Iria L Darriba1, Paloma Cabirta Melón2, Ana García Sartal2, Ignacio Ríos Sousa2, Víctor Alonso de la Peña2. 1. Department of Surgery and Medical and Surgical Specialties, Faculty of Medicine and Dentistry, University of Santiago de Compostela, Entrerríos s/n, 15782, Santiago de Compostela, A Coruña, Spain. iria.lopez.darriba@rai.usc.es. 2. Department of Surgery and Medical and Surgical Specialties, Faculty of Medicine and Dentistry, University of Santiago de Compostela, Entrerríos s/n, 15782, Santiago de Compostela, A Coruña, Spain.
Abstract
OBJECTIVE: The aim of this study is to determine whether prolonging the daytime at-home bleaching treatment by 1 week increases the bleaching effect without causing more side effects. MATERIALS AND METHODS:Fifty participants were randomly divided into two groups, (A) with a 14-day treatment and (B) with a 21-day treatment. A gel with 10% carbamide peroxide was applied for 2 h a day in custom trays. Color measurement was performed using a dental spectrophotometer on the right maxillary central incisor and the canine at baseline, at the end of treatment, and 1 and 6 months afterwards. Daily, participants recorded their tooth sensitivity and gingival irritation. RESULTS: At the end of the treatment, the ΔE00 of group B (5.77 ± 2.15) was significantly higher than the ΔE00 of group A (4.74 ± 1.94) (p = 0.005 (95% CI: - 2.13 to - 0.39)). After 6 months, tooth color was more stable in group B. The ΔSGU values between the different appointment times were higher in the 3-week group. Participants from group B reported more side effects, but statistically, there were no differences compared with group A (p = 0.225 for tooth sensitivity and p = 0.758 for gingival irritation). CONCLUSIONS:Daytime application of at-home bleaching for 3 weeks achieves greater bleaching results than for 2 weeks, immediately after treatment and 1 and 6 months afterwards. However, slightly more side effects could occur. CLINICAL RELEVANCE: When daytime application of at-home bleaching is required, the treatment duration should be prolonged from 2 to 3 weeks to achieve greater and more stable results.
RCT Entities:
OBJECTIVE: The aim of this study is to determine whether prolonging the daytime at-home bleaching treatment by 1 week increases the bleaching effect without causing more side effects. MATERIALS AND METHODS: Fifty participants were randomly divided into two groups, (A) with a 14-day treatment and (B) with a 21-day treatment. A gel with 10% carbamide peroxide was applied for 2 h a day in custom trays. Color measurement was performed using a dental spectrophotometer on the right maxillary central incisor and the canine at baseline, at the end of treatment, and 1 and 6 months afterwards. Daily, participants recorded their tooth sensitivity and gingival irritation. RESULTS: At the end of the treatment, the ΔE00 of group B (5.77 ± 2.15) was significantly higher than the ΔE00 of group A (4.74 ± 1.94) (p = 0.005 (95% CI: - 2.13 to - 0.39)). After 6 months, tooth color was more stable in group B. The ΔSGU values between the different appointment times were higher in the 3-week group. Participants from group B reported more side effects, but statistically, there were no differences compared with group A (p = 0.225 for tooth sensitivity and p = 0.758 for gingival irritation). CONCLUSIONS: Daytime application of at-home bleaching for 3 weeks achieves greater bleaching results than for 2 weeks, immediately after treatment and 1 and 6 months afterwards. However, slightly more side effects could occur. CLINICAL RELEVANCE: When daytime application of at-home bleaching is required, the treatment duration should be prolonged from 2 to 3 weeks to achieve greater and more stable results.