Effects of the hydroxyl radical and hydrogen peroxide on tooth bleaching

J Endod. 2004 Jan;30(1):45-50. doi: 10.1097/00004770-200401000-00010.

Abstract

The mechanisms of bleaching of discolored coronal teeth using hydrogen peroxide (H2O2) were investigated. In a scanning-electron-microscopy study, the intertubular dentin and peritubular dentin were dissolved by high concentrations of H2O2, which is used for bleaching. The X-ray diffraction study showed that hydroxyapatite was not influenced by H2O2. In an electron-spin-resonance study, more hydroxyl radical (* OH) was detected as the H2O2 concentration was increased. When amino acids that are core components of dentin proteins, such as proline and alanine, were added to H2O2, the generation of * OH decreased, but there was no change when glycine was added. A nuclear-magnetic-resonance study showed that proline was degraded completely by H2O2, the structure of alanine changed slightly, and glycine was not affected by H2O2. It is suggested that H2O2 and * OH do not influence the inorganic tissue of dentin but attack the organic component of dentin. These facts suggest that * OH has the main role in tooth bleaching with H2O2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine / pharmacology
  • Dentin / drug effects
  • Dentin / ultrastructure
  • Durapatite / chemistry
  • Electron Spin Resonance Spectroscopy
  • Glycine / pharmacology
  • Humans
  • Hydrogen Peroxide / pharmacology*
  • Hydroxyl Radical / pharmacology*
  • Magnetic Resonance Spectroscopy
  • Microscopy, Electron, Scanning
  • Oxidants / pharmacology*
  • Proline / pharmacology
  • Tooth Bleaching*
  • Tooth Discoloration / drug therapy
  • Tooth Discoloration / pathology
  • X-Ray Diffraction

Substances

  • Oxidants
  • Hydroxyl Radical
  • Durapatite
  • Proline
  • Hydrogen Peroxide
  • Alanine
  • Glycine