Portal de Periódicos da CAPES

Bleaching efficacy and quality of life of different bleaching techniques — randomized controlled trial

2022; Springer Nature; Volume: 26; Issue: 12 Linguagem: Inglês

10.1007/s00784-022-04678-5

1436-3771

Rúben Pereira, João Silveira, Susana Dias, Ana Beatriz Cardoso, António Mata, Duarte Marques,

Dental Erosion and Treatment

To evaluate bleaching efficacy and oral health-related quality of life (ORHQoL) of three bleaching systems with similar hydrogen peroxide (HP) concentration for up to 6 months post-treatment. A randomized controlled trial was designed with three parallel groups: group A — in-office 6% HP paint-on varnish; group B — at-home 6% HP with adaptable tray; group C — at-home 16% carbamide peroxide with custom tray. At three different stages (baseline, after bleaching, and 6-month follow-up), ORHQoL was evaluated by the OHIP-14 questionnaire and tooth color of the upper canines and central incisors were measured by two shade guides and a spectrophotometer (measuring CIE L*a*b* with respective color/whiteness differences − ΔE00/ΔWID). Results were presented as mean and 95% confidence intervals and statistical tests were performed appropriately, considering a significance level of α = 0.05. All groups presented significant color differences (P < 0.05) between all stages, with ΔE00/ΔWID surpassing the perceptibility threshold in 98% cases, with group C's results being significantly (P < 0.05) higher when compared to other groups, although with significantly (P < 0.05) higher values of color relapse. Significative ORHQoL improvements (P < 0.05) were detected after bleaching in a global analysis with no differences between techniques. All techniques presented bleaching efficacy, color stability, and improvements in ORHQoL up to 6 months post-treatment. Clinicians may consider both at-home and in-office bleaching techniques with 6% HP to attain long-lasting satisfactory clinical results while producing positive changes in ORHQoL.