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Assessing the bleaching effect of an experimental stabilized chlorine dioxide agent used for internal bleaching purposes
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Keywords

Tooth bleaching
Borates
Chlorine compounds
Dental materials

How to Cite

1.
Hirata BS, Berger SB, Guiraldo RD, Felizardo KR, Ramos NBP, Lopes MB. Assessing the bleaching effect of an experimental stabilized chlorine dioxide agent used for internal bleaching purposes. Braz. J. Oral Sci. [Internet]. 2022 Jul. 4 [cited 2024 Apr. 25];21(00):e227878. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8667878

Abstract

Aim: Assessing the intracoronal bleaching effectiveness of an experimental chlorine dioxide product, based on the walking bleach technique. Methods: Extracted bovine incisors were artificially stained with bovine blood and filled with zinc phosphate cement at cementoenamel junction level. Teeth were divided into 3 groups (n=10): (SP) sodium perborate added with distilled water, (CD) chlorine dioxide and (C) control – dry cotton inserted into the pulp chamber. Bleaching agents were used at 0, 7 and 14 days. VITA Easyshadetm (ΔEab) was used to analyze tooth color at the 7th, 14th and 21st days, based on the CIE2000 system. Data were analyzed through ANOVA and Tukey’s test. Results: There were no statistically significant differences in Δb, ΔE, ΔE00 and ΔWID between CD and the control group. These parameters have shown significant differences between CD and SP, which differed from the control. However, they did not show significant differences either in the control group or in CD at the 7th, 14th and 21st days. Values recorded for SP at the 7th day differed from those recorded at the 14th and 21st days. Δa has shown differences within the same group at the 7th, 14th and 21st days. There was no difference between groups, when they were compared at the same day (7th and 14th). The control group differed from SP at the 21st day. CD did not differ from the other two groups. ΔL did not show differences between groups and times. Conclusion: Stabilized chlorine dioxide (0.07%, at pH 3.5) should not be used as intracoronal bleaching agent along with the walking bleach technique.

https://doi.org/10.20396/bjos.v21i00.8667878
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References

Baia JCP, Oliveira RP, Ribeiro MES, Lima RR, Loretto SC, Silva ESJMH. Influence of prolonged dental bleaching on the adhesive bond strength to enamel surfaces. Int J Dent. 2020 2020:2609359. doi: 10.1155/2020/2609359.

Colón VEV, Márquez MOC, Carrillo-Cotto RA, Demarco FF, Chisini LA. Dentist’s preferences on vital and nonvital tooth bleaching: findings from a Guatemalan survey. Braz J Oral Res. 2021 20:e211711. doi: 10.20396/bjos.v20i0.8661711.

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

Prinz H. Recent improvements in tooth bleaching. A clinical syllabus. Dental Cosmos. 1924 66:e558-60.

Spasser HF. A simple bleaching technique using sodium perborate. N Y State Dent J. 1961 27:e332-4.

Settembrini L, Gultz J, Kaim J, Scherer W. A technique for bleaching nonvital teeth: inside/outside bleaching. J Am Dent Assoc. 1997 Sep;128(9):1283-4.

Harrington GW, Natkin E. External resorption associated with bleaching of pulpless teeth. J Endod. 1979 Nov;5(11):344-8. doi: 10.1016/S0099-2399(79)80091-6.

Attin T, Paque F, Ajam F, Lennon AM. Review of the current status of tooth whitening with the walking bleach technique. Int Endod J. 2003 May;36(5):313-29. doi: 10.1046/j.1365-2591.2003.00667.x.

Pandey SH, Patni PM, Jain P, Chaturvedi A. Management of intrinsic discoloration using walking bleach technique in maxillary central incisors. Clujul Med. 2018 91(2):229-33. doi: 10.15386/cjmed-852.

Li Y, Greenwall L. Safety issues of tooth whitening using peroxide-based materials. Br Dent J. 2013 Jul;215(1):29-34. doi: 10.1038/sj.bdj.2013.629.

Greenwall L. The dangers of chlorine dioxide tooth bleaching. Aesthet Dent Today 2008 2(4):e20-22.

Wang X, Mihailova B, Klocke A, Fittschen UE, Heidrich S, Hill M, et al. Side effects of a non-peroxide-based home bleaching agent on dental enamel. J Biomed Mater Res A. 2009 Jan;88(1):195-204. doi: 10.1002/jbm.a.31843.

Ablal MA, Adeyemi AA, Jarad FD. The whitening effect of chlorine dioxide--an in vitro study. J Dent. 2013 Nov;41 Suppl 5:e76-81. doi: 10.1016/j.jdent.2013.05.006.

Ribeiro JS, de Oliveira da Rosa WL, da Silva AF, Piva E, Lund RG. Efficacy of natural, peroxide-free tooth-bleaching agents: A systematic review, meta-analysis, and technological prospecting. Phytother Res. 2020 May;34(5):1060-70. doi: 10.1002/ptr.6590.

Cobankara FK, Ozkan HB, Terlemez A. Comparison of organic tissue dissolution capacities of sodium hypochlorite and chlorine dioxide. J Endod. 2010 Feb;36(2):272-4. doi: 10.1016/j.joen.2009.10.027.

Freccia WF, Peters DD. A technique for staining extracted teeth: a research and teaching aid for bleaching. J Endod. 1982 Feb;8(2):67-9. doi: 10.1016/S0099-2399(82)80260-4.

Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, et al. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015 Mar-Apr;27 Suppl 1:S1-9. doi: 10.1111/jerd.12149.

Paravina RD, Perez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019 Mar;31(2):103-12. doi: 10.1111/jerd.12465.

Freccia WF, Peters DD, Lorton L, Bernier WE. An in vitro comparison of nonvital bleaching techniques in the discolored tooth. J Endod. 1982 Feb;8(2):70-7. doi: 10.1016/S0099-2399(82)80261-6.

Rokaya ME, Beshr K, Hashem Mahram A, Samir Pedir S, Baroudi K. Evaluation of extraradicular diffusion of hydrogen peroxide during intracoronal bleaching using different bleaching agents. Int J Dent. 2015 2015:493795. doi: 10.1155/2015/493795.

Maleknejad F, Ameri H, Kianfar I. Effect of intracoronal bleaching agents on ultrastructure and mineral content of dentin. J Conserv Dent. 2012 Apr;15(2):174-7. doi: 10.4103/0972-0707.94586.

Kucukkaya ES, Aksel H, Uyanik O, Nagas E. Effect of Various Bleaching Agents on the Surface Composition and Bond Strength of a Calcium Silicate-based Cement. Oper Dent. 2018 Mar;43(6):613-8. doi: 10.2341 / 17-188-L.

Cavalli V, Sebold M, Shinohara MS, Pereira PNR, Giannini M. Dentin bond strength and nanoleakage of the adhesive interface after intracoronal bleaching. Microsc Res Tech. 2018 Apr;81(4):428-36. doi: 10.1002/jemt.22995.

Agnihotry A, Gill KS, Singhal D, Fedorowicz Z, Dash S, Pedrazzi V. A comparison of the bleaching effectiveness of chlorine dioxide and hydrogen peroxide on dental composite. Braz Dent J. 2014 Nov-Dec;25(6):524-7. doi: 10.1590/0103-6440201300098.

Torneck CD, Titley KC, Smith DC, Adibfar A. The influence of time of hydrogen peroxide exposure on the adhesion of composite resin to bleached bovine enamel. J Endod. 1990 Mar;16(3):123-8. doi: 10.1016/S0099-2399(06)81588-8.

Oliveira DP, Gomes BP, Zaia AA, Souza-Filho FJ, Ferraz CC. In vitro assessment of a gel base containing 2% chlorhexidine as a sodium perborate's vehicle for intracoronal bleaching of discolored teeth. J Endod. 2006 Jul;32(7):672-4. doi: 10.1016/j.joen.2006.01.004.

Carrasco-Guerisoli LD, Schiavoni RJ, Barroso JM, Guerisoli DM, Pecora JD, Froner IC. Effect of different bleaching systems on the ultrastructure of bovine dentin. Dent Traumatol. 2009 Apr;25(2):176-80. doi: 10.1111/j.1600-9657.2008.00644.x.

Yui KC, Rodrigues JR, Mancini MN, Balducci I, Goncalves SE. Ex vivo evaluation of the effectiveness of bleaching agents on the shade alteration of blood-stained teeth. Int Endod J. 2008 Jun;41(6):485-92. doi: 10.1111/j.1365-2591.2008.01379.x.

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Copyright (c) 2021 Bruno Shindi Hirata, Sandrine Bittencourt Berger, Ricardo Danil Guiraldo, Klissia Romero Felizardo, Nádia Buzignani Pires Ramos, Murilo Baena Lopes

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