PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Tooth Bleaching”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,261 records · Page 70Linked to original sources
PubMed2002

Tooth whitening today.

BACKGROUND: Methods to improve the esthetics of the dentition by tooth whitening are of interest to dentists, their patients and the public. In the past 20 years, research on bleaching and other methods of removing tooth discolorations has dramatically increased. Dentist-supervised and over-the-counter products now are available to solve a variety of tooth discoloration problems without restorative intervention. The indications for appropriate use of tooth-whitening methods and products are dependent on correct diagnosis of the discoloration. OVERVIEW: Tooth-whitening methods include the use of peroxide bleaching agents to remove internal discolorations or abrasive products to remove external stains. Peroxide bleaching procedures are completed by the dentist in single or multiple appointments, or by the patient over a period of weeks to months using custom trays loaded with a bleaching agent. Both methods are safe and effective when supervised by the dentist. Microabrasion is indicated for the removal of isolated discolorations that often are associated with fluorosis. Whitening toothpastes remove surface stains only through the polishing effect of the abrasives they contain. CONCLUSIONS AND PRACTICE IMPLICATIONS: Tooth whitening is a form of dental treatment and should be completed as part of a comprehensive treatment plan developed by a dentist after an oral examination. When used appropriately, tooth-whitening methods are safe and effective.

Dental Devices, Home Care↗
PubMed1994

Comparative clinical evaluation of two professional tooth-whitening products.

A 2-week study was conducted to compare the tooth-whitening efficacy of two 10% carbamide peroxide products: Colgate Platinum Professional Toothwhitening System and Rembrandt Lighten Bleaching Gel. Fifty subjects were divided into two groups and assigned a product to use for 2 weeks. Change in tooth color was measured by reflectance spectroscopy at the initiation of study, at 1 week, and at 2 weeks into the study. Color change was calculated using the color-difference equation established by the Commission International de L'Eclairage. Results showed that Colgate Platinum was 62% more effective at tooth whitening after 1 week and 83% more effective after 2 weeks of treatment vs Rembrandt. At the termination of the study, the mean color difference (deltaE) for Colgate Platinum was 4.29 and 2.34 for Rembrandt. Statistical analysis demonstrated that the Colgate product is significantly superior at increasing tooth whiteness, increasing tooth lightness, reducing redness, and reducing yellowness. In this study, no adverse reactions were noted on clinical examination and none were reported by panelists with normal healthy dentition.

Analysis of Variance↗
PubMed2004

The efficiency of 10% carbamide peroxide gel on dental enamel.

This study investigated the effect of 10% carbamide peroxide gel on human tooth color, vibrational mode, and mineral loss. The exposed enamels were bleached for two weeks (six hours' bleaching and 18 hours' storage in distilled water per day). Color change was calculated from the CIE L*a*b* color values. Vibrational mode in Fourier transform Raman spectrum and mineral content were also estimated. The bleached enamels showed an apparent color change (deltaE* = 5.35). Within the test period, their whiteness increased linearly as the period increased. A slight decrease in Raman peak at 1068 cm(-1)--compared with the peak at 430 cm(-1)--was observed after bleaching. The total mineral content was decreased from 90.39 to 86.01 after bleaching. Also, the calculated Ca/P ratio decreased from 2.10 to 2.07. However, these changes were negligibly different from the enamels stored in distilled water except for a color change.

Analysis of Variance↗
PubMed2002

Combined apexification and orthodontic intrusion of a traumatically extruded immature permanent incisor.

A patient with a traumatic extrusion of the maxillary right central incisor was referred to the Pedodontic Clinic of Gazi University Faculty of Dentistry after 15 days. Orthodontic repositioning of the tooth was planned in 6 months. At the beginning of orthodontic therapy it was observed that the tooth was necrotic and needed an apexification procedure. The apexification procedure and orthodontic intrusion were successfully performed at the same time. In addition, a "walking bleach" was performed after the orthodontic and endodontic procedures were completed. At the 3-year recall, the tooth appeared normal in all respects.

Child↗
PubMed1993

Single discolored tooth: an alternative treatment approach.

A single discolored tooth is often difficult to treat, but one with an obliterated pulp chamber and root canal presents an even greater challenge. The use of nightguard bleaching is offered as a simpler, alternative treatment to either root canal therapy or the removal of sound tooth structure for fabrication of a facial veneer or a complete-coverage crown.

Adult↗
PubMed2005

Extrinsic whitening effects of sodium hexametaphosphate--a review including a dentifrice with stabilized stannous fluoride.

The number of tooth whitening products available to patients has grown dramatically during recent years. While peroxide is the primary agent found in products that bleach and remove intrinsic sources of discoloration, various ingredients are incorporated in formulations to remove and inhibit extrinsic sources of tooth discoloration, ie, tooth stain. Recently, an advanced antitartar ingredient with extrinsic-stain-inhibiting benefits was introduced: sodium hexametaphosphate. This long-chain condensed phosphate, also known as polypyrophosphate, chemically removes existing stains and provides long-lasting inhibition of new-stain chromogen adsorption. Sodium hexametaphosphate was originally introduced in a sodium fluoride dentifrice formulation and was later marketed in a chewing gum delivery system. Recently, sodium hexametaphosphate was launched in another dentifrice formulation containing stabilized stannous fluoride (Crest Pro-Health). This article reviews published clinical and laboratory data demonstrating sodium hexametaphosphate's extrinsic whitening benefits in all three formulations.

Cariostatic Agents↗
PubMed1996

[Micro-abrasions of enamel: an alternative to the elimination of superficial demineralization and decalcification].

Tooth discoloration's may cause serious damage to the aesthetic appearance of the patients. These discoloration's can be treated in several ways but up to lately tooth structure had to be removed in an irreversible manner in order to provide sufficient bulk for the new restorative material. Nowadays thanks to the work of T. Croll and others a method has been established in a scientific way whereby tooth discoloration's confined to the outermost layer of enamel can be removed, through the application of an compound called PREMA which will simultaneous erode and abrade the enamel surface. If carefully selected the discoloration can be removed with only a limited loss of tooth structure. The authors describe the historical background of the method. Furthermore patient's selection, specific instruments and materials are described in detail. The clinical procedure is explained step by step, followed by a complete report of the effects of the procedure on the different tooth structures. Finally the long term results are discussed and the possibility to enhance the result by combining this method with home bleaching.

Complex Mixtures↗
PubMed1993

Effect of bleaching on vital discoloured teeth--a colorimetric evaluation in three patients.

Vital bleaching is considered effective for reduction of tooth discolouration. This evaluation was to measure colour changes before and after bleaching of vital tetracycline-discoloured teeth in three patients. Vital bleaching of their anterior maxillary teeth was performed five times at weekly intervals. Tooth colour was measured with a small-area colorimeter before, immediately and two, four and six months after bleaching. The results were expressed in the CIE L*a*b* colour system. The L* value, a lightness variable, increased after bleaching. The a* value changed only negligibly, but the b* value decreased after bleaching showing changes in the tooth colour from yellow to blue. The colour differences before treatment and six months after bleaching was visually perceivable.

Adult↗
PubMed2003

Over-the-counter tooth-whitening systems.

Sales of over-the-counter (OTC) tooth-whitening products have increased sharply in recent years because of heightened consumer demand for esthetic care, success of in-office and professional home bleaching systems, and heavy promotion by product manufacturers. All the whitening products contain hydrogen peroxide or carbamide peroxide and differ in their mode of delivery. Because tooth whiteners are not regulated by the Food and Drug Administration, many retail products have not undergone rigorous, objective, clinical testing and hence may be of questionable efficacy and safety. OTC tray-based systems in particular must be used with caution because ill-fitting trays can lead to soft-tissue injury, malocclusion problems, and poor compliance. Non--tray-based systems, including a paint-on system and whitening strips, have recently become available. These products are inexpensive, convenient, and easy to use, and they represent the fastest growing segment of the retail market. Whitening dentifrices comprise approximately 50% of OTC tooth whitening products work mainly by abrasion to remove superficial stains. With heightened consumer interest in whiter teeth, clinicians must become familiar with OTC products to provide optimal solutions and treatment to patients.

Dentifrices↗
PubMed1996

Surface morphology changes in human enamel, dentin and cementum following bleaching: a scanning electron microscopy study.

Extracted human premolars were cut, cleaned and divided into 6 experimental groups. Each group was treated with one of the following bleaching materials: 30% hydrogen peroxide, 10% carbamide peroxide, sodium perborate, Nu-Smile, Opalescence and DentlBright. Morphological changes in tooth surface occurred following treatment with most bleaching agents. Hydrogen peroxide and DentlBright were associated with surface changes in all dental tissues. Hydrogen peroxide, DentlBright, Nu-Smile and Opalescence were mainly associated with surface changes in the cementum, which exhibited more changes than the other tissues.

Borates↗
PubMed1999

Clinical study of tooth shade lightening from dentist-supervised, patient-applied treatment with two 10% carbamide peroxide gels.

PURPOSE: Prescribed, patient-applied tooth lightening agents, or nightguard vital bleaching, typically utilizes a 10% carbamide peroxide agent applied during nocturnal hours. The purpose of this randomized double-blind study was to compare the amount of tooth color change in two groups of subjects using dentist-supervised, patient-applied 10% carbamide peroxide gel. MATERIALS AND METHODS: One group used Opalescence (Ultradent Products Inc., South Jordan, Utah) and the other NiteWhite Excel (Discus Dental, Inc., Los Angeles, California). Evaluation of tooth color for the six maxillary anterior teeth was done using a Vita shade guide at baseline, 1, 2, and 4 weeks. Subjects were instructed to apply the gel nocturnally using a custom-made soft tray 8 hours per day for 2 weeks. The 16 tabs of the shade guide were ranked according to value from darkest to lightest. The number (1-16) that correlated to the shade tab selected as the match for each tooth was the outcome variable. A Kruskal-Wallis one way analysis of variance on ranks was used. RESULTS: The test revealed no statistically significant difference between Opalescence and NiteWhite Excel for lightening the teeth (p = .807). The color change was still significant after 2 weeks without further bleaching activity. The baseline evaluation of the maxillary incisors and canines for all subjects, regardless of group, demonstrated a significant shade difference, with the canines being darker. This difference was not seen after 2 weeks of active bleaching or at the 4-week evaluation. CLINICAL SIGNIFICANCE: In this study comparing bleaching products, patients using Opalescence and NiteWhite Excel experienced a significant change in the color of their teeth relative to baseline values after 2 weeks of active treatment.

Adult↗
PubMed1997

Hydroxyl radical activity in thermo-catalytically bleached root-filled teeth.

Intra-coronal bleaching of root-filled teeth has been associated with invasive cervical root resorption. It is considered that during bleaching hydrogen peroxide diffuses through the tooth structure into the cervical periodontium, resulting in periodontal tissue destruction and initiating a resorptive process. Hydrogen peroxide is capable of generating hydroxyl radical, an oxygen-derived free radical, in the presence of ferrous salts. Hydroxyl radicals are extremely reactive and have been shown to degrade components of connective tissue, particularly collagen and hyaluronic acid. The aim of the present study was to determine whether hydroxyl radicals are generated during the bleaching of root-filled teeth which have been discoloured by blood. Forty extracted human premolar teeth were root-filled with gutta-percha and AH26 sealer cement. Twenty of the teeth were experimentally discoloured by blood. All teeth were then thermo-catalytically bleached using 30% hydrogen peroxide while tooth roots were seated in a test solution of sodium salicylate. Hydroxyl radical generation was determined by the detection of reaction products of this radical with salicylate using high performance liquid chromatography with electrochemical detection (HPLC-ECD). The presence of hydroxyl radicals was detected in twenty-five of the teeth. There was a significant association between the production of hydroxyl radicals and the presence of tooth discolouration caused by blood components. Greatest yields of hydroxyl radicals occurred in teeth in which EDTA had been used to clean the pulp chamber prior to bleaching. It was concluded that hydroxyl radicals are generated during the thermo-catalytic bleaching of root-filled teeth. Generation of this toxic chemical species may be one mechanism underlying periodontal tissue destruction and root resorption after intra-coronal bleaching.

Analysis of Variance↗
PubMedDate not supplied

[Modern views on treating tooth discoloration from tetracycline].

The Authors, having widely examined literature about genesis and methods of treatment of the tetracycline-induced discoloration of the teeth, had clinically studied a new way of bleaching discolored teeth called B.V. Bleaching Vital, they also described the execution's technique of this method.

Adult↗
PubMed1998

Sphere spectrophotometer versus human evaluation of tooth shade.

The purpose of this study was to compare an objective to a subjective method of tooth shade evaluation using the SP78 sphere spectrophotometer and human visual analysis. Twenty extracted fully developed human maxillary teeth had their L* values (lightness) read by the SP78 on day 1 and then again on day 14. Using a blind method, five human evaluators then attempted to match shade tabs from a six-tab experimental Vita shade guide to the same teeth on days 1 and 14. The SP78 L* values read for each tooth were evaluated for a match between those obtained on day 1 and those read on day 14. The results of human evaluation of tooth shade were compared among the evaluators and then between themselves over time. Finally, the ability of human evaluators to match tooth shade was compared with the results obtained with the SP78. The SP78 reproduced L* readings within the standard error of the machine (< or = 1.0) in 16 of 20 (80%) teeth. In contrast, interevaluator agreement expressed as majority agreement (3, 4, or 5 of 5 evaluators agreeing) was only 10 of 20 (50%) teeth on day 1 and 13 of 20 (65%) teeth on day 14. Intraevaluator agreement over the experimental period ranged from 20 to 60%. The results of this study confirm that human evaluation of tooth shade is unreliable and that the SP78 sphere spectrophotometer can provide a more predictable and accurate method of evaluating tooth shade in vitro. This finding opens up a new avenue of investigation for testing the effectiveness of materials and techniques in bleaching discolored teeth.

Color↗
PubMed1996

[Micro-abrasion of the enamel: an alternative to the removal of demineralization and superficial decalcification].

Tooth discoloration's may cause serious damage to the aesthetic appearance of the patients. These discoloration's can be treated in several ways but up to lately tooth structure had to be removed in an irreversible manner in order to provide sufficient bulk for the new restorative material. Nowadays thanks to the work of T. Croll and others a method has been established in a scientific way whereby tooth discoloration's confined to the outermost layer of enamel can be removed, through the application of an compound called PREMA which will simultaneous erode and abrade the enamel surface. If carefully selected the discoloration can be removed with only a limited loss of tooth structure. The authors describe the historical background of the method. Furthermore patient's selection, specific instruments and materials are described in detail. The clinical procedure is explained step by step, followed by a complete report of the effects of the procedure on the different tooth structures. Finally the long term results are discussed and the possibility to enhance the result by combining this method with home bleaching.

Complex Mixtures↗
PubMed1995

Carbamide peroxide bleaching of teeth with dentinogenesis imperfecta discoloration: report of a case.

Carbamide peroxide dental bleaching has gained much popularity in the past 5 years. Because tooth discoloration caused by dentinogenesis imperfecta involves deep, dark, dentinal stain, practitioners might believe that affected teeth would be resistant to color improvement by bleaching. This article reports the successful use of carbamide peroxide at-home bleaching in a teenager with dentinogenesis imperfecta. Six-month treatment results are shown.

Adolescent↗
PubMed2005

Comparison of three in-office bleaching systems based on 35% hydrogen peroxide with different light activators.

PURPOSE: To compare in vitro the bleaching effects obtained with and without the use of the various lights on power bleaching systems. METHODS: 19 groups of five tooth specimens were prepared and allocated randomly to treatments. Only specimens with shade C4 were accepted for the study. Three commercial bleaching products all based on 35% hydrogen peroxide were used with and without four different light sources. Shade assessments were made using a Shade Guide (SG), Shade Vision System (SVS) and chromometer. RESULTS: For SG, all but the light only treatment resulted in measurable improvement in shade ranging from 4.6 to 14.6 shade guide units. Similar findings were apparent with SVS and chromometer. No change was seen in the light only treatments by SVS or SG with very small changes by chromometer. In mean terms with all three gels, least change was noted when there was no light used. For SG, SVS and chromometer data analysis over all treatment groups, excluding light only treatments, revealed highly significant differences. Within bleach product treatment differences were only significant with one gel both with and without light activation. Differences between gels with the same light and no light revealed some significant differences in SG and chromometer data but not SVS. In mean terms the order of efficacy of gels with each light and no light was the same for the majority of data sets.

Analysis of Variance↗