J Dent Rehabil Appl Sci.  2018 Sep;34(3):175-185. 10.14368/jdras.2018.34.3.175.

Efficacy of a self - applied paint - on whitening gel combined with wrap

• Kim SY
• Ahn JH
• Kim JY
• Kim JW
• Park SH
• Cho KM

• KMID: 2422636
• DOI: http://doi.org/10.14368/jdras.2018.34.3.175

Abstract

PURPOSE
The aim of this clinical study was to evaluate the efficacy and safety of a self - applied paint - on whitening gel combined with wrap to increase the effect of a whitening gel and minimize gingival irritation.
MATERIALS AND METHODS
Ninety adult volunteers were randomly treated to a control group and two experimental groups using whitening gel containing 2.8% and 3.0% hydrogen peroxide for 30 persons each. They had used the wrap and whitening gel on maxillary 4 anterior teeth for 30 minutes per day during 2 weeks. Whitening tooth color response was measured by VITA shade guide and ShadeEye NCC®. And side effects were assessed from interview and intraoral examination. The efficacy and safety evaluations were statistically analyzed.
RESULTS
In the evaluation with VITA shade guide, there was significantly the whitening effect in experimental groups compared with the control group. In the evaluation with ShadeEye NCC®, the 3.0% experimental group showed significantly the whitening effect compared to the control group and the 2.8% experimental group (P < 0.05). There were some complaints of minor side effects, but there did not find abnormal symptoms of the gingival stimulation in all groups.
CONCLUSION
A self - applied paint - on whitening gel combined with wrap can be used as a useful self-whitening material because the whitening effect increases as the concentration of hydrogen peroxide from 2.8% to 3.0% and also no significant side effects are observed.

Keyword

clinical study; colorimeter; efficacy; hydrogen peroxide; over-the-counter drugs; tooth bleaching

MeSH Terms

Adult
Clinical Study
Humans
Hydrogen Peroxide
Nonprescription Drugs
Paint*
Tooth
Tooth Bleaching
Volunteers
Hydrogen Peroxide
Nonprescription Drugs

Figure

• 

  Fig. 1 (A) Tooth whitening material (gel type), (B) Experimental wrap, (C) Individual jig used in this study.

Reference

References

1. Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patient'satisfaction with dental esthetics. J Am Dent Assoc. 2007; 138:805–8. DOI: 10.14219/jada.archive.2007.0269. PMID: 17545270.

2. Samorodnitzky-Naveh GR, Grossman Y, Bachner YG, Levin L. Patient'self-perception of tooth shade in relation to professionally objective evaluation. Quintessence Int. 2010; 41:e80–3. PMID: 20376367.

3. Carey CM. Tooth whitening:what we now know. J Evid Based Dent Pract. 2014; 14(Suppl 70-6):DOI: 10.1016/j.jebdp.2014.02.006. PMID: 24929591. PMCID: PMC4058574.

4. Plotino G, Buono L, Grande NM, Pameijer CH, Somma F. Nonvital tooth bleaching:a review of the literature and clinical procedures. J Endod. 2008; 34:394–407. DOI: 10.1016/j.joen.2007.12.020. PMID: 18358884.

5. Heymann HO. Tooth whitening:facts and fallacies. Br Dent J. 2005; 198:514. DOI: 10.1038/sj.bdj.4812298. PMID: 15849600.

6. Gerlach RW, Zhou X. Vital bleaching with whitening strips:summary of clinical research on effectiveness and tolerability. J Contemp Dent Pract. 2001; 2:1–16. PMID: 12167923.

7. ADA Council on Scientific Affairs. Tooth whitening/bleaching:treatment considerations for dentists and their patients. (updated 2018 Sep 21). Available from: https://www.ada.org/~/media/ADA/About%20the%20ADA/Files/whitening_bleaching_treatment_considrations_for_patients_and_dentists.ashx.

8. Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int. 1989; 20:173–6. PMID: 2762507.

9. Gerlach RW. Shifting paradigms in whitening:introduction of a novel system for vital tooth bleaching. Compend Contin Educ Dent Suppl. 2000; 29:S4–9. PMID: 11908409.

10. Park ES, Seong SR, Hong ST, Kim JE, Lee SY, Hwang SY, Lee SJ, Jin BH, Son HH, Cho BH. A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide. J Korean Acad Conserv Dent. 2006; 31:269–81. DOI: 10.5395/JKACD.2006.31.4.269.

11. Lee JK, Min SH, Hong ST, Oh SR, Chung SH, Hwang YH, You SY, Bae KS, Baek SH, Lee WC, Son WJ, Kum KY. Clinical study of shade improvement and safety of polymer-based pen type BlancTis Forte whitening agent containing 8.3% carbamide peroxide. J Korean Acad Conserv Dent. 2009; 34:154–61. DOI: 10.5395/JKACD.2009.34.2.154.

12. Karpinia K, Magnusson I, Barker ML, Gerlach RW. Clinical comparison of two self-directed bleaching systems. J Prosthodont. 2003; 12:242–8. DOI: 10.1016/S1059-941X(03)00102-5. PMID: 15061232.

13. Park DY, Jung SH, Ma DS, Chang SY, Yun SY. Randomized controlled clinical trial of the efficacy and safety of a 2.6% hydrogen peroxide containing tooth-whitening strips. J Korean Acad Dent Health. 2002; 26:385–96.

14. Gerlach RW, Gibb RD, Sagel PA. A randomized clinical trial comparing a novel 5.3% hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent Suppl. 2000; 29:S22–8. PMID: 11908406.

15. Dahl JE, Pallesen U. Tooth bleaching-a critical review of the biological aspects. Crit Rev Oral Biol Med. 2003; 14:292–304. DOI: 10.1177/154411130301400406. PMID: 12907697.

16. Joiner A. The bleaching of teeth:a review of the literature. J Dent. 2006; 34:412–9. DOI: 10.1016/j.jdent.2006.02.002. PMID: 16569473.

17. Kwon SR, Wertz PW. Review of the mechanism of tooth whitening. J Esthet Restor Dent. 2015; 27:240–57. DOI: 10.1111/jerd.12152. PMID: 25969131.

18. Leonard RH, Sharma A, Haywood VB. Use of different concentrations of carbamide peroxide for bleaching teeth:an in vitro study. Quintessence Int. 1998; 29:503–7. PMID: 9807130.

19. Auschill TM, Hellwig E, Schmidale S, Sculean A, Arweiler NB. Efficacy, side-effects and patients'acceptance of different bleaching techniques (OTC, in-office, at-home). Oper Dent. 2005; 30:156–63. PMID: 15853099.

20. Sulieman M, Addy M, MacDonald E, Rees JS. The effect of hydrogen peroxide concentration on the outcome of tooth whitening:an in vitro study. J Dent. 2004; 32:295–9. DOI: 10.1016/j.jdent.2004.01.003. PMID: 15053912.

21. Tredwin CJ, Naik S, Lewis NJ, Scully C. Hydrogen peroxide tooth-whitening (bleaching) products:review of adverse effects and safety issues. Br Dent J. 2006; 200:371–6. DOI: 10.1038/sj.bdj.4813423. PMID: 16607324.

22. Löe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand. 1963; 21:533–51. DOI: 10.3109/00016356309011240. PMID: 14121956.

23. Son YW. Guideline for the efficacy evaluation of the over the counter tooth bleaching products. National institute of food and drug safety evaluation. (updated 2018 Sep 21). Available from: http://www.google.co.kr/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=2ahUKEwj73v2b4sXdAhVC57wKHV3YDn4QFjAAegQIBRAC&url=http%3A%2F%2Fwww.nifds.go.kr%2Fbrd%2Fm_15%2Fdown.do%3Fbrd_id%3D167%26seq%3D9005%26data_tp%3DA%26file_seq%3D1&usg=AOvVaw2c2cUsZr9lqMIA6zIpj54O.

24. Matis BA, Cochran MA, Eckert G, Carlson TJ. The efficacy and safety of a 10% carbamide peroxide bleaching gel. Quintessence Int. 1998; 29:555–63. PMID: 9807138.

25. Sproull RC. Color matching in dentistry. I. The three-dimensional nature of color. J Prosthet Dent. 1973; 29:416–24. DOI: 10.1016/S0022-3913(73)80019-8. PMID: 4511779.

26. Viscio D, Gaffar A, Fakhry-Smith S, Xu T. Present and future technologies of tooth whitening. Compend Contin Educ Dent Suppl. 2000; 28:S36–43. PMID: 11908346.

27. Watts A, Addy M. Tooth discolouration and staining:a review of the literature. Br Dent J. 2001; 190:309–16. DOI: 10.1038/sj.bdj.4800959. PMID: 11325156.

28. Joiner A. Tooth colour:a review of the literature. J Dent. 2004; 32(suppl 3-12):DOI: 10.1016/j.jdent.2003.10.013. PMID: 14738829.

29. Hassel AJ, Koke U, Schmitter M, Beck J, Rammelsberg P. Clinical effect of different shade guide systems on the tooth shades of ceramic-veneered restorations. Int J Prosthodont. 2005; 18:422–6. PMID: 16220809.

30. Chu SJ, Trushkowsky RD, Paravina RD. Dental color matching instruments and system. Review of clinical and research aspects. J Dent. 2010; 38 suppl:e2–16. DOI: 10.1016/j.jdent.2010.07.001. PMID: 20621154.

31. Lehmann KM, Devigus A, Igiel C, Wentaschek S, Azar MS, Scheller H. Repeatability of color-measuring devices. Eur J Esthet Dent. 2011; 6:428–35. PMID: 22238725.

32. Paravina RD. Performance assessment of dental shade guides. J Dent. 2009; 37(Suppl 1):e15–20. DOI: 10.1016/j.jdent.2009.02.005. PMID: 19329240.

33. Chu SJ. Chu SJ, Devigus A, Paravina RD, Mieleszko AJ, editors. Technology-based shade matching. Fundamentals of color shade matching and communication in esthetic dentistry. Chicago: Quintessence Publishing Co. Inc;2011. p. 57–74.

34. Kwon SR. Diagnosis and treatment plan. Kwon SR, Ko SH, editors. Color atlas of tooth whitening. Seoul: Daehan Narae Publishing Inc;2006. p. 28–9.

35. Shin BG, Yang SE. The evaluation of clinical efficacy and longevity of home bleaching without combined application of In-office bleaching. J Korean Acad Conserv Dent. 2010; 35:387–94. DOI: 10.5395/JKACD.2010.35.5.387.

36. Yuan K, Sun X, Wang F, Wang H, Chen JH. In vitro and in vivo evaluations of three computer-aided shade matching instruments. Oper Dent. 2012; 37:219–27. DOI: 10.2341/11-230-C. PMID: 22313274.

37. Lee ST, Lee JH, Shin S. Evaluation of shade guide using digital shade analysis system. J Korean Acad Prosthodont. 2009; 47:1–11. DOI: 10.4047/jkap.2009.47.1.1. PMID: 3479360.

38. Ruyter IE, Nilner K, Möller B. Color stability of dental composite resin materials for crown and bridge veneers. Dent Mater. 1987; 3:246–51. DOI: 10.1016/S0109-5641(87)80081-7.

39. Seghi RR, Gritz MD, Kim J. Colorimetric changes in composites resulting from visible-light-initiated polymerization. Dent Mater. 1990; 6:133–7. DOI: 10.1016/S0109-5641(05)80044-2. PMID: 2079174.

40. Gross MD, Moser JB. A colorimetric study of coffee and tea staining of four composite resins. J Oral Rehabil. 1977; 4:311–22. DOI: 10.1111/j.1365-2842.1977.tb00997.x. PMID: 269919.

41. Lee BJ, Bae KH, Noh J, Paik DI, Kim JB. Clinical efficacy and safety evaluation of 2.6% and 2.9% hydrogen peroxide tooth-whitening strip. J Korean Acad Dent Health. 2004; 28:161–75.

42. Kihn PW. Vital tooth whitening. Dent Clin North Am. 2007; 51:319–31. DOI: 10.1016/j.cden.2006.12.001. PMID: 17532915.

43. Attin T, Paqué F, Ajam F, Lennon AM. Review of the current status of tooth whitening with the walking bleach technique. Int Endod J. 2003; 36:313–29. DOI: 10.1046/j.1365-2591.2003.00667.x. PMID: 12752645.

44. Thitinanthapan W, Satamanont P, Vongsavan N. In vitro penetration of the pulp chamber by three brands of carbamide peroxide. J Esthet Dent. 1999; 11:259–64. DOI: 10.1111/j.1708-8240.1999.tb00407.x. PMID: 10825881.

45. Gökay O, Yilmaz F, Akin S, Tunçbílek M, Ertan R. Penetration of the pulp chamber by bleaching agents in teeth restored with various restorative materials. J Endod. 2000; 26:92–4. DOI: 10.1097/00004770-200002000-00008. PMID: 11194380.

46. Leonard RH Jr, Haywood VB, Phillips C. Risk factors for developing tooth sensitivity and gingival irritation associated with nightguard vital bleaching. Quintessence Int. 1997; 28:527–34. PMID: 9477880.

47. Tam L. Clinical trial of three 10% carbamide peroxide bleaching products. J Can Dent Assoc. 1999; 65:201–5. PMID: 10224721.

48. Gerlach RW, Zhou X. Comparative clinical efficacy of two professional bleaching system. Compend Contin Educ Dent. 2002; 23:35–41. PMID: 11913292.