Overview on Mechanisms and Complications of Dental Bleaching
Life Sciences-Medicine
DOI:
https://doi.org/10.22376/ijlpr.2023.13.1.SP2.L24-L34Keywords:
Tooth, Bleaching, Whitening, Hydrogen Peroxide, Tooth Color, Bleaching LightAbstract
Abstract: The practice of bleaching teeth is very common, and various tools and methods have been developed specifically for this purpose. Whiten teeth, various approaches and products are available, each with a distinctive mode of operation. These include products used at home, such as toothpaste, gels, and films, and systems used in dental offices where products with highly concentrated bleaching agents are used under close supervision. Intrinsic and extrinsic staining are the two main types of tooth discolouration causes. Intrinsic staining, also known as internal staining, can be caused by a variety of things, including genetics, ageing, antibiotics, high fluoride levels, and developmental disorders. It can even begin before the tooth has fully emerged. The effectiveness of these various techniques depends on the specific tooth discolouration being treated. Dental bleaching procedures have emerged due to technical advancements to make the procedure easier to use and increase comfort, safety, and efficiency. External dental whitening is typically accomplished with hydrogen peroxide that has been photoactivated or not or carbamate. However, the teeth whitening process in the home and business leads to sensitivity. Certain risks associated with tooth whitenings, such as increased tooth sensitivity and gingival irritation, have been known to the public and professional communities. Recent research has identified other risks, including tooth surface softening and roughening, increased demineralization risk, dental restoration degradation, and unfavourable colour change. This article aims to review and synthesize the most recent research on tooth bleaching methods and side effects.
References
Kihn PW. Vital tooth whitening. Dent Clin N Am. 2007;51(2):319-31. doi: 10.1016/j.cden.2006.12.001, PMID 17532915.
Christensen GJ. Are snow-white teeth really so desirable? J Am Dent Assoc. 2005;136(7):933-5. doi: 10.14219/jada.archive.2005.0295, PMID 16060475.
Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J. 2001;190(6):309-16. doi: 10.1038/sj.bdj.4800959, PMID 11325156.
American Academy of Cosmetic Dentistry [assessed 01.06.14];Teeth Whitening. Available from: http://www.aacd.com/whitening.
Nathoo SA. The chemistry and mechanisms of extrinsic and intrinsic discoloration. J Am Dent Assoc. 1997;128;Suppl:6S-10S. doi: 10.14219/jada.archive.1997.0428, PMID 9120149.
Buchalla W, Attin T. External bleaching therapy with activation by heat, light or laser--a systematic review. Dent Mater. 2007;23(5):586-96. doi: 10.1016/j.dental.2006.03.018, PMID 16820199.
Noavais RCP, Toledo AO. In vitro study of tooth enamel alterations to the action of a lightening agent. JBC Curitiba. 2000;4:48-51.
baratieri LN. restorative dentistry: foundation and possibilities. São Paulo, SP: Santos; 2001. p. 673-722.
Cunha LA, Silva RCSP. Home bleaching: how to achieve greater effectiveness and minimize adverse effects. View ABO Nac. 2007;15:39-43.
Mondelli RFL. Powdered teeth whitening: techniques and equipment. Biodontol. 2003;1:61-8.
Pinheiro ALB, Brugnera JA, Zanin F. application of laser in dentistry; 2010. Santos E. São Paulo pp. p. 400-28.
Joiner A. The bleaching of teeth: a review of the literature. J Dent. 2006;34(7):412-9. doi: 10.1016/j.jdent.2006.02.002, PMID 16569473.
Schwartz R. Fundamentos en Odontología operatoria. 1st ed. Colombia: D'vinni editorial Ltda; 1999.
Chen X, Chen Z, Lin Y, Shao J, Yin L. Effects of tooth whitening agents and acidic drink on the surface properties of dental enamel. Hua Xi Kou Qiang Yi Xue Za Zhi. 2013;31(5):530-2. doi: 10.1007/s00784-012-0756-7, PMID 24298810.
Lugo V, Campillo P, Feliz L. Efectos de los agentes blanqueantes usados en el blanqueamiento dental vital ambulatorio supervisado sobre los tejidos blandos y los tejidos dentales. Doctor en Odontología. Escuela de odontología,Universidad Iberoamericana: UNIBE Santo Domingo, DR 2003.
Moncada C, Gustavo A, Blanqueamiento en Odontología VU. Chile. 1st ed; 1999. p. n/a.
Santana J. Blanqueamiento dental: estudio clínico para el desarrollo de métodos estadísticos e inteligentes para la predicción del cambio cromático [tesis] doctoral. Doctora en Odontología. España: Facultad de odontología, Universidad de Granada; 2010.
Miglani S, Aggarwal V, Ahuja B. Dentin hipersesivity: recent trends in management. J Conserv Dent. 2010;13(4):218-24. doi: 10.4103/0972-0707.73385, PMID 21217949.
Mondelli RF, Azevedo JF, Francisconi AC, Almeida CM, Ishikiriama SK. 17 Comparative effectiveness of different dental bleaching methods – two year follow-up. J Appl Oral Sci. 2012;20(4):435-43. doi: 10.1590/s1678-77572012000400008, PMID 23032205.
Ferrarazi M, Huck C, Machado M. A vital tooth bleaching technique with a compound light system led. J Oral Laser Applic. 2003;3:167-72.
Torres CR, Souza CS, Borges AB, Huhtala MF, Caneppele TM. Influence of concentration and activation on hydrogen peroxide diffusion through dental tissues in vitro. ScientificWorldJournal. 2013;2013:193241. doi: 10.1155/2013/193241, PMID 24163616.
Dominguez A, Garcia J, Costela A, Conez C. Influence of the light source and bleaching gel on the tooth whitening process. Health wellness Reso cent. 2011;29:53-7.
Klaric E, Rakic M, Sever I, Tarle Z. Temperature rise during experimental light-activated bleaching. Lasers Med Sci. 2015;30(2):567-76. doi: 10.1007/s10103-013-1366-6, PMID 23780710.
Joiner A. The bleaching of teeth: a review of the literature. J Dent. 2006;34(7):412-9. doi: 10.1016/j.jdent.2006.02.002, PMID 16569473.
Sulieman M, Addy M, MacDonald E, Rees JS. The effect of hydrogen peroxide concentration on the outcome of tooth whitening: an in vitro study. J Dent. 2004;32(4):295-9. doi: 10.1016/j.jdent.2004.01.003, PMID 15053912.
Matis BA, Wang Y, Jiang T, Eckert GJ. Extended at-home bleaching of tetracycline-stained teeth with different concentrations of carbamide peroxide. Quintessence Int. 2002;33(9):645-55. PMID 12666888.
Kashima-Tanaka M, Tsujimoto Y, Kawamoto K, Senda N, Ito K, Yamazaki M. Generation of free radicals and/or active oxygen by light or laser irradiation of hydrogen peroxide or sodium hypochlorite. J Endod. 2003;29(2):141-3. doi: 10.1097/00004770-200302000-00013, PMID 12597716.
Luk K, Tam L, Hubert M. Effect of light energy on peroxide tooth bleaching. J Am Dent Assoc. 2004;135(2):194-201; quiz 228. doi: 10.14219/jada.archive.2004.0151, PMID 15005435.
Buchalla W, Attin T. External bleaching therapy with activation by heat, light or laser—a systematic review. Dent Mater. 2007;23(5):586-96. doi: 10.1016/j.dental.2006.03.018, PMID 16820199.
De Moor RJG, Verheyen J, Diachuk A, Verheyen P, Meire MA, De Coster PJ et al. Insight in the chemistry of laser-activated dental bleaching. The Scientific World Journal. 2015;2015:1-6. doi: 10.1155/2015/650492.
In: Howe-Grant M, editor. Encyclopedia of chemical technology. 4th ed. Vol. 4. New York: John Wiley & Sons; 1992. p. 290-1.
In: Howe-Grant M, editor. Encyclopedia of chemical technology. 4th ed. Vol. 13. New York: John Wiley & Sons; 1992. p. 13-5.
Kashima-Tanaka M, Tsujimoto Y, Kawamoto K, Senda N, Ito K, Yamazaki M. Generation of free radicals and/or active oxygen by light or laser irradiation of hydrogen peroxide or sodium hypochlorite. J Endod. 2003;29(2):141-3. doi: 10.1097/00004770-200302000-00013, PMID 12597716.
Sulieman M. An overview of bleaching techniques. 1. History, chemistry, safety and legal aspects. Dent Update. 2004;31(10):608-16. doi: 10.12968/denu.2004.31.10.608, PMID 15656076.
Joiner A, Thakker G. In vitro evaluation of a novel 6% hydrogen peroxide tooth whitening product. J Dent. 2004;32;Suppl 1:19-25. doi: 10.1016/j.jdent.2003.10.007, PMID 14738831.
Sun L, Liang S, Sa Y, Wang Z, Ma X, Jiang T, et al. Surface alteration of human tooth enamel subjected to acidic and neutral 30% hydrogen perox-ide. J Dent. 2011;39(10):686-92. doi: 10.1016/j.jdent.2011.07.011, PMID 21855600.
Marshall MV, Gragg PP, Packman EW, Wright PB, Cancro LP. Hydrogen peroxide decomposition in the oral cavity. Am J Dent. 2001;14(1):39-45. PMID 11806479.
Garber DA, Goldstein RE, Goldstein GE, Schwartz CG. Dentist monitored bleaching: a combined approach. Pract Periodontics Aesthet Dent. 1991;3(2):22-6. PMID 1888900.
Zaragoza VMT. Bleaching of vital teeth: technique. Estomodeo. 1984;9:7-30.
Frysh H, Bowles WH, Baker F, Rivera-Hidalgo F, Guillen G. Effect of pH on hydrogen peroxide bleaching agents. J Esthet Dent. 1995;7(3):130-3. doi: 10.1111/j.1708-8240.1995.tb00730.x, PMID 8527200.
Sturmer DM. Dyes, sensitizing. Kirk Othmer Encycl Chem Technol. 5th ed. 2000;5:1-24.
Klan P, Wirz J. Photochemical reaction mechanisms and ’reaction intermediates,’. In: Klan P, Wirz J, editors, ´ Wiley, Wiltshire, UK. Photochemistry of organic compounds: from concepts to practice. 1st ed; 2009.
Bowles WH, Ugwuneri Z. Pulp chamber penetration by hydrogen peroxide following vital bleaching procedures. J Endod. 1987;13(8):375-7. doi: 10.1016/S0099-2399(87)80196-6, PMID 3481804.
Ontiveros JC, Paravina RD. Color change of vital teeth exposed to bleaching performed with and without supplementary light. J Dent. 2009;37(11):840-7. doi: 10.1016/j.jdent.2009.06.015, PMID 19625119.
Haywood VB, Cordero R, Wright K, Gendreau L, Rupp R, Kotler M, et al. Brushing with a potassium nitrate dentifrice to reduce bleaching sensitivity. J Clin Dent. 2005;16(1):17-22. PMID 15974219.
Haywood VB. Treating sensitivity during tooth whitening. Compend Contin Educ Dent. 2005;26(9);Suppl 3:11-20. PMID 17039676.
Charakorn P, Cabanilla LL, Wagner WC, Foong WC, Shaheen J, Pregitzer R, et al. The effect of preoperative ibuprofen on tooth sensitivity caused by in-office bleaching. Oper Dent. 2009;34(2):131-5. doi: 10.2341/08-33, PMID 19363967.
Bruzell EM, Johnsen B, Aalerud TN, Dahl JE, Christensen T. In vitro efficacy and risk for adverse effects of light-assisted tooth bleaching. Photochem Photobiol Sci. 2009;8(3):377-85. doi: 10.1039/b813132e, PMID 19255679.
Auschill TM, Hellwig E, Schmidale S, Sculean A, Arweiler NB. Efficacy, side-effects and patients’ acceptance of different bleaching techniques (OTC, in-office, at-home). Oper Dent. 2005;30(2):156-63. doi: 10.1308/1355761054348396, PMID 15853099.
da Costa JB, McPharlin R, Paravina RD, Ferracane JL. Comparison of at-home and inoffice tooth whitening using a novel shade guide. Oper Dent. 2010;35(4):381-8. doi: 10.2341/09-344-C, PMID 20672721.
Matis BA, Cochran MA, Wang G, Eckert GJ. A clinical evaluation of two in-office bleaching regimens with and without tray bleaching. Oper Dent. 2009;34(2):142-9. doi: 10.2341/08-64, PMID 19363969.
Bernardon JK, Sartori N, Ballarin A, Perdigão J, Lopes GC, Baratieri LN. Clinical performance of vital bleaching techniques. Oper Dent. 2010;35(1):3-10. doi: 10.2341/09-008CR, PMID 20166405.
Ontiveros JC, Eldiwany MS, Benson B. Time dependent influence of stain exposure following power bleaching. J Dent Res. 2008;87(special issue B):1083.
Ontiveros JC. In-office vital bleaching with adjunct light. Dent Clin North Am. 2011;55(2). doi: 10.1016/j.cden.2011.01.002, PMID 21473991.
Jorgensen MG, Carroll WB. Incidence of tooth sensitivity after home whitening treatment. J Am Dent Assoc. 2002;133(8):1076-82; quiz 1094. doi: 10.14219/jada.archive.2002.0332, PMID 12198987.
Zekonis R, Matis BA, Cochran MA, Al Shetri SE, Eckert GJ, Carlson TJ. Clinical evaluation of in-office and at-home bleaching treatments. Oper Dent. 2003;28(2):114-21. PMID 12670065.
Auschill TM, Hellwig E, Schmidale S, Sculean A, Arweiler NB. Efficacy, side effects and patients’ acceptance of different bleaching techniques (OTC, in-office, at-home). Oper Dent. 2005;30(2):156-63. doi: 10.1308/1355761054348396, PMID 15853099.
de Almeida LC, Costa CA, Riehl H, dos Santos PH, Sundfeld RH, Briso AL. Occurrence of sensitivity during at-home and in-office tooth bleaching therapies with or without use of light sources. Acta Odontol Latinoam. 2012;25(1):3-8. PMID 22928374.
Eachempati P, Kumbargere Nagraj S, Kiran Kumar Krishanappa S, Gupta P, Yaylali IE. Home-based chemically induced whitening (bleaching) of teeth in adults. Cochrane Database Syst Rev. Dec 18 2018;12(12):CD006202. doi: 10.1002/14651858.CD006202.pub2, PMID 30562408.
Perdigão J, Baratieri LN, Arcari GM. Contemporary trends and techniques in tooth whitening: a review. Pract Proced Aesthet Dent. 2004;16(3):185-92; quiz 194. PMID 15199693.
Kugel G. Over-the-counter tooth-whitening systems. Compend Contin Educ Dent. 2003 Apr;24(4A):376-82. PMID 12793214.
Demarco FF, Meireles SS, Masotti AS. Over-the-counter whitening agents: a concise review. Braz Oral Res. 2009;23;Suppl 1:64-70. doi: 10.1590/s1806-83242009000500010, PMID 19838560.
Ferreira Sda S, Araújo JL, Morhy ON, Tapety CM, Youssef MN, Sobral MAThe effect of fluoride therapies on the morphology of bleached human dental enamel. Microsc Res Tech. 2011;74(6):512-6. doi: 10.1002/jemt.20939, PMID 21604323.
Marson FC, Sensi LG, Vieira LC, Araújo E. Clinical evaluation of in-office dental bleaching treatments with and without the use of light-activation sources. Oper Dent. 2008;33(1):15-22. doi: 10.2341/07-57, PMID 18335728.
Joiner A. Tooth colour: a review of the literature. J Dent. 2004;32;Suppl 1:3-12. doi: 10.1016/j.jdent.2003.10.013, PMID 14738829.
Lima DA, Aguiar FH, Liporoni PC, Munin E, Ambrosano GM, Lovadino JR. In vitro evaluation of the effectiveness of bleaching agents activated by different light sources. J Prosthodont. 2009;18(3):249-54. doi: 10.1111/j.1532-849X.2008.00420.x, PMID 19210610.
Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract. 2014;14;Suppl:70-6. doi: 10.1016/j.jebdp.2014.02.006, PMID 24929591.
Féliz-Matos L, Hernández LM, Abreu N. Dental bleaching techniques; hydrogen-carbamide peroxides and light sources for activation, an update. Mini review article. Open Dent J. 2014;8:264-8. doi: 10.2174/1874210601408010264, PMID 25646134.
Dorman HL, Bishop JG. Production of experimental edema in dog tongue with dilute hydrogen peroxide. Oral Surg Oral Med Oral Pathol. 1970;29(1):38-43. doi: 10.1016/0030-4220(70)90409-3, PMID 5261906.
Munro IC, Williams GM, Heymann HO, Kroes R. Tooth whitening products and the risk of oral cancer. Food Chem Toxicol. 2006 Mar;44(3):301-15. doi: 10.1016/j.fct.2005.07.012. PMID 16198468.’
International agency on research on cancer 1999. Hydrogen peroxide. Monographs on the evaluation of carcinogenic risks to humans—re-evaluation of some organic chemicals, hydrazine and hydrogen paroxide, vol 71. Lyon: IARC, pp 671-89.
Bharti R, Wadhwani K. Spectrophotometric evaluation of peroxide penetration into the pulp chamber from whitening strips and gel an in vitro study. J Conserv Dent. 2013;16(2):131-4. doi: 10.4103/0972-0707.108192, PMID 23716964.
Goldberg M, Grootveld M, Lynch E. Undesirable and adverse effects of tooth-whitening products: a review. Clin Oral Investig. 2010 Feb;14(1):1-10. doi: 10.1007/s00784-009-0302-4. PMID 19543926.
Yu H, Li Q, Wang YN, Cheng H. Effects of temperature and in-office bleaching agents on surface and subsurface properties of aesthetic restorative materials. J Dent. 2013;41(12):1290-6. doi: 10.1016/j.jdent.2013.07.015, PMID 23927898.
Wiegand A, Drebenstedt S, Roos M, Magalhães AC, Attin T. 12-month color stability of enamel, dentine, and enamel-dentine samples after bleaching. Clin Oral Investig. 2008;12(4):303-10. doi: 10.1007/s00784-008-0195-7, PMID 18369668.
Published
How to Cite
Issue
Section
Copyright (c) 2022 Dr Ashwag Siddik Noorsaeed, Eman Ali A Alkhatti, Hatun Nuwaymi M Aletayani, Sondus Mansor S Alamer, Alhanouf Zaid M Alsamari, Sarah Mohammed J Alwuhaimed, Reem Abdullah S Almoshaddak, Faris Eid W Alqarafi, Amal Abdullah Batarfi, Nada Khalid Alzahrani, Reem Adnan Alghuneem, Fahad Saadallah A Alsulami, Abdulaziz Naif Alanazi, Waleed Mufadhi Alanazi, Sukainah Reda Al-Satrawi

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

