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Batista LAS, dos Reis-Prado AH, Chaves HGDS, de Arantes LC, Morgan LFSA, André CB, Suzuki TY, Benetti F. Can different agents reduce the damage caused by bleaching gel to pulp tissue? A systematic review of basic research. Restor Dent Endod 2023; 48:e39. [PMID: 38053785 PMCID: PMC10695728 DOI: 10.5395/rde.2023.48.e39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 08/14/2023] [Accepted: 08/16/2023] [Indexed: 12/07/2023] Open
Abstract
Objectives This study aimed to investigate the effectiveness of different topical/systemic agents in reducing the damage caused by bleaching gel to pulp tissue or cells. Materials and Methods Electronic searches were performed in July 2023. In vivo and in vitro studies evaluating the effects of different topical or systemic agents on pulp inflammation or cytotoxicity after exposure to bleaching agents were included. The risk of bias was assessed. Results Out of 1,112 articles, 27 were included. Nine animal studies evaluated remineralizing/anti-inflammatories agents in rat molars subjected to bleaching with 35%-38% hydrogen peroxide (HP). Five of these studies demonstrated a significant reduction in inflammation caused by HP when combined with bioglass or MI Paste Plus (GC America), or following KF-desensitizing or Otosporin treatment (n = 3). However, orally administered drugs did not reduce pulp inflammation (n = 4). Cytotoxicity (n = 17) was primarily assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay on human dental pulp cells and mouse dental papilla Cell-23 cells. Certain substances, including sodium ascorbate, butein, manganese chloride, and peroxidase, were found to reduce cytotoxicity, particularly when applied prior to bleaching. The risk of bias was high in animal studies and low in laboratory studies. Conclusions Few in vivo studies have evaluated agents to reduce the damage caused by bleaching gel to pulp tissue. Within the limitations of these studies, it was found that topical agents were effective in reducing pulp inflammation in animals and cytotoxicity. Further analyses with human pulp are required to substantiate these findings. Trial Registration PROSPERO Identifier: CRD42022337192.
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Affiliation(s)
- Letícia Aparecida Silva Batista
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | | | | | - Lara Cancella de Arantes
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | | | - Carolina Bosso André
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | - Thaís Yumi Suzuki
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
| | - Francine Benetti
- Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry, Belo Horizonte, MG, Brazil
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Pournaghiazar F, Kimyai S, Motiei M. Effects of Different Light-Assisted Power Bleaching Techniques on the Penetration of Hydrogen Peroxide into the Pulp Chamber. Photobiomodul Photomed Laser Surg 2023; 41:583-589. [PMID: 37768829 DOI: 10.1089/photob.2022.0150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2023] Open
Abstract
Background: In-office bleaching is one of the most commonly used procedures for discolored tooth treatment. Although the efficacy of tooth bleaching has been investigated, depending on the applied technique and the used materials, bleaching procedures might irritate the tooth pulp and induce surface changes in enamel. The aim of this study was to evaluate the effect of four different bleaching techniques on the penetration of hydrogen peroxide (HP) into the pulp chamber. Materials and methods: Seventy-two single-rooted sound human teeth were used. The samples were prepared and evaluated in four groups. Group 1: 35% HP gel alone (HP Gel); group 2: Nd:YAG laser (0.25 W and 10 Hz with a fiber tip size of 200 μm) irradiation was added (HP Gel+laser); group 3: HP gel mixed with graphite particles (10th of millimeter in size) derived from crashed pencil lead in association with Nd:YAG laser (HP Gel+laser+graphite); and group 4: HP gel in association with light-emitting diode (LED) (litex 686, 50 Hz, 450-490 nm) (HP Gel+LED). The amount of HP penetrating into the pulp chamber was evaluated using acetate buffer and standard graphs. Data were analyzed with one-way ANOVA test, using SPSS 17. Post hoc Tukey test was used for between-group comparisons (α = 0.05). Results: Statistical analyses showed that the HP Gel+laser+graphite group had significantly higher level of HP penetration than other groups (p < 0.001). Moreover, pulp chamber penetration of HP in the HP Gel+laser group was greater than the LED and control groups (p < 0.001). The difference between control and LED groups was not significant (p = 0.99). Conclusions: Laser bleaching associated with HP Gel and graphite particles resulted in increased penetration of HP into the pulp chamber compared with the LED and control groups.
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Affiliation(s)
| | - Soodabeh Kimyai
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehrnaz Motiei
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
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Barros Júnior EDS, Ribeiro MES, Lima RR, Souza Júnior MHDSE, Loretto SC. Excessive Dental Bleaching with 22% Carbamide Peroxide Combined with Erosive and Abrasive Challenges: New Insights into the Morphology and Surface Properties of Enamel. MATERIALS (BASEL, SWITZERLAND) 2022; 15:7496. [PMID: 36363088 PMCID: PMC9655651 DOI: 10.3390/ma15217496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 06/15/2022] [Accepted: 06/15/2022] [Indexed: 06/16/2023]
Abstract
This study aimed to evaluate the effects of 22% carbamide peroxide combined with an erosive challenge and simulated brushing on enamel. Bovine incisor teeth were divided into G1, tooth bleaching; G2, tooth bleaching + erosive challenge; and G3, tooth bleaching + erosive challenge + simulated brushing, and evaluated at T0, before any intervention; T1, 14 days after the proposed treatments; and T2, 28 days after the proposed treatments. Tooth bleaching was performed daily for 1 h for 28 days. The microhardness, surface roughness, mass variation, and ultrastructure were analyzed at T0, T1, and T2. Two-way analysis of variance for repeated measures was performed and Tukey's post hoc test (α = 5%) was used. The surface roughness increased in groups G2 and G3 as a function of time, whereas microhardness and mass measurements demonstrated a significant reduction for groups associated with challenges. Ultrastructural evaluation indicated a loss of the aprismatic layer and exposure of the enamel prisms in all groups after 14 days of bleaching, with more pronounced results in G2 and G3 after 28 days. In conclusion, abrasive and erosive challenges potentiated the deleterious effects of tooth whitening on microhardness, ultramorphology, and mass, without affecting the roughness of dental enamel.
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Affiliation(s)
- Edson de Sousa Barros Júnior
- Biomaterials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, UFPA, Belém 66075-110, Pará, Brazil
| | - Mara Eliane Soares Ribeiro
- Biomaterials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, UFPA, Belém 66075-110, Pará, Brazil
| | - Rafael Rodrigues Lima
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, UFPA, Belém 66075-110, Pará, Brazil
| | | | - Sandro Cordeiro Loretto
- Biomaterials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, UFPA, Belém 66075-110, Pará, Brazil
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Silva DP, Resende BA, Kury M, André CB, Tabchoury C, Giannini M, Cavalli V. Intrapulpal Concentration of Hydrogen Peroxide of Teeth Restored With Bulk Fill and Conventional Bioactive Composites. Oper Dent 2021; 46:E158-E170. [PMID: 34662908 DOI: 10.2341/20-091-l] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2020] [Indexed: 11/23/2022]
Abstract
This study evaluated intrapulpal concentration and hydrogen peroxide (HP) penetration at the interface of teeth restored with bioactive composites, using conventional or bulk-fill composites. Cylindrical cavities were prepared on the buccal surface of bovine incisor crowns (n=20) and restored with: resin modified glass-ionomer (RMGI, Riva Light Cure, SDI), non-bioactive bulk-fill composite (FB, Filtek Bulk, 3M Oral Care), non-bioactive conventional composite (FZ, Filtek Z350, 3M Oral Care), bioactive bulk-fill composite (AC, Activa BioActive, Pulpedent), and bioactive conventional composite (BII, Beautifil II, Shofu). After 5,000 thermal cycles, restorations (n=10) were exposed to high (35% HP [4 applications of 8 min/session-4 sessions]) or low (9.5% HP [30 min/day-14 days]) concentration bleaching protocols. After the last bleaching application, the HP intrapulpal concentration was determined. Additional teeth were restored, pigmented with rhodamine B solution, and HP penetration around the interface was observed under laser scanning confocal fluorescence microscopy (LSCFM, n=3). The presence of gaps at the interface was observed on replicas of the cross-sectioned samples under scanning electron microscopy (SEM, n=5). Data were submitted to one-way (gap analysis) and twoway analysis of variance (ANOVA; HP intrapulpal concentration) and Tukey test (α=0.05). The LSCFM images were qualitatively analyzed. The restored teeth submitted to 35% HP presented higher HP intrapulpal concentration than teeth submitted to 9.5% HP (p<0.05). No differences in HP intrapulpal concentration was observed among groups (p>0.05) when exposed to 9.5% HP. Lower HP intrapulpal concentration was observed for teeth restored with RMGI exposed to HP 35%, when compared with teeth restored with nonbioactive conventional (FZ; p=0.004) and bulk-fill composites (FB; p=0.01). No gap formation was observed at the outer enamel adhesive interface for all restorative materials. LSCFM images showed that 35% HP promoted greater degradation of rhodamine B at the enamel, except for RMGI. In this context, RMGI promoted lower HP intrapulpal concentration than non-bioactive conventional and bulk-fill composites.
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Mendes Soares IP, Anovazzi G, Anselmi C, Leite ML, Scheffel DLS, Soares DG, de Souza Costa CA, Hebling J. Response of pulp cells to resin infiltration of enamel white spot-like lesions. Dent Mater 2021; 37:e329-e340. [PMID: 33579532 DOI: 10.1016/j.dental.2021.01.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 01/20/2021] [Indexed: 12/27/2022]
Abstract
OBJECTIVES To investigate the trans-enamel and trans-dentinal biological effects of treating enamel white spot-like lesions (EWSLs) with resin infiltration components (RICs) on odontoblast-like cells (MDPC-23) and human dental pulp cells (HDPCs). METHODS EWSLs were induced in 60 enamel/dentin discs (4.0 ± 0.2 mm thick) using S. mutans. The discs were adapted into artificial pulp chambers and MDPC-23 were seeded on the dentin surface. The components of a resin infiltration system (Icon) were applied individually or in combination on the enamel surface as following (n = 10/treatment): Etch, Infiltrant, Etch+Infiltrant, or Etch+Dry+Infiltrant. The application of water or hydrogen peroxide served as negative and positive controls, respectively. After 72 h, MDPC-23 viability was evaluated. The extracts were exposed for 72 h to pre-cultured MDPC-23 and HDPCs in 96-well plates to evaluate cell viability, alkaline phosphatase activity (ALP), mineralized nodule formation (MN), and the expression of inflammatory cytokines (ICs) and mineralization-related genes (MRs). Data were analyzed by ANOVA complemented with Tukey or Games-Howell post-hocs (α = 5%). RESULTS Cell viability, ALP activity, and MN formation were significantly reduced in response to the RICs, presenting intermediate values compared to positive and negative controls. Likewise, ICs were upregulated, whereas MRs were downregulated. Among the RICs, the Etch component caused the most notorious detrimental effects. SIGNIFICANCE Resin infiltration of EWSLs negatively affected the metabolism of pulp cells in vitro. Therefore, even though resin infiltration is a micro-invasive therapy for non-cavitated caries in enamel, it should be closely followed up seen that components may diffuse and unbalance pulp homeostasis.
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Affiliation(s)
- Igor Paulino Mendes Soares
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil.
| | - Giovana Anovazzi
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | - Caroline Anselmi
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | - Maria Luísa Leite
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil
| | | | - Diana Gabriela Soares
- Department of Operative Dentistry, Endodontics and Dental Materials, São Paulo University (USP), Bauru Faculty of Dentistry, Bauru, Brazil
| | | | - Josimeri Hebling
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil.
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Kobayashi RS, Picolo MZD, Kury M, Resende BDA, Esteban Florez FL, Cavalli V. Effects of dental bleaching protocols with violet radiation on the color and chemical composition of stained bovine enamel. Photodiagnosis Photodyn Ther 2021; 34:102194. [PMID: 33513440 DOI: 10.1016/j.pdpdt.2021.102194] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 01/15/2021] [Accepted: 01/20/2021] [Indexed: 02/06/2023]
Abstract
OBJECTIVES To evaluate the bleaching efficacy of a violet radiation (VR) combined or not with bleaching gels on the color and mineral content of stained teeth. MATERIAL AND METHODS Enamel/dentin blocks were obtained and stained (n = 50) with coffee, red wine, tobacco smoke, or were left non-stained. The stained or not-stained blocks (n = 10) were distributed into five bleaching groups (n = 10): VR, CP (37 % carbamide peroxide), VR/CP, HP (35 % hydrogen peroxide), and VR/HP. Color (ΔE00, ΔL, Δa, and Δb) and whiteness index (ΔWID) changes were evaluated after staining and after bleaching using a spectrophotometer. Calcium (Ca), phosphorous (P), and Ca/P contents (in wt%) were measured after bleaching using energy-dispersive X-ray spectroscopy (EDS). Data was statistically analyzed (α = 0.05) using two-way ANOVA and Tukey tests (ΔE00, ΔWID, ΔL, Δb, wt%) or Kruskal-Wallis and Dunn tests (Δa). RESULTS VR alone caused higher colorimetric changes on coffee, tobacco and red wine-stained groups compared to non-stained enamel (p < 0.05). VR/CP exhibited higher colorimetric changes compared to CP in coffee and non-stained groups. The VR/CP, HP and VR/HP groups exhibited no change differences (p > 0.05). No differences were observed for the wt% of Ca, P and Ca/P between the groups. CONCLUSIONS The violet radiation was more effective in bleaching stained rather than non-stained teeth. VR combined with 37 % carbamide peroxide was as effective as the HP agent. Besides, no adverse effects could be observed in the enamel mineral content, regardless of the bleaching protocol tested, according to the EDS semi-quantitative analysis.
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Affiliation(s)
- Roberta Soares Kobayashi
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
| | - Mayara Zaghi Dal Picolo
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
| | - Matheus Kury
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
| | - Bruna de Almeida Resende
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
| | - Fernando Luis Esteban Florez
- The University of Oklahoma Health Sciences Center, Department of Restorative Sciences, Division of Dental Biomaterials, College of Dentistry, Oklahoma City, OK, United States.
| | - Vanessa Cavalli
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
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Cytotoxic Effects of Zoom ® Whitening Product in Human Fibroblasts. MATERIALS 2020; 13:ma13071491. [PMID: 32218276 PMCID: PMC7177679 DOI: 10.3390/ma13071491] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 03/22/2020] [Accepted: 03/23/2020] [Indexed: 01/23/2023]
Abstract
Tooth whitening procedures are increasing; however, side effects can occur, such as damage to pulp cells, by the whitening products. This study aims to assess the cellular effects promoted by a whitening product, namely, the oxidative stress fostered by the active agent hydrogen peroxide, with and without photoactivation. Additionally, if cellular recovery occurred, we intended to determine the time point where cells recover from the tooth whitening induced damage. Human fibroblasts were exposed to hydrogen peroxide, Zoom®, Zoom® + irradiation, and irradiation alone. The following analysis was performed: metabolic activity evaluation by the MTT assay; cell viability, mitochondrial membrane potential, peroxides production, superoxide radical production, and reduced glutathione expression by flow cytometry. We determined the IC50 value for all groups, and a dose-dependent cytotoxic effect was verified. At the times analyzed, hydrogen peroxide groups showed no metabolic activity recovery while a cell recovery was observed after 24 h (Zoom®) and 48 h (Zoom® + irradiation). Cell death was seen in hydrogen peroxide and Zoom® + irradiation groups, mainly by apoptosis, and the irradiation had a cytotoxic effect per se. This in vitro study supports that whitening products with moderate hydrogen peroxide (HP) concentration have a temporary effect on cells, allowing a cellular recovery.
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Abbasi M, Pordel E, Chiniforush N, Firuzjaee SG, Omrani LR. Hydrogen peroxide penetration into the pulp chamber during conventional in-office bleaching and diode laser-assisted bleaching with three different wavelengths. Laser Ther 2019; 28:285-290. [PMID: 32255920 PMCID: PMC7087340 DOI: 10.5978/islsm.19-or-20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 11/11/2019] [Indexed: 11/06/2022]
Abstract
BACKGROUND AND AIMS Penetration of hydrogen peroxide into the pulp chamber and subsequent tooth hypersensitivity is a common concern in dental bleaching. The aim of this study was to assess the penetration of hydrogen peroxide (H2O2) into the pulp chamber in diode-laser activated bleaching with different laser wavelengths. MATERIALS AND METHODS Fifty extracted human maxillary anterior teeth were collected and divided into five groups(n = 10). Group 1: conventional in-office bleaching using Opalescence Boost gel. Group 2: Bleaching with Biolase Laser White 20 gel activated by 980 nm diode laser. Group 3: Bleaching with Biolase Laser White 20 gel activated by 810 nm diode laser. Group 4: Bleaching with Biolase Laser White 20 gel activated by 940 nm diode laser. Group 5: No bleaching control group.After bleaching, the solution into the pulp chamber was collected and analyzed using a spectrophotometer. The recorded data were compared with a standard sample and the results were analyzed and compared using one-way ANOVA and Tukey's HSD tests. RESULTS In all bleached groups, H2O2 had infiltrated into the pulp chamber. The highest level of penetration was noted in group 2 (2.32 ± 0.25 µg), while the lowest level was noted in group 3 (1.85 ± 0.33 µg). The difference in this regard was significant between groups 2 and 3 (P = 0.024), but the differences between other groups were not statistically significant (P ≥ 0.42). CONCLUSION Considering the results of this study, it can be stated that hydroge peroxide penetration in to pulp chamber in diode laser activation of bleaching agent according to manufactures instruction is not higher than in-office bleaching. The wavelength of diode laser had significant effect on penetration of hydrogen peroxide into pulp chamber.
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Affiliation(s)
- Mahdi Abbasi
- DDS, MSc's, assistant professor, Restorative Dentistry Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Edris Pordel
- Department of Pediatric Dentistry, Borujerd Branch, Islamic Azad University Boroujerd, Iran
| | - Nasim Chiniforush
- Dentist, PhD of laser dentistry, Laser Research Canter of Dentistry, Dental Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Sattar Gorgani Firuzjaee
- DDS. Department of Medical Laboratory Sciences, School of Allied Health Medicine, Aja University of Medical Sciences, Tehran, Iran
| | - Ladan Ranjbar Omrani
- DDS, MSc's, associate professor, Restorative Dentistry Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Bersezio C, Sánchez F, Estay J, Ledezma P, Vernal R, Garlet G, Oliveira OB, Fernández E. Inflammatory markers IL‐1β and RANK‐L assessment after non‐vital bleaching: A 3‐month follow‐up. J ESTHET RESTOR DENT 2019; 32:119-126. [DOI: 10.1111/jerd.12557] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 11/01/2019] [Accepted: 12/10/2019] [Indexed: 01/17/2023]
Affiliation(s)
- Cristian Bersezio
- Department of Restorative Dentistry, Faculty of DentistryUniversity of Chile Santiago Chile
| | - Francisca Sánchez
- Department of Restorative Dentistry, Faculty of DentistryUniversity of Chile Santiago Chile
| | - Juan Estay
- Department of Restorative Dentistry, Faculty of DentistryUniversity of Chile Santiago Chile
| | - Paulina Ledezma
- Department of Conservative Dentistry, Faculty of DentistryUniversity of Chile Santiago Chile
| | - Rolando Vernal
- Department of Conservative Dentistry, Faculty of DentistryUniversity of Chile Santiago Chile
| | | | | | - Eduardo Fernández
- Department of Restorative Dentistry, Faculty of DentistryUniversity of Chile Santiago Chile
- Instituto de Ciencias BiomédicasUniversidad Autónoma de Chile Santiago Chile
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Benetti F, Briso ALF, de Araújo Lopes JM, Carminatti M, Conti LC, Gallinari MO, Ervolino E, Cintra LTA. In vivo analysis of the presence of heme oxygenase-1, transcription factor Jun-D and CD90+/CD73+/CD105+/CD45- cells in the pulp of bleached teeth. Int Endod J 2019; 52:1723-1737. [PMID: 31322737 DOI: 10.1111/iej.13190] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Accepted: 07/16/2019] [Indexed: 12/27/2022]
Abstract
AIM To investigate hydrogen peroxide (H2 O2 )-induced responsiveness in pulp cells using heme oxygenase-1 (HO-1) immunolabelling, Jun-D immunolabelling to study the effects of H2 O2 on odontoblastic differentiation and CD90+/CD73+/CD105+/CD45- cell counting for in vivo identification of mesenchymal stem cells in the pulp. METHODOLOGY The maxillary molars of 50 rats were treated with a bleaching gel (35% H2 O2 , 1 × 30 min) or placebo gel (control groups). At 2, 3, 7, 15 and 30 days after the treatment (n = 10), inflammation in pulp tissue was analysed by haematoxylin-eosin staining, HO-1- and Jun-D-immunolabelled cells were counted in each third of the pulp chamber, and the number of CD90+/CD73+/CD105+/CD45- cells was quantified by immunofluorescence. The results were assessed using the Paired t-test or Wilcoxon signed-rank test (P < 0.05). RESULTS Significant H2 O2 -induced inflammation was noted at 2 and 3 days (P < 0.05), with tertiary dentine formation occurring from 7 days. The bleached specimens had greater HO-1 immunolabelling in the middle and cervical thirds of the coronal pulp at 2 and 3 days, in all thirds at 7 days, and in the occlusal third at 15 days (P < 0.05), and significant nuclear Jun-D immunolabelling in the cervical third at 2 and 3 days and in the occlusal and middle thirds at 7 days (P < 0.05). Bleached and control groups had low numbers of CD90+/CD73+/CD105+/CD45- cells in the pulp at all periods (P > 0.05). CONCLUSIONS Pulp cells responded to oxidative stress by expressing HO-1 during the post-bleaching inflammation phase until the beginning of the repair phase. Jun-D expression occurred during the reduction of inflammation and the beginning of tertiary dentine production. The presence of oxidative stress did not influence the number of CD90+/CD73+/CD105+/CD45- cells identified in vivo in the dental pulp.
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Affiliation(s)
- F Benetti
- Department of Endodontics, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.,Department of Restorative Dentistry, School of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - A L F Briso
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - J M de Araújo Lopes
- Department of Endodontics, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - M Carminatti
- Department of Endodontics, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - L C Conti
- Department of Endodontics, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - M O Gallinari
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - E Ervolino
- Department of Basic Science, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - L T A Cintra
- Department of Endodontics, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
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11
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Niu L, Zhang H, Liu Y, Wang Y, Li A, Liu R, Zou R, Yang Q. Microfluidic Chip for Odontoblasts in Vitro. ACS Biomater Sci Eng 2019; 5:4844-4851. [DOI: 10.1021/acsbiomaterials.9b00743] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Lin Niu
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, P. R. China
| | - Hui Zhang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, P. R. China
- Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, P. R. China
- Bioinspired Engineering and Biomechanics Center (BEBC), Xi’an Jiaotong University, Xi’an 710049, P. R. China
| | - Yan Liu
- Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, P. R. China
- Bioinspired Engineering and Biomechanics Center (BEBC), Xi’an Jiaotong University, Xi’an 710049, P. R. China
| | - Yijie Wang
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, P. R. China
- Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, P. R. China
- Bioinspired Engineering and Biomechanics Center (BEBC), Xi’an Jiaotong University, Xi’an 710049, P. R. China
| | - Ang Li
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, P. R. China
| | - Ruirui Liu
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, P. R. China
| | - Rui Zou
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, P. R. China
| | - Qingzhen Yang
- Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, P. R. China
- Bioinspired Engineering and Biomechanics Center (BEBC), Xi’an Jiaotong University, Xi’an 710049, P. R. China
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12
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Cavalli V, Silva BGD, Berger SB, Marson FC, Tabchoury CPM, Giannini M. Decomposition Rate, pH, and Enamel Color Alteration of At-Home and In-Office Bleaching Agents. Braz Dent J 2019; 30:385-396. [DOI: 10.1590/0103-6440201902484] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Accepted: 03/01/2019] [Indexed: 11/21/2022] Open
Abstract
Abstract This study evaluated the decomposition rate (DR), pH, enamel color alteration (DE) and whiteness index (DWI) promoted by at-home and in-office bleaching. Enamel surface was submitted to (n=10): at-home (10%, 15%, 20% carbamide peroxide - CP, 6% hydrogen peroxide -HP) and three 35% HP agents with light irradiation (LED, laser, and halogen) or no treatment (control). The DR and pH of agents were measured after 0, 2, 4, 6 and 8 h (at-home) or after 5, 15, 20, 30 and 40 min (in-office). Color parameters (L*, a*, b*, DE, DWI) were determined at baseline and after bleaching. DR, pH, L*, a*, b* data were analyzed by one-way (at-home) or two-way (in-office) repeated measures ANOVA and Tukey test. DE and DWI, by one-way (at-home) or two-way (in-office) ANOVA and Tukey test. DR of at-home agents was similar after 6 and 8 h (p>0.05), with pH close to neutral (6.5 to 6.9, CP) or acid 5.9 (6% HP). From 4 to 8 h, DE was higher for 15% and 20% CP compared with 10% CP (p<0.05). After 40 min, DR of 35% HP agents was similar and all exhibited significant DE in one application (p<0.05), regardless light irradiation. DWI indicated whitening effect with no differences among groups (p>0.05). One 35% HP showed alkaline pH, and the others, pH < 5.5. At-home agents could be applied for 2 h (15%, 20% CP, 6% HP) and 4 h (10% CP) and the in-office agents, up to 40 min in one application, without light.
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Al-Basher G, Al-Motiri H, Al-Farraj S, Al-Otibi F, Al-Sultan N, Al-Kubaisi N, Al-Sarar D, Al-Dosary M, Bin-Jumah M, Mahmoud AM. Chronic exposure to 35% carbamide peroxide tooth bleaching agent induces histological and hematological alterations, oxidative stress, and inflammation in mice. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2019; 26:17427-17437. [PMID: 31016589 DOI: 10.1007/s11356-019-05100-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Accepted: 04/04/2019] [Indexed: 06/09/2023]
Abstract
Previous studies have demonstrated the side effects of tooth whiteners on the gastric mucosa. However, the impact of dental bleaching products on the liver, kidney, and heart remains obscure. The present study investigated the toxic potential of 35% carbamide peroxide (CPO) containing tooth whitening product (TWP) on the liver, kidney, heart, and stomach of mice, pointing to the role of oxidative stress and inflammation. Mice received 250 or 500 mg/kg body weight CPO-TWP orally for 3 weeks and samples were collected for analyses. Both doses of CPO-TWP induced a significant increase in circulating liver, kidney, and heart function markers. CPO-TWP-administered mice showed several histological alterations and a significant increase in liver, kidney, heart, and stomach lipid peroxidation levels along with diminished glutathione, superoxide dismutase, and catalase. In addition, administration of CPO-TWP provoked anemia, leukocytosis, and a significant increase in circulating levels of pro-inflammatory cytokines. In conclusion, exposure to 35% CPO-TWP induced functional, histological, and hematological alterations, oxidative stress, and inflammation in mice. Therefore, the frequent use of tooth bleaching agents should be monitored very carefully to avoid the application of excess amounts as well as the intake.
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Affiliation(s)
- Gadah Al-Basher
- Department of Zoology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Hind Al-Motiri
- Department of Zoology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Saleh Al-Farraj
- Department of Zoology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Fatimah Al-Otibi
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Nouf Al-Sultan
- Department of Zoology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Noorah Al-Kubaisi
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Dalia Al-Sarar
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - Monerah Al-Dosary
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - May Bin-Jumah
- Department of Biology, College of Science, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Ayman M Mahmoud
- Physiology Division, Zoology Department, Faculty of Science, Beni-Suef University, Salah Salim St., Beni-Suef, 62514, Egypt.
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14
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Lorena Ferreira L, Ana Helena Gonçalves de A, Decurcio DDA, Silva JA, Favarão IN, Loureiro MAZ, Barletta FB, Estrela C. Effect of dental bleaching on pulp oxygen saturation in maxillary central incisors - a randomized clinical trial. J Appl Oral Sci 2019; 27:e20180442. [PMID: 30994776 PMCID: PMC6459226 DOI: 10.1590/1678-7757-2018-0442] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 11/07/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess pulp oxygen saturation levels (SaO2) in maxillary central incisors after dental bleaching. MATERIALS AND METHODS 80 participants (160 teeth) were randomly allocated to four groups: G1 In-office bleaching with two applications of 35% hydrogen peroxide (HP) (20 minutes), followed by at-home bleaching with 10% carbamide peroxide (CP) (2 hours/day for 16 days); G2 - Same protocol as G1, plus desensitizing toothpaste; G3 - In-office bleaching with 35% HP and one application of placebo gel (20 minutes), followed by at-home bleaching with 10% CP (2 hours/day for 16 days); and G4 - Same protocol as G3, plus desensitizing toothpaste. Pulp SaO2 levels were measured before (T0) and immediately after (T1) in-office bleaching; on the 5th (T2), 8th (T3), 12th (T4), and 16th days of at-home bleaching (T5); and on the 7th (T6) and 30th (T7) days. Mean (SD) pulp SaO2 levels were compared within groups by generalized estimating equations (GEE) and Student's t-test (P<0.05). RESULTS Mean pulp SaO2 at T0 was 84.29% in G1, 84.38% in G2, 84.79% in G3, and 85.83% in G4. At T1, these values decreased to 81.96%, 82.06%, 82.19%, and 81.15% in G1, G2, G3, and G4 respectively, with significant difference in G4 (P<0.05). During home bleaching, pulp SaO2 levels varied in all groups, with 86.55%, 86.60%, 85.71%, and 87.15% means at T7 for G1, G2, G3, and G4, respectively; G2 presented significant difference (P<0.05). CONCLUSIONS Pulp SaO2 level in maxillary central incisors was similar at baseline, reducing immediately after in-office bleaching, regardless of using desensitizing toothpaste and increasing at 30 days after dental bleaching.
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Affiliation(s)
- Lima Lorena Ferreira
- Universidade Federal de Goiás, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Goiânia, Goiás, Brazil
| | | | - Daniel de Almeida Decurcio
- Universidade Federal de Goiás, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Goiânia, Goiás, Brazil
| | - Julio Almeida Silva
- Universidade Federal de Goiás, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Goiânia, Goiás, Brazil
| | - Isabella Negro Favarão
- Universidade Federal de Goiás, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Goiânia, Goiás, Brazil
| | - Marco Antônio Zaiden Loureiro
- Universidade Federal de Goiás, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Goiânia, Goiás, Brazil
| | - Fernando Branco Barletta
- Universidade Luterana do Brasil, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Canoas, Rio Grande do Sul, Brazil
| | - Carlos Estrela
- Universidade Federal de Goiás, Faculdade de Odontologia, Departamento de Ciências Estomatológicas, Goiânia, Goiás, Brazil
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do Carmo Públio J, Zeczkowski M, Burga-Sánchez J, Ambrosano GMB, Groppo FC, Aguiar FHB, Lima DANL. Influence of different thickeners in at-home tooth bleaching: a randomized clinical trial study. Clin Oral Investig 2018; 23:2187-2198. [DOI: 10.1007/s00784-018-2613-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 09/04/2018] [Indexed: 02/07/2023]
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16
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Peixoto AC, Vaez SC, Pereira NADR, Santana CNDS, Soares KDA, Romão ACTR, Ferreira LF, Martins-Filho PRS, Faria-E-Silva AL. High-concentration carbamide peroxide can reduce the sensitivity caused by in-office tooth bleaching: a single-blinded randomized controlled trial. J Appl Oral Sci 2018; 26:e20170573. [PMID: 30084472 PMCID: PMC6007969 DOI: 10.1590/1678-7757-2017-0573] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 12/28/2017] [Indexed: 11/21/2022] Open
Abstract
Objectives A single-blinded, randomized, parallel clinical trial evaluated the use of 37% carbamide peroxide (CP) on bleaching effectiveness and tooth sensitivity reported by patients undergoing in-office tooth bleaching, in comparison with the results of using 35% hydrogen peroxide. Material and Methods Forty patients were allocated to receive two sessions of in-office tooth bleaching using either 35% hydrogen peroxide (HP) or 37% CP. Each patient’s sensitivity level was evaluated during and up to 24 h after bleaching. The effectiveness of the bleaching procedures was evaluated with a spectrophotometer one week after each session and 30 days after the last session. The impact of tooth bleaching on the patients’ perceptions regarding smile changes, in addition to the bleaching procedures and their results, were also recorded. Absolute and relative sensitivity risks were calculated. Data on sensitivity level were analyzed using the Mann-Whitney or T-test, and data from the color evaluation were subjected to 2-way repeated measures ANOVA. Results The use of CP reduced the risk and level of tooth sensitivity to values close to zero, whereas the difference between the bleaching agents disappeared after 24 h. An increased bleaching effect was observed for HP, mainly due to an improved reduction of redness and yellowness. Participants perceived improved tooth bleaching for HP and reduced sensitivity for CP, but no differences regarding the comfort of the techniques were noted. Conclusions In our study, 37% CP resulted in reduced tooth sensitivity but decreased the tooth bleaching effectiveness. However, both bleaching agents resulted in high levels of patient satisfaction.
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Calixto GMF, Duque C, Aida KL, dos Santos VR, Massunari L, Chorilli M. Development and characterization of p1025-loaded bioadhesive liquid-crystalline system for the prevention of Streptococcus mutans biofilms. Int J Nanomedicine 2017; 13:31-41. [PMID: 29296084 PMCID: PMC5741066 DOI: 10.2147/ijn.s147553] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Formation of a dental biofilm by Streptococcus mutans can cause dental caries, and remains a costly health problem worldwide. Recently, there has been a growing interest in the use of peptidic drugs, such as peptide p1025, analogous to the fragments 1025-1044 of S. mutans cellular adhesin, responsible for the adhesion and formation of dental biofilm. However, peptides have physicochemical characteristics that may affect their biological action, limiting their clinical performance. Therefore, drug-delivery systems, such as a bioadhesive liquid-crystalline system (LCS), may be attractive strategies for peptide delivery. Potentiation of the action of LCS can be achieved with the use of bioadhesive polymers to prolong their residence on the teeth. In line with this, three formulations - polyoxypropylene-(5)-polyoxyethylene-(20)-cetyl alcohol, oleic acid, and Carbopol C974P in different combinations (F1C, F2C, and F3C) were developed to observe the influence of water in the LCS, with the aim of achieving in situ gelling in the oral environment. These formulations were assessed by polarized light microscopy, small-angle X-ray scattering, rheological analysis, and in vitro bioadhesion analysis. Then, p1025 and a control (chlorhexidine) were incorporated into the aqueous phase of the formulation (F + p1025 and F + chlorhexidine), to determine their antibiofilm effect and toxicity on epithelial cells. Polarized light microscopy and small-angle X-ray scattering showed that F1C and F2C were LCS, whereas F3C was a microemulsion. F1C and F2C showed pseudoplastic behavior and F3C Newtonian behavior. F1C showed the highest elastic and bioadhesive characteristics compared to other formulations. Antibiofilm effects were observed for F + p1025 when applied in the surface-bound salivary phase. The p1025-loaded nanostructured LCS presented limited cytotoxicity and effectively reduced S. mutans biofilm formation, and could be a promising p1025-delivery strategy to prevent the formation of S. mutans dental biofilm.
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Affiliation(s)
| | - Cristiane Duque
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Kelly Limi Aida
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Loiane Massunari
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Marlus Chorilli
- School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
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18
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Hydrogen peroxide induces cell proliferation and apoptosis in pulp of rats after dental bleaching in vivo. Arch Oral Biol 2017; 81:103-109. [DOI: 10.1016/j.archoralbio.2017.04.013] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 03/08/2017] [Accepted: 04/17/2017] [Indexed: 10/19/2022]
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19
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Perdigão J, Lam VQ, Burseth BG, Real C. Masking of Enamel Fluorosis Discolorations and Tooth Misalignment With a Combination of At-Home Whitening, Resin Infiltration, and Direct Composite Restorations. Oper Dent 2017; 42:347-356. [DOI: 10.2341/16-181-t] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This clinical report illustrates a conservative technique to mask enamel discolorations in maxillary anterior teeth caused by hypomineralization associated with enamel fluorosis and subsequent direct resin composite to improve the anterior esthetics. The treatment consisted of at-home whitening with 10% carbamide peroxide gel with potassium nitrate and sodium fluoride in a custom-fitted tray to mask the brown-stained areas, followed by resin infiltration to mask the white spot areas. An existing resin composite restoration in the maxillary right central incisor was subsequently replaced after completion of the whitening and resin infiltration procedures, whereas the two misaligned and rotated maxillary lateral incisors were built up with direct resin composite restorations to provide the illusion of adequate arch alignment, as the patient was unable to use orthodontic therapy.
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Affiliation(s)
- J Perdigão
- Jorge Perdigão, DMD, MS, PhD, Department of Restorative Sciences, University of Minnesota School of Dentistry, Minneapolis, MN, USA
| | - VQ Lam
- Viet Q. Lam, BS, University of Minnesota School of Dentistry, Minneapolis, MN, USA
| | - BG Burseth
- Brian G. Burseth, DDS, Private Practice, Crystal Lake, IL, USA
| | - C Real
- Carmen Real, DDS, Department of Primary Dental Care, University of Minnesota School of Dentistry, Minneapolis, MN, USA
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20
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Cavalli V, Silva BG, Berger SB, Abuna G, Marson FC, Tabchoury CPM, Giannini M. Effect of Adhesive Restoration and Bleaching Technique on the Concentration of Hydrogen Peroxide In the Pulp Chamber. Oper Dent 2017; 42:E44-E54. [DOI: 10.2341/16-079-l] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This study aimed to quantify the concentration of hydrogen peroxide into the pulp chamber in the presence or absence of adhesive enamel restorations and to analyze the resin-dentin interface of bleached groups. Bovine incisors (120) were randomly divided into three groups according to enamel treatment (n=40 each): (1) enamel without restoration (control); (2) enamel cavities (3 mm diameter × 1.5 mm depth) restored with a silorane-based (SB) system; or (3) enamel cavities (3 mm diameter × 1.5 mm depth) restored with a dimethacrylate-based (DB) system. Restorations were thermocycled, and all groups were submitted to one application of 35% hydrogen peroxide (HP) agent for 45 minutes and subjected to four light activation methods (n=10 each): without light, light-emitting diode (LED), LED/diode laser, or halogen light. Acetate buffer solution was placed into the pulp chamber before bleaching, and this solution was collected to spectrophotometrically determine the concentration of HP that reached the pulp chamber after bleaching. Rhodamine B was added to the HP agent and applied on additional enamel samples of each group for 24 hours. Samples were sectioned mesiodistally, and the bleaching agent was traced using confocal microscopy. According to two-way analysis of variance and Tukey test (α=0.05), the HP concentration in the pulp chamber of the control group was significantly lower than that of the SB group (p<0.05), regardless of light activation. No differences were observed between DB and SB groups and between control and DB groups, except for the DB halogen light activated group, which exhibited higher HP intrapulpal concentration (p<0.05). Confocal microscopy exhibited HP diffusion through the interface of the SB and DB restored groups as well as enamel prisms in the control group. The SB restorative system increased the HP diffusion into the pulp chamber, but HP was able to diffuse even in the absence of enamel restorations.
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Affiliation(s)
- V Cavalli
- Vanessa Cavalli, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - BG Silva
- Bruna G Silva, DDS, MS student, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - SB Berger
- Sandrine B Berger, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, University of North Parana, Londrina, Brazil
| | - G Abuna
- Gabriel Abuna, DDS, MS, PhD student, Department of Dental Materials, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - FC Marson
- Fabiano Carlos Marson, DDS, MS, PhD, associate professor, Department of Operative Dentistry, Faculty Ingá, Maringá, Brazil
| | - CPM Tabchoury
- Cinthia P. M. Tabchoury, PharmD, MS, PhD, associate professor, Department of Physiological Sciences, Piracicaba Dental School University of Campinas, Piracicaba, Brazil
| | - M Giannini
- Marcelo Giannini, DDS, MS, PhD, associate professor, Department of Restorative Dentistry Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
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21
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de Almeida LCAG, Soares DG, Azevedo FA, Gallinari MDO, Costa CADS, dos Santos PH, Briso ALF. At-Home Bleaching: Color Alteration, Hydrogen Peroxide Diffusion and Cytotoxicity. Braz Dent J 2017; 26:378-83. [PMID: 26312976 DOI: 10.1590/0103-6440201300380] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 04/07/2015] [Indexed: 11/21/2022] Open
Abstract
This study evaluated the color change, cytotoxicity and hydrogen peroxide (HP) diffusion caused by different home bleaching protocols: 10% carbamide peroxide (CP) for 3 or 1.5 h, 6% hydrogen peroxide for 1.5 h or 45 min. To quantify the peroxide penetration, disks of bovine teeth were placed in artificial pulp chambers (APCs) containing acetate buffer, which was collected for evaluation in a spectrophotometer. For analysis of cytotoxicity, specimens were adapted in APCs containing culture medium, which subsequently was applied on MDPC-23 odontoblast-like cells for 1 h. Cellular metabolism was evaluated by methyl tetrazolium (MTT) assay and the color change of the specimens was analyzed using the CIE L * a * b * system. The data were submitted to ANOVA and Fisher test (α=5%). The treatment with 10% CP for 3 h was the most effective, and 6% HP for 45 min produced the lowest color change. The groups 10% CP for 1.5 h and 6% HP for 45 min had the lowest trans-enamel dentinal HP penetration, and the 6% HP for 1.5 h had the highest. None of the protocols affected cellular metabolism and morphology. In conclusion, reduced peroxide exposure time reduced the bleaching result; higher HP diffusion did not mean higher effectiveness.
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Affiliation(s)
| | - Diana Gabriela Soares
- Department of Physiology and Pathology, Araraquara School of Dentistry, Univ Estadual Paulista, Araraquara, SP, BR
| | - Fernanda Almeida Azevedo
- Department of Restorative Dentistry, Araçatuba School of Dentistry, Univ Estadual Paulista, Araçatuba, SP, BR
| | | | | | - Paulo Henrique dos Santos
- Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, Univ Estadual Paulista, Araçatuba, SP, BR
| | - André Luiz Fraga Briso
- Department of Restorative Dentistry, Araçatuba School of Dentistry, Univ Estadual Paulista, Araçatuba, SP, BR
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Cintra LTA, Benetti F, Ferreira LL, Rahal V, Ervolino E, Jacinto RDC, Gomes Filho JE, Briso ALF. Evaluation of an experimental rat model for comparative studies of bleaching agents. J Appl Oral Sci 2016; 24:171-80. [PMID: 27008262 PMCID: PMC4775015 DOI: 10.1590/1678-775720150393] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Accepted: 01/17/2016] [Indexed: 11/22/2022] Open
Abstract
Dental materials, in general, are tested in different animal models prior to their clinical use in humans, except for bleaching agents.
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Affiliation(s)
| | - Francine Benetti
- Departamento de Endodontia, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
| | - Luciana Louzada Ferreira
- Departamento de Endodontia, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
| | - Vanessa Rahal
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
| | - Edilson Ervolino
- Departamento de Ciências Básicas, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
| | - Rogério de Castilho Jacinto
- Departamento de Endodontia, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
| | - João Eduardo Gomes Filho
- Departamento de Endodontia, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
| | - André Luiz Fraga Briso
- Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araçatuba, Univ. Estadual Paulista, Araçatuba, SP, Brasil
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Gonçalves RS, Costa CAS, Soares DGS, Santos PHD, Cintra LTA, Briso ALF. Effect of Different Light Sources and Enamel Preconditioning on Color Change, H2O2 Penetration, and Cytotoxicity in Bleached Teeth. Oper Dent 2016; 41:83-92. [DOI: 10.2341/14-364-l] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This study evaluated the effects of acid etching of the enamel and the combination of different light sources (halogen light, light-emitting diodes [LEDs], and LED/Laser) and the bleaching product on color change, penetration of hydrogen peroxide (H2O2), and cytotoxicity over time. The color change (ΔE) and the amount of H2O2 that permeated the tooth tissue were analyzed using a spectrophotometer. Cell metabolism and morphology were evaluated using the methylthiazol tetrazolium assay and scanning electron microscopy, respectively. The ΔE values and H2O2 permeation were not significantly different under any of the experimental conditions. Tooth whitening significantly reduced cell metabolism, regardless of whether a light source was used. Preconditioning the enamel did not influence the cellular metabolism in any group. In conclusion, combining the bleaching product with different light sources and/or preconditioning the enamel resulted in few significant changes in color, transenamel and transdentinal penetration of H2O2, or cytotoxicity and cell morphology.
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Affiliation(s)
| | - CAS Costa
- Carlos Alberto De Souza Costa, DDS, MSc, PhD, full professor, Araraquara School of Dentistry, UNESP – Univ Estadual Paulista, Department of Physiology and Pathology, Araraquara, São Paulo, Brazil
| | - DGS Soares
- Diana Gabriela Sousa Soares, DDS, MS, PhD student, Araraquara School of Dentistry, UNESP – Univ Estadual Paulista, Department of Dental Materials and Prosthodontics, Araraquara, São Paulo, Brazil
| | - PH dos Santos
- Paulo Henrique dos Santos, DDS, MSc, PhD, associate professor, Araçatuba School of Dentistry, UNESP – Univ Estadual Paulista, Department of Dental Materials and Prosthodontics, Araçatuba, São Paulo, Brazil
| | - LTA Cintra
- Luciano Tavares Angelo Cintra, DDS, MSc, PhD, associate professor, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Department of Restorative Dentistry, Araçatuba, São Paulo, Brazil
| | - ALF Briso
- André Luiz Fraga Briso, DDS, MS, PhD, associate professor, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Department of Restorative Dentistry, Araçatuba, São Paulo, Brazil
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Soares DG, Ribeiro APD, Sacono NT, Loguércio AD, Hebling J, Costa CADS. Mineral loss and morphological changes in dental enamel induced by a 16% carbamide peroxide bleaching gel. Braz Dent J 2015; 24:517-21. [PMID: 24474296 DOI: 10.1590/0103-6440201302225] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2013] [Accepted: 08/16/2013] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to compare the effect of a 16% carbamide peroxide (CP) gel and a 10% CP gel on mineralized enamel content and morphology. Enamel blocks from bovine incisors were subjected to a 14-day treatment (8 h/day) with 10% or 16% CP gels. Knoop microhardness was evaluated before bleaching and at 1, 7 or 14 days after this treatment (50 g/15 s). Mineral content (energy-dispersive x-ray spectroscopy), surface roughness and topography (atomic force microscopy) were evaluated at the 14-day period. Data were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05). Significant microhardness reduction was observed at the 7 th and 14 th days for 10% CP gel, and for all bleaching times for 16% CP gel (p<0.05). At the 14-day period, a significant decrease in Ca and P content, increase on surface roughness (p<0.05) as well as on picks and valleys distance were observed when both bleaching gels were used. These enamel alterations were more intense for 16% CP gel. It was concluded that both CP-based gels promoted loss of mineral structure from enamel, resulting in a rough and porous surface. However, 16% CP gel caused the most intense adverse effects on enamel.
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Affiliation(s)
- Diana Gabriela Soares
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, UNESP - Univ Estadual Paulista, AraraquaraSP, Brazil
| | - Ana Paula Dias Ribeiro
- Department of Dentistry, School of Dentistry, UNIB - University of Brasília, BrasíliaDF, Brazil
| | - Nancy Tomoko Sacono
- Department of Stomatological Sciences, School of Dentistry, UFG - Federal University of Goiás, GoiâniaGO, Brazil
| | - Alessandro Dourado Loguércio
- Department of Restorative Dentistry, School of Dentistry, UEPG - State University of Ponta Grossa, Ponta GrossaPR, Brazil
| | - Josimeri Hebling
- Department of Pediatric Dentistry and Orthodontics, Araraquara School of Dentistry, UNESP - Univ Estadual Paulista, AraraquaraSP, Brazil
| | - Carlos Alberto de Souza Costa
- Department of Physiology and Pathology, Araraquara School of Dentistry, UNESP - Univ Estadual Paulista, AraraquaraSP, Brazil
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Immediate and late analysis of dental pulp stem cells viability after indirect exposition to alternative in-office bleaching strategies. Clin Oral Investig 2014; 19:1013-20. [PMID: 25248948 DOI: 10.1007/s00784-014-1321-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2014] [Accepted: 09/15/2014] [Indexed: 01/27/2023]
Abstract
OBJECTIVES To evaluate human dental pulp stem cell viability and capacity to recover from experimental dental bleaching techniques. MATERIAL AND METHODS Enamel/dentin disks adapted to trans-wells were positioned on previously cultivated dental pulp stem cells. Bleaching gels containing 35, 17.5, 10, and 8 % hydrogen peroxide (H2O2) were applied one or three times (each application lasting 15 min) on enamel. Cell viability (MTT assay) and morphology (SEM) were evaluated immediately (T1) or 72 h (T2) post-bleaching. RESULTS The 35 % H2O2 gel promoted intense reduction in viability (93-97 %) and morphological alterations of the cells at T1, irrespective of frequency of application, with absence or limited capacity for recovery being observed at T2. The other bleaching gels presented significant lower toxicity when compared with the 35 % H2O2 gel, in a time/concentration fashion. In T1, no significant difference was observed between the negative control (without bleaching) and the 8 and 10 % H2O2 gels applied on enamel for 15 min, in which the cells presented elevated viability and morphology similar to the negative control at T2. CONCLUSIONS Bleaching gels with 8 and 10 % H2O2 in their composition cause limited immediate toxic effect on pulp stem cells, which recover their viability 3 days after treatment. CLINICAL RELEVANCE This study presents proposals for in-office dental bleaching to be performed with limited aggressive effect on dental pulp stem cells. Therefore, we are able to offer interesting clinical alternatives for bleaching vital teeth, under professional supervision, maintaining the integrity and reparative capacity of pulp-dentin complex.
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de Souza Costa CA, Hebling J, Scheffel DL, Soares DG, Basso FG, Ribeiro APD. Methods to evaluate and strategies to improve the biocompatibility of dental materials and operative techniques. Dent Mater 2014; 30:769-84. [DOI: 10.1016/j.dental.2014.04.010] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2013] [Revised: 02/05/2014] [Accepted: 04/25/2014] [Indexed: 01/09/2023]
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Soares DG, Ribeiro APD, Lima AF, Sacono NT, Hebling J, de Souza Costa CA. Effect of fluoride-treated enamel on indirect cytotoxicity of a 16% carbamide peroxide bleaching gel to pulp cells. Braz Dent J 2014; 24:121-7. [PMID: 23780364 DOI: 10.1590/0103-6440201302161] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2012] [Accepted: 01/30/2013] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the possibility of fluoride solutions applied to enamel to protect pulp cells against the trans-enamel and transdentinal cytotoxicity of a 16% carbamide peroxide (CP) bleaching gel. The CP gel was applied to enamel/dentin discs adapted to aicial pulp chambers (8 h/day) during 1, 7 or 14 days, followed by fluoride (0.05% or 0.2%) application for 1 min. The extracts (culture medium in contact with dentin) were applied to MDPC-23 cells for 1 h, and cell metabolism (MTT assay), alkaline phosphatase (ALP) activity and cell membrane damage (flow cytometry) were analyzed. Knoop microhardness of enamel was also evaluated. Data were analyzed statistically by ANOVA and Kruskal-Wallis tests (α=0.05). For the MTT assay and ALP activity, significant reductions between the control and the bleached groups were observed (p<0.05). No statistically significant difference occurred among bleached groups (p>0.05), regardless of fluoride application or treatment days. Flow cytometry analysis demonstrated 30% of cell membrane damage in all bleached groups. After 14 days of treatment, the fluoride-treated enamel presented significantly higher microhardness values than the bleached-only group (p<0.05). It was concluded that, regardless of the increase in enamel hardness due to the application of fluoride solutions, the treated enamel surface did not prevent the toxic effects caused by the 16% CP gel to odontoblast-like cells.
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Affiliation(s)
- Diana Gabriela Soares
- Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP - Univ Estadual Paulista, Araraquara, SP, Brazil
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Low-level laser therapy for osteonecrotic lesions: effects on osteoblasts treated with zoledronic acid. Support Care Cancer 2014; 22:2741-8. [DOI: 10.1007/s00520-014-2267-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 04/22/2014] [Indexed: 10/25/2022]
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Soares DG, Basso FG, Hebling J, de Souza Costa CA. Concentrations of and application protocols for hydrogen peroxide bleaching gels: Effects on pulp cell viability and whitening efficacy. J Dent 2014; 42:185-98. [DOI: 10.1016/j.jdent.2013.10.021] [Citation(s) in RCA: 104] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Revised: 10/30/2013] [Accepted: 10/31/2013] [Indexed: 01/09/2023] Open
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Bleaching effectiveness, hydrogen peroxide diffusion, and cytotoxicity of a chemically activated bleaching gel. Clin Oral Investig 2013; 18:1631-7. [PMID: 24264642 DOI: 10.1007/s00784-013-1147-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Accepted: 11/13/2013] [Indexed: 01/27/2023]
Abstract
OBJECTIVES The objective of this study was to evaluate the bleaching effectiveness, hydrogen peroxide diffusion (H2O2), and cytotoxicity of a bleaching gel with 35 % H2O2 either associated with ferrous sulfate (FeSO4) or not. MATERIALS AND METHODS Enamel/dentin discs adapted to artificial pulp chambers were placed in compartments containing a culture medium (Dulbecco's Modified Eagle's Medium (DMEM)) and distributed into the following groups: G1-no treatment (negative control), G2-10 % carbamide peroxide (one application for 4 h), G3-35 % H2O2 (three applications for 15 min), and G4-35 % H2O2 + 0.004 g FeSO4 (three applications for 15 min). After treatments, the extracts (DMEM + bleaching components that diffused across enamel and dentin) were applied on human dental pulp cells (HDPCs) and odontoblast-like cells (MDPC-23). Cell viability (MTT assay, Kruskal-Wallis and Mann-Whitney, α = 5 %), quantification of H2O2 diffusion, and color change of the enamel/dentin discs (Commission Internationale de I'Eclairage L*a*b* system) were assessed (analysis of variance and Tukey's tests, α = 5 %). RESULTS For both cells, a significant reduction in cell viability was observed for G3 and G4 compared with G1 and G2. No statistical difference was observed between G3 and G4. The rate of H2O2 diffusion was significantly higher in G3 compared with that in G2 and G4. The ΔE value for G4 was statistically higher than that of the other groups. CONCLUSIONS Chemical activation of H2O2 by FeSO4 improves the bleaching effectiveness. However, this metal ion has no significant protective effect against pulp cell cytotoxicity. CLINICAL RELEVANCE Although the chemical activation of H2O2 by adding FeSO4 to the bleaching agent improved the bleaching effectiveness, this metal ion has no significant protective effect against pulp cell cytotoxicity.
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Soares DG, Basso FG, Pontes ECV, Garcia LDFR, Hebling J, de Souza Costa CA. Effective tooth-bleaching protocols capable of reducing H(2)O(2) diffusion through enamel and dentine. J Dent 2013; 42:351-8. [PMID: 24056046 DOI: 10.1016/j.jdent.2013.09.001] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Revised: 07/30/2013] [Accepted: 09/10/2013] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES To evaluate the effects of experimental protocols on bleaching effectiveness and hydrogen peroxide (HP) diffusion through enamel and dentine. METHODS Enamel/dentine discs were subjected to six bleaching sessions, consisting of 1 or 3 applications of 17.5% or 35%-HP gel for 5/15min, or 37% carbamide peroxide (CP) gel for 10/20min. Discs undergoing the regular protocol (35%-HP; 3×15min) constituted the positive control group. Colour change (ΔE) was assessed (CIE L*a*b* system) after each session. HP diffusion was quantified (sessions 1, 3, and 6) in enamel/dentine discs adapted to artificial pulp chambers. Data were analysed by Pillai's Trace and Bonferroni test, or by one-way ANOVA and SNK/Tamhane's test (α=5%). RESULTS All tooth-bleaching protocols significantly increased the ΔE values. A reduction in HP diffusion and no significant difference in ΔE compared with the positive control were observed for the following bleaching protocols: 17.5%-HP 3×15min, at the 4th session; and 35%-HP 1×15 and 3×5min, at the 5th session. HP diffusion in the 37%-CP 3×20min bleaching protocol was statistically similar to that in the positive control. The other experimental bleaching protocols significantly decreased HP diffusion through enamel/dentine discs, but the ΔE values were statistically lower than those observed in the positive control, in all sessions. CONCLUSION Shortening the contact time of a 35%-HP gel or reducing its concentration produces gradual tooth colour change and reduced HP diffusion through enamel and dentine. CLINICAL SIGNIFICANCE A reduction in HP concentration, from 35% to 17.5%, in a bleaching gel or shortening its application time on enamel provides a significant tooth-bleaching improvement associated with decreased HP diffusion across hard dental tissues. Therefore, these protocols may be an interesting alternative to be tested in the clinical situation.
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Affiliation(s)
- Diana G Soares
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, Univ Estadual Paulista, Araraquara, SP, Brazil
| | - Fernanda G Basso
- Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Elaine C V Pontes
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, Univ Estadual Paulista, Araraquara, SP, Brazil
| | - Lucas da F R Garcia
- Department of Physiology and Pathology, Araraquara School of Dentistry, Univ Estadual Paulista, Araraquara, SP, Brazil
| | - Josimeri Hebling
- Department of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, Univ Estadual Paulista, Araraquara, SP, Brazil
| | - Carlos A de Souza Costa
- Department of Physiology and Pathology, Araraquara School of Dentistry, Univ Estadual Paulista, Araraquara, SP, Brazil.
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Lima AF, Ribeiro APD, Soares DGS, Sacono NT, Hebling J, de Souza Costa CA. Toxic effects of daily applications of 10% carbamide peroxide on odontoblast-like MDPC-23 cells. Acta Odontol Scand 2013; 71:1319-25. [PMID: 23351219 DOI: 10.3109/00016357.2012.762992] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND bleaching has been widely studied, mainly due to the possible undesirable effects that can be caused by this esthetic procedure. The cytotoxicity of the bleaching agents and its components to pulp cells has been demonstrated in several researches. The aim of this study was to evaluate the toxic effects of successive applications of 10% carbamide peroxide (CP) gel on odontoblast-like cells. MATERIALS AND METHODS Enamel-dentin discs obtained from bovine incisors were adapted to artificial pulp chambers (APCs). The groups were formed as follows: G1: Without treatment (control group); G2: 10% carbamide peroxide, CP (five applications/one per day); G3: 10% CP (one unique application); and G4: 35% hydrogen peroxide, HP (three applications of 15 min each). After treatment, cell metabolism (MTT), alkaline phosphatase (ALP) activity and plasma membrane damage (flow cytometry) were analyzed. RESULTS Reductions in cell metabolism and alkaline phosphatase activity along with severe damage of the cytoplasmic membrane were noted in G2. In G3, no damage was observed, compared to the control group. Intermediary values of toxicity were obtained after 35% HP application. CONCLUSION It can be concluded that one application of 10% CP did not cause toxic effects in odontoblast-like cells, but the successive application of this product promoted severe cytotoxic effects. The daily application of the bleaching agents, such as used in the at-home bleaching technique, can increase the damages caused by this treatment to the dental pulp cells.
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Affiliation(s)
- Adriano Fonseca Lima
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, SP, Brazil
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Basso F, Turrioni A, Hebling J, de Souza Costa C. Effects of zoledronic acid on odontoblast-like cells. Arch Oral Biol 2013; 58:467-73. [DOI: 10.1016/j.archoralbio.2012.09.016] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Revised: 07/11/2012] [Accepted: 09/27/2012] [Indexed: 11/30/2022]
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Soares DG, Ribeiro APD, da Silveira Vargas F, Hebling J, de Souza Costa CA. Efficacy and cytotoxicity of a bleaching gel after short application times on dental enamel. Clin Oral Investig 2012; 17:1901-9. [DOI: 10.1007/s00784-012-0883-1] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2012] [Accepted: 11/19/2012] [Indexed: 10/27/2022]
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