PDF herunterladen
CC BY-NC-ND 4.0 · Eur J Dent 2021; 15(01): 127-132
DOI: 10.1055/s-0040-1716317
Original Article

Bleaching Stained Arrested Caries Lesions: In vivo Clinical Study

Sarah S. Al-Angari
1   Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
,
Mashael AlHadlaq
2   Pediatric Dentistry Department, National Guard Hospital, Riyadh, Saudi Arabia
,
Noor Abahussain
3   Pediatric Dentistry Department, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
,
Njood AlAzzam
4   Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Objective Conservative approaches to esthetically treat stained arrested caries lesions (s-ACLs) have not been explored in clinical studies. This study aims to investigate the efficacy of in-office dental bleaching agent, as a conservative approach, to esthetically treat s-ACLs.

Materials and Methods Twelve patients (n = 46) presented with s-ACLs were treated with 40% hydrogen peroxide (in-office bleaching protocol; 20 minutes × 3). Color values were measured using a spectrophotometer (CIE L*a*b*), aided with digital photography to assess visual color change clinically. Measurements were taken for each specimen at baseline and immediately after bleaching.

Statistical Analysis The color change calculated before and after bleaching for each dental substrate was analyzed using paired t-test (α = 0.05).

Results The bleached s-ACLs had a significant increase in L* values (p < 0.001), and a significant decrease in both a* (p = 0.001) and b* (p = 0.007) values, indicating lighter color improvement (bleaching efficacy). The baseline mean of L*, a*, and b* values were 61.5, 2, and 15.4, respectively, and after bleaching were 67.7, 1.4, and 13.3, respectively, with a mean increase in ∆E of >7.9, which resulted in a visible clinical stain improvement as orange/light brown stains were removed completely, while gray/black stains improved to a lesser extent.

Conclusion Significant color improvement was observed when the in-office bleaching protocol (40% hydrogen peroxide) was used in orange/brown s-ACLs. However, it showed lesser improvement in gray/black s-ACLs.

Keywords

arrested caries lesions - bleaching - color change - esthetics - hydrogen peroxide


Publikationsverlauf

Artikel online veröffentlicht:
08. September 2020

© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 White JM, Eakle WS. Rationale and treatment approach in minimally invasive dentistry. J Am Dent Assoc 2000; 131 (Suppl) 13S-19S
    CrossrefPubMedGoogle Scholar
  • 2 Contreras V, Toro MJ, Elías-Boneta AR, Encarnación-Burgos A. Effectiveness of silver diamine fluoride in caries prevention and arrest: A systematic literature review. Gen Dent 2017; 65 (03) 22-29
    Google Scholar
  • 3 González-Cabezas C, Fernández CE. Recent advances in remineralization therapies for caries lesions. Adv Dent Res 2018; 29 (01) 55-59
    CrossrefPubMedGoogle Scholar
  • 4 Watts A, Addy M. Tooth discolouration and staining: A review of the literature. Br Dent J 2001; 190 (06) 309-316
    CrossrefPubMedGoogle Scholar
  • 5 Chen YH, Yang S, Hong DW, Attin T, Yu H. Short-term effects of stain-causing beverages on tooth bleaching: A randomized controlled clinical trial. J Dent 2020; 95: 103318
    CrossrefPubMedGoogle Scholar
  • 6 Hafez R, Ahmed D, Yousry M, El-Badrawy W, El-Mowafy O. Effect of in-office bleaching on color and surface roughness of composite restoratives. Eur J Dent 2010; 4 (02) 118-127
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 7 Holmgren C, Gaucher C, Decerle N, Doméjean S. Minimal intervention dentistry II: part 3. Management of non-cavitated (initial) occlusal caries lesions–non-invasive approaches through remineralisation and therapeutic sealants. Br Dent J 2014; 216 (05) 237-243
    CrossrefPubMedGoogle Scholar
  • 8 Sundfeld RH, Sundfeld-Neto D, Machado LS, Franco LM, Fagundes TC, Briso AL. Microabrasion in tooth enamel discoloration defects: three cases with long-term follow-ups. J Appl Oral Sci 2014; 22 (04) 347-354
    CrossrefPubMedGoogle Scholar
  • 9 Ababnaeh KT, Al-Omari M, Alawneh TN. The effect of dental restoration type and material on periodontal health. Oral Health Prev Dent 2011; 9 (04) 395-403
    PubMedGoogle Scholar
  • 10 Boitelle P. Contemporary management of minimal invasive aesthetic treatment of dentition affected by erosion: Case report. BMC Oral Health 2019; 19 (01) 123
    CrossrefPubMedGoogle Scholar
  • 11 Al-Angari SS, Hara AT. A conservative approach to esthetically treat stained arrested caries lesions. Quintessence Int 2016; 47 (06) 499-504
    CrossrefPubMedGoogle Scholar
  • 12 Al-Angari SS, Lippert F, Platt JA. et al. Bleaching of simulated stained-remineralized caries lesions in vitro. Clin Oral Investig 2019; 23 (04) 1785-1792
    CrossrefPubMedGoogle Scholar
  • 13 Al-Angari SS, Lippert F, Platt JA. et al. Dental bleaching efficacy and impact on demineralization susceptibility of simulated stained-remineralized caries lesions. J Dent 2019; 81: 59-63
    CrossrefPubMedGoogle Scholar
  • 14 Meireles SS, Demarco FF, dos Santos IdaS, Dumith SdeC, Bona AD. Validation and reliability of visual assessment with a shade guide for tooth-color classification. Oper Dent 2008; 33 (02) 121-126
    CrossrefPubMedGoogle Scholar
  • 15 Ceci M, Viola M, Rattalino D, Beltrami R, Colombo M, Poggio C. Discoloration of different esthetic restorative materials: A spectrophotometric evaluation. Eur J Dent 2017; 11 (02) 149-156
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 16 Kose C, Calixto AL, Bauer JR, Reis A, Loguercio AD. Comparison of the effects of in-office bleaching times on whitening and tooth sensitivity: a single blind, randomized clinical trial. Oper Dent 2016; 41 (02) 138-145
    CrossrefPubMedGoogle Scholar
  • 17 Alqahtani MQ. Tooth-bleaching procedures and their controversial effects: a literature review. Saudi Dent J 2014; 26 (02) 33-46
    CrossrefPubMedGoogle Scholar
  • 18 Bortolatto JF, Pretel H, Floros MC. et al. Low concentration H(2)O(2)/TiO_N in office bleaching: a randomized clinical trial. J Dent Res 2014; 93 (Suppl. 07) 66S-71S
    CrossrefPubMedGoogle Scholar
  • 19 Ahrari F, Akbari M, Mohammadpour S, Forghani M. The efficacy of laser-assisted in-office bleaching and home bleaching on sound and demineralized enamel. Laser Ther 2015; 24 (04) 257-264
    CrossrefPubMedGoogle Scholar
  • 20 Horst JA, Ellenikiotis H, Milgrom PM. UCSF protocol for caries arrest using silver diamine fluoride: rationale, indications and consent. Pa Dent J (Harrisb) 2017; 84 (01) 14, 16-26
    Google Scholar
  • 21 Kwon SR, Kurti SR Jr, Oyoyo U, Li Y. Effect of light-activated tooth whitening on color change relative to color of artificially stained teeth. J Esthet Restor Dent 2015; 27 (Suppl. 01) S10-S17
    CrossrefPubMedGoogle Scholar
  • 22 Chen Z, Cao S, Wang H. et al. Biomimetic remineralization of demineralized dentine using scaffold of CMC/ACP nanocomplexes in an in vitro tooth model of deep caries. PLoS One 2015; 10 (01) e0116553
    Google Scholar
  • 23 Carlos NR, Pinto A, do Amaral F, França F, Turssi CP, Basting RT. Influence of staining solutions on color change and enamel surface properties during at-home and in-office dental bleaching: an in situ study. Oper Dent 2019; 44 (06) 595-608
    CrossrefPubMedGoogle Scholar
  • 24 Matis BA, Cochran MA, Franco M, Al-Ammar W, Eckert GJ, Stropes M. Eight in-office tooth whitening systems evaluated in vivo: a pilot study. Oper Dent 2007; 32 (04) 322-327
    CrossrefPubMedGoogle Scholar
  • 25 Marson FC, Sensi LG, Vieira LC, Araújo E. Clinical evaluation of in-office dental bleaching treatments with and without the use of light-activation sources. Oper Dent 2008; 33 (01) 15-22
    CrossrefPubMedGoogle Scholar
  • 26 Sulieman M, MacDonald E, Rees JS, Newcombe RG, Addy M. Tooth bleaching by different concentrations of carbamide peroxide and hydrogen peroxide whitening strips: An in vitro study. J Esthet Restor Dent 2006; 18 (02) 93-100, discussion 101
    CrossrefPubMedGoogle Scholar
  • 27 Heshmat H, Ganjkar MH, Miri Y, Fard MJ. The effect of two remineralizing agents and natural saliva on bleached enamel hardness. Dent Res J (Isfahan) 2016; 13 (01) 52-57
    CrossrefPubMedGoogle Scholar
  • 28 Farawati FAL, Hsu SM, O’Neill E, Neal D, Clark A, Esquivel-Upshaw J. Effect of carbamide peroxide bleaching on enamel characteristics and susceptibility to further discoloration. J Prosthet Dent 2019; 121 (02) 340-346
    CrossrefPubMedGoogle Scholar
  • 29 Sasaki RT, Catelan A, Bertoldo EdosS. et al. Effect of 7.5% hydrogen peroxide containing remineralizing agents on hardness, color change, roughness and micromorphology of human enamel. Am J Dent 2015; 28 (05) 261-267
    PubMedGoogle Scholar
  • 30 Moraes RR, Marimon JL, Schneider LF. Correr Sobrinho L, Camacho GB, Bueno M. Carbamide peroxide bleaching agents: effects on surface roughness of enamel, composite and porcelain. Clin Oral Investig 2006; 10 (01) 23-28
    CrossrefPubMedGoogle Scholar
  • 31 Zimmerman B, Datko L, Cupelli M, Alapati S, Dean D, Kennedy M. Alteration of dentin-enamel mechanical properties due to dental whitening treatments. J Mech Behav Biomed Mater 2010; 3 (04) 339-346
    CrossrefPubMedGoogle Scholar
  • 32 Kutuk ZB, Ergin E, Cakir FY, Gurgan S. Effects of in-office bleaching agent combined with different desensitizing agents on enamel. J Appl Oral Sci 2019; 27
    Google Scholar
  • 33 Omar F, Ab-Ghani Z, Rahman NA, Halim MS. Nonprescription bleaching versus home bleaching with professional prescriptions: which one is safer? A comprehensive review of color changes and their side effects on human enamel. Eur J Dent 2019; 13 (04) 589-598
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 34 Sa Y, Sun L, Wang Z. et al. Effects of two in-office bleaching agents with different pH on the structure of human enamel: an in situ and in vitro study. Oper Dent 2013; 38 (01) 100-110
    CrossrefPubMedGoogle Scholar
  • 35 Halabi S, Matsui N, Nikaido T, Burrow MF, Tagami J. Effect of office bleaching on enamel bonding performance. J Adhes Dent 2019; 21 (02) 167-177
    PubMedGoogle Scholar
  • 36 Da Silva Machado J, Cândido MS, Sundfeld RH, De Alexandre RS, Cardoso JD, Sundefeld ML. The influence of time interval between bleaching and enamel bonding. J Esthet Restor Dent 2007; 19 (02) 111-118, discussion 119
    CrossrefPubMedGoogle Scholar
  • 37 Kiomarsi N, Arjmand Y, Kharrazi Fard MJ, Chiniforush N. Effects of erbium family laser on shear bond strength of composite to dentin after internal bleaching. J Lasers Med Sci 2018; 9 (01) 58-62
    CrossrefPubMedGoogle Scholar
  • 38 Gouveia THN, Públio JDC, Ambrosano GMB, Paulillo LAMS, Aguiar FHB, Lima DANL. Effect of at-home bleaching with different thickeners and aging on physical properties of a nanocomposite. Eur J Dent 2016; 10 (01) 82-91
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 39 Vieira HH, Toledo JCJ Jr, Catelan A. et al. Effect of sodium metabisulfite gel on the bond strength of dentin of bleached teeth. Eur J Dent 2018; 12 (02) 163-170
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 40 Kavitha M, Selvaraj S, Khetarpal A, Raj A, Pasupathy S, Shekar S. Comparative evaluation of superoxide dismutase, alpha-tocopherol, and 10% sodium ascorbate on reversal of shear bond strength of bleached enamel: an in vitro study. Eur J Dent 2016; 10 (01) 109-115
    Artikel in Thieme ConnectPubMedGoogle Scholar