Tooth Bleaching - Evaluation of Effectiveness, Color Stability and Sensitivity Level
DOI:
https://doi.org/10.21270/archi.v11i1.5457Keywords:
Tooth Bleaching, Hydrogen Peroxide, Tooth Bleaching Agents, Dentin SensitivityAbstract
Introduction: Tooth whitening is a simple, safe and effective method, frequently requested by patients looking for aesthetic improvements. Among the forms of execution, homemade technique is available, in the office or, even, the combination of both. Objective: To verify, through a review of the integrative literature, which techniques and protocols provided the best efficacy and color stability, as well as the limitations and side effects related to the different protocols. Methodology: A literature review was carried out by searching the PubMED / Medline, VHL and Scielo databases, using the following descriptors: Tooth Bleaching, Hydrogen Peroxide, Bleaching Agents and Dentin Sensitivity. Experimental studies, published in the last five years, were included, with full text availability and clarity in the methodological details used. Results: In the home method, hydrogen peroxide (PH), in concentrations between 4% and 10%, and carbamide peroxide (PC), between 10% and 37%, demonstrated significant efficacy in whitening. The isolated office method or prior to home treatment, however, promoted a lightening effect in one or two sessions with applications that varied between 15 and 40 minutes, with PH in concentrations of up to 38%. Gels with lower concentrations caused less tooth sensitivity and gingival irritation; however, the desired color was not always obtained. Conclusion: For an effective treatment, knowledge on the part of the professional regarding the correct diagnosis is essential. Therefore, it is essential to know the etiology of the stain in order to establish the type of gel, its concentration, the time and the appropriate application method.
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References
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