Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial

Objective: This randomized controlled trial aimed to evaluate the bleaching efficacy and tooth sensitivity (TS) of participants submitted to different application protocols of in-office bleaching with violet light using 6 % hydrogen peroxide (HP) nanoparticulate photocatalyst gel. Materials and meth...

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Main Authors: Gustavo Garcia Castro, Palena Araújo Pinto, Michael Willian Favoreto, Alessandra Reis, Maria Viviana-Mora, Rita de Cássia Mendonça de Miranda, Andres Felipe Milan Cardenas, Alessandro D. Loguercio, Rudys Rodolfo de Jesus Tavarez
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Photodiagnosis and Photodynamic Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S1572100024004472
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author Gustavo Garcia Castro
Palena Araújo Pinto
Michael Willian Favoreto
Alessandra Reis
Maria Viviana-Mora
Rita de Cássia Mendonça de Miranda
Andres Felipe Milan Cardenas
Alessandro D. Loguercio
Rudys Rodolfo de Jesus Tavarez
author_facet Gustavo Garcia Castro
Palena Araújo Pinto
Michael Willian Favoreto
Alessandra Reis
Maria Viviana-Mora
Rita de Cássia Mendonça de Miranda
Andres Felipe Milan Cardenas
Alessandro D. Loguercio
Rudys Rodolfo de Jesus Tavarez
author_sort Gustavo Garcia Castro
collection DOAJ
description Objective: This randomized controlled trial aimed to evaluate the bleaching efficacy and tooth sensitivity (TS) of participants submitted to different application protocols of in-office bleaching with violet light using 6 % hydrogen peroxide (HP) nanoparticulate photocatalyst gel. Materials and methods: Sixty-six participants were randomized and bleached using either a 6 % HP (Nano White, DMC), and/or violet light (Bright Max Whitening, MMOptics), according to the following protocols: 1) only violet light (VIOL); 2) only bleaching gel application (BG) and; 3) combined bleaching gel application + violet light (BG+VIOL). The bleaching efficacy was evaluated with the Vita Easyshade spectrophotometer, Vita Classical and Vita Bleachedguide scales. The risk and intensity of TS were recorded using a 0–10 visual analogue scale (VAS) and a 0–4 numerical scale (NRS). Color change and intensity of TS values were compared using one-way ANOVA and Tukey's test were used. The absolute risk of TS was compared using the Chi-square test (α = 0.05). Results: A significant and higher degree of bleaching was observed in the BG and BG+VIOL groups compared to the VIOL group (p < 0.003). Despite no significant differences in the risk (p > 0.07) and intensity (p > 0.28) of TS among groups, a higher risk of TS was observed in the BG and BG+VIOL groups. Conclusions: Using VIOL reduced the risk of TS but did not improve bleaching. However, BG+VIOL with low-concentration HP nanoparticulate photocatalyst gel achieved equal efficacy and was less likely to cause TS compared to BG.
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spelling doaj-art-e99ea075a2714419a2ffc130c466c7652025-08-20T02:38:22ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002024-12-015010441010.1016/j.pdpdt.2024.104410Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trialGustavo Garcia Castro0Palena Araújo Pinto1Michael Willian Favoreto2Alessandra Reis3Maria Viviana-Mora4Rita de Cássia Mendonça de Miranda5Andres Felipe Milan Cardenas6Alessandro D. Loguercio7Rudys Rodolfo de Jesus Tavarez8Department of Restorative Dentistry, CEUMA University, Maranhão, BrazilDepartment of Restorative Dentistry, CEUMA University, Maranhão, BrazilDepartment of Restorative Dentistry, State University of Ponta Grossa, Parana, Brazil; School of Dentistry, Tuiuti University, Curitiba, Paraná, BrazilDepartment of Restorative Dentistry, State University of Ponta Grossa, Parana, BrazilFacultad de Ciencias de la Salud, Carrera de Odontologia, Universidad De Los Hemisferios, Quito, EcuadorDepartment of Restorative Dentistry, CEUMA University, Maranhão, BrazilDepartment of Restorative Dentistry, CEUMA University, Maranhão, BrazilDepartment of Restorative Dentistry, State University of Ponta Grossa, Parana, Brazil; Facultad de Ciencias de la Salud, Carrera de Odontologia, Universidad De Los Hemisferios, Quito, Ecuador; Corresponding author at: School of dentistry, State University of Ponta Grossa. Avenida Carlos Cavalcanti, 4748, Uvaranas, Ponta Grossa, Paraná, 84030-900, Brazil.Department of Restorative Dentistry, CEUMA University, Maranhão, BrazilObjective: This randomized controlled trial aimed to evaluate the bleaching efficacy and tooth sensitivity (TS) of participants submitted to different application protocols of in-office bleaching with violet light using 6 % hydrogen peroxide (HP) nanoparticulate photocatalyst gel. Materials and methods: Sixty-six participants were randomized and bleached using either a 6 % HP (Nano White, DMC), and/or violet light (Bright Max Whitening, MMOptics), according to the following protocols: 1) only violet light (VIOL); 2) only bleaching gel application (BG) and; 3) combined bleaching gel application + violet light (BG+VIOL). The bleaching efficacy was evaluated with the Vita Easyshade spectrophotometer, Vita Classical and Vita Bleachedguide scales. The risk and intensity of TS were recorded using a 0–10 visual analogue scale (VAS) and a 0–4 numerical scale (NRS). Color change and intensity of TS values were compared using one-way ANOVA and Tukey's test were used. The absolute risk of TS was compared using the Chi-square test (α = 0.05). Results: A significant and higher degree of bleaching was observed in the BG and BG+VIOL groups compared to the VIOL group (p < 0.003). Despite no significant differences in the risk (p > 0.07) and intensity (p > 0.28) of TS among groups, a higher risk of TS was observed in the BG and BG+VIOL groups. Conclusions: Using VIOL reduced the risk of TS but did not improve bleaching. However, BG+VIOL with low-concentration HP nanoparticulate photocatalyst gel achieved equal efficacy and was less likely to cause TS compared to BG.http://www.sciencedirect.com/science/article/pii/S1572100024004472Bleaching efficacyIn-office bleachingViolet lightHydrogen peroxideLight-asssited blecahingRandomized clinical trial
spellingShingle Gustavo Garcia Castro
Palena Araújo Pinto
Michael Willian Favoreto
Alessandra Reis
Maria Viviana-Mora
Rita de Cássia Mendonça de Miranda
Andres Felipe Milan Cardenas
Alessandro D. Loguercio
Rudys Rodolfo de Jesus Tavarez
Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial
Photodiagnosis and Photodynamic Therapy
Bleaching efficacy
In-office bleaching
Violet light
Hydrogen peroxide
Light-asssited blecahing
Randomized clinical trial
title Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial
title_full Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial
title_fullStr Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial
title_full_unstemmed Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial
title_short Bleaching efficacy of in-office bleaching with violet light using low-concentration hydrogen peroxide nanoparticulate photocatalyst gel: A randomized controlled trial
title_sort bleaching efficacy of in office bleaching with violet light using low concentration hydrogen peroxide nanoparticulate photocatalyst gel a randomized controlled trial
topic Bleaching efficacy
In-office bleaching
Violet light
Hydrogen peroxide
Light-asssited blecahing
Randomized clinical trial
url http://www.sciencedirect.com/science/article/pii/S1572100024004472
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