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2377 Clinical Evaluation of In-office Whitening With and Without LED Application

Friday, July 16, 2010: 3 p.m. - 4:15 p.m. Location: Exhibit Hall (CCIB) C. COITO1, L. NOBLOM2, R. EIRA1, A. CAVALHEIRO1, and A. SILVA1, 1Universidade de Lisboa, Lisboa, Portugal, 2Universitat Internacional da Catalunya, Barcelona, Spain, Barcelona, Spain Objectives: To evaluate the effectiveness, comfort, gingival irritation and sensitivity associated with an in-office whitening system with LED light. Methods: 60 subjects were selected (with minimum A3 Vita shade) and then blinded assigned to two groups: LED 35% Hydrogen Peroxide (HP) with LED (BT Kiss with BT Cool, Apoza Enterprise Co, Taipei, TW) (100% power - manufacturer's instructions); No LED 35% HP only. Each treatment consisted on two consecutive 15min applications of the whitening agent. Subjects were evaluated immediately posttreatment, 7 and 14 days after. Shade was evaluated with a shade guide (Vita Classical ordered by: 1) hue and chroma, and 2) value). 7 different digital photographs (colour and black/white) were taken and evaluated with shade control. Subjects reported sensitivity and gingival irritation evaluation. Satisfaction degree, comfort, cleaning sensation and flavour change, were evaluated at day 14. Kruskal-Wallis, Multifactor ANOVA, t-test and Mann-Whitney were used to evaluate differences among groups (alpha=0,05). Results: The data provided strong evidence that the effectiveness of the whitening treatment was not different between groups (p>0,1239) and between recalls (p>0,1064). There was no statistical difference between groups on tooth sensitivity (p=0,704) and gingival irritation (p=0,828). These two criteria were slightly superior on the LED group at the first 4 days and remained superior for additional days on the No LED group. The subjective criteria, comfort of application, cleaning sensation and flavour change, were similar between groups (p>0,28), but for No LED group , there was a significant higher score on satisfaction degree (p=0,03). Conclusions: The use of LED light does not improve the results of whitening treatment. Whether LED light is used or not, there is always significant colour change, tooth sensitivity and gingival irritation. It seems that higher satisfaction degree occurs when treatment is performed without light application. See more of: Color and Appearance (Esthetics) II See more of: Dental Materials 11: Color and Appearance (Esthetics) << Previous Abstract | Next Abstract >>

http://iadr.confex.com/iadr/2010barce/webprogram/Paper133008.html

20.07.2010