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The effectiveness of in-office dental bleaching with and without sonic activation: A randomized, split-mouth, double-blind clinical trial.
de Moura Martins, Leandro; de Azevedo Cardoso, Gabriel Guedes; de Lima, Liliane Motta; Rezende, Marcia; Sutil, Elisama; Reis, Alessandra; Loguercio, Alessandro D; da Silva, Luciana Mendonça.
Afiliação
  • de Moura Martins L; School of Dentistry, Federal University of Amazonas, Manaus, AM, Brazil.
  • de Azevedo Cardoso GG; School of Dentistry, Federal University of Amazonas, Manaus, AM, Brazil.
  • de Lima LM; School of Dentistry, Federal University of Amazonas, Manaus, AM, Brazil.
  • Rezende M; School of Dentistry, Paulo Picanço School of Dentistry, Fortaleza, Ceará, Brazil.
  • Sutil E; School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Puerto Rico, Brazil.
  • Reis A; School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Puerto Rico, Brazil.
  • Loguercio AD; School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Puerto Rico, Brazil.
  • da Silva LM; School of Dentistry, Federal University of Amazonas, Manaus, AM, Brazil.
J Esthet Restor Dent ; 34(2): 360-368, 2022 03.
Article em En | MEDLINE | ID: mdl-34971074
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Clareamento Dental / Sensibilidade da Dentina / Clareadores Dentários Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: J Esthet Restor Dent Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Clareamento Dental / Sensibilidade da Dentina / Clareadores Dentários Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: J Esthet Restor Dent Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido