Novel in-office peroxide-free tooth-whitening gels: bleaching effectiveness, enamel surface alterations, and cell viability

Sci Rep. 2020 Jun 22;10(1):10016. doi: 10.1038/s41598-020-66733-z.

Abstract

To evaluate the bleaching ability, the effect on enamel surface and cytotoxicity of novel tooth-whitening formulations containing papain, ficin, or bromelain. Forty bovine dental discs (6 cm ×4 cm) were pigmentated and randomly allocated into the following groups (n = 10): Group 1, 20 wt% carbamide peroxide (control); group 2, 1% papain-based whitening; group 3, 1% ficin-based whitening; and group 4, 1% bromelain-based whitening. The whitening gels were prepared and applied on the enamel three times per day once a week, for 4 weeks. Color measurement was obtained by CIEDE2000. Enamel Knoop microhardness and roughness were evaluated. The WST-1 assay was used to evaluate the cell viability of mouse fibroblast cells (L929). Data were statistically analyzed by one-way analysis of variance (ANOVA) and Student Newman Keuls's post hoc test at α = 0.05 significance level. Bromelain, ficin-based, and carbamide peroxide bleaching gels showed a similar color change (p < 0.001). Higher enamel hardness decrease and higher enamel roughness were caused by the carbamide peroxide (p < 0.05). The experimental whitening gels did not affect cell viability. Tooth bleaching gels containing bromelain, papain, or ficin have substantial clinical potential to be used in the development of peroxide-free tooth whitening gels.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bromelains* / therapeutic use
  • Carbamide Peroxide* / therapeutic use
  • Cattle
  • Cell Line
  • Cell Survival / drug effects
  • Color
  • Dental Enamel* / drug effects
  • Fibroblasts / drug effects
  • Ficain* / therapeutic use
  • Gels
  • Mice
  • Papain* / therapeutic use
  • Tooth / drug effects
  • Tooth Bleaching Agents* / therapeutic use
  • Tooth Bleaching*
  • Tooth Discoloration / drug therapy
  • Treatment Outcome

Substances

  • Bromelains
  • Carbamide Peroxide
  • Ficain
  • Gels
  • Papain
  • Tooth Bleaching Agents