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Decomposition Rate, pH, and Enamel Color Alteration of At-Home and In-Office Bleaching Agents
Vanessa Cavalli1, Bruna Guerra da Silva1, Sandrine Bittencourt Berger2
1Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP - Universidade Estadual de Campinas, Piracicaba, SP, Brazil.
At-home and in-office bleaching agents show varying decomposition rates and pH levels. Higher concentrations of carbamide peroxide (CP) resulted in greater color alteration, with in-office hydrogen peroxide (HP) agents effective in a single application.
Area of Science:
- Dental materials science
- Biomaterials
- Cosmetic dentistry
Background:
- Dental bleaching is a common cosmetic procedure.
- Understanding the chemical and physical properties of bleaching agents is crucial for efficacy and safety.
- Carbamide peroxide (CP) and hydrogen peroxide (HP) are the primary active ingredients in dental bleaching.
Purpose of the Study:
- To evaluate the decomposition rate (DR), pH, enamel color alteration (DE), and whiteness index (DWI) of at-home and in-office bleaching agents.
- To compare the effects of different concentrations of CP and HP, as well as light irradiation during in-office bleaching.
Main Methods:
- Enamel surfaces were treated with various at-home (10%, 15%, 20% CP; 6% HP) and in-office (35% HP with/without light) bleaching agents.
- DR and pH were measured at specific time intervals.
- Color parameters (L*, a*, b*, DE, DWI) were assessed before and after bleaching.
- Statistical analysis included one-way/two-way repeated measures ANOVA and Tukey tests.
Main Results:
- At-home CP agents showed similar DR after 6-8 hours, with pH ranging from neutral (CP) to acidic (6% HP).
- Higher CP concentrations (15%, 20%) led to greater DE than 10% CP after 4-8 hours.
- In-office 35% HP agents demonstrated significant DE in one application, irrespective of light irradiation, with varying pH levels.
- No significant differences in DWI were observed among groups, indicating a general whitening effect.
Conclusions:
- At-home bleaching agents can be applied for 2-4 hours depending on concentration and type.
- In-office 35% HP agents are effective within a single 40-minute application without light.
- Agent concentration and pH are key factors influencing bleaching efficacy and potential enamel alteration.
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