Modified technique for vital teeth whitening using DMC 35% hydrogen peroxide
Keywords:
Teeth whitening, dental aesthetics, cosmetic industry, 35% hydrogen peroxide, single application of the bleaching gel, change of the final coloring of the teeth.Abstract
Introduction: The manufacturers of DMC 35% hydrogen peroxide propose a whitening technique of vital teeth that waste the product and the time of treatment, so a modified technique would bring material and economic benefits for operators and patients.
Objective: To describe the application of a modified technique in vital teeth whitening using DMC 35% hydrogen peroxide.
Case presentation: A 44-year-old female patient undergoing a whitening treatment with a modification of the technique proposed by the product manufacturer. The modification consisted in the use of a single application of the bleaching gel instead of three applications, and an increase in the exposure time to 40 min instead of the 10-15 min recommended by the manufacturer. The variables used to evaluate the treatment and its results were defined by the registration of the color before and after treatment and also by the satisfaction of the patient with the result. The teeth exposed to treatment were found with healthy enamel tissues without dentine exposure on any of the surfaces.
Conclusions: The described modification of the whitening technique proposed by the manufacturer with DMC Lase Peroxide Sensy (35% hydrogen peroxide) consisting mainly on the use of a single application and the increase of the exposure time in a single treatment session contributed to a considerable saving of the product and led to the change of the final coloring of the teeth, which resulted in the full satisfaction of the patient and the protection of her exposed teeth and tissues.
Keywords: Teeth whitening, dental aesthetics, cosmetic industry, 35% hydrogen peroxide, single application of the bleaching gel, change of the final coloring of the teeth.Downloads
References
1. Chu SJ, Paravina RD, Sailer I, Mielezko AJ. Color in dentistry : a clinical guide to predictable esthetics. 1st. ed. Hanover Park, IL: Quintessence Publishing Co, Inc,; 2017. 259 p.
2. Fernandez E, Bersezio C, Bottner J, Avalos F, Godoy I, Inda D, et al. 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 [Internet]. 2017 Jan/Feb [Cited 2/12/2018]; 42(1):41-52. Available from: https://www.jopdentonline.org/doi/abs/10.2341/15-335-C
3. Grazioli G, Valente LL, Isolan CP, Pinheiro HA, Duarte CG, Münchow EA. Bleaching and enamel surface interactions resulting from the use of highly-concentrated bleaching gels. Arch Oral Biol [Internet]. 2018[Cited 2/12/2018]; 87:157-162. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29304422
4. Herrera A, Martin J, Perez F, Bonafe E, Reis A, Dourado AL, et al. Is personality relevant in the choice of bleaching? Clin Oral Investig [Internet]. 2016 Nov[Cited 2/12/2018] ; 20(8):2105-11 . Available from: http://dx.doi.org/10.1007/s00784-015-1701-3.
5. Martin J, Rivas V, Vildosola P, Moncada L, Oliveira Junior OB, Saad JR, et al. Personality style in patients looking for tooth bleaching and its correlation with treatment satisfaction. Braz Dent J [Internet]. 2016 Jan-Feb[Cited 2/12/2018 ]; 27(1):60-5. Available from: http://dx.doi.org/10.1590/0103-6440201600127
6. Martin J, Vildosola P, Bersezio C, Herrera A, Bortolatto J, Saad JR, et al. Effectiveness of 6% hydrogen peroxide concentration for tooth bleaching-A double-blind, randomized clinical trial. J Dent [Internet]. 2015 Aug[Cited 2/12/2018]; 43(8):965-72 ]. Available from: http://dx.doi.org/10.1016/j.jdent.2015.05.011
7. Moncada G, Sepúlveda D, Elphick K, Contente M, Estay J, Bahamondes V, et al. Effects of light activation, agent concentration, and tooth thickness on dental sensitivity after bleaching. Oper Dent [Internet]. 2013[Cited 2/12/2018]; 38(5):467-76]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23391030
8. Pimentel AH, Valente LL, Isolan CP, Münchow EA, Piva E, de Moraes RR. Effect of waiting time for placing resin composite restorations after bleaching on enamel bond strength. Appl Adhesion Sci [Internet]. 2015[Cited 2/12/2018]; 3(1). Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014130758&doi=10.1186%2fs40563-015-0051-3&partnerID=40&md5=86352bda13aad0709bdf2ce92345bef5
9. Swift EJ, Jr. Critical appraisal. Reversal of compromised bonding after bleaching. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry. 2012;24(5):357-61
10. Vildósola P, Bottner J, Avalos F, Godoy I, Martín J, Fernández E. Teeth bleaching with low concentrations of hydrogen peroxide (6%) and catalyzed by LED blue (450 ± 10 nm) and laser infrared (808 ± 10 nm) light for in-office treatment: Randomized clinical trial 1-year follow-up. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry. [Internet] 2017[Cited 2/12/2018]; 29(5):339-45. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28712152
11. Vildosola P, Vera F, Ramirez J, Rencoret J, Pretel H, Oliveira OB Jr., et al. Comparison of effectiveness and sensitivity using two in-office bleaching protocols for a 6% hydrogen peroxide gel in a randomized clinical trial. Oper Dent [Internet]. 2017 May/Jun[Cited 2/12/2018]; 42(3):244-52. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28467262
Download PDF
