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Published in: Clinical Oral Investigations 3/2007

01-09-2007 | Original Article

Efficacy and oral side effects of two highly concentrated tray-based bleaching systems

Authors: Dirk Ziebolz, Kristina Helms, Christian Hannig, Thomas Attin

Published in: Clinical Oral Investigations | Issue 3/2007

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Abstract

The aim of this study was to investigate the tooth-whitening efficacy and oral side effects of the two tray-based bleaching systems Visalys whitening (VW) and Opalescence PF (OP). A stratified, randomised distribution of the subjects (n = 60) to two treatment groups was performed according to baseline tooth brightness (L* values) as determined by colourimeter and to the criteria smoker/non-smoker. Tooth colour was evaluated by measuring L*a*b* values generated from standardised digital image analysis with Adobe Photoshop® of the facial surfaces of the right central maxillary incisor. Tooth hypersensitivity, with intensity graded from 0 (no hypersensitivity) to 10 (high hypersensitivity), was assessed chair-side using an air syringe. After bleaching therapy, both treatment groups demonstrated significant improvements in tooth colour (p ≤ 0.05). A shift towards less yellow (−Δb*) and brighter (+ΔL*) tooth colour was observed. Δb* was significantly higher in the OP group in comparison to the VW group, ΔL* showed no significant difference between the both treatment groups (p ≤ 0.05). After bleaching, the intensity of tooth hypersensitivity was increased significantly compared to baseline in both groups (p ≤ 0.05), with no significant difference between the both groups. Both highly concentrated bleaching systems are effective as tooth-whitening systems, with few reported side effects such as transient tooth hypersensitivity.
Literature
1.
go back to reference Attin T, Paque F, Ajam F, Lennon AM (2003) Review of the current status of tooth whitening with the walking bleach technique. Int Endod J 36:313–329PubMedCrossRef Attin T, Paque F, Ajam F, Lennon AM (2003) Review of the current status of tooth whitening with the walking bleach technique. Int Endod J 36:313–329PubMedCrossRef
2.
go back to reference Auschill TM, Hellwig E, Schmid S, Hannig M, Arweiler NB (2002) Efficacy of different bleaching techniques and their effect on enamel surface. Schweiz Monatsschr Zahnmed 112(9):894–900 (in German)PubMed Auschill TM, Hellwig E, Schmid S, Hannig M, Arweiler NB (2002) Efficacy of different bleaching techniques and their effect on enamel surface. Schweiz Monatsschr Zahnmed 112(9):894–900 (in German)PubMed
3.
go back to reference Barlow A, Gerlach RW, Date RF, Brennan K (2003) Clinical response of two brush-applied peroxide whitening systems. J Clin Dent 14(3):59–63PubMed Barlow A, Gerlach RW, Date RF, Brennan K (2003) Clinical response of two brush-applied peroxide whitening systems. J Clin Dent 14(3):59–63PubMed
4.
go back to reference Barnes DM, Kihn PW, Romberg E, George D, De Paola L, Medina E (1998) Clinical evaluation of a new 10% carbamide peroxide tooth-whitening agent. Compend Contin Educ Dent 19(10):968–978PubMed Barnes DM, Kihn PW, Romberg E, George D, De Paola L, Medina E (1998) Clinical evaluation of a new 10% carbamide peroxide tooth-whitening agent. Compend Contin Educ Dent 19(10):968–978PubMed
5.
go back to reference Bengel WM (2003) Digital photography and the assessment of therapeutic results after bleaching procedures. J Esthet Restor Dent 15(Suppl 1):21–32CrossRef Bengel WM (2003) Digital photography and the assessment of therapeutic results after bleaching procedures. J Esthet Restor Dent 15(Suppl 1):21–32CrossRef
6.
go back to reference Bentley C, Leonard RH, Nelson CF, Bentley SA (1999) Quantitation of vital bleaching by computer analysis of photographic images. J Am Dent Assoc 130:809–816PubMed Bentley C, Leonard RH, Nelson CF, Bentley SA (1999) Quantitation of vital bleaching by computer analysis of photographic images. J Am Dent Assoc 130:809–816PubMed
7.
8.
go back to reference Collins LZ, Maggio B, Gallagher A, York M, Schäfer F (2004) Safety evaluation of a novel whitening gel, containing 6% hydrogen peroxide and a commercially available whitening gel containing 18% carbamide peroxide in an exaggerated use clinical study. J Dent 32:47–50PubMedCrossRef Collins LZ, Maggio B, Gallagher A, York M, Schäfer F (2004) Safety evaluation of a novel whitening gel, containing 6% hydrogen peroxide and a commercially available whitening gel containing 18% carbamide peroxide in an exaggerated use clinical study. J Dent 32:47–50PubMedCrossRef
9.
go back to reference Commission Internationale de L’Eclairage (1978) Recomendations on uniform colour spaces. Colour difference equations. Psychometric colour terms. Paris, France: Bureau Central de la CIE, Suppl 2 to CIE pub 14 (E-13.1) 1971/ (TC-1.3) Commission Internationale de L’Eclairage (1978) Recomendations on uniform colour spaces. Colour difference equations. Psychometric colour terms. Paris, France: Bureau Central de la CIE, Suppl 2 to CIE pub 14 (E-13.1) 1971/ (TC-1.3)
10.
go back to reference Cooper JS, Bokmeyer TJ, Bowles WH (1992) Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod 18(7):315–317PubMedCrossRef Cooper JS, Bokmeyer TJ, Bowles WH (1992) Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod 18(7):315–317PubMedCrossRef
11.
go back to reference Dunn JR (1998) Dentist-prescribed home bleaching: current status. Compend Contin Educ Dent 19(8):760–764PubMed Dunn JR (1998) Dentist-prescribed home bleaching: current status. Compend Contin Educ Dent 19(8):760–764PubMed
12.
go back to reference Feinmann RA, Madry G, Yarborough D (1991) Chemical, optical and physiologic mechanisms of bleaching products. Pract Periodontics Aesthet Dent 3:32–37 Feinmann RA, Madry G, Yarborough D (1991) Chemical, optical and physiologic mechanisms of bleaching products. Pract Periodontics Aesthet Dent 3:32–37
13.
go back to reference Garcia-Godoy F, Villalta P, Bartizek RD, Barker ML, Biesbrock AR (2004) Tooth whitening effects of an experimental power whitening toothbrush relative to an 8.7% hydrogen peroxide paint-on gel control. Am J Dent 17:25–30 Garcia-Godoy F, Villalta P, Bartizek RD, Barker ML, Biesbrock AR (2004) Tooth whitening effects of an experimental power whitening toothbrush relative to an 8.7% hydrogen peroxide paint-on gel control. Am J Dent 17:25–30
14.
go back to reference Gegauff AG, Rosenstiel SF, Langhout KJ, Johnston WM (1993) Evaluating tooth colour change from carbamide peroxide gel. J Am Dent Assoc 124(6):65–72PubMed Gegauff AG, Rosenstiel SF, Langhout KJ, Johnston WM (1993) Evaluating tooth colour change from carbamide peroxide gel. J Am Dent Assoc 124(6):65–72PubMed
15.
go back to reference Gerlach RW, Barker ML, Sagel PA (2003) Objective and subjective whitening reponse of two self-directed bleaching systems. Am J Dent 15:7A–12A Gerlach RW, Barker ML, Sagel PA (2003) Objective and subjective whitening reponse of two self-directed bleaching systems. Am J Dent 15:7A–12A
16.
go back to reference Gerlach RW, Barker ML (2003) Clinical response of three direct-to-consumer whitening products: strips, paint-on gel, and dentifrice. Compend Contin Educ Dent 24(6):458–465PubMed Gerlach RW, Barker ML (2003) Clinical response of three direct-to-consumer whitening products: strips, paint-on gel, and dentifrice. Compend Contin Educ Dent 24(6):458–465PubMed
17.
go back to reference Gerlach RW, Gibb RD, Sagel PA (2000) A randomized clinical trial comparing a novel 5.3% hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent 29:22–28 Gerlach RW, Gibb RD, Sagel PA (2000) A randomized clinical trial comparing a novel 5.3% hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent 29:22–28
18.
go back to reference Gerlach RW, Zhou X (2001) Vital bleaching with whitening strips: summary of clinical research on effectiveness and tolerability. J Contemp Dent Pract 2(3):1–16PubMed Gerlach RW, Zhou X (2001) Vital bleaching with whitening strips: summary of clinical research on effectiveness and tolerability. J Contemp Dent Pract 2(3):1–16PubMed
19.
go back to reference Hannig C, Zech R, Henze E, Dorr-Tolui R, Attin T (2003) Determination of peroxides in saliva—kinetics of peroxide release into saliva during home bleaching with Whitestrips and Vivastyle in vivo. Arch Oral Biol 48:559–568PubMedCrossRef Hannig C, Zech R, Henze E, Dorr-Tolui R, Attin T (2003) Determination of peroxides in saliva—kinetics of peroxide release into saliva during home bleaching with Whitestrips and Vivastyle in vivo. Arch Oral Biol 48:559–568PubMedCrossRef
20.
21.
go back to reference Haywood VB (1991b) Nightguard vital bleaching: a history and product update. Esthet Dent Update 2(4):63–66 Haywood VB (1991b) Nightguard vital bleaching: a history and product update. Esthet Dent Update 2(4):63–66
22.
go back to reference Haywood VB (1994) Considerations and variations of dentist-prescribed, home-applied vital tooth-bleaching techniques. Compend Contin Educ Dent 15(Suppl 17):616–621 Haywood VB (1994) Considerations and variations of dentist-prescribed, home-applied vital tooth-bleaching techniques. Compend Contin Educ Dent 15(Suppl 17):616–621
23.
go back to reference Haywood VB, Heymann HO (1991) Nightguard vital bleaching, how safe is it? Quintessence Int 22(7):515–523PubMed Haywood VB, Heymann HO (1991) Nightguard vital bleaching, how safe is it? Quintessence Int 22(7):515–523PubMed
24.
go back to reference Haywood VB, Leonard RH, Dickinson GL (1997) Primarily research. Efficacy of six months of nightguard vital bleaching of tetracycline-stained teeth. J Esthet Dent 9(1):13–19PubMedCrossRef Haywood VB, Leonard RH, Dickinson GL (1997) Primarily research. Efficacy of six months of nightguard vital bleaching of tetracycline-stained teeth. J Esthet Dent 9(1):13–19PubMedCrossRef
25.
go back to reference Haywood VB, Leonard RH, Nelson CF, Brunson WD (1994) Effectiveness, side effects and long-term status of nightguard vital bleaching. J Am Dent Assoc 125(9):1219–1226PubMed Haywood VB, Leonard RH, Nelson CF, Brunson WD (1994) Effectiveness, side effects and long-term status of nightguard vital bleaching. J Am Dent Assoc 125(9):1219–1226PubMed
26.
go back to reference Horn DJ, Bulan-Brady J, Hicks ML (1998) Sphere spectrophotometer versus human evaluation of tooth shade. J Endod 24(12):786–790PubMedCrossRef Horn DJ, Bulan-Brady J, Hicks ML (1998) Sphere spectrophotometer versus human evaluation of tooth shade. J Endod 24(12):786–790PubMedCrossRef
27.
go back to reference Kielbassa AM, Attin T, Hellwig E, Schade-Brittinger C (1997) In vivo study on the effectiveness of a lacquer containing CaF2/NaF in treating dentine hypersensitivity. Clin Oral Investig 1(2):95–99PubMedCrossRef Kielbassa AM, Attin T, Hellwig E, Schade-Brittinger C (1997) In vivo study on the effectiveness of a lacquer containing CaF2/NaF in treating dentine hypersensitivity. Clin Oral Investig 1(2):95–99PubMedCrossRef
28.
go back to reference Kugel G, Kastali S (2000) Tooth-whitening efficacy and safety: a randomized and controlled clinical trial. Compend Contin Educ Dent 29:16–21 Kugel G, Kastali S (2000) Tooth-whitening efficacy and safety: a randomized and controlled clinical trial. Compend Contin Educ Dent 29:16–21
29.
go back to reference Kwon YH, Huo MS, Kim KH, Kim SK, Kim YJ (2002) Effects of hydrogen peroxide on the light reflectance and morphology of bovine enamel. J Oral Rehabil 29(5):473–477PubMedCrossRef Kwon YH, Huo MS, Kim KH, Kim SK, Kim YJ (2002) Effects of hydrogen peroxide on the light reflectance and morphology of bovine enamel. J Oral Rehabil 29(5):473–477PubMedCrossRef
30.
go back to reference Lenhard M (1996) Assessing tooth colour change after repeated bleaching in vitro with 10% carbamide peroxide gel. J Am Dent Assoc 127(11):1618–1624PubMed Lenhard M (1996) Assessing tooth colour change after repeated bleaching in vitro with 10% carbamide peroxide gel. J Am Dent Assoc 127(11):1618–1624PubMed
31.
go back to reference Leonard RH Jr, Haywood VB, Eagle JC, Garland GE, Caplan DJ, Matthews KP, Tart ND (1999) Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment. J Esthet Dent 11(5):265–277PubMedCrossRef Leonard RH Jr, Haywood VB, Eagle JC, Garland GE, Caplan DJ, Matthews KP, Tart ND (1999) Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment. J Esthet Dent 11(5):265–277PubMedCrossRef
32.
go back to reference Leonard RH, Haywood VB, Philipps C (1997) Risk factors for developing tooth sensitivity and gingival irritation associated with nightguard vital bleaching. Quintessence Int 28(8):527–534PubMed Leonard RH, Haywood VB, Philipps C (1997) Risk factors for developing tooth sensitivity and gingival irritation associated with nightguard vital bleaching. Quintessence Int 28(8):527–534PubMed
33.
go back to reference Li Y (2000) Peroxide-containing tooth whiteners: an update on safety. Compend Contin Educ Dent 21(Suppl 28):4–9 Li Y (2000) Peroxide-containing tooth whiteners: an update on safety. Compend Contin Educ Dent 21(Suppl 28):4–9
34.
go back to reference Marshall MV, Cancro LP, Fischman SL (1995) Hydrogen peroxide: a review of its use in dentistry. J Periodontol 66(9):786–796PubMed Marshall MV, Cancro LP, Fischman SL (1995) Hydrogen peroxide: a review of its use in dentistry. J Periodontol 66(9):786–796PubMed
35.
go back to reference Matis BA, Wang Y, Jiang T, Eckert GJ (2002) Extended at-home bleaching of tetracycline-stained teeth with different concentrations of carbamide peroxide. Quintessence Int 33(9):645–655PubMed Matis BA, Wang Y, Jiang T, Eckert GJ (2002) Extended at-home bleaching of tetracycline-stained teeth with different concentrations of carbamide peroxide. Quintessence Int 33(9):645–655PubMed
36.
go back to reference Mc Caslin AJ, Haywood VB, Potter BJ, Dickenson GL, Russell CM (1999) Assessing dentin color changes from nightguard vital bleaching. J Am Dent Assoc 130:1485–1490 Mc Caslin AJ, Haywood VB, Potter BJ, Dickenson GL, Russell CM (1999) Assessing dentin color changes from nightguard vital bleaching. J Am Dent Assoc 130:1485–1490
37.
go back to reference McEvoy SA (1989) Chemical agents for removing intrinsic stains from vital teeth. II. Current techniques and their clinical application. Quintessence Int 20(5):379–384PubMed McEvoy SA (1989) Chemical agents for removing intrinsic stains from vital teeth. II. Current techniques and their clinical application. Quintessence Int 20(5):379–384PubMed
38.
go back to reference Mokhlis GR, Matis BA, Cochran MA, Eckert GJ (2000) A clinical evaluation of carbamide peroxide and hydrogen peroxide whitening agents during daytime. J Am Dent Assoc 131(9):1269–1277PubMed Mokhlis GR, Matis BA, Cochran MA, Eckert GJ (2000) A clinical evaluation of carbamide peroxide and hydrogen peroxide whitening agents during daytime. J Am Dent Assoc 131(9):1269–1277PubMed
39.
go back to reference Moraes RR, Marimon JL, Schneider LF, Correr Sobrino L, Camacho GB, Bueno M (2006) Carbamide perocide bleaching agents: effects on surface roughness of enamel, composite and porcelain. Clin Oral Investig 10:23–28PubMedCrossRef Moraes RR, Marimon JL, Schneider LF, Correr Sobrino L, Camacho GB, Bueno M (2006) Carbamide perocide bleaching agents: effects on surface roughness of enamel, composite and porcelain. Clin Oral Investig 10:23–28PubMedCrossRef
40.
go back to reference Nathanson D (1997) Vital tooth bleaching: sensibility and pulpal considerations. J Am Dent Assoc 128:41–44 Nathanson D (1997) Vital tooth bleaching: sensibility and pulpal considerations. J Am Dent Assoc 128:41–44
41.
go back to reference Nathoo S, Stewart B, Petrone M, Chaknis P, Zhang YP, DeVizio W, Volpe AR (2003) Comperative clinical investigation of the tooth whitening efficacy of tow tooth whitening gels. J Clin Dent 14(3):64–69PubMed Nathoo S, Stewart B, Petrone M, Chaknis P, Zhang YP, DeVizio W, Volpe AR (2003) Comperative clinical investigation of the tooth whitening efficacy of tow tooth whitening gels. J Clin Dent 14(3):64–69PubMed
42.
go back to reference Niedermann R, Tantraphol MC, Slinin P, Hayes C, Conway S (2000) Effectiveness of dentist-presecribed, home-applied tooth whitening. A meta analysis. J Contemp Dent Pract 15:20–36 Niedermann R, Tantraphol MC, Slinin P, Hayes C, Conway S (2000) Effectiveness of dentist-presecribed, home-applied tooth whitening. A meta analysis. J Contemp Dent Pract 15:20–36
43.
go back to reference Orologio GD, Lorenzi RL, Anselmi M, Opisso V (1999) Dentin desensitizing effects of gluma alternate, health-dent desensitizer and scotchbond multi-purpose. Am J Dent 12:103–106 Orologio GD, Lorenzi RL, Anselmi M, Opisso V (1999) Dentin desensitizing effects of gluma alternate, health-dent desensitizer and scotchbond multi-purpose. Am J Dent 12:103–106
44.
go back to reference Papathanasiou A, Barwell D, Kugel G (2001) A clinical study evaluating a new chairside and take-home whitening system. Compend Contin Educ Dent 22(4):289–294PubMed Papathanasiou A, Barwell D, Kugel G (2001) A clinical study evaluating a new chairside and take-home whitening system. Compend Contin Educ Dent 22(4):289–294PubMed
45.
go back to reference Pohjola RM, Browning WD, Hackmann ST, Myers ML, Downey MC (2002) Sensitivity and tooth whitening agents. J Esthet Restor Dent 14(12):85–91PubMedCrossRef Pohjola RM, Browning WD, Hackmann ST, Myers ML, Downey MC (2002) Sensitivity and tooth whitening agents. J Esthet Restor Dent 14(12):85–91PubMedCrossRef
46.
go back to reference Rosenstiehl SF, Gegauff AG, Johnston WM (1996) Randomized clinical trail of the efficacy and safety of a home bleaching procedure. Quintessence Int 27(6):413–424 Rosenstiehl SF, Gegauff AG, Johnston WM (1996) Randomized clinical trail of the efficacy and safety of a home bleaching procedure. Quintessence Int 27(6):413–424
47.
go back to reference Schulte JR, Morrisette DB, Gasior EJ, Czajewski MV (1994) The effects of bleaching application time on the dental pulp. J Am Dent Assoc 125(10):1330–1335PubMed Schulte JR, Morrisette DB, Gasior EJ, Czajewski MV (1994) The effects of bleaching application time on the dental pulp. J Am Dent Assoc 125(10):1330–1335PubMed
48.
go back to reference Thitinanthapan W, Satomont P, Vongsavan N (1999) In vitro penetration of the pulp chamber by three brands of carbamide peroxide. J Esthet Dent 11(5):259–264PubMedCrossRef Thitinanthapan W, Satomont P, Vongsavan N (1999) In vitro penetration of the pulp chamber by three brands of carbamide peroxide. J Esthet Dent 11(5):259–264PubMedCrossRef
49.
go back to reference Wiegand A, Vollmer D, Foitzik M, Attin R, Attin T (2005) Efficacy of different whitening modalities on bovine enamel and dentin. Clin Oral Investig 9:91–97PubMedCrossRef Wiegand A, Vollmer D, Foitzik M, Attin R, Attin T (2005) Efficacy of different whitening modalities on bovine enamel and dentin. Clin Oral Investig 9:91–97PubMedCrossRef
50.
go back to reference Yap AU, Sim CP, Loh WL, Teo JH (1999) Human-eye versus computerized colour matching. Oper Dent 24(6):358–363PubMed Yap AU, Sim CP, Loh WL, Teo JH (1999) Human-eye versus computerized colour matching. Oper Dent 24(6):358–363PubMed
Metadata
Title
Efficacy and oral side effects of two highly concentrated tray-based bleaching systems
Authors
Dirk Ziebolz
Kristina Helms
Christian Hannig
Thomas Attin
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 3/2007
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-007-0108-1

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