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Effectiveness and effect of non-vital bleaching on the quality of life of patients up to 6 months post-treatment: a randomized clinical trial

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Abstract

Objectives

The aim of this study was to evaluate the esthetic perception of patients at 6 months after bleaching of non-vital teeth with 35% of hydrogen peroxide and 37% of carbamide peroxide using a walking bleach technique. We also assessed psychosocial impacts as well as the clinical effectiveness and stability of the color change.

Materials and methods

The teeth bleaching treatment was randomly assigned to two groups according to the bleaching agent used: G1 HP = 35% of hydrogen peroxide (n = 25) and G2 CP = 37% of carbamide peroxide (n = 25). The non-vital bleaching was performed in four sessions using the walking bleach technique. The color was objectively (ΔE) and subjectively (ΔSGU) evaluated. The esthetic perception and psychosocial factors were evaluated before treatment as well as one and 6 months post-treatment using Oral Health Impact Profile (OHIP) esthetics and Psychosocial Impact of Dental Esthetics Questionnaire (PIDAQ).

Results

The color change (ΔE) at 6 months (G1 = 14.53 ± 5.07 and G2 = 14.09 ± 6.61) for both color groups remained stable until the 6-month post-treatment (p > 0.05). There was a decrease in the values of OHIP esthetics and PIDAQ after treatment compared to the baseline (p < 0.05), and this effect was maintained 6 months post-treatment.

Conclusions

Both agents were highly effective and maintained the color stability at 6 months; this positively affected the esthetic perception and psychosocial impact of patients who also remained stable over time.

Clinical relevance

Non-vital bleaching produces a positive and stable impact on the esthetic perception and psychosocial factors at medium-term follow-ups.

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References

  1. Dudea D, Lasserre JF, Alb C, Culic B, Pop Ciutrila IS, Colosi H (2012) Patients' perspective on dental aesthetics in a south-eastern European community. J Dent 40(Suppl 1):e72–e81. https://doi.org/10.1016/j.jdent.2012.01.016

    Article  PubMed  Google Scholar 

  2. Martin J, Rivas V, Vildosola P, Moncada L, Oliveira Junior OB, Saad JR, Fernandez E, Moncada G (2016) Personality style in patients looking for tooth bleaching and its correlation with treatment satisfaction. Braz Dent J 27:60–65. https://doi.org/10.1590/0103-6440201600127

    Article  PubMed  Google Scholar 

  3. Fernandez E, Bersezio C, Bottner J, Avalos F, Godoy I, Inda D, Vildosola P, Saad J, Oliveira OB Jr, Martin J (2017) Longevity, esthetic perception, and psychosocial impact of teeth bleaching by low (6%) hydrogen peroxide concentration for in-office treatment: a randomized clinical trial. Oper Dent 42:41–52. https://doi.org/10.2341/15-335-c

    Article  PubMed  Google Scholar 

  4. Martin J, Vildosola P, Bersezio C, Herrera A, Bortolatto J, Saad JRC, Oliveira OB, Fernandez E (2015) Effectiveness of 6% hydrogen peroxide concentration for tooth bleaching-a double-blind, randomized clinical trial. J Dent 43:965–972. https://doi.org/10.1016/j.jdent.2015.05.011

    Article  PubMed  Google Scholar 

  5. Plotino G, Buono L, Grande NM, Pameijer CH, Somma F (2008) Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod 34:394–407. https://doi.org/10.1016/j.joen.2007.12.020

    Article  PubMed  Google Scholar 

  6. de Souza-Zaroni WC, Lopes EB, Ciccone-Nogueira JC, Silva RC (2009) Clinical comparison between the bleaching efficacy of 37% peroxide carbamide gel mixed with sodium perborate with established intracoronal bleaching agent. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:e43–e47. https://doi.org/10.1016/j.tripleo.2008.09.011

    Article  PubMed  Google Scholar 

  7. ADA (2012) Tooth Whitening Products: ADA Statement on Safety and Effectiveness. http://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/tooth-whitening-safety-and-effectiveness. Accessed Acces Date : 12–26 - 2017

  8. Núñez L, Dreyer E, Martin J and Moncada G (2013) Validation of the OHIP-Aesthetic Sp Questionnaire for Chilean Adults. J Dent Or and Cran Epidem. doi: http://www.sharmilachatterjee.com/ojs-2.3.8/index.php/JDOCE/article/view/67. Accessed Acces Date : 12–26 - 2017

  9. Montiel-Company JM, Bellot-Arcís C, Almerich-Silla JM (2013) Validation of the psychosocial impact of dental aesthetics questionnaire (Pidaq) in Spanish adolescents. Med Oral Patol Oral Cir Bucal 18:e168–e173. https://doi.org/10.4317/medoral.18324

    Article  PubMed  Google Scholar 

  10. Glockner K, Hulla H, Ebeleseder K, Stadtler P (1999) Five-year follow-up of internal bleaching. Braz Dent J 10:105–110

    PubMed  Google Scholar 

  11. Amato M, Scaravilli MS, Farella M, Riccitiello F (2006) Bleaching teeth treated endodontically: long-term evaluation of a case series. J Endod 32:376–378. https://doi.org/10.1016/j.joen.2005.08.018

    Article  PubMed  Google Scholar 

  12. Deliperi S (2008) Clinical evaluation of nonvital tooth whitening and composite resin restorations: five-year results. Eur J Esthet Dent 3:148–159

    PubMed  Google Scholar 

  13. Khan M, Fida M (2008) Assessment of psychosocial impact of dental aesthetics. J Coll Physicians Surg Pak 18:559–564

    PubMed  Google Scholar 

  14. Meireles SS, Goettems ML, Dantas RV, Bona AD, Santos IS, Demarco FF (2014) Changes in oral health related quality of life after dental bleaching in a double-blind randomized clinical trial. J Dent 42:114–121. https://doi.org/10.1016/j.jdent.2013.11.022

    Article  PubMed  Google Scholar 

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Acknowledgements

The author dedicates this article to his two kids Elisa and Eduardo by their enormous inspiration

Funding

The work was supported by Fondecyt 1170575.

Author information

Authors and Affiliations

  1. Department of Restorative Dentistry, Faculty of Dentistry, University of Chile, Sergio Livingstone Pohlhammer 943, Independencia, Santiago, Chile

    Cristian Bersezio, Carla Mayer, Oriana Rivera & Eduardo Fernández

  2. Universidad Andres Bello, Sergio Livingstone Pohlhammer 943, Independencia, Santiago, Chile

    Cristian Bersezio

  3. Department of Conservative Dentistry, Faculty of Dentistry, University of Chile, Sergio Livingstone Pohlhammer 943, Independencia, Santiago, Chile

    Paulina Ledezma

  4. University Estadual Paulista-Unesp., School of Dentistry, Rua Humaitá, 1680-Centro-CEP: 14801-903, Araraquara, Brazil

    Osmir Batista Oliveira Junior

  5. Instituto de Ciencias Biomédicas, Universidad Autónoma de Chile, Providencia, Chile

    Eduardo Fernández

Authors
  1. Cristian Bersezio
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  2. Paulina Ledezma
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  3. Carla Mayer
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  4. Oriana Rivera
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  5. Osmir Batista Oliveira Junior
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  6. Eduardo Fernández
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Corresponding author

Correspondence to Eduardo Fernández.

Ethics declarations

This randomized clinical study was approved by the Ethics Committee of the Faculty of Dentistry of the University of Chile (2016/04) and was conducted in accordance with the Consolidated Reporting Standards and the Helsinki Declaration.

Conflict of interest

Cristian Bersezio declares that he has no conflict of interest. Paulina Ledezma declares that she has no conflict of interest. Carla Mayer declares that she has no conflict of interest. Oriana Rivera declares that she has no conflict of interest. Osmir O Junior and Eduardo Fernández declare that they have no conflict of interest.

Ethical approval

This clinical study was approved by the Ethics Committee of the Faculty of Dentistry at the University of Chile (PRI-ODO 16/04) and was conducted according to the Consolidated Standards of Reporting Trials Statement and Helsinki Declaration of 1975 revised in 2000. All persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study were omitted.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

ClinicalTrials.gov identifier: NCT02718183

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Bersezio, C., Ledezma, P., Mayer, C. et al. Effectiveness and effect of non-vital bleaching on the quality of life of patients up to 6 months post-treatment: a randomized clinical trial. Clin Oral Invest 22, 3013–3019 (2018). https://doi.org/10.1007/s00784-018-2389-y

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  • DOI: https://doi.org/10.1007/s00784-018-2389-y

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