxide. MATERIALS AND METHODS: Forty extracted human central incisors were exposed to argon laser-activated 35% H2O2, 10% carbamide peroxide, or 20% carbamide peroxide. A fourth group (control) did not receive any bleach treatment (n = 10/group). Commission International de l'Eclariage (CIE) L*a*b* coordinates were recorded prior to bleaching (baseline), at 1 week, and at 2 weeks. The color difference (delta E*ab) between baseline and subsequent measurements was calculated. RESULTS: The control group did not demonstrate significant color difference over time (p > .05). The laser group was not statistically different from the control group (p > .01). The color difference of the 10% and 20% carbamide peroxide groups was statistically different from the control group (p < .01). CLINICAL SIGNIFICANCE: Exposure to 20% carbamide peroxide produced the greatest perceivable change in color. The recommended one-time application of laser-activated hydrogen peroxide did not demonstrate any perceivable color change. The clinician should be aware that additional or longer applications may be required.

Carbamide Peroxide↗
PubMed2003

The adolescent patient: special whitening challenges.

Vital tooth bleaching has become increasingly popular, even with the adolescent patient. Tooth whitening may be performed in adolescent patients with typical bleaching agents; with severe discolorations, it may be more appropriate to use the microabrasion technique with subsequent bleaching to achieve desirable esthetics.

Adolescent↗
PubMed1998

The efficacy and safety of a 10% carbamide peroxide bleaching gel.

OBJECTIVE: A 6-month, double-blind study was undertaken to assess the efficacy and safety of a 10% carbamide peroxide gel designed for at-home tooth bleaching. METHOD AND MATERIALS: Sixty patients were randomized into two equal subgroups balanced by age, gender, and oral health status. Shade guide measurements, color transparency photographs, and colorimeter readings were taken and evaluated at baseline and 1, 2, 3, 6, 12, and 24 weeks. The active phase of treatment lasted 14 days. RESULTS: At 22 weeks postbleaching (week 24 of the study), patients receiving the active agent had a 14.1 rank order difference in the shade guide from baseline, and 66% had a clinically observable color change as determined by photographic assessment. They also had a measurable, statistically significant color change from baseline to 6 months of delta E* = 5.0. The tooth color of maxillary incisors stabilized at week 6 and maxillary canines at week 12. The mean color change lost from weeks 2 to 24 was 45% (in delta E*). Transient tissue and tooth sensitivity, noted in some patients, resolved after treatment was completed. CONCLUSION: The product tested is an effective and safe tooth-whitening agent.

Adult↗
PubMed2005

Clinical evaluation of a new bleaching product "Polanight" in a Japanese population.

Home bleaching techniques have been applied as a safe and effective bleaching procedure. Many manufacturers are now marketing home tooth-bleaching products. The purpose of this study was to compare a new bleaching product, Polanight (PN) with a widely used home bleaching product, Opalescence (OP). Fifty-eight healthy Japanese volunteers of both sexes (18 to 47 years of age) were selected. Using a simultaneous split-mouth protocol, custom-made trays with PN and OP were applied to the maxillary right anterior teeth and left anterior teeth, respectively. The shades of the maxillary canine teeth were measured with a portable chromameter (Shade Eye Ex) at the first examination and at 4 weeks (after 2-week bleaching and 2-week rest). Tooth shade changes were analyzed using the Commission Internationale d'Eclairage (CIE) Lab units. Means of whiteness-blackness difference (DeltaL*), redness-greenness difference (Deltaa*), and yellowness-blueness difference (Deltab*) were 4.00, -1.28 and -7.53 for PN, and 2.54, -0.99, and -5.56 for OP, respectively. Means of color difference (DeltaE*) were 9.23 and 7.78 for PN and OP, respectively. Treatment with either agent demonstrated significant bleaching effects produced by the treatment. The new product, PN, showed significant differences in DeltaL* (P < 0.05) and Deltab* (P < 0.005), but not in the redness-greenness (a*) value when compared with OP. Bleaching with PN was considered more effective than that with OP in the young patient group and in the women.

Adolescent↗
PubMedDate not supplied

Surface hardness of resin composites after staining and bleaching.

This study investigated the effect of 3 staining solutions and 3 over-the-counter tooth-bleaching systems on the microhardness of 2 dental resin composites. Forty-five specimens of Filtek Supreme and Esthet-X were randomly assigned to 3 groups. Over a 40-day test period, the specimens in each group (n=15) were immersed in 1 of the 2 staining solutions (coffee and red wine) or distilled water as the control for 3 hours a day at room temperature. The 15 specimens in each staining group were further randomly divided into 3 subgroups, and the specimens in each subgroup (n=5) were bleached using one of the bleaching agents (Night Effects, Simply White Night and Opalescence Quick). Surface hardness was measured at 24 hours after polymerization (baseline), after staining and after bleaching. Means and standard deviations were calculated, and the data were analyzed using repeated-measures analysis of variance and Duncan's Test. The microhardness of Esthet-X was significantly higher than Filtek Supreme at baseline (p<0.01). All specimens of both materials immersed in coffee and wine revealed a significant hardness decrease compared to baseline values (p<0.05). In the control group, microhardness was increased, and this increase was statistically significant for Filtek Supreme (p<0.05). After bleaching, there was a significant decrease in mean microhardness for all groups tested (p<0.05). No significant difference was found among bleaching agents.

Beverages↗
PubMed2004

High-concentrated carbamide peroxide bleaching agents effects on enamel surface.

Concern has been expressed regarding the adverse effects of peroxide-containing tooth bleaching agents on enamel surface. This study examined enamel average surface roughness before (baseline) and after an in-office bleaching protocol and investigated the influence of high concentrations of carbamide peroxide gels on its surface staining and morphology. Flat enamel surfaces were submitted to 35 and 37% carbamide peroxide or to no bleaching treatment (n = 10) and evaluated with a profilometer. Eight specimens from each group were randomly selected and immersed in a 2% methylene blue solution. Afterwards, specimens were ground into powder and prepared for the spectrophotometric analysis. Two remained specimens of each group were examined using a scanning electron microscope. Data were subjected to analysis of variance and Tukey test (P > 0.05). Baseline roughness average was statistically similar for all groups, however, 35% carbamide peroxide produced the roughest enamel surfaces. Different concentrations of carbamide peroxide produced similar staining means and enamel surface morphological alterations.

Carbamide Peroxide↗