Autor(es):
Bersezio, Cristian [UNESP] ; Martín, Javier ; Mayer, Carla ; Rivera, Oriana ; Estay, Juan ; Vernal, Rolando ; Haidar, Ziyad S. ; Angel, Pablo ; Oliveira, Osmir B. [UNESP] ; Fernández, Eduardo
Data: 2018
Identificador Persistente: http://hdl.handle.net/11449/171362
Origem: Oasisbr
Assunto(s): Aesthetic auto-perception; Dark tooth bleaching; Psychosocial impact; Randomized clinical trial
Descrição
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Purpose: Intracoronary bleaching is a minimally invasive, alternative treatment that addresses aesthetic concerns related to non-vital teeth discoloration. However, to the best of our knowledge, no studies have assessed the psychosocial impacts of such procedures on patients’ aesthetic perceptions. The aim of this study was to evaluate aesthetic perceptions and the psychosocial impact of patients up to 3 months after their teeth had been bleached with hydrogen peroxide (35%) and carbamide peroxide (37%) using the walking bleach technique. Methods: The patients were randomly divided into two groups according to the bleaching agent used: G1 = hydrogen peroxide 35% (n = 25) and G2 = carbamide peroxide 37% (n = 25). Non-vital bleaching was performed in four sessions. Color was objectively (ΔE) and subjectively (ΔSGU) evaluated. Aesthetic perception and psychosocial factors were evaluated before, 1 week and 1 month after the bleaching using the Oral Health Impact Profile (OHIP) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) questionnaires. Results: The color change (ΔE) values at 1 month were G1 = 16.80 ± 6.07 and G2 = 14.09 ± 4.83. These values remained stable until the third month after treatment (p > 0.05). There was a decrease in the values of OHIP-aesthetics and PIDAQ after treatment versus baseline (p < 0.05). This status was maintained through the third month after treatment. Conclusions: Both agents were highly effective and had a positive impact on the aesthetic perception and psychosocial impact of patients, values that also remained stable over time. Non-vital bleaching yields positive and stable impacts on aesthetic perception and psychosocial factors. ClinicalTrials.gov identifier NCT02718183.
Department of Restorative Dentistry Faculty of Dentistry University of Chile
Department of Restorative Dentistry School of Dentistry University Estadual Paulista-UNESP
Departament of Conservative Dentistry Faculty of Dentistry University of Chile
BioMAT’X Centro de Investigación Biomédica Facultad de Medicina Universidad de los Andes, Av. Mons. Álvaro del Portillo
Faculty of Dentistry Universidad Los Andes, Av. Mons. Álvaro del Portillo
Instituto de Ciencias Biomédicas Universidad Autónoma de Chile, Av. Pedro de Valdivia 425
Department of Restorative Dentistry School of Dentistry University Estadual Paulista-UNESP