One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1111/jerd.12814 http://hdl.handle.net/11449/222294 |
Resumo: | Objective: To compare at-home systems with reduced daily time of use (10% hydrogen peroxide [HP] gel with prefilled (PT) or customized trays (CT), and 10% carbamide peroxide [CP] gel), with the conventional nightguard vital bleaching (10% CP). Bleaching efficacy, adverse effects, and patient's satisfaction were evaluated. Methods: Sixty participants were randomly divided into treatments (14 days): Opalescence GO (OGO)-10%HP PT-30 min, White Class-10%HP CT-30 min, Opalescence PF-10%CP CT-2 h, and Opalescence PF-10%CP CT-8 h. Color difference (visual and spectrophotometer), tooth sensitivity (visual analogue scale), gingival condition (Löe index), enamel mineralization (laser fluorescence), and patients' satisfaction (questionnaire) were assessed. Statistical tests were applied (5%). Results: After 1 year, color difference was similar for the groups (p > 0.05). All groups showed similar sensitivity risk (p > 0.05). The intensity of sensitivity and gingival irritation was mild for all gels, but higher for OGO. Fluorescence after bleaching remained similar to those of sound enamel. All participants were satisfied with treatments. Conclusions: All systems produced similar bleaching efficacy, which was maintained after 1 year. Patients were satisfied with bleaching outcomes. Tooth sensitivity occurred in all groups, but with overall mild intensity. No relevant gingival irritation and enamel demineralization was observed. Clinical significance: Bleaching with 10% HP gels in prefilled and CTs represent efficacious alternative for tooth color change, with patients' acceptance similar to conventional 10% CP. Patients must be warned about the mild sensitivity and gingival irritation potential, mainly with PTs. |
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Repositório Institucional da UNESP |
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spelling |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trialbleaching agentsgingivahydrogen peroxidetooth bleachingtooth sensitivityObjective: To compare at-home systems with reduced daily time of use (10% hydrogen peroxide [HP] gel with prefilled (PT) or customized trays (CT), and 10% carbamide peroxide [CP] gel), with the conventional nightguard vital bleaching (10% CP). Bleaching efficacy, adverse effects, and patient's satisfaction were evaluated. Methods: Sixty participants were randomly divided into treatments (14 days): Opalescence GO (OGO)-10%HP PT-30 min, White Class-10%HP CT-30 min, Opalescence PF-10%CP CT-2 h, and Opalescence PF-10%CP CT-8 h. Color difference (visual and spectrophotometer), tooth sensitivity (visual analogue scale), gingival condition (Löe index), enamel mineralization (laser fluorescence), and patients' satisfaction (questionnaire) were assessed. Statistical tests were applied (5%). Results: After 1 year, color difference was similar for the groups (p > 0.05). All groups showed similar sensitivity risk (p > 0.05). The intensity of sensitivity and gingival irritation was mild for all gels, but higher for OGO. Fluorescence after bleaching remained similar to those of sound enamel. All participants were satisfied with treatments. Conclusions: All systems produced similar bleaching efficacy, which was maintained after 1 year. Patients were satisfied with bleaching outcomes. Tooth sensitivity occurred in all groups, but with overall mild intensity. No relevant gingival irritation and enamel demineralization was observed. Clinical significance: Bleaching with 10% HP gels in prefilled and CTs represent efficacious alternative for tooth color change, with patients' acceptance similar to conventional 10% CP. Patients must be warned about the mild sensitivity and gingival irritation potential, mainly with PTs.Department of Restorative Dentistry Institute of Science and Technology São Paulo State University (UNESP)Department of Restorative Dentistry Institute of Science and Technology São Paulo State University (UNESP)Universidade Estadual Paulista (UNESP)Mailart, Mariane C. [UNESP]Sakassegawa, Paula A. [UNESP]Santos, Karine C. [UNESP]Torres, Carlos R. G. [UNESP]Palo, Renato M. [UNESP]Borges, Alessandra B. [UNESP]2022-04-28T19:43:45Z2022-04-28T19:43:45Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/jerd.12814Journal of Esthetic and Restorative Dentistry.1708-82401496-4155http://hdl.handle.net/11449/22229410.1111/jerd.128142-s2.0-85113683241Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Esthetic and Restorative Dentistryinfo:eu-repo/semantics/openAccess2022-04-28T19:43:45Zoai:repositorio.unesp.br:11449/222294Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-28T19:43:45Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
title |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
spellingShingle |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial Mailart, Mariane C. [UNESP] bleaching agents gingiva hydrogen peroxide tooth bleaching tooth sensitivity |
title_short |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
title_full |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
title_fullStr |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
title_full_unstemmed |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
title_sort |
One-year follow-up comparing at-home bleaching systems outcomes and the impact on patient's satisfaction: Randomized clinical trial |
author |
Mailart, Mariane C. [UNESP] |
author_facet |
Mailart, Mariane C. [UNESP] Sakassegawa, Paula A. [UNESP] Santos, Karine C. [UNESP] Torres, Carlos R. G. [UNESP] Palo, Renato M. [UNESP] Borges, Alessandra B. [UNESP] |
author_role |
author |
author2 |
Sakassegawa, Paula A. [UNESP] Santos, Karine C. [UNESP] Torres, Carlos R. G. [UNESP] Palo, Renato M. [UNESP] Borges, Alessandra B. [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Mailart, Mariane C. [UNESP] Sakassegawa, Paula A. [UNESP] Santos, Karine C. [UNESP] Torres, Carlos R. G. [UNESP] Palo, Renato M. [UNESP] Borges, Alessandra B. [UNESP] |
dc.subject.por.fl_str_mv |
bleaching agents gingiva hydrogen peroxide tooth bleaching tooth sensitivity |
topic |
bleaching agents gingiva hydrogen peroxide tooth bleaching tooth sensitivity |
description |
Objective: To compare at-home systems with reduced daily time of use (10% hydrogen peroxide [HP] gel with prefilled (PT) or customized trays (CT), and 10% carbamide peroxide [CP] gel), with the conventional nightguard vital bleaching (10% CP). Bleaching efficacy, adverse effects, and patient's satisfaction were evaluated. Methods: Sixty participants were randomly divided into treatments (14 days): Opalescence GO (OGO)-10%HP PT-30 min, White Class-10%HP CT-30 min, Opalescence PF-10%CP CT-2 h, and Opalescence PF-10%CP CT-8 h. Color difference (visual and spectrophotometer), tooth sensitivity (visual analogue scale), gingival condition (Löe index), enamel mineralization (laser fluorescence), and patients' satisfaction (questionnaire) were assessed. Statistical tests were applied (5%). Results: After 1 year, color difference was similar for the groups (p > 0.05). All groups showed similar sensitivity risk (p > 0.05). The intensity of sensitivity and gingival irritation was mild for all gels, but higher for OGO. Fluorescence after bleaching remained similar to those of sound enamel. All participants were satisfied with treatments. Conclusions: All systems produced similar bleaching efficacy, which was maintained after 1 year. Patients were satisfied with bleaching outcomes. Tooth sensitivity occurred in all groups, but with overall mild intensity. No relevant gingival irritation and enamel demineralization was observed. Clinical significance: Bleaching with 10% HP gels in prefilled and CTs represent efficacious alternative for tooth color change, with patients' acceptance similar to conventional 10% CP. Patients must be warned about the mild sensitivity and gingival irritation potential, mainly with PTs. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 2022-04-28T19:43:45Z 2022-04-28T19:43:45Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1111/jerd.12814 Journal of Esthetic and Restorative Dentistry. 1708-8240 1496-4155 http://hdl.handle.net/11449/222294 10.1111/jerd.12814 2-s2.0-85113683241 |
url |
http://dx.doi.org/10.1111/jerd.12814 http://hdl.handle.net/11449/222294 |
identifier_str_mv |
Journal of Esthetic and Restorative Dentistry. 1708-8240 1496-4155 10.1111/jerd.12814 2-s2.0-85113683241 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Esthetic and Restorative Dentistry |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1797790283004379136 |