ABSTRACT
OBJECTIVES: Bleaching of vital teeth performed at home by the patient under the dentist's supervision, using low-concentration peroxides and custom-fitted trays specifically designed for this purpose, is one of several options for this type of dental treatment, whether alone or in combination with another in-office bleaching technique. The objective of this study is to analyse the effect on the enamel surface of two bleaching products recommended for this technique. MATERIALS & METHODS: Two bleaching products were used: VivaStyle (Vivadent), a 10% carbamide peroxide, and FKD (Kin), a 3.5% hydrogen peroxide. They were applied in trays to the anterior teeth of 20 patients (10 in each group). The application times were 2 and 3 hours a day respectively for 28-33 days. Replicas of the tooth surfaces before and after treatment were obtained. These were observed with a scanning electron microscope. RESULTS: The images obtained showed that the tooth surfaces remained entire and the enamel surface structures remained normal. CONCLUSIONS: The results show that neither of the products affects the enamel surface: no post-operatory changes were observed.
Subject(s)
Dental Enamel/drug effects , Hydrogen Peroxide/administration & dosage , Oxidants/administration & dosage , Peroxides/administration & dosage , Tooth Bleaching , Urea/analogs & derivatives , Carbamide Peroxide , Drug Combinations , Humans , Urea/administration & dosageABSTRACT
Objectives: Bleaching of vital teeth performed at home by the patient under the dentists supervision, using low-concentration peroxides and custom-fitted trays specifically designed for this purpose, is one of several options for this type of dental treatment, whether alone or in combination with another in-office bleaching technique. The objective of this study is to analyse the effect on the enamel surface of two bleaching products recommended for this technique. Materials & methods: Two bleaching products were used: VivaStyle (Vivadent), a 10% carbamide peroxide, and FKD (Kin), a 3.5% hydrogen peroxide. They were applied in trays to the anterior teeth of 20 patients (10 in each group). The application times were 2 and 3 hours a day respectively for 28-33 days. Replicas of the tooth surfaces before and after treatment were obtained. These were observed with a scanning electron microscope. Results: The images obtained showed that the tooth surfaces remained entire and the enamel surface structures remained normal. Conclusions: The results show that neither of the products affects the enamel surface: no post-operatory changes were observed
Objetivos: El blanqueamiento de los dientes vitales que realiza el/la paciente en su domicilio bajo la supervisión del/de la dentista con férulas individualizadas especialmente diseñadas para ello y peróxidos de baja concentración, es una opción de entre las que integran esta terapéutica odontológica, ya sea, como tratamiento único o combinada con otra modalidad de blanqueamiento en la consulta. El objetivo del presente trabajo es analizar el efecto que producen sobre la superficie del esmalte dos productos blanqueadores indicados para esta técnica. Diseño del estudio: Se emplearon dos productos blanqueadores, el VivaStyle (Vivadent), peróxido de carbamida al 10%, y el FKD (Kin), peróxido de hidrógeno al 3,5%, que se aplicaron mediante férulas sobre los dientes anteriores de 20 pacientes (10 en cada grupo). El tiempo de aplicación de cada producto fue de 2 y 3 horas al día respectivamente durante 28-33 días. Se obtuvieron réplicas de las superficies dentales antes y después del tratamiento, las cuales fueron observadas con un microscopio electrónico de barrido. Resultados: Las imágenes obtenidas muestran la integridad de la superficie dental, con el mantenimiento de las estructuras normales de la superficie del esmalte. Conclusiones: Los resultados obtenidos muestran que ninguno de los dos productos alteran la superficie del esmalte, no observándose, pues, cambios postoperatorios
Subject(s)
Humans , Tooth Bleaching/methods , Peroxides/pharmacokinetics , Microscopy, Electron, Scanning , Dental EnamelABSTRACT
Tray bleaching of vital teeth performed at home by the patient under the dentist s supervision, whether alone or in combination with any of the in-office techniques, provides an interesting alternative to other methods employed in this type of dental treatment. This bleaching procedure applies low-concentration peroxides to the enamel by means of a custom-made mouth tray specifically designed for this purpose. The aim of this study is to examine and compare two commercially-available bleaching products, at equivalent concentrations, for use in this technique: VivaStyle (Vivadent) and FKD (Kin); the former is a 10% carbamide peroxide and the latter a 3.5% hydrogen peroxide formulation. It examines the parameters that must be monitored during the application of this type of procedure and presents 6 cases (3 treated with one of the above-mentioned products and the other 3 with the other), establishing the bleaching power of the products and the appearance and intensity of post-operatory hypersensitivity. The results obtained show that both products are effective for the purpose for which they were designed. In general, dental hypersensitivity was minimal.
Subject(s)
Dental Devices, Home Care , Hydrogen Peroxide/therapeutic use , Oxidants/therapeutic use , Peroxides/therapeutic use , Tooth Bleaching/methods , Urea/analogs & derivatives , Carbamide Peroxide , Dentin Sensitivity/chemically induced , Drug Combinations , Humans , Tooth Bleaching/adverse effects , Tooth Bleaching/instrumentation , Tooth Discoloration/drug therapy , Urea/therapeutic useABSTRACT
El blanqueamiento de los dientes vitales que realiza el/la paciente domiciliariamente con férulas bajo supervisión del/de la dentista es una alternativa interesante entre las que integran este tipo de terapéutica odontológica, ya sea, de forma aislada o combinada con alguna de las modalidades de tratamiento en la consulta. En este procedimiento blanqueador se usan peróxidos de baja concentración que se aplican sobre el esmalte dentario mediante una cubeta individualizada especialmente diseñada para ello. El objetivo del presente trabajo es analizar y comparar dos productos blanqueadores comerciales de diferente concentraciónindicados para esta técnica, VivaStyle (Vivadent) y FKD (Kin); el primero de ellos es un peróxido de carbamida al 10%, mientras que el segundo es un peróxido de hidrógeno al 3,5%. Se analizan los parámetros que deben ser controlados durante la puesta en práctica de este tipo de procedimiento y se presentan 6 casos (3 de ellos tratados con uno de los productosmencionados y los otros 3 con el otro) en los que se constata su capacidad blanqueadora y la aparición y la intensidad de hipersensibilidad postoperatoria. Los resultados obtenidos muestran que ambos productos son eficaces para la función para la que han sido desarrollados. En general, la hipersensibilidad dentaria es mínima
Tray bleaching of vital teeth performed at home by the patient under the dentists supervision, whether alone or in combinationwith any of the in-office techniques, provides an interesting alternative to other methods employed in this type of dental treatment. This bleaching procedure applies low-concentration peroxides to the enamel by means of a custom-made mouth tray specifically designed for this purpose. The aim of this study is to examine and compare two commercially-available bleaching products, at equivalent concentrations, for use in this technique: VivaStyle (Vivadent) and FKD (Kin); the former is a 10% carbamide peroxide and the latter a 3.5% hydrogen peroxide formulation. It examines the parameters that must be monitored during the application of this type of procedure and presents 6 cases (3 treated with one of the above-mentioned products and the other 3 with the other), establishing the bleaching power of the products and the appearance and intensity of post-operatory hypersensitivity. The results obtained show that both products are effective for the purpose for which they were designed. In general, dental hypersensitivity was minimal