Title
In-office bleaching with a commercial 40% hydrogen peroxide gel modified to have different pHs: Color change, surface morphology, and penetration of hydrogen peroxide into the pulp chamber
Date Issued
01 March 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Parreiras S.O.
Favoreto M.W.
Cruz G.P.
Gomes A.
Borges C.P.F.
Loguercio A.D.
Reis A.
State University of Ponta Grossa
Publisher(s)
John Wiley and Sons Inc
Abstract
Objective: In-office bleaching gels are usually marketed in different pHs. This study is aimed at evaluating the efficacy, enamel surface morphology and concentration of hydrogen peroxide (HP) in the pulp chamber of teeth bleached with 40% HP with different pHs. Materials and Methods: Forty premolars were randomly divided according to bleaching gel pH: 5.1, 6.3, 7.0, and control (no bleaching). Teeth were prepared, an acetate buffer was placed in the pulp chamber and teeth were bleached with two 20-minutes applications. The amount of HP was determined on a UV-VIS spectrophotometer. Color change was assessed by using a digital spectrophotometer before and 1 week after bleaching treatment. Five additional premolars were divided into four parts, assigned to the same groups above for analysis under scanning electron microscope. Data were subjected to anova and Tukey's tests (alpha = 0.05). Results: The group pH 5.1 showed the highest HP diffusion in the pulp chamber (P <.001). No significant difference was detected in color change (P =.51). All groups presented the same pattern of enamel demineralization. Conclusions: The bleaching agent with pH 5.1 presented the highest HP amounts in the pulp chamber, but color change and enamel morphology were similar among groups. Clinical significance: Regardless of the pH, the bleaching effect can be observed in teeth submitted to high concentrations of HP, but a higher permeability of HP was found in the pulp chamber of teeth bleached with more acidic bleaching agents. Based on that, we suggest the use of alkaline gels for in-office bleaching to minimize damage to the pulpal tissue.
Start page
322
End page
327
Volume
34
Issue
2
Language
English
OCDE Knowledge area
Odontología, Cirugía oral, Medicina oral
Scopus EID
2-s2.0-85125193972
PubMed ID
Source
Journal of Esthetic and Restorative Dentistry
ISSN of the container
14964155
Sponsor(s)
This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 305588/2014‐1 and 304105/2013‐9 as well as Araucária Foundation. This study was performed by Eric Acuña as partial fulfillment of his Master degree at the State University of Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil. The authors would like to thank Ultradent Dental Products for the generous donation of the bleaching products employed in this study. This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 305588/2014-1 and 304105/2013-9 as well as Araucária Foundation. The authors do not have any financial interest in the companies whose materials are included in this article.
Sources of information: Directorio de Producción Científica Scopus