In Vitro Evaluation of the Effectiveness and pH Variation of Dental Bleaching Gels and Their Effect on Enamel Surface Roughness
2024

Effectiveness of Dental Bleaching Gels on Enamel

Sample size: 42 publication 10 minutes Evidence: moderate

Author Information

Author(s): Veneri Federica, Cavani Francesco, Bolelli Giovanni, Checchi Vittorio, Bizzi Alessia, Setti Giacomo, Generali Luigi, Pessanha Sofia

Primary Institution: University of Modena and Reggio Emilia

Hypothesis

Do different bleaching agents affect whitening effectiveness, pH variation, and enamel surface roughness?

Conclusion

Higher concentrations of hydrogen peroxide lead to better whitening results, while lower concentrations of carbamide peroxide are less effective.

Supporting Evidence

  • HP 40% and HP 35% had similar whitening effectiveness.
  • CP 16% showed significantly lower whitening results.
  • HP 40% caused a significant decrease in pH.
  • Surface roughness decreased slightly in all groups after bleaching.

Takeaway

This study tested different teeth whitening gels to see which worked best and found that stronger gels made teeth whiter but could also change the surface of the teeth more.

Methodology

42 human enamel specimens were treated with three different bleaching agents, and their color changes, pH variations, and surface roughness were measured.

Potential Biases

Potential bias due to the controlled environment and sample selection from a biobank.

Limitations

The study was in vitro, lacking the effects of saliva and pulp pressure, and did not account for pre-existing conditions of the teeth.

Participant Demographics

Human enamel specimens from extracted teeth.

Statistical Information

P-Value

0.004 for CP 16% vs HP 40% and 0.001 for CP 16% vs HP 35%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/dj12120415

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