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At-Home Tooth Bleaching: Current Evidence and Clinical Applications

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Tooth Whitening

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Abstract

A whiter dentition has become a concern for many patients and consumers after the introduction of nightguard vital whitening in 1989. This increased awareness has led to a surge in the popularity of dental whitening (or bleaching) worldwide. Current methods for at-home bleaching include materials prescribed by dental professionals and methods and materials used without the involvement of a dental professional. The latter are over-the-counter (OTC) products available in drugstores and advertised in TV commercials and over the Internet. At-home tooth bleaching with a custom-fitted tray has been considered the safest technique if carried out under the supervision of a dental professional. This chapter compares the efficacy of at-home bleaching techniques, including dental professional-supervised at-home bleaching with carbamide peroxide gel in a custom-fitted tray, over-the-counter bleaching, and combined in-office bleaching with at-home bleaching. We also describe the advantages and disadvantages, side effects, and treatment recommendations with different at-home bleaching techniques based on current scientific information. Clinical cases are added to illustrate clinically relevant techniques.

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Notes

  1. 1.

    The terms “whitening” and “bleaching” are used interchangeably in the literature.

  2. 2.

    The chance of a mismatch between the advertised concentration and the actual concentration is very high (Matis et al. 2013).

  3. 3.

    Carbomer 934P or Carbopol 934P (The Lubrizol Corporation) is primarily used in commercially available oral formulations, including bleaching gels for tray whitening.

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Acknowledgments

Dr. Jorge Perdigão would like to extend his special thanks to:

  1. 1.

    The University of Minnesota School of Dentistry students for their help and inspiration

  2. 2.

    Our colleagues at the University Rey Juan Carlos School of Dentistry, Madrid, Spain

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  1. Division of Operative Dentistry, Department of Restorative Sciences, University of Minnesota, Minneapolis, MN, USA

    Jorge Perdigão

  2. Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil

    Edson Araujo

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  1. University of Minnesota, Minneapolis, MN, USA

    Jorge Perdigão

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Perdigão, J., Araujo, E. (2023). At-Home Tooth Bleaching: Current Evidence and Clinical Applications. In: Perdigão, J. (eds) Tooth Whitening. Springer, Cham. https://doi.org/10.1007/978-3-031-38244-4_6

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