Abstract

Teeth Whitening Followed by Remineralization Therapy: a Comparative Analysis of Bleaching Systems and Remineralizing Agents

Highlights

  • Professional tooth bleaching has become widely used in dental practice worldwide that has given rise to its efficiency and safety study

  • The study involved 120 patients divided into three groups, 40 patients in each group, according to a bleaching system used (for bleaching purposes we have chosen three most popular systems in dental market nowadays, such as Opalescence Xtra Boost (Ultradent Products, USA), Amazing White Professional (Amazing White, USA), and the bleaching system Beyond Polus (Beyond Technology Corp., USA)): group 1 — teeth whitening included chemical activation using Opalescence Xtra Boost with 40% hydrogen peroxide concentration; group 2 — teeth whitening being carried out using a photochemical activation system, Amazing White Professional with 37% hydrogen peroxide concentration; group 3 — photobleaching was performed using Beyond Polus with 24% hydrogen peroxide concentration

  • In turn, was subdivided into three subgroups, 10 patients in each subgroup, according to a remine­ralizing agent applied, which was used after teeth whitening in order to prevent hyperesthesia: the first subgroup — teeth were remineralized after bleaching by enamel-sealing liquid (Humanchemie, Germany); the second subgroup — remineralization of teeth perfomed using the agent based on zinc-substituted carbonate hydroxylapatite Stomysens (BioRepair, Italy); the third subgroup — remineralization was performed using the agent based on zinc-substituted carbonate hydroxylapatite Stomysens combined with laser phonophoresis

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Summary

Introduction

Professional tooth bleaching has become widely used in dental practice worldwide that has given rise to its efficiency and safety study. Despite a great number of publications on teeth whitening techniques and possible changes in hard tissues [1,2,3,4,5], many issues in clinical practice still remain open. Whitening quality is known to depend on both: the properties of bleaching systems used, protective techniques of bleached teeth, and enamel composition as well. Enamel acts as a porous membrane: small ions go deeper than large molecules, which are absorbed on the surface and can be desorbed without any change in dental enamel crystal form [6, 7]. In enamel decalcination induced by an organic acid attack, the change of the form, size, and orientation of hydroxylapatite crystals are in progress

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