Evaluation of Side Effects and Patients’ Perceptions during Tooth Bleaching
- 1 December 2007
- journal article
- research article
- Published by Wiley in Journal of Esthetic and Restorative Dentistry
- Vol. 19 (6), 355-364
- https://doi.org/10.1111/j.1708-8240.2007.00136.x
Abstract
The objective of this nightguard vital bleaching (NGVB) study was to compare tooth sensitivity (TS), gingival irritation (GIr), and other side effects, as well as patients' perceptions during tooth bleaching, from treatment with experimental 5 and 7% hydrogen peroxide (HP) bleaching solutions with those of a commercially available 10% carbamide peroxide (CP) product. Sixty-one participants completed the study wearing a scalloped maxillary treatment tray without reservoirs with the different concentrations of bleaching gels for 30 minutes twice a day for 7 days. Parameters evaluated were changes in gingival index (GI), nonmarginal gingival index, nongingival oral mucosal index, and tooth vitality. Participants were seen pretreatment, after 7 treatment days, and 1 week post-treatment. A daily log form to record TS and GIr was completed by each participant as well as a sensitivity questionnaire at each appointment. Additionally, at 10 months post-treatment, a questionnaire was sent to the participants concerning TS and GIr relative to the treatment process. Data from end-of-treatment questionnaires, daily log forms, and clinical examination revealed a statistical difference (p < or = 0.05) in the patients' ranking of and days of TS and GIr between group S (7% HP) and group T (10% CP, control group) at the end of active treatment. There also existed a statistical clinical change in the GI levels for groups R and S compared with the control group T. There was no statistical difference (p > 0.05) in any of the parameters evaluated among the three products at 7 days or 10 months post-treatment. Participants in group S reported significantly more TS, GIr, and days of each compared with the control. There also existed a significant clinical change in the GI levels for groups R and S compared with the control group T. There was no significant difference among the three products at 7 days post-treatment. After ending treatment, TS/GIr was resolved in 2 to 3 days and did not recur during the 10 months post-treatment. The experimental HP bleaching solutions, as described in this study, can be used in NGVB with no long-term side effects as evaluated in this study for up to 10 months post-treatment.Keywords
This publication has 17 references indexed in Scilit:
- Desensitizing Agent Efficacy during Whitening in an At‐Risk PopulationJournal of Esthetic and Restorative Dentistry, 2004
- Safety Issues When Using a 16% Carbamide Peroxide Whitening SolutionJournal of Esthetic and Restorative Dentistry, 2002
- Safety and Stability of Nightguard Vital Bleaching: 9 to 12 Years Post-treatmentJournal of Esthetic and Restorative Dentistry, 2002
- Nightguard vital bleaching: a long-term study on efficacy, shade retention. side effects, and patients' perceptions.Journal of Esthetic and Restorative Dentistry, 2001
- Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment.Journal of Esthetic and Restorative Dentistry, 1999
- SIX‐MONTH CLINICAL EVALUATION OF A TOOTH WHITENING SYSTEM USING AN INNOVATIVE EXPERIMENTAL DESIGNJournal of Esthetic and Restorative Dentistry, 1997
- ASSESSING THE EFFECTS OF 10 PERCENT CARBAMIDE PEROXIDE ON ORAL SOFT TISSUESThe Journal of the American Dental Association, 1996
- Dentist‐Supervised Home Bleaching with Ten Percent Carbamide Peroxide Gel: A Six‐Month StudyJournal of Esthetic and Restorative Dentistry, 1996
- Evaluating the Effects of a Dentist‐Supervised, Patient‐Applied Carbamide Peroxide Bleaching Agent on Oral Soft TissuesJournal of Esthetic and Restorative Dentistry, 1995
- Effectiveness, Side Effects and Long-Term Status of Nightguard Vital BleachingThe Journal of the American Dental Association, 1994