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Nightguard vital bleaching: a review and clinical study
1Department of Oral Rehabilitation, School of Dentistry, University of Otago, Dunedin.
The New Zealand Dental Journal
|October 17, 1998
Summary
Dentist-prescribed home teeth whitening using carbamide peroxide is safe and effective. This vital bleaching method shows no long-term adverse effects on teeth or dental restorations, making it a favored patient and dentist option.
Area of Science:
- Dentistry
- Dental Materials Science
Background:
- Home bleaching, or nightguard vital bleaching, is a common dental procedure.
- Carbamide peroxide is a widely used agent for tooth whitening.
Purpose of the Study:
- To evaluate the safety and efficacy of dentist-prescribed home bleaching using carbamide peroxide.
- To assess potential long-term effects of vital bleaching on dental tissues and restorative materials.
Main Methods:
- Clinical experience and research review.
- Evaluation of carbamide peroxide (up to 10%) used in nightguard vital bleaching systems under dental supervision.
- Assessment of side effects, pulpal effects, bond strength, and surface morphology.
Main Results:
- Home bleaching with 10% carbamide peroxide is safe and effective.
- Mild thermal sensitivity is a common, transient side effect.
- No clinically significant long-term pulpal or restorative material effects were observed.
Conclusions:
- Dentist-prescribed vital bleaching is a safe and effective tooth whitening technique.
- The procedure has transient effects on resin bond strength but no lasting damage.
- Vital bleaching is a favored treatment option for both patients and dental professionals.