Journal List > J Korean Acad Conserv Dent > v.35(3) > 1056410

Kim, Park, Kim, and Yang: A clinical evaluation of safety of an office bleaching gel containing 30% hydrogen peroxide

Abstract

This study evaluated the safety of an office bleaching gel (RemeWhite, Remedent Inc., Deurle, Belgium) containing 30% hydrogen peroxide. 37 volunteers were recieved office bleaching with the RemeWhite for 3 times at one visit, total 2 visits. As control group, the same gel in which hydrogen peroxide was not included was applied to 34 volunteers with the same protocol.
There was no difference between experimental group and control group using electric pulp test. In the result of gingival inflammation index and tooth sensitivity test, there was mild pain response in experimental group but it disappeared as time went by. Therefore, safety of the office bleaching gel containing 30% hydrogen peroxide was confirmed.

Figures and Tables

Table 1
Experimental protocol of randomized clinical trial
jkacd-35-198-i001
Table 2
Age and gender of the participants in the study
jkacd-35-198-i002
Table 3
Changes of EPT (Electric pulp test)
jkacd-35-198-i003

1) Two sample t-test

2) Wilcoxon's rank sum test

*p < 0.05

Table 4
Changes of GI (gingival inflammation index)
jkacd-35-198-i004

1) McNemar's test

2) N/A: Not Applicable

*: p < 0.05

Table 5
Tooth sensitivity at each visit
jkacd-35-198-i005

1) McNemar's test

*: p < 0.05

Table 6
Percentage of abnormal response
jkacd-35-198-i006

1) Chi-square test

Table 7
Changes of vital sign
jkacd-35-198-i007

1) two sample t-test

2) Wilcoxon's rank sum test

*: p < 0.05

References

1. Tredwin CJ, Naik S, Lewis NJ, Scully C. Hydrogen peroxide tooth-whitening (bleaching) products : review of adverse effects and safety issues. Br Dent J. 2006. 200:371–376.
crossref
2. Leonard RH, Haywood VB, Phillips C. Risk factors for developing tooth sensitivity and gingival irritation associated with nightguard vital bleaching. Quintessence Int. 1997. 28:527–534.
3. Schulte JR, Morrissette DB, Gasior EJ, Czajewski MV. The effects of bleaching application time on the dental pulp. J Am Dent Assoc. 1994. 125:1330–1335.
crossref
4. Tam L. Clinical trial of three 10% carbamide peroxide bleaching products. J Can Dent Assoc. 1999. 65:201–205.
5. Cohen SC. Human pulpal response to bleaching procedures on vital teeth. J Endod. 1979. 5:134–138.
crossref
6. Nathanson D, Parra C. Bleaching vital teeth-a review and clinical study. Compendium. 1987. 8:490–492. 494496–497.
7. Martin JH, Bishop JC, Guentherman RH, Dorman HL. Cellular response of gingiva to prolonged application of dilute hyorogen peroxide. J Periodontol. 1968. 39:208–210.
crossref
8. Kim SY, Park JU, Kim CH, Yang SE. A clinical evaluation of efficacy of an office bleaching gel containing 30% hydrogen peroxide. J Korean Acad Conserv Dent. 2010. 35:40–50.
crossref
9. Park ES, Seong SR, Hong ST, Kim JE, Lee SY, Hwang SY, Lee SJ, Jin BH, Son HH, Cho BH. A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide. J Korean Acad Conserv Dent. 2006. 31:269–281.
crossref
10. Gurgan S, Cakir FY, Yazici E. Different light-activated in-office bleaching systems: a clinical evaluation. Lasers Med Sci. 2009. Epub.
crossref
11. Munro IC, Williams GM, Heymann HO, Kroes R. Tooth whitening products and the risk of oral cancer. Food Chem Toxicol. 2006. 44:301–315.
crossref
12. Naik S, Tredwin CJ, Scully C. Hydrogen peroxide tooth-whitening (bleaching) : review of safety in relation to possible carcinogenesis. Oral Oncol. 2006. 42:668–674.
crossref
13. Mahony C, Felter SP, McMillan DA. An exposure-based risk assessment approach to confirm the safety of hydrogen peroxide for use in home bleaching. Regul Toxicol Pharmacol. 2006. 44:75–82.
crossref
14. Hsie AW, Recio L, Katz DS, Lee CQ, Wagner M, Schenley RL. Evidence for reactive oxygen species inducing mutations in mammalian cells. Proc Natl Acad Sci USA. 1986. 83:9616–9620.
crossref
15. Weitzman SA, Stossel TP, Schwartz J, Shklar G. Effects of hydrogen peroxide on oral carcinogenesis in hamsters. J Periodontol. 1986. 57:685–688.
crossref
16. Thitinanthapan W, Satamanont P, Vongsavan N. In vitro penetration of the pulp chamber by three brands of carbamide peroxide. J Esthet Dent. 1999. 11:259–264.
crossref
17. Gökay O, Yilmaz F, Akin S, Tuncbilek M, Ertan R. Penetration of the pulp chamber by bleaching agents in teeth restored with various restorative materials. J Endod. 2000. 26:92–94.
crossref
18. Park JH, Shin HJ, Park DY, Park SH, Kim JW, Cho KM. Effect of the bleaching light on whitening efficacy. J Korean Acad Conserv Dent. 2009. 34:95–102.
crossref
19. Zach L, Cohen G. Pulp response to externally applied heat. Oral Surg Oral Med Oral Pathol. 1965. 19:515–530.
crossref
20. Al Shethri S, Matis BA, Cochran MA, Zekonis R, Stropes M. A Clinical evaluation of two in-office bleaching products. Oper Dent. 2003. 28:488–495.
21. Zekonis R, Matis BA, Cochran MA, Al Shetri SE, Eckert GJ, Carlson TJ. Clinical evaluation of in-office and at-home bleaching treatments. Oper Dent. 2003. 28:114–121.
TOOLS
Similar articles