Abstract

Objective: This study’s aim was to quantify the hydrogen peroxide (HP) penetration into the pulp chamber of teeth submitted to different protocols of bleaching. Material and Methods: Ninety premolars were randomly divided into nine groups according to the bleaching agent protocol (n = 10): control (no bleaching), carbamide peroxide 10% [10% CP], carbamide peroxide 16% [16% CP], carbamide peroxide 22% [22% CP], hydrogen peroxide 4% [4% HP], hydrogen peroxide 6% [6% HP], hydrogen peroxide 7.5% [7.5% HP], hydrogen peroxide 10% [10% HP] and hydrogen peroxide 35% [35% HP]. The penetration of HP was measured via spectrophotometric analysis of the acetate buffer solution from the pulp chamber. The absorbance of the resulting solution was determined in a spectrophotometer and converted into equivalent concentration of HP (?g/ mL). To analyze the concentration of HP, the titration of bleaching agents with potassium permanganate was used. Data were subjected to ANOVA and Tukey’s test for pairwise comparison (? = 0.05). Results: Higher concentration of HP in the pulp chamber was found in the HP 35% group (p < 0.0001). No significant difference between at-home protocols were observed (p = 0.64). Titration values showed that the concentration of the products was similar to that claimed by the manufacturer. Conclusion: It follows that the amount of HP that reaches the pulp chamber is not proportional to the concentration of whitening gels, but depends on the application time recommended by the manufacturers.KEYWORDSAt-home bleaching; Dental enamel permeability; Inoffice bleaching; Tooth bleaching.

Highlights

  • The demand for dental bleaching products has increased significantly over the past year

  • Different amounts of hydrogen peroxide were found in the pulp chamber of the different bleaching protocols (Table II)

  • The amount of hydrogen peroxide from the 35% HP group was significantly higher than all athome protocols evaluated (p < 0.0001)

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Summary

Introduction

The demand for dental bleaching products has increased significantly over the past year. For at-home bleaching, the products employed different concentrations of carbamide peroxide (5% to 22%) or hydrogen peroxide ranging from 3% to 10%. In-office bleaching employs highly concentrated hydrogen peroxide gels - typically in the range of 20 to 38% [3,4,5]. All these bleaching products have shown effective color changes both at the immediate and in middle-term follow-ups [6,7]. Cell viability reduction, H2O2 diffusion, cell morphology alteration, oxidative stress, and cell membrane damage of pulp cells depend on the concentration of hydrogen peroxide and contact time of this products [13,14]

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