Efficacy of Home-use Bleaching Agents Delivered in Customized or Prefilled Disposable Trays: A Randomized Clinical Trial

Autor(es)

Carlos, N. R. ; Bridi, E. C. ; Amaral, F. L. B. ; Franca, F. M. G. ; Turssi, C. P. ; Basting, R. T.

• Tipo de documento: Artigo Científico
• Fonte: Operative Dentistry; v. 42, n. 1, p. 30-40, JAN-FEB 2017.
• Citações Web of Science: 4

Resumo

The purpose of this study was to evaluate bleaching methods containing hydrogen peroxide (HP) or carbamide peroxide (CP), dispensed in customized or prefilled trays, in terms of color change, tooth sensitivity, gingival irritation, acceptance, and comfort. Seventy-five volunteers were randomly selected and distributed according to the whitening agent (n=25): 10% HP dispensed in prefilled trays (Opalescence Go 10%) and 9.5% HP (Pola Day) and 10% CP both delivered in customized trays (Opalescence PF 10%). HP was applied for 30 min/d for 14 days (d), and CP for 8 h/d for 14 days. Evaluations were performed at baseline and at 7 days and 14 days of treatment. Color change was measured with Commission internationale de l'eclairage color coordinates (L{*}, a{*}, b{*}), Vita Classical, and 3D Master scales. A visual analog scale was used to assess tooth sensitivity, acceptance of the method and degree of comfort of the tray. Gingival irritation was evaluated as present or absent and localized or generalized. Regarding gingival irritation, tray acceptance, and tooth sensitivity, no differences were observed among the groups at any time (p>0.05). As for degree of comfort, 10% HP showed lower scores (comfortable) than 10% CP, with significant differences (p<0.05) from the other groups (comfortable to very comfortable). In terms of Delta L, Delta a, and Delta E, no difference was observed among the groups or between the time periods (p>0.05). The Delta b average was higher at 14 days (p<0.05), and there was no difference among the groups (p>0.05). Localized gingival irritation was observed in both tray methods. Mild tooth sensitivity was observed with time, regardless of the bleaching agent concentration or the application time. Color change was similar for all the groups at 7 days and 14 days, but there was a greater reduction in the yellow hue at 14 days. All the bleaching methods were highly accepted and effective in promoting whitening. Although prefilled trays are generally comfortable, they proved less comfortable than customized trays. (AU)

• Processo FAPESP: 14/08188-1 - Clareamento dental com peróxido de hidrogênio: análise de parâmetros clínicos e efeitos in vitro quanto ao conteúdo mineral e microdureza do esmalte
• Beneficiário: Roberta Tarkany Basting Höfling
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 14/07883-8 - Avaliação da eficiência e de parâmetros clínicos da técnica clareadora com peróxido de hidrogênio 10% dispensado em moldeiras individuais ou pré-carregadas
• Beneficiário: Natália Russo Carlos
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica