In vitro effectiveness of different dental bleaching protocols using violet LED

•Violet LED did not cause surface changes in enamel.•The hybrid technique is as effective as the conventional technique.•Violet LED alone may be an alternative to bleaching, but with inferior results.•The 45-minute exposure of enamel to 35% HP promotes surface demineralization. There has been growin...

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Veröffentlicht in:Photodiagnosis and photodynamic therapy 2023-06, Vol.42, p.103245-103245, Article 103245
Hauptverfasser: Bachiega-Silva, Bruno, Mayer-Santos, Eric, Jurema, Ana Luiza Barbosa, Caneppele, Taciana Marco Ferraz, Brugnera-Junior, Aldo, de Freitas, Patrícia Moreira
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Sprache:eng
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Zusammenfassung:•Violet LED did not cause surface changes in enamel.•The hybrid technique is as effective as the conventional technique.•Violet LED alone may be an alternative to bleaching, but with inferior results.•The 45-minute exposure of enamel to 35% HP promotes surface demineralization. There has been growing demand for dental bleaching worldwide, however, despite being effective, hydrogen peroxide (HP) can negatively affect the dental structure. Thus, new techniques, such as violet LED light have emerged and need to be studied. The aim of this study was to analyze and compare the effectiveness of violet LED light alone or combined with 35% HP gel. Six different tooth bleaching techniques (n = 10) were performed in intrinsically pigmented bovine teeth: G1 - 35% HP (1x/week for 4 weeks, 45 min of gel application); G2 - 35% HP (1x/week for 4 weeks, 15 min of gel application); G3 - violet LED (1x/week for 4 weeks); G4 - violet LED (2x/week for 2 weeks); G5 - violet LED (4x/week for 1 week); G6 - Violet LED + 35% HP (hybrid technique, 1x/week for 4 weeks, 15 min of gel application). Specimens were submitted to color evaluation at predetermined times using Konica Minolta® spectrophotometer, and the surface morphology (n = 3) was qualitatively analyzed by Scanning Electron Microscope (SEM). Data of the color change test were analyzed considering a 5% level of significance. There was significant difference in color (p G6). Regarding the comparison of ΔE00 between groups, results showed statistical difference between groups, with G1 ≥ G2, G5, G6 ≥ G3, G4. Bleaching protocols with less time (15 min) or no exposure to 35% HP (violet LED, 4x/week) could promote bleaching results as those obtained by the conventional technique using 35% HP for 45 min, with no enamel surface changes, showing to be a promising alternative to tooth bleaching.
ISSN:1572-1000
1873-1597
DOI:10.1016/j.pdpdt.2022.103245