Study of clinical and histological features in professional teeth whitening

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Uspenskaya O.A.

Department of Therapeutic Stomatology, State budgetary institution «Nizhni Novgorod State Medical Academy», Russian Ministry of Health, Nizhni Novgorod, Russia

Trefilova O.V.

Privolzhsky Research Medical University, Nizhniy Novgorod, Russia

Shevchenko E.A.

Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation, Nizhniy Novgorod, Russia

Study of clinical and histological features in professional teeth whitening

Authors:

Uspenskaya O.A., Trefilova O.V., Shevchenko E.A.

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Journal: Stomatology. 2020;99(3): 11‑17

DOI: 10.17116/stomat20209903111

Views: 21146

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To cite this article:

Uspenskaya OA, Trefilova OV, Shevchenko EA. Study of clinical and histological features in professional teeth whitening. Stomatology. 2020;99(3):11‑17. (In Russ.)
https://doi.org/10.17116/stomat20209903111

Подписка 2025-2 (Stomatology)

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The aim of the study was to study clinical and histological changes in the treatment of discoloration using different systems for professional tooth whitening. The study involved 76 patients. Patients of group 1 had their teeth whitened by the Amazing White Universal Extra photochemical activation system, and group 2 had their teeth whitened by the Beyond Polus system. Each group was divided into 3 more subgroups depending on the method of remineralization and the applied toothpaste (SENSITIVE ULTRA and SENSODYNE Rapid Relief). To assess teeth hyperesthesia before, immediately after and 14 days after the bleaching procedure, we used the prevalence index of teeth hyperesthesia, the intensity index of teeth hyperesthesia, and the Schiff sample. We also used a digital rating scale for patients. 100 teeth extracted for orthodontic indications were subjected to histological examination. The occurrence of hyperesthesia of teeth during professional bleaching was revealed in 100% of cases. Significant structural changes were registered in the enamel and dentin of the teeth, most pronounced during photo-whitening. The treatment based on zinc-substituted hydroxyapatite carbonate in combination with laserophonophoresis against the background of use the toothpaste SENSODYNE Rapid Relief had the greatest remineralizing effect.

Keywords:

bleaching

hyperesthesia

histological changes

remineralizing therapy

Authors:

Uspenskaya O.A.

Department of Therapeutic Stomatology, State budgetary institution «Nizhni Novgorod State Medical Academy», Russian Ministry of Health, Nizhni Novgorod, Russia

Trefilova O.V.

Privolzhsky Research Medical University, Nizhniy Novgorod, Russia

Shevchenko E.A.

Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation, Nizhniy Novgorod, Russia

List of references:

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