Nightguard vital bleaching: side effects and patient satisfaction 10 to 17 years post-treatment.

Statement Of The Problem:   The long-term patient satisfaction and safety of nightguard vital bleaching (NGVB) requires further evaluation.

Purpose Of The Study:   The purpose of this study was to evaluate patients' satisfaction and identify side effects of NGVB up to 17 years post-treatment.

Materials And Methods:   Thirty-one participants who had completed previous NGVB studies using 10% carbamide peroxide were contacted at least 10 years post-treatment (range 10-17 years, average 12.

The influence of dental unit waterline cleaners on composite-to-dentin bond strengths.

Background: One approach to controlling dental unit waterline (DUWL) contamination by microorganisms is the addition of chemical cleaners to the treatment water. Yet, there is concern that these cleaners might affect the bonding of resin-based composites to enamel and dentin. The authors evaluated the influence of DUWL cleaners on composite-to-dentin bond strengths.

Evaluation of side effects and patients' perceptions during tooth bleaching.

Objective: The objective of this nightguard vital bleaching (NGVB) study was to compare tooth sensitivity (TS), gingival irritation (GIr), and other side effects, as well as patients' perceptions during tooth bleaching, from treatment with experimental 5 and 7% hydrogen peroxide (HP) bleaching solutions with those of a commercially available 10% carbamide peroxide (CP) product.

Materials And Methods: Sixty-one participants completed the study wearing a scalloped maxillary treatment tray without reservoirs with the different concentrations of bleaching gels for 30 minutes twice a day for 7 days. Parameters evaluated were changes in gingival index (GI), nonmarginal gingival index, nongingival oral mucosal index, and tooth vitality.

The influence of dental unit waterline cleaners on composite-to-dentin bond strengths.

Background: One approach to controlling dental unit waterline (DUWL) contamination by microorganisms is the addition of chemical cleaners to the treatment water. Yet, there is concern that these cleaners might affect the bonding of resin-based composites to enamel and dentin. The authors evaluated the influence of DUWL cleaners on composite-to-dentin bond strengths.

Effect on enamel microhardness of two consumer-available bleaching solutions when compared with a dentist-prescribed, home-applied bleaching solution and a control.

Background: There exists limited data in the literature regarding the efficacy and safety of consumer-available, paint-on bleaching solutions.

Purpose: The purpose of this in vitro study was to evaluate the effect of two consumer-available, paint-on bleaching products on enamel microhardness against a control and a dentist-prescribed, home-applied (DPHA) bleaching product.

Materials And Methods: Eighty enamel slabs were obtained from extracted human teeth and randomly divided into four treatment groups: (1) control; (2) Opalescence (Ultradent Products, Inc.

Effect of tray-based and trayless tooth whitening systems on microhardness of enamel surface and subsurface.

Purpose: To evaluate the effect of tray-based and trayless tooth whitening systems on surface and subsurface microhardness of human enamel.

Methods: Enamel slabs were obtained from recently extracted human third molars. Specimens were randomly assigned to six groups according to tooth whitening treatment (n = 10): 6.

Desensitizing agent efficacy during whitening in an at-risk population.

Background: Nightguard vital bleaching (NGVB) has gained acceptance among dentists and patients as a simple and effective procedure to lighten discolored teeth. Although the efficacy and predictability of NGVB have been well established, it has been documented that patients undergoing the procedure may experience side effects such as tooth sensitivity (TS) and gingival irritation (GI). A previous NGVB study suggested that selected participants might benefit from a regimen of a desensitizing agent (DSA) to decrease or prevent TS during whitening.

Nightguard vital bleaching of tetracycline-stained teeth: 90 months post treatment.

Purpose: The purpose of this longitudinal whitening study was to determine the stability, post-treatment side effects, and patient satisfaction at 90 months post treatment after 6 months of active treatment of tetracycline-stained teeth with 10% carbamide peroxide.

Materials And Methods: Fifteen of 21 participants enrolled in the study (71%) were contacted and asked to participate in a survey concerning their whitening experience. Participants were asked whether there had been any change in the shade of their teeth after treatment and if they had experienced any side effects that they believed were treatment related.

Long-term treatment results with nightguard vital bleaching.

Since its introduction into dentistry in 1989, nightguard vital bleaching has been proven to be a simple and safe procedure to lighten discolored teeth. Efficacy of the technique is 98% for nontetracycline-stained teeth, and with extended treatment time, tetracycline-stained teeth can be expected to lighten in at least 86% of cases. Satisfactory retention of the shade change without re-treatment can be expected in at least 43% at 10 years posttreatment.

Safety issues when using a 16% carbamide peroxide whitening solution.

Background: The scientific literature is lacking on the occurrence of side effects and other safety issues when using carbamide peroxide whitening solutions of concentrations greater than 10%. This double-blind nightguard vital bleaching study compares safety issues when using 16% carbamide peroxide against a placebo or 10% carbamide peroxide (Nite White Classic by Discus Dental Inc.).

Safety and stability of nightguard vital bleaching: 9 to 12 years post-treatment.

Purpose: The purposes of this retrospective case series study were to evaluate safety issues and determine participants' perceptions of a nightguard vital bleaching (NGVB) technique approximately 10 years post-treatment (average, 118 mo; range, 108-144 mo).

Materials And Methods: The study sample included 30 (79%) of 38 participants who had completed a previous NGVB study using a 10% carbamide peroxide solution (Proxigel or Gly-Oxide) in a custom tray for 6 weeks. Participants were asked whether there had been any change in the shade of their teeth post-treatment and, if so, to quantify the change on a verbal scale.