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Tooth bleaching using peroxide-containing agents: current status of safety issues
Y Li1
1Department of Restorative Dentistry, Loma Linda University School of Dentistry, California, USA.
Summary
At-home tooth bleaching with peroxide is safe when used properly, according to scientific evidence. Dental professional monitoring is recommended to ensure safety and effectiveness of these popular teeth whitening treatments.
Area of Science:
- Cosmetic Dentistry
- Dental Materials Science
Background:
- At-home tooth bleaching using peroxide agents is a popular cosmetic dental procedure.
- Concerns persist regarding the safety, particularly carcinogenicity and genotoxicity, of peroxide-containing bleaching agents.
Purpose of the Study:
- To review and discuss available information on the carcinogenicity and genotoxicity of hydrogen peroxide.
- To evaluate potential risks associated with peroxide-containing tooth bleaching agents.
- To assess clinical studies on oral tissue responses to these agents.
Main Methods:
- Literature review of scientific information on peroxide carcinogenicity and genotoxicity.
- Analysis of clinical studies published post-1996 symposium on peroxide bleaching agents.
- Evaluation of risks associated with at-home bleaching products and their application.
Main Results:
- Overall evidence indicates that proper use of at-home peroxide bleaching agents is safe.
- Potential adverse effects are linked to inappropriate application, abuse, or use of unsuitable products.
- Recent clinical studies support the safety profile when guidelines are followed.
Conclusions:
- Properly used at-home tooth bleaching agents containing peroxide are considered safe.
- Adverse effects can arise from misuse or use of non-compliant products.
- Professional dental supervision is crucial for maximizing benefits and minimizing risks of teeth whitening.