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Colorimetric assessment of laser and home bleaching techniques
A H Jones1, A M Diaz-Arnold, M A Vargas
1University of Iowa, Iowa City, USA.
Summary
Carbamide peroxide at 20% concentration yielded the most significant tooth whitening. Laser-activated hydrogen peroxide, in a single application, showed no perceivable color change, suggesting longer or repeated treatments may be necessary for this technique.
Area of Science:
- Dental materials science
- Aesthetic dentistry
- Biomaterials
Background:
- Tooth discoloration is a common aesthetic concern.
- Various bleaching agents and techniques exist to improve tooth color.
- Evaluating the efficacy of different bleaching protocols is crucial for clinical practice.
Purpose of the Study:
- To compare the in vitro color change of three tooth bleaching techniques.
- To assess laser-activated hydrogen peroxide and two concentrations of carbamide peroxide.
- To determine the most effective bleaching method for aesthetic dental treatments.
Main Methods:
- Extracted human incisors were divided into four groups: laser-activated 35% hydrogen peroxide (H2O2), 10% carbamide peroxide, 20% carbamide peroxide, and a control.
- Color measurements (CIE L*a*b*) were recorded at baseline, 1 week, and 2 weeks.
- Color difference (delta E*ab) was calculated to quantify bleaching efficacy.
Main Results:
- The 10% and 20% carbamide peroxide groups showed statistically significant color differences compared to the control (p < .01).
- The laser-activated hydrogen peroxide group did not demonstrate a statistically significant color difference from the control group (p > .01).
- The control group exhibited no significant color change over the study period (p > .05).
Conclusions:
- 20% carbamide peroxide resulted in the greatest perceivable tooth color change.
- A single application of laser-activated hydrogen peroxide did not produce a noticeable whitening effect.
- Clinicians may need to consider extended or multiple applications for laser-activated hydrogen peroxide to achieve desired results.

