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Dias MF, Martins BV, de Oliveira Ribeiro RA, Leite ML, Ortecho-Zuta U, Hebling J, Costa CADS. A new approach for professional dental bleaching using a polymeric catalyst primer. J ESTHET RESTOR DENT 2023; 35:406-415. [PMID: 36193855 DOI: 10.1111/jerd.12972] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 09/03/2022] [Accepted: 09/16/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Evaluate the influence of a polymeric catalyst primer (PCP) on esthetic efficacy (EE), degradation kinetics of hydrogen peroxide (H2 O2 ), and trans-amelodentinal cytotoxicity (TC) of bleaching gels. MATERIALS AND METHODS The following groups were established: G1: No treatment (NC, negative control); G2: PCP; G3: 10% H2 O2 ; G4: PCP + 10% H2 O2 ; G5: 20% H2 O2 ; G6: PCP + 20% H2 O2 ; G7: 35% H2 O2 (positive control); G8: PCP + 35% H2 O2 . To determine EE, enamel/dentin discs (E/DDs) were stained and subjected or not to bleaching protocols for 45 min. To assess TC, the E/DDs were adapted to artificial pulp chambers. The extracts (culture medium + gel components diffused through E/DDs) were applied to odontoblast-like MDPC-23 cells. The viability (VB), oxidative stress (OxS), morphology (SEM), amount of H2 O2 diffused and the production of hydroxyl radical (OH• ) were assessed (two-way ANOVA/Tukey/paired Student t-test; p < 0.05). RESULTS The highest EE was found in G8 (p < 0.05), and G4, G6, and G7 did not differ statistically (p > 0.05). In G4, the limited H2 O2 diffusion reduced OxS and increased cell VB (p < 0.05). CONCLUSIONS Coating the enamel with PCP containing 10 mg/ml of manganese oxide before applying the 10% H2 O2 bleaching gel maintains the EE of conventional in-office bleaching and minimizes the toxic effects of this esthetic therapy. CLINICAL SIGNIFICANCE Coating the enamel with a PCP before applying the bleaching gel may potentiate the EE of the conventional in-office tooth bleaching and reduce the toxicity of this professional therapy to the dental pulp.
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Affiliation(s)
- Marlon Ferreira Dias
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University, Araraquara, Brazil
| | - Beatriz Voss Martins
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University, Araraquara, Brazil
| | | | - Maria Luísa Leite
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University, Araraquara, Brazil
| | - Uxua Ortecho-Zuta
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University, Araraquara, Brazil
| | - Josimeri Hebling
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, School of Dentistry, São Paulo State University, Araraquara, Brazil
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Ribeiro R, de Oliveira Duque CC, Ortecho-Zuta U, Leite ML, Hebling J, Soares DG, de Souza Costa CA. Influence of Manganese Oxide on the Esthetic Efficacy and Toxicity Caused by Conventional In-office Tooth Bleaching Therapy. Oper Dent 2022; 47:425-436. [PMID: 35917237 DOI: 10.2341/20-257-l] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVE This study aimed to evaluate the esthetic efficacy, cytotoxicity, and kinetics of decomposition of hydrogen peroxide (H2O2) present in a commercial bleaching gel with 35% H2O2 (BG35%) chemically activated with manganese oxide (MnO2). METHODS AND MATERIALS After incorporating 2 mg/mL, 6 mg/mL, and 10 mg/mL of MnO2 into BG35%, the stability of pH and temperature of the products were analyzed. To assess the esthetic efficacy (ΔE and ΔWI), the BG35%s with MnO2 were applied for 45 minutes on enamel/dentin discs (DiE/D). BG35% or no treatment were used as positive (PC) and negative (NC) controls, respectively. To analyze the cell viability (CV) and oxidative stress (OXS), the same bleaching protocols were performed on DiE/D adapted to artificial pulp chambers. The extracts (culture medium + gel components that diffused through the discs) were applied to pulp cells and submitted to H2O2 quantification. BG35% with MnO2 that showed the best results was evaluated relative to kinetic decomposition of H2O2, with consequent generation of free radicals (FR) and hydroxyl radicals (OH•). The data were submitted to the one-way analysis of variance complemented by Tukey post-test (α=0.05). Data on kinetics of H2O2 decomposition were submitted to the Student's-t test (α=0.05). RESULTS All the BG35%s with MnO2 showed stability of pH and temperature, and the gel with 10 mg/mL of this activator had an esthetic efficacy 31% higher than that of the PC (p<0.05). Reduction in OXS and trans-amelodentinal diffusion of H2O2 occurred when all the BG35%s with MnO2 were used. The addition of 6 and 10 mg/mL of MnO2 to BG35% increased the CV in comparison with PC, confirmed by the cell morphology analysis. An increase in FR and OH• formation was observed when 10 mg/mL of MnO2 was added to BG35%. CONCLUSION Catalysis of BG35% with MnO2 minimized the trans-amelodentinal diffusion of H2O2 and toxicity of the product to pulp cells. BG35% containing 10 mg/mL of MnO2 potentiated the decomposition of H2O2, enhancing the generation of FR and OH•, as well as the efficacy of the in-office tooth therapy.
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Affiliation(s)
- Rao Ribeiro
- Rafael Antonio de Oliveira Ribeiro, PhD student, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista - UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil. ORCID: 0000-0001-8100-3294
| | - C C de Oliveira Duque
- Carla Caroline de Oliveira Duque, PhD, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista -UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil. ORCID 0000-0002-5898-4132
| | - U Ortecho-Zuta
- Uxua Ortecho Zuta, PhD student, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista -UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil. ORCID 0000-0002-2922-3609
| | - M L Leite
- Maria Luísa Leite, PhD student, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista -UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil. ORCID 0000-0001-6650-3637
| | - J Hebling
- Josimeri Hebling, professor, Department of Orthodontics and Pediatric Dentistry, Univ Estadual Paulista - UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil. ORCID 0000-0002-2846-2325
| | - D G Soares
- Diana Gabriela Soares, professor, Department of Dentistry, Endodontics and Dental Materials, Univ de São Paulo - USP, Bauru, Bauru School of Dentistry, Bauru, SP, Brazil. ORCID 0000-0002-1485-6104
| | - C A de Souza Costa
- *Carlos Alberto de Souza Costa, professor, Department of Physiology and Pathology, Univ Estadual Paulista - UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil. ORCID 0000-0002-7455-6867
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Ortecho-Zuta U, de Oliveira Duque CC, de Oliveira Ribeiro RA, Leite ML, Soares DG, Hebling J, Briso ALF, de Souza Costa CA. Strategy for reducing cytotoxicity and obtaining esthetic efficacy with 15 min of in-office dental bleaching. Clin Oral Investig 2022; 26:4099-4108. [PMID: 35199193 DOI: 10.1007/s00784-022-04379-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 01/13/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Evaluate in vitro the esthetic efficacy and cytotoxicity of a bleaching gel containing 35% hydrogen peroxide (BG-35%H2O2), applied for different time intervals, on enamel coated or not with polymeric biomaterials. MATERIALS AND METHODS Nanofiber scaffolds (NSc) and a primer catalyst (PrCa) were used to coat the bovine enamel/dentin discs before the application of BG-35%H2O2, according to the following groups: G1-negative control (NC, without treatment); G2, G3, and G4-BG-35%H2O2 applied for 3 × 15, 2 × 15, and 15 min; G5, G6, and G7-BG-35%H2O2 applied on enamel coated with NSc and PrCa for 3 × 15; 2 × 15, and 15 min, respectively. The culture medium with components of gel diffused through the discs was applied on MDPC-23 cells, which were evaluated regarding to viability (VB), integrity of the membrane (IM), and oxidative stress (OxS). The quantity of H2O2 diffused and esthetic efficacy (ΔE/ΔWI) of the dental tissues were also analyzed (ANOVA/Tukey; p < 0.05). RESULTS Only G7 was similar to G1 regarding VB (p > 0.05). The lowest value of H2O2 diffusion occurred in G4 and G7, where the cells exhibited the lowest OxS than G2 (p < 0.05). Despite G5 showing the greatest ΔE regarding other groups (p < 0.05), the esthetic efficacy observed in G7 was similar to G2 (p > 0.05). ΔWI indicated a greater bleaching effect for groups G5, G6, and G7 (p < 0.05). CONCLUSION Coating the dental enamel with polymeric biomaterials reduced the time and the cytotoxicity of BG-35%H2O2. CLINICAL SIGNIFICANCE Coating the dental enamel with polymeric biomaterials allows safer and faster BG-35%H2O2 application.
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Affiliation(s)
- Uxua Ortecho-Zuta
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (Unesp), Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brazil
| | - Carla Caroline de Oliveira Duque
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (Unesp), Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brazil
| | - Rafael Antonio de Oliveira Ribeiro
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (Unesp), Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brazil
| | - Maria Luísa Leite
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (Unesp), Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brazil
| | - Diana Gabriela Soares
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Rua Alameda Dr. Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Josimeri Hebling
- Departament of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, University São Paulo State (Unesp), Rua Humaitá, 1680, Araraquara, SP, 14801-903, Brazil
| | - André Luiz Fraga Briso
- Department of Restorative Dentistry, Araçatuba, School of Dentistry University São Paulo State University (Unesp), Rua José Bonifácio 1193, Vila Mendonça, 16015-050, Brazil
| | - Carlos Alberto de Souza Costa
- Department of Physiology and Pathology, Araraquara School of Dentistry, São Paulo State University (Unesp), Rua Humaitá, Araraquara, SP, 168014801-903, Brazil.
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Ortecho-Zuta U, de Oliveira Duque CC, de Oliveira Ribeiro RA, Leite ML, Soares DG, Hebling J, Briso ALF, de Souza Costa CA. Polymeric biomaterials maintained the esthetic efficacy and reduced the cytotoxicity of in-office dental bleaching. J ESTHET RESTOR DENT 2021; 33:1139-1149. [PMID: 34251089 DOI: 10.1111/jerd.12805] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 05/24/2021] [Accepted: 06/30/2021] [Indexed: 11/28/2022]
Abstract
Evaluate the kinetics of hydrogen peroxide (H2 O2 ) degradation, esthetic efficacy and cytotoxicity of a bleaching gel with 35%H2 O2 applied on enamel previously covered or not with polymeric nanofibrillar scaffold (SNan), polymeric primer catalyst (PPol), and both. Standardized enamel/dentin discs (n = 128) obtained from bovine teeth were adapted to pulp chambers. After covering enamel with the polymeric products, the bleaching gel was applied for 45 min, establishing the following groups: G1: no treatment (negative control); G2: 35%H2 O2 (positive control); G3: SNan; G4: PPol; G5: SNan + PPol; G6: SNan + 35%H2 O2 ; G7: PPol + 35%H2 O2 ; G8: SNan + PPol + 35%H2 O2 . The kinetics of H2 O2 degradation (n = 8), bleaching efficacy (ΔE/ΔWI; n = 8), trans-amelodentinal cytotoxicity (n = 8), and cell morphology (n = 4) were assessed (ANOVA/Tukey test; p < 0.05). Greater H2 O2 degradation occurred in G7 and G8. Bleaching efficacy (ΔE) was higher in G6, G7, and G8 in comparison with G2 (p < 0.05). However, no difference was observed for ΔWI (p > 0.05). G8 presented the lower level of trans-amelodentinal diffusion of H2 O2 , oxidative stress, and toxicity to the MDPC-23 cells (p < 0.05). Polymeric biomaterials increased the kinetics of H2 O2 decomposition, as well as maintained the esthetic efficacy and minimized the cytotoxicity caused by a bleaching gel with 35%H2 O2 . CLINICAL SIGNIFICANCE: Application of a bleaching gel with 35%H2 O2 on enamel previously covered by polymeric biomaterials maintains the esthetic efficacy and reduces the cytotoxicity caused by a single session of in-office dental bleaching.
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Affiliation(s)
- Uxua Ortecho-Zuta
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | | | | | - Maria Luísa Leite
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - Diana Gabriela Soares
- Department of Dentistry, Endodontics and Dental Materials, School of Dentistry, São Paulo University (USP), Bauru, Brazil
| | - Josimeri Hebling
- Department of Morphology and Pediatric Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - André Luiz Fraga Briso
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
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de Oliveira Duque CC, Soares DG, Briso ALF, Ortecho-Zuta U, de Oliveira Ribeiro RA, Hebling J, de Souza Costa CA. Influence of Tooth Pigmentation on H2O2 Diffusion and Its Cytotoxicity After In-office Tooth Bleaching. Oper Dent 2020; 45:632-642. [DOI: 10.2341/19-013-l] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2019] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Pigments in tooth structures affect the diffusion of H2O2 through enamel and dentin. The bleaching methodology can be impacted.
SUMMARY
Objective: The aim of this study was to evaluate the influence of the presence of pigments in tooth structures on the trans-enamel and trans-dentin diffusion of hydrogen peroxide (H2O2) and its cytotoxicity after carrying out an in-office bleaching therapy.
Methods and Materials: A bleaching gel with 35% H2O2 was applied for 45 minutes (three times for 15 minutes) on enamel and dentin discs (n=6), either previously submitted to the intrinsic pigmentation protocol with a concentrated solution of black tea, or not, defining the following groups: G1, unbleached untreated discs (control 1); G2, unbleached pigmented discs (control 2); G3, bleached untreated discs; G4, bleached pigmented discs. The discs were adapted to artificial pulp chambers, which were placed in wells of 24-well plates containing 1 mL culture medium (Dulbecco’s modified Eagle’s medium [DMEM]). After applying the bleaching gel on enamel, the extracts (DMEM + components of bleaching gel that diffused through the discs) were collected and then applied on the cultured MDPC-23 odontoblast-like cells. Cell viability (methyl tetrazolium assay and Live & Dead, Calcein AM, and ethidium homodimer-1 [EthD-1] probes), the amount of H2O2 that diffused through enamel and dentin (leuco-crystal violet product), and the H2O2-mediated oxidative cell stress (SOx) and components of degradation were assessed (analysis of variance/Tukey; α=0.05).
Results: There was no significant difference between the groups G1 and G2 for all the parameters tested (p>0.05). Reduction in the trans-enamel and trans-dentin diffusion of H2O2 occurred for G4 in comparison with G3. Significantly lower cell viability associated with greater oxidative stress was observed for G3 (p<0.05). Therefore, in-office tooth bleaching therapy performed in pigmented samples caused lower cytotoxic effects compared with untreated samples submitted to the same esthetic procedure (p<0.05).
Conclusion: According to the methodology used in this investigation, the authors concluded that the presence of pigments in hard tooth structures decreases the trans-enamel and trans-dentin diffusion of H2O2 and the toxicity to pulp cells of an in-office bleaching gel with 35% H2O2.
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Ortecho-Zuta U, de Oliveira Duque CC, Leite ML, Bordini EAF, Basso FG, Hebling J, de Souza Costa CA, Soares DG. Effects of Enzymatic Activation of Bleaching Gels on Hydrogen Peroxide Degradation Rates, Bleaching Effectiveness, and Cytotoxicity. Oper Dent 2019; 44:414-423. [DOI: 10.2341/17-276-l] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
The aim of this study was to evaluate the effect of horseradish peroxidase (HRP) on the release of free radicals, bleaching effectiveness, and indirect cytotoxicity of a 35% hydrogen peroxide (HP) bleaching gel.
Methods and Materials:
First, HP degradation rates and free radical release were evaluated for 35% HP in contact or not with HRP (10 mg/mL). The bleaching gel associated or not with HRP was then applied (3 × 15 minutes) to enamel/dentin discs adapted to artificial pulp chambers, and the culture medium in contact with dentin surfaces (extract) was collected and exposed to cultured odontoblast-like cells. Membrane damage and viability of cells as well as oxidative stress were evaluated. Residual HP/free radical diffusion was quantified, and bleaching effectiveness (ΔE) was assessed. Unbleached discs served as negative controls.
Results:
The addition of HRP to the 35% HP bleaching gel enhanced the release of free radicals in comparison with plain HP gel. The 35% HP-mediated cytotoxicity significantly decreased with HRP in the bleaching gel and was associated with reduced HP/free radical diffusion through the enamel/dentin discs. ΔE values increased every bleaching session for HRP-containing gel relative to positive control, accelerating the whitening outcome.
Conclusion:
The enzymatic activation of a 35% HP bleaching gel with HRP accelerated HP degradation mediated by intensification of free radical release. This effect optimized whitening outcome as well as minimized residual HP and free radical diffusion through enamel and dentin, decreasing the harmful effects on odontoblast-like cells.
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Affiliation(s)
| | - CC de Oliveira Duque
- Carla Caroline de Oliveira Duque, DDS, MS, PhD student, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista–UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil
| | - ML Leite
- Maria Luísa de Alencar e Silva Leite, DDS, MS, PhD student, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista–UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil
| | - EAF Bordini
- Ester Alves Ferreira Bordini, DDS, MS, PhD student, Department of Dental Materials and Prosthodontics, Univ Estadual Paulista–UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil
| | - FG Basso
- Fernanda Gonçalves Basso, DDS, MS, PhD, researcher, Department of Physiology and Pathology, Univ Estadual Paulista–UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil
| | - J Hebling
- Josimeri Hebling, DDS, MS, PhD, professor, Department of Orthodontics and Pediatric Dentistry, Univ Estadual Paulista–UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil
| | - CA de Souza Costa
- Carlos Alberto de Souza Costa, DDS, MS, PhD, professor, Department of Physiology and Pathology, Univ Estadual Paulista–UNESP, Araraquara School of Dentistry, Araraquara, SP, Brazil
| | - DG Soares
- Diana Gabriela Soares, DDS, MS, PhD, professor, Department Operative Dentistry, Endodontics and Dental Materials, Sao Paulo University–USP, Bauru School of Dentistry, Bauru, SP, Brazil
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