Objectives A single-blinded, randomized, parallel clinical trial evaluated the use of 37% carbamide peroxide (CP) on bleaching effectiveness and tooth sensitivity reported by patients undergoing in-office tooth bleaching, in comparison with the results of using 35% hydrogen peroxide.Material and Methods Forty patients were allocated to receive two sessions of in-office tooth bleaching using either 35% hydrogen peroxide (HP) or 37% CP. Each patient’s sensitivity level was evaluated during and up to 24 h after bleaching. The effectiveness of the bleaching procedures was evaluated with a spectrophotometer one week after each session and 30 days after the last session. The impact of tooth bleaching on the patients’ perceptions regarding smile changes, in addition to the bleaching procedures and their results, were also recorded. Absolute and relative sensitivity risks were calculated. Data on sensitivity level were analyzed using the Mann-Whitney or T-test, and data from the color evaluation were subjected to 2-way repeated measures ANOVA.Results The use of CP reduced the risk and level of tooth sensitivity to values close to zero, whereas the difference between the bleaching agents disappeared after 24 h. An increased bleaching effect was observed for HP, mainly due to an improved reduction of redness and yellowness. Participants perceived improved tooth bleaching for HP and reduced sensitivity for CP, but no differences regarding the comfort of the techniques were noted.Conclusions In our study, 37% CP resulted in reduced tooth sensitivity but decreased the tooth bleaching effectiveness. However, both bleaching agents resulted in high levels of patient satisfaction.
The present study aimed to determine how spectrophotometer type and background blackness affect the optical evaluation of resin composites. Cylindrical specimens were built using one resin composite, provided with translucencies named Effect, Enamel, Body, and Dentin (n = 3). The CIELAB color coordinates were assessed over black and white backgrounds using a handheld spectrophotometer designed for laboratory readings (SP60, X‐Rite) and a spectrophotometer designed for clinical application (Easyshade V5, Vita Zahnfabrik). The black portion of a grayscale target (ColorChecker) and the black trap portion of the calibration reference of the spectrophotometer were used. Color differences between the devices were calculated, as well as the translucency parameter and contrast ratio. Data were analyzed by repeated‐measures ANOVA and linear regressions (α = .05). In general, Easyshade resulted in higher values for all color coordinates than the SP60, irrespective of the background. Easyshade was unable to measure the color of composite Effect over black backgrounds. For other composite translucencies, both spectrophotometers yielded similar values of translucency parameter and contrast ratio, and the blackness of the black background did not affect these results. The highest agreement for the translucency parameter and contrast ratio values was observed for the composite Dentin. High agreement was observed between the two spectrophotometers regarding the translucency parameter and contrast ratio values. However, the clinical spectrophotometer was unable to measure the color of the more translucent composite over a black background and overestimated the color coordinates.
<div class="WordSection1"><p><strong>Objective</strong>: This study evaluated changes in the esthetic perceptions of patients subjected to in-office tooth bleaching. <strong>Material</strong><em> </em><strong>and</strong><em> </em><strong>Methods</strong>: Fifty participants included in a clinical trial evaluating the in-office tooth bleaching answered two questionnaires about their dental esthetic perceptions. The participants answered the Orofacial Esthetic Scale (OES) questionnaire and the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) before and after treatment. The average scores observed at baseline were compared with those recorded after tooth bleaching using the paired t-test or the Wilcoxon signed rank test (α = 0.05). <strong>Results</strong>: Improvement in tooth color (reduction of 5.1 shade guide units) had a positive impact on patients’ perceptions. According to PIDAQ, tooth bleaching significantly increased the psychological impact and dental self-confidence; and reduced esthetic concerns. The OES demonstrated improvements in participants’ satisfaction for all questions, except for the one on “facial appearance”. However, higher effect size was observed for the question related to tooth color, as expected. <strong>Conclusion</strong>: Tooth bleaching was associated with an overall improvement in dental esthetic perception, even when only tooth color was affected.</p><p><strong>Keywords</strong></p><p>Patient-reported outcomes; Randomized Controlled Clinical Trials; Tooth Bleaching.</p></div>
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