Nightguard Vital Bleaching: Side Effects and Patient Satisfaction 10 to 17 Years Post‐Treatment

Abstract

Nightguard vital bleaching provides patient satisfaction with minimal side effects up to 17 years post-treatment.

Mineral Loss and Morphological Changes in Dental Enamel Induced by a 16% Carbamide Peroxide Bleaching Gel

“…The 10% CP gel has been considered a safe bleaching technique for tooth structure, since several studies demonstrated low incidence of post-operative sensitivity (8) and low trans-enamel and trans-dentinal cytotoxicity (4). A recent in vivo study also demonstrated that nightguard vital bleaching with 10% CP gel provides patient satisfaction with minimal side effects up to 17 years posttreatment (9). However, some patients complain about the long treatment time required for this technique.…”

Effect of Carbamide Peroxide Bleaching Gel on Composite Resin Flexural Strength and Microhardness

“…In general, as cited by Attin et al (5), this technique uses low-concentration peroxide-containing agents generally with a low cost individual tray for 2-4 weeks and application intervals of 4-8 h per day. A 10-17 years follow-up study (4) showed that home bleaching provided patient satisfaction with minimal side effects.…”

“…Different techniques may be employed for brightening discolored teeth, such as: home bleaching, in-office bleaching or a combination of both (2). Since its introduction by Haywood and Heymann (3), home bleaching has become an attractive treatment modality for patients and dentists due to its excellent clinical effectiveness, easy application, lower cost and safety of the used materials (1,4). In general, as cited by Attin et al (5), this technique uses low-concentration peroxide-containing agents generally with a low cost individual tray for 2-4 weeks and application intervals of 4-8 h per day.…”

Immediate and late analysis of dental pulp stem cells viability after indirect exposition to alternative in-office bleaching strategies

“…However, this technique has several limitations, such as the fact that the professional does not directly supervise the entire treatment and the long bleaching time needed to achieve significant color improvement as well as the risk of gel application over exposed dentin and soft tissue [10]. Therefore, alternative professional bleaching therapies, with the goal of minimizing the toxic effect on pulp cells, have been the target of diverse contemporary researches [4,8].…”

“…Up to the present time, at-home bleaching using 10 % carbamide peroxide (CP) has been considered the safest bleaching therapy for the pulp-dentin complex [8][9][10][11]. However, this technique has several limitations, such as the fact that the professional does not directly supervise the entire treatment and the long bleaching time needed to achieve significant color improvement as well as the risk of gel application over exposed dentin and soft tissue [10].…”