RESUMO
OBJECTIVE: To evaluate the effectiveness and tolerability of an experimental 9.5% hydrogen peroxide whitening strip relative to a placebo control over a three-week period. METHODS: In this parallel-design, double-blind clinical trial, 54 adult volunteers were randomized to an experimental 9.5% hydrogen peroxide whitening strip or placebo strip balancing for age and baseline tooth color, and received treatment. Strips were worn on the maxillary arch 30 minutes daily for 20 days. Efficacy was measured objectively as L*a*b* color change from digital images at Days 4, 7, 15, and 21. RESULTS: As early as Day 4 and at all subsequent visits, the 9.5% strip group experienced significant (p < 0.004) color improvement relative to placebo for b* and L* color parameters. The amount of color improvement increased with continuing peroxide strip use. Mean ± SE between-group differences in Ab* were -0.6 ± 0.16, -0.8 ± 0.15, -1.6 ± 0.19, and -1.9 ± 0.20 at Days 4, 7, 15, and 21, respectively. Similar results were noted for AL*. Minor tooth sensitivity was the most common adverse event, as reported by 12% of subjects in the 9.5% strip group and 11% of subjects in the placebo group. No subjects discontinued treatment due to an adverse event. CONCLUSION: This placebo-controlled clinical trial demonstrated that an experimental 9.5% hydrogen peroxide strip yielded significant tooth whitening relative to a placebo strip as early as after three days of product use.
Assuntos
Peróxido de Hidrogênio/uso terapêutico , Clareamento Dental/métodos , Descoloração de Dente/prevenção & controle , Adolescente , Adulto , Idoso , Dentifrícios/uso terapêutico , Sensibilidade da Dentina/induzido quimicamente , Método Duplo-Cego , Feminino , Humanos , Peróxido de Hidrogênio/efeitos adversos , Masculino , Pessoa de Meia-Idade , Placebos , Clareamento Dental/efeitos adversos , Escovação Dentária , Resultado do TratamentoRESUMO
Composite veneers can be fabricated directly on a vinyl polysiloxane (VPS) die. Using the following technique, a dentist (or their trained auxiliary) can quickly fabricate an esthetic composite veneer with an acceptable marginal fit. This article describes such a technique.