A randomized clinical trial of in-office dental bleaching with or without light activation

J Contemp Dent Pract. 2010 Jan 1;11(1):E017-24.

Abstract

Aim: The study aimed to evaluate the effect of four in-office dental bleaching methods on shade change, color stability, patient satisfaction and postoperative sensitivity.

Methods and materials: Forty patients were randomly divided into four groups (n=10) according to the method of in-office bleaching used: Group A-35% hydrogen peroxide (HP); Group B-35% HP plus BriteSmile and a blue curing light; Group C-35% HP plus QuickSmile and an LED curing light; Group D-35% HP and a Zoom2 metal halide curing light. For all groups, there was only one session of bleaching with three 20-minute applications of bleaching gel. The shade was evaluated before bleaching, immediately after, and one month after treatment using a VITA Classical Shade Guide.

Results: Immediately after bleaching there was a significant difference in color change between the four groups, with Group B having the best results. At one month there was no difference between the four groups. Immediate postoperative sensitivity was the least in Group A and the highest for Group B. Patients in Group B were the most satisfied with the outcome of the bleaching procedure.

Conclusions: In general, the use of different lights for activation of an in-office bleaching agent did not affect the long-term results. Tooth sensitivity was mild and transient in the study. Patients were satisfied with in-office bleaching.

Clinical significance: Using light activation with in-office bleaching seems to increase the efficacy of treatment only for a short period of time.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Color
  • Curing Lights, Dental*
  • Dentin Sensitivity / etiology
  • Double-Blind Method
  • Female
  • Humans
  • Hydrogen Peroxide
  • Male
  • Oxidants
  • Patient Satisfaction
  • Tooth Bleaching / adverse effects
  • Tooth Bleaching / instrumentation
  • Tooth Bleaching / methods*
  • Young Adult

Substances

  • Oxidants
  • Hydrogen Peroxide