Violet LED-Based Tooth Whitening and Resin Composite Restorations to Reestablish Smile Aesthetics Case Report

ABSTRACT: This clinical case described the aesthetic treatment of a patient complaining about the aspect of their upper teeth. After anamnesis and clinical examination, the association of tooth whitening photoactivated by violet LED and resin composite restorations was indicated. Prior to restorative treatment, three bleaching sessions were performed with low concentration hydrogen peroxide (6 %; Nano white flex) for 30 minutes. During this period, violet LED irradiation was intercalating performed every 1 minute, totalizing 15 minutes. Ten days after the final bleaching session, old restorations in the upper lateral incisors were removed for better color selection of resin composites. Then, all upper anterior teeth were directly restored with nanofilled resin composite (Filtek Z350XT), reestablishing anatomy, form, and function. At the end of the treatment, the association of techniques proved to be cost-effective, restoring the esthetics satisfactorily and promoting the patient's well-being by a minimally invasive approach.

RESUMEN: En este reporte de caso se describió el tratamiento para una paciente que se quejaba del aspecto de sus dientes superiores. Tras anamnesis y exploración clínica, se indicó la asociación de blanqueamiento dental fotoactivado por LED violeta y restauraciones de resina compuesta. Antes del tratamiento restaurador, se realizaron tres sesiones de blanqueamiento con peróxido de hidrógeno de baja concentración (6 %; Nano white flex) durante 30 minutos. Durante este período, la irradiación con LED violeta se intercalaba cada 1 minuto, totalizando 15 minutos. Diez días después de la última sesión de blanqueamiento, se retiraron las restauraciones antiguas de los incisivos laterales superiores para una mejor selección del color de la resina compuesta. Luego, todos los dientes anteriores superiores fueron restaurados de manera directa con resina de nanorrelleno (Filtek Z350XT), restableciendo la anatomía, forma y función. Al final del tratamiento, la asociación de las técnicas resultó beneficioso, restaurando la estética de forma satisfactoria y promoviendo el bienestar de la paciente mediante un abordaje mínimamente invasivo.

Comparison of Two Methods for Endoscope Sterilization in Operating Room / 中华医院感染学杂志

OBJECTIVE To investigate which method for endoscope sterilization more convenient,qualified and with effectively elongating lifetime of endoscope usage.METHODS We used low temperature plasma hydroxide peroxide sterliization and 2% glutaraldehyde solution to sterilize endoscope and compared their effects.RESULTS Two methods were qualified for the requirements of serilization.Endoscope sterilization time with glutaraldehyde solution and low temperature plasma hydroxide peroxide was 10h and 55min,respectively.Sterilization-related endoscope attrition rate was 0.17% and 0,respectively,and showed significant difference(P