RESUMO
OBJECTIVE: To map and summarize the current scientific evidence concerning the active ingredients, effectiveness, and adverse effects of over-the-counter (OTC) bleaching products. DATA AND SOURCE: This study was conducted according to the PRISMA-ScR guidelines for scoping reviews and registered on the Open Science Framework platform. STUDY SELECTION: Database searches were conducted in PubMed/MEDLINE, Embase, and Scopus up to January 2024. All in vitro, in situ, and clinical studies evaluating the effectiveness and adverse effects of OTC bleaching products were included. A descriptive analysis of the included studies was performed. RESULTS: A total of 88 studies were included. Most of them were in vitro studies (n = 49), followed by randomized clinical trials (n = 28). The main OTC bleaching products identified were whitening or stain-removing toothpastes (n = 42), followed by whitening strips (n = 39). Most clinical studies indicate that whitening strips are effective in improving tooth color and providing whitening benefits. In contrast, the bleaching effectiveness of toothpastes, mouth rinses and whitening trays was mainly supported by in vitro studies. The main adverse effects associated with OTC bleaching agents were tooth sensitivity and gingival irritation. CONCLUSION: A wide variety of OTC bleaching products is available for consumer self-administered use. Clinical studies have mainly confirmed the bleaching effectiveness of whitening strips, while the validation for toothpastes, mouth rinses and whitening trays has mainly relied on in vitro studies. Nevertheless, the use of OTC bleaching products may result in adverse effects, including tooth sensitivity, gingival irritation, and enamel surface changes. CLINICAL SIGNIFICANCE: Some over-the-counter bleaching products may have whitening properties supported by clinical studies, particularly those containing hydrogen or carbamide peroxide. Nonetheless, clinicians must be aware of the potential risks associated with excessive self-administration of these products, which may result in adverse effects.
Assuntos
Clareadores Dentários , Clareamento Dental , Cremes Dentais , Humanos , Peróxido de Carbamida/uso terapêutico , Sensibilidade da Dentina/induzido quimicamente , Peróxido de Hidrogênio/uso terapêutico , Peróxido de Hidrogênio/efeitos adversos , Antissépticos Bucais/uso terapêutico , Antissépticos Bucais/efeitos adversos , Medicamentos sem Prescrição/uso terapêutico , Medicamentos sem Prescrição/efeitos adversos , Clareamento Dental/efeitos adversos , Clareamento Dental/métodos , Clareadores Dentários/uso terapêutico , Clareadores Dentários/efeitos adversos , Descoloração de Dente/induzido quimicamente , Descoloração de Dente/tratamento farmacológico , Cremes Dentais/uso terapêutico , Cremes Dentais/efeitos adversosRESUMO
The aim of this study was to evaluate the effect of nicotine lozenge on teeth staining with/without bleaching in animal model study. A total of 15 Wistar rats were exposed in an acrylic container to 10 cigarettes smoke three times a day for 8 minutes per time, and sacrificed after 60 days. A total of 30 incisor teeth were treated (n=10) as the following: Group-1: in-office bleaching, at-home bleaching and immersion in artificial saliva; group-2: in-office bleaching, at - home bleaching and immersion in nicotine lozenge solution and in artificial saliva; group-3: immersion in nicotine lozenge solution and in artificial. The specimens of all groups were photographed using a stereomicroscope at T1) immediately after the extraction and before any treatment; T2) after one month of the treatment; and T3) after two months of the treatment. Four equidistant points of each specimen were analyzed using CMYK shade guide. The data were analyzed one-way ANOVA test followed by Tukey test for multiple comparisons with (a ≤ 0.05). In group-1, there was a significant difference of the color saturation of specimens between T1 and T2, and between T1 and T3 readings (P<0.0001). In group-2, there was a significant difference of the color saturation of specimens between T1 and T2, between T2 and T3 readings (P<0.0001). In group-3, there was a significant difference of the color saturation of specimens between T1 and T2, and between T1 and T3 readings (P<0.0001). The usage of nicotine lozenge promotes teeth lighting with/without bleaching.
El objetivo de este estudio fue evaluar el efecto de comprimidos de nicotina sobre la tinción de los dientes con/sin blanqueamiento en un estudio de modelo animal. Un total de 15 ratas Wistar fueron expuestas en un recipiente acrílico al humo de 10 cigarrillos tres veces al día durante 8 minutos por vez, y sacrificadas después de 60 días. Se trataron un total de 30 dientes incisivos (n=10) de la siguiente manera: Grupo-1: blanqueamiento en consultorio, blanqueamiento en casa e inmersión en saliva artificial; grupo-2: blanqueamiento en consultorio, blanqueamiento en casa e inmersión en solución de comprimidos de nicotina y en saliva artificial; grupo-3: inmersión en solución de nicotina en comprimidos y en artificial. Los especímenes de todos los grupos fueron fotografiados utilizando un microscopio estereoscópico en T1) inmediatamente después de la extracción y antes de cualquier tratamiento; T2) después de un mes del tratamiento; y T3) a los dos meses del tratamiento. Se analizaron cuatro puntos equidistantes de cada espécimen utilizando la guía de colores CMYK. Los datos se analizaron con la prueba ANOVA unidireccional seguida de la prueba de Tukey para comparaciones múltiples con (a ≤ 0,05). En el grupo 1, hubo una diferencia significativa de la saturación de color de las muestras entre T1 y T2, y entre las lecturas T1 y T3 (P<0,0001). En el grupo 2, hubo una diferencia significativa de la saturación de color de las muestras entre T1 y T2, entre las lecturas de T2 y T3 (P<0.0001). En el grupo 3, hubo unadiferencia significativa de la saturación de color de las muestras entre T1 y T2, y entre las lecturas T1 y T3 (P<0,0001). El uso de comprimidos de nicotina promueve la iluminación de los dientes con/sin blanqueamiento.
RESUMO
OBJECTIVE: This study was aimed at comparing the bleaching efficacy and bleaching sensitivity (BS) of two higher-concentration in-office bleaching gels (37% carbamide peroxide [CP] and 38% hydrogen peroxide [HP]) applied under two conditions: alone or in association with sonic activation. METHODS: Fifty-six volunteers were randomly assigned in the split-mouth design into the following groups: CP, CP with sonic activation (CPS), HP, and HP with sonic activation (HPS). Two in-office bleaching sessions were performed. Color was evaluated using Vita Classical, Vita Bleachedguide, and digital spectrophotometer at baseline and at 30 days post-bleaching. Absolute risk and intensity of BS were recorded using two pain scales. All data were evaluated statistically (color changes [t test], BS [Chi-square and McNemar test], and BS intensity [VAS; t test; NRS; Wilcoxon; α = 0.05]). RESULTS: Significant and higher whitening was observed for HP when compared with CP (p < 0.04). However, higher BS intensity was observed in the former (p < 0.001). No significant difference was observed in whitening effect or BS when the HP or CP bleaching gels were agitated (sonic application) compared with when they were not (p > 0.05). CONCLUSION: The 37% CP gel demonstrated lower bleaching efficacy and lower BS compared with the 38% HP bleaching gel. The whitening effect was not influenced by the use of sonic activation. CLINICAL SIGNIFICANCE: The use of 37% CP gel did not achieve the same whitening effect when compared to 38% HP gel used for in-office bleaching. The use of sonic activation offers no benefit for in-office bleaching.
Assuntos
Sensibilidade da Dentina , Clareadores Dentários , Clareamento Dental , Humanos , Peróxido de Hidrogênio , Boca , Resultado do TratamentoRESUMO
INTRODUCTION: The aim of this study was to evaluate the bleaching effect after aging simulation in teeth submitted to bonding and debonding of orthodontic brackets. MATERIALS AND METHODS: For this study, 90 human premolars were selected, and randomly divided into 6 groups: control, bleaching, and other 4 groups submitted to bleaching after bonding and debonding brackets using different methods. Color measurement of sample through the CIE L*a*b* system was performed in three moments: T1 - after brackets debonding, T2 - after staining cycling, and T3 - after bleaching. For evaluation of results among the components L*, a* and b*, the two criteria analysis of variance and the multiple comparison Tukey test (p < 0.05) were used. RESULTS: Statistically significant difference was observed among the groups submitted to brackets bonding and debonding through self-conditioning adhesive system and tungsten drill, also the control and bleaching groups between the moments T1 e T2. CONCLUSION: Bonding and debonding brackets methods tested in this study showed influence on the sample color change, and after the tooth bleaching process, only the group without brackets previous bonding achieved the color value presented before the staining and aging of samples in the brackets absence.
RESUMO
Introduction: This study aimed to evaluate the effect of dentin surface treatment with 37% phosphoric acid or 17% ethylenedia-minetetraacetic acid (EDTA) before Internal Bleaching with 35% hydrogen peroxide using the walking bleach technique. Material and Methods: This experimental in vitro study used 66 human premolars extracted for orthodontic reasons, which were debrided, endodontically prepared, and pigmented with chromogens derived from blood decomposition. The samples were randomly divided into three groups (n=22). Group A: bleaching agent without dentin conditioning; group B: bleaching agent in dentin conditioned with phosphoric acid 37%; group C: bleaching agent in dentin conditioned with 17% EDTA. 4 applications of bleaching agent were used with a separation of 4 days between each session. The initial color (baseline) and after each application was determined by spectrophotometry, recording the CIE L*a*b* values and the total color variation between the initial parameters and the different evaluation times. Results: Data were statistically analyzed with the Wilcoxon test. This showed statistically significant differences for the total variation of the color between the study groups, with the control group in no case inferior to the rest. Conclusion: The application of 37% phosphoric acid increased the effectiveness of the bleaching agent when compared to 17% EDTA. However, these did not increase the effectiveness compared to the application of the bleaching agent without a previous dentin surface treatment.
Introducción: El objetivo de este estudio fue evaluar el efecto del tratamiento de superficie dentinaria con ácido fosfórico al 37% o EDTA al 17% previo al blanqueamiento Interno con peróxido de hidrógeno al 35% por medio de la técnica Walking Bleach. Material y Métodos:Para este estudio experimental in vitro, se utilizaron 66 premolares humanos extraídos por indicación ortodóncica, los cuales fueron desbridados, preparados endodónticamente, y pigmentados con cromógenos derivados de la descomposición sanguínea. Las muestras fueron divididas aleatoriamente en 3 grupos (n=22). Grupo A: agente blanqueador sin acondicionamiento dentinario, grupo B: agente blanqueador en dentina acondicionada con ácido fosfórico 37% y grupo C: agente blanqueador en dentina acondicionada con EDTA 17%. Se utilizaron 4 aplicaciones de agente blanqueador con una separación de 4 días entre cada sesión. El color inicial (baseline) y tras cada aplicación fue determinado mediante espectrofotometría, registrando los valores CIE L*a*b* y la variación total de color entre los parámetros iniciales y los diferentes tiempos de evaluación. Resultados: Los datos fueron analizados estadísticamente con la prueba de Wilcoxon, arrojando diferencias estadísticamente significativas para la variación total del color entre los grupos de estudio, siendo en ningún caso el grupo control inferior al resto. Conclusión: La aplicación de ácido fosfórico al 37% aumenta la eficacia del agente blanqueador al compararlo con el EDTA 17%, sin embargo, no aumentan la eficacia respecto a la aplicación del agente blanqueador sin un tratamiento de superficie dentinaria previo.
Assuntos
Humanos , Ácido Edético/química , Cor , Esmalte Dentário/química , Dentina/química , Peróxido de Hidrogênio/química , Espectrofotometria , Dente Pré-Molar , Técnicas In Vitro , Chile , Ensaio ClínicoRESUMO
Abstract There is an increased accessibility of over-the-counter (OTC) whitening agents with very little data in the literature regarding their effectiveness. This review was done to determine their effectiveness of the predominant OTC whitening agents from 2006 until 2018 where a comparison of each agent was made with a placebo, no treatment or with other OTC whitening agents. The major categories of OTC whitening agents such as dentifrices, whitening strips and paint on gels. Dentist prescribed bleaching applied at home and in-office bleaching studies and studies that demonstrated whitening products to participants were excluded. Articles were searched for in the databases of Medline (Ovid), PubMed, the Cochrane Library and Cochrane Central Register of Controlled Trials. Twenty-four articles were included in the systematic review and the quality of studies was determined by the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) ranking criteria. Compared to other OTC, strips are reported to be effective. Two studies determined whitening strips to be effective. Whitening strips have been shown to be effective when compared with placebos and other OTC whitening agents. Dentifrices are effective in changing the shade of the tooth "by removing extrinsic stains" when compared to a placebo and non-whitening dentifrices, but they are not as effective in comparison to whitening strips. There is a lack of evidence with regards to the effectiveness of paint-on gels. While there is some evidence that OTC can alter shade in the short term, there is a need for better-designed studies.
Resumo Há um aumento da acessibilidade dos agentes clareadores de venda livre com poucos dados na literatura sobre sua eficácia. Esta revisão foi feita para determinar a eficácia dos agentes clareadores de venda livre predominantes de 2006 a 2018, onde foi feita uma comparação de cada agente com um placebo, sem tratamento ou com outros agentes clareadores de venda livre. As principais categorias de agentes clareadores de venda livre, como dentifrícios, tiras branqueadoras e géis. Estudos em que o dentista prescreveu clareamento caseiro e em consultório, e estudos que demonstraram os agentes clareadores para os participantes. Os artigos foram pesquisados nas bases de dados do Medline (Ovid), PubMed, Cochrane Library e Cochrane Central Register of Controlled Trials. Vinte e quatro artigos foram incluídos na revisão sistemática e a qualidade dos estudos foi determinada pelo critério de classificação GRADE (Classificação de Recomendações, Avaliação, Desenvolvimento e Avaliações). Em comparação com outros clareadores de venda livre, as tiras são relatadas como eficazes. Dois estudos determinaram que as tiras de clareamento são eficazes. As tiras de clareamento mostraram-se eficazes quando comparadas com placebos e outros agentes clareadores de venda livre. Os dentifrícios são eficazes na mudança da tonalidade do dente "removendo manchas extrínsecas" quando comparados a dentifrícios com placebo e sem clareamento, mas não são tão eficazes em comparação com as tiras de clareamento. Há uma falta de evidência com relação à eficácia dos géis de tinta. Embora exista alguma evidência de que os clareadores de venda livre possa alterar a tonalidade no curto prazo, há necessidade de estudos melhor projetados.
Assuntos
Humanos , Clareamento Dental , Descoloração de Dente , Clareadores Dentários , Ureia , Peróxido de CarbamidaRESUMO
OBJECTIVES: This split-mouth, double-blind, randomized clinical trial evaluated the 1-year bleaching efficacy produced by two hydrogen peroxide gels with different pHs. MATERIALS AND METHODS: Twenty-eight patients were divided into two groups corresponding to two different products: Pola Office (pH = 2.0/SDI) and Pola Office Plus (pH = 7.0/SDI). The treatment was assessed during and after the bleaching procedure up to 12 months post-treatment. The assessment consisted of two bleaching scales shade guide units (ΔSGU) and spectrophotometric device (ΔE, ΔE00, and Whiteness Index) of both maxillary quadrants. Results for ΔSGUs in both scales and ΔE00 and Whiteness Index were compared using Mann Whitney test and ΔE measurements through the t-Student test for paired samples in each evaluation time. The color rebound (1- vs 12-month postbleaching data) was evaluated with Wilcoxon test (alpha = .05). RESULTS: During the different times of evaluation, the color variation was similar for both products (P > .05), both for subjective (ΔSGUs) and objective assessments (ΔE, ΔE00, and Whiteness Index). Also, both products showed a slight rebound after 12-month postbleaching (P > .05). CONCLUSIONS: Concerning the stability of color, in-office dental whitening with two hydrogen peroxide gels of different pHs produced similar results, with no significant of regression, for 12 months postwhitening. CLINICAL SIGNIFICANCE: Bleaching using a neutral (pH = 7.0) in-office gel demonstrated similar stability and rebound effect than an acidic one (pH = 2.0).
Assuntos
Sensibilidade da Dentina , Clareadores Dentários , Clareamento Dental , Cor , Método Duplo-Cego , Géis , Humanos , Peróxido de Hidrogênio , Resultado do TratamentoRESUMO
OBJECTIVES: The aim of this study was to evaluate color longevity after a year of in-office bleaching with gel (6% hydrogen peroxide HP, LED blue/laser infrared activation system) compared to a 35% control concentration in a split-mouth study model. MATERIALS AND METHODS: Thirty-one patients were initially treated. The bleaching procedure with 6% or 35% gel HP was performed randomly in the upper half arcade of each patient. The color was measured at baseline and at 1 week, 1 month, and 1 year using the spectrophotometer Vita Easyshade, Vita Bleached, and Vita classical Shade guide organized by value. During the 1-year recall, the color was assessed before and after dental prophylaxis. RESULTS: Only 27 patients were assessed in the 1-year recall. There was a significant difference in the ΔE between the two groups at all times assessed (P < .011). The ΔL, Δa, and Δb showed significant difference between both groups at all assessed times (P < .038). There was no significant difference between the ΔSGU at all times (P > .05) except for the Vita bleachedguide postprophylaxis comparison (P < .05). CONCLUSION: The two compounds remained effective at 1 year. When objectively evaluated, color difference between groups was found, not seen when subjectively determined. CLINICAL SIGNIFICANCE: A low concentration hydrogen peroxide bleaching agent can reach good clinical results at 1 year of follow-up.
Assuntos
Estética Dentária , Peróxido de Hidrogênio/química , Lasers , Luz , Clareadores Dentários/química , Clareamento Dental/métodos , Descoloração de Dente/prevenção & controle , Feminino , Seguimentos , Humanos , Masculino , Fatores de Tempo , Resultado do Tratamento , Adulto JovemRESUMO
OBJECTIVES: The purpose was to administer the NEO-FFI personality test to patients who did and did not want to have their teeth bleached and before and after bleaching to the participants who accepted the treatment. The research question is to correlate styles and personality factors with bleaching. MATERIALS AND METHODS: There were 128 patients eligible for bleaching; 58 accepted (AB) while 70 refused (RB). The test was administered to both groups (AB-RB). The group AB was administered before and 1 week after the end of the bleaching. For each personality domain comparison, the Mann-Whitney test was used. For the group AB, the results for each domain before and after bleaching were compared using the Wilcoxon test. RESULTS: There was a significant difference between the groups (AB-RB) in the extraversion factor (p = 0.01). There was no significant difference between any of the personality items before and after bleaching (p > 0.1). The comparison between groups by sex revealed significant differences in extraversion and neuroticism factors. Males who AB scored higher in extraversion than males who RB (p < 0.05). Females scored higher in neuroticism than males who AB (p < 0.05). CONCLUSIONS: There were personality differences between people who decided to bleach compared with those who did not want the bleaching, which was mainly in the extroversion factor. This stereotypes the patients, who could be described as more sociable, extroverted, and concerned about esthetics and cleanliness. The bleaching protocol, however, cannot modify any of the personality factors. CLINICAL SIGNIFICANCE: It is important to understand a patient's behavior to meet their needs and to determine the type of patients who would like to have their teeth bleached.
Assuntos
Comportamento de Escolha , Personalidade , Clareamento Dental/psicologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de PersonalidadeRESUMO
OBJECTIVES: To evaluate the effects of intracoronary bleaching on the bond strength of orthodontic brackets using self-etching and total-etch adhesive systems. MATERIAL AND METHODS: In 60 bovine incisors, a coronal lingual access was made to clean the pulp chamber and standardise the thickness of the dentine. The sample was randomly divided into four groups (each n = 15): (CT), control group, without bleaching and bonded with the total-etch system (Transbond(™) XT-3M); (CTSE), without bleaching treatment and bonded with the self-etching system (Transbond(™) Plus Self-Etching Primer-3M); (BT), treated with 35% hydrogen peroxide for internal bleaching and bonded with the total-etch adhesive system; and (BTSE), treated with 35% hydrogen peroxide and bonded with the self-etching adhesive system. Shear bond strength was measured using a universal testing machine (EMIC). The adhesive remnant index (ARI) score was verified. The data were analysed using a two-way anova and Tukey test (p < 0.05). RESULTS: Significant differences were found, and the self-etching adhesive groups presented the highest bond strength values (CTSE=11.55 ± 2.85 MPa; BTSE=14.14 ± 2.23 MPa). The ARI scores revealed significant differences among the groups; the greater amount of remaining adhesive was observed in the CTSE group, and the lowest scores were observed in the BT group. CONCLUSIONS: The use of the self-etching adhesive system, even after intracoronal bleaching, presented satisfactory adhesive strength for the bonding of brackets.
Assuntos
Colagem Dentária , Dentina/ultraestrutura , Braquetes Ortodônticos , Cimentos de Resina/química , Clareamento Dental/métodos , Adesividade , Animais , Bovinos , Lâmpadas de Polimerização Dentária/classificação , Cavidade Pulpar/efeitos dos fármacos , Análise do Estresse Dentário/instrumentação , Peróxido de Hidrogênio/química , Peróxido de Hidrogênio/farmacologia , Teste de Materiais , Distribuição Aleatória , Preparo de Canal Radicular/métodos , Saliva Artificial/química , Resistência ao Cisalhamento , Estresse Mecânico , Propriedades de Superfície , Temperatura , Fatores de Tempo , Clareadores Dentários/química , Clareadores Dentários/farmacologiaRESUMO
It all began in Ancient Egypt where people used to bleach their teeth with antiseptic mouthwashes made of urea from human urine. Teeth harmony is promoted by expression of feelings, communication, a real window of the brain and its content! Tooth bleaching products are medicines, not cosmetics! Mouth washing with hydrogen peroxide is an illogical and dangerous procedure! Hydrogen peroxide must be used in one's mouth only when employed by a dentist who has been properly instructed to protect the mucosa, preventing it from receiving these products. How and for how long these products are going to be used require caution in order to avoid or decrease any adverse effects on the tissues. Many websites instruct people on how to purchase and prepare hydrogen peroxide so that it is used as an antiseptic mouthwash and tooth bleaching agent. Some websites even refer to dentists as "exploiters", accusing them of not instructing patients properly. In this article, we aim at providing evidence and information upon which dentists and assistants may base their thinking as well as their opinion and procedures regarding "the indiscriminate and free use of hydrogen peroxide in the mouth, on teeth and oral mucosa". Those websites, blogs and social network profiles trespass the limits of public trust and should be immediately sued by the government for committing a crime against public health.
Assuntos
Carcinógenos , Comunicação , Peróxido de Hidrogênio/efeitos adversos , Internet , Antissépticos Bucais/efeitos adversos , Oxidantes/efeitos adversos , Clareadores Dentários/efeitos adversos , Animais , Carcinogênese , Cocarcinogênese , Relações Dentista-Paciente , Progressão da Doença , Mucosa Gástrica/efeitos dos fármacos , Humanos , Mucosa Intestinal/efeitos dos fármacos , Mucosa Bucal/efeitos dos fármacos , Neoplasias/induzido quimicamente , Educação de Pacientes como Assunto , Automedicação , Dente/efeitos dos fármacos , Cremes Dentais/efeitos adversosRESUMO
It all began in Ancient Egypt where people used to bleach their teeth with antiseptic mouthwashes made of urea from human urine. Teeth harmony is promoted by expression of feelings, communication, a real window of the brain and its content! Tooth bleaching products are medicines, not cosmetics! Mouth washing with hydrogen peroxide is an illogical and dangerous procedure! Hydrogen peroxide must be used in one's mouth only when employed by a dentist who has been properly instructed to protect the mucosa, preventing it from receiving these products. How and for how long these products are going to be used require caution in order to avoid or decrease any adverse effects on the tissues. Many websites instruct people on how to purchase and prepare hydrogen peroxide so that it is used as an antiseptic mouthwash and tooth bleaching agent. Some websites even refer to dentists as "exploiters", accusing them of not instructing patients properly. In this article, we aim at providing evidence and information upon which dentists and assistants may base their thinking as well as their opinion and procedures regarding "the indiscriminate and free use of hydrogen peroxide in the mouth, on teeth and oral mucosa". Those websites, blogs and social network profiles trespass the limits of public trust and should be immediately sued by the government for committing a crime against public health.
Tudo começou no Egito antigo, onde procurava-se clarear os dentes com bochechos antissépticos com ureia da urina humana. Os dentes se harmonizam com expressões de sentimentos, na comunicação, como uma verdadeira vitrine do cérebro e seus conteúdos! Clareadores dentários são medicamentos, e não cosméticos! Bochecho com água oxigenada representa um procedimento improcedente e perigoso! O uso do peróxido de hidrogênio ou água oxigenada na boca deve ser feito diretamente pelo profissional da Odontologia, treinado para proteger as mucosas contra o contato desses produtos. O tempo e a forma de uso requerem cuidados, para se proteger ou diminuir os efeitos indesejáveis sobre os tecidos. Vários websites "ensinam" como adquirir e preparar água oxigenada para fazer bochechos antissépticos e clarear os dentes. Alguns websites se referem ao profissional da Odontologia como um "explorador", por não ensinar isso ao paciente. No presente artigo, procuraremos informar e dar fundamentos para que os profissionais da Odontologia e auxiliares possam embasar suas reflexões, opiniões e condutas relacionadas ao tema "uso indiscriminado e livre de peróxido de hidrogênio na boca sobre os dentes e mucosa bucal". Esses websites, blogs e perfis em redes sociais abusam da fé pública e deveriam ser acionados judicialmente, imediatamente, pelas autoridades públicas, pelo crime contra a saúde das pessoas.
Assuntos
Animais , Humanos , Carcinógenos , Comunicação , Peróxido de Hidrogênio/efeitos adversos , Internet , Antissépticos Bucais/efeitos adversos , Oxidantes/efeitos adversos , Clareadores Dentários/efeitos adversos , Carcinogênese , Cocarcinogênese , Relações Dentista-Paciente , Progressão da Doença , Mucosa Gástrica/efeitos dos fármacos , Mucosa Intestinal/efeitos dos fármacos , Mucosa Bucal/efeitos dos fármacos , Neoplasias/induzido quimicamente , Educação de Pacientes como Assunto , Automedicação , Dente/efeitos dos fármacos , Cremes Dentais/efeitos adversosRESUMO
Introdução e objetivo: A estética na Odontologia tem sido priorizada, eo desejo por dentes mais claros tem estado cada vez mais presente nos consultórios, pois dentes mais brancos tendem a demonstrar saúde,beleza, jovialidade e tornam o sorriso mais atraente. O clareamento dental é um meio conservador amplamente utilizado para restabelecer a cor natural de dentes escurecidos, no entanto uma provável relação com a reabsorção externa cervical tem preocupado muitos pesquisadores e clínicos. Revisão de literatura: Vários são os mecanismos que podem desencadear essa reabsorção, entre eles a ação química e física dos agentes clareadores empregados, a morfologia da junção amelocementária associada ao sistema imunológico, a concentração dos materiais empregados, os traumas, bem como a técnica de clareamento utilizada. Conclusão: Diante de diferentes fatores, aindanão conclusivos, prevenindo efeitos deletérios para dentes e estruturas de suporte, cuidados devem ser tomados na escolha do agente clareador,da técnica de aplicação e também dos casos, além da confecção de uma restauração adequada após o clareamento dental.
AbstractIntroduction and objective: Esthetic dentistry has been prioritized and the desire for whiter teeth has been increasingly present in dental offices, since whiter teeth tend to indicate health, beauty, youth and a more attractive smile. Teeth bleaching is a conservative method widely used to restore the original color of darkened teeth. However, possible relations with the external cervical root resorption have concerned many researchers and clinicians. Literature review: There are many mechanisms that can activate the external cervical root resorption,such as: chemical and physical action of the bleaching materials used,morphology of the cementoenamel junction associated to the immune system, material concentration, traumas and bleaching technique used. Conclusion: Therefore, considering many factors that are still not conclusive, preventing deleterious effects on teeth and support structures, care must be taken when choosing bleaching agent and bleaching technique, as well as when selecting each case, beyond aproper restoration after teeth bleaching.