You are here

Home » Content

Dental Florozisin Beyazlatılmasında Kullanılan Bir Office Bleaching Materyalinin Pulpa ve Periapikal Dokular Üzerindeki Yan Etkilerinin İncelenmesi

Investigation of the side effects of an office bleaching technique on pulpal or periapical tissues

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Aim: Discoloration of the teeth induced by dental fluorosis, result in esthetic and even psychological problems. It should be aimed to choose the less harmful and the most esthetic treatment method. Today, bleaching procedures are thought to be more conservative than prosthetic approaches. The purpose of this study was to find out the effects of chemical reactions on pulp and hard tissues of the tooth during bleaching procedures. Materials- methods: Hundred eighty four (92 bleached and 92 controls) teeth of 15 patients with dental fluorosis who had been treated before 2-4 years with office bleaching (Opalescence Xtra, Ultradent, USA) procedures in paculty of Dentistry of SDU, Department of Restorative Dentistry and Endodontics and esthetic success was achieved had been evaluated in respect to vitality loss, cervical resorbtion, radiographic findings and hypersensitivity. Results: Twelve out of 92 teeth (% 13) had hypersensitivity at variable levels, but no radiographic pathology. There was no significant difference between bleached teeth and controls in respect to vitality findings. According to radiographic and clinical examinations, no cervical resorbtion and periapical pathology was observed. Conclusions: Temporary and tolerable hypersensitivity considered the reversible changes in pulp. This can be supported by no findings of vitality loss. Since no side effect except hypersensitivity has been determined, tooth bleaching method used in this study can be accepted as a reliable treatment method.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Önemli düzeyde estetik, hatta psikolojik problemlere yol açan dental florozise bağlı renklenmelerin tedavisinde estetiği kazandırırken dişe en az zarar verecek bir tedavi yönteminin seçilmesi amaçlanmalıdır. Günümüzde, beyazlatma yöntemlerinin protetik yaklaşımdan daha konservatif olduğu düşünülmektedir. Bu çalışmada amaç, ağartma işlemleri sırasında oluşan kimyasal reaksiyonların pulpaya veya dişin sert dokusuna yan etkilerinin klinik olarak incelenmesidir Gereç ve Yöntem: SDÜ Diş Hastalıkları ve Tedavisi AD Kliniğinde, 2- 4 yıl önce ofis beyazlatma işlemi (Opalescence Xtra, Ultradent, USA) uygulanmış ve estetik başarı sağlanmış, 15 dental florozisli hastanın toplam 184 (92 beyazlatılan ve 92 kontrol) dişi, vitalite kaybı, servikal rezorpsiyon, radyografik bulgu ve hipersensitivite varlığı açısından incelendi. Bulgular: 92 dişten 12'sinde (%13) çeşitli düzeylerde hipersensitivite varlığı gözlenirken radyografik olarak herhangi bir patoloji gözlenmedi. Beyazlatma yapılan dişler ve kontrol dişleri arasında vitalite bulguları açısından istatistiksel olarak anlamlı düzeyde bir farklılık saptanmadı. Radyografik ve klinik kontrollerde servikal rezorpsiyona rastlanmadı. Sonuç: Geçici ve tolere edilebilir düzeydeki hipersensitivite, pulpanın reversibl olarak etkilendiğini düşündürmektedir. Vitalite kaybının olmaması da bunu destekler niteliktedir. Uygulanan ağartma yönteminin hipersensitivite varlığı dışında herhangi bir yan etkisinin gözlenmemesi güvenli bir yöntem olduğunu göstermektedir.
FULL TEXT (PDF): 
PDF icon arastirmax-dental-florozisin-beyazlatilmasinda-kullanilan-bir-office-bleaching-materyalinin-pulpa-periapikal-dokular-uzerindeki-yan-etkilerinin-incelenmesi.pdf
  • 2
6-11
  • Turkish

REFERENCES

References: 

1.
Keçec
i A.D., Şahintürk H., Albayrak G., "Investigation OfThe Psychological Effects OfThe Esthetic Concern Due To Dental Fluorosis". Türk Dişhekimleri Birliği 10. Uluslararası Dişhekimliği Kongresi. Tebliğ, Kongre kitabı s: 148-149. Antalya. Haziran. 7.003.
2.
Cri
m GA. Prerestorative blcaching:effect on microlcakage ofClass V cavities. Quintessence Int 1992;23:823 -825.
3. Goldstein CE, Goldstein RE, Feinman RA, Garber DA. Bleaching vital teeth: state ofthe art. Quintessence Int. 1989Oct;20(10):729-37.
4. Haywood VB, Heymann HO. Nightguard vital bleaching: how safe is it? Quintessence Int. 1991 M;22(7):515-23.
5. Goldstein R, Garber D: Complete Dental Bleaching. Chicago, Quintessence, 1991, pp. 2, 12, 75, 94
6. Bowles WH, Thompson LR. Vital bleaching: the effects
S.D.Ü. Tıp pak.
Derg
. 2008:15(2)/6-11
Keçeci, Ofis bleaching yönteminin pulpa ve periapekse etkileri
11
ofheat and hydrogen peroxide on pulpal enzymes. J Endod.1986Mar;12(3):108-12
7. Thitinanthapan W, Satamanont P, Vongsavan N. In vitro penetration ofthe pulp chamber by three brands ofcarbamideperoxide. JEsthetDent. 1999;11(5):259-
64
8. Cooper JS, Bokmeyer TJ, Bowles WH. Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod. 1992 Jul;18(7):315-7.
9. Cohen SC. Human pulpal response to bleaching procedures on vital teeth . J Endod. 1979 May; 5(5):
134-8.
10. Fugaro OJ, Fugora JO, Matis B, Gregory RL, Cochran MA, Mjor I. The dental pulp: inflammatory markers and vital bleaching. Am J Dent. 2005 Aug; 18(4):229-
32. Erratum in: Am J Dent. 2005 Dec; 18(6):364.
11. Gerlach RW, Sagel PA. Vital bleaching with a thin peroxide gel: the safety and efficacy ofaprofessional-strength hydrogen peroxide whitenning strip. J Am Dent Assoc. 2004 Jan; 135(1):98-100. Erratum in: J Am DentAssoc. 2004 Feb;135(2):156.
12. Fugaro JO, Nordahl I, Fugaro OJ, Matis BA, Mjor IA. Pulp reaction to vital bleaching. Oper Dent. 2004 Jul-
Aug;29(4):363-8.
13. Robertson WD, Melfi RC. Pulpal response to vital bleaching procedures.J Endod. 1980 Jul;6(7):645-9.
14. Kwong K, Mohammed S, McMillan MD, Stokes AN. Evaluation ofa 10 percent carbamide peroxide gel vitalbleachingagent.NZDentJ. 1993 Jan;89(395):18-
22.
15. Leonard RH Jr, Garland GE, Eagle JC, Caplan DJ. Safety issues when using a 16% carbamide peroxide whitening solution. J Esthet Restor Dent. 2002;14(6):358-67.
16. McCracken MS, Haywood VB. Demineralization effects of 10 percent carbamide peroxide.J Dent. 1996
Nov;24(6):395-8
17. Rotstein I, Danker E, Goldman A, Heling I, Stabholz A, Zalkind M. Histochemical analysis ofdental hard tissues following bleaching. J Endod. 1996
Jan;22(1):23-5.
18. Seghi RR, Denry I. Effects ofexternal bleaching on indentation and abrasion characteristics ofhuman enamelinvitro.JDentRes. 1992Jun;71(6):1340-4.
19. Pugh G Jr, Zaidel L, Lin N, Stranick M, Bagley D. High levels ofhydrogen peroxide in over night tooth-whitening formulas: effects on enamel and pulp. Crit rev biotechnol. 2004;24(1):1-58.
20. Gökay O, Mujdeci A, Algin E. In vitro peroxide penetration into the pulp chamber from newer bleaching products. Int Endod J. 2005 Aug;38(8):516-20.
21. Seale NS, Wilson CF. Pulpal response to bleaching of teethindogs.PediatrDent. 1985 Sep;7(3):209-14.
22. Seale NS, McIntosh JE, Taylor AN. Pulpal reaction to bleaching ofteeth in dogs. J Dent Res. 1981
May;60(5):948-53.
23. Matthews B, Vongsavan N. İnterections between neural and hydroynamic mechanisms in dentine and pulp. Arch Oral Biol. 1994;39 Suppl:87S-95S.
24. Marshall MV, Cancro LP, Fischman SL. Hydrogen peroxide: a review ofits use in dentistry.J Periodontal. 1995 Sep;66(9):786-96.
25. Zach L, Cohen G. Pulp response to externally applıed heat. Oral SurgOralMedOralPathol. 1965 Apr;19:515-
30.
26. Eriksson A, Albrektsson T, Grane B, McQueen D. Thermal injury to bone. A vital-microscopic description ofheat effects. Int J Oral Surg. 1982 Apr;11(2):115-
21.
27. Weerakoon AT, Meyers IA, Symons AL, Walsh LJ. Pulpal heat changes with newly developed resin photopolymerisation systems.Aust Endod J. 2002 Dec;28(3):108-11.
28. Eldeniz AU, Usumez A, Usumez S, Ozturk N. Pulpal temperature rise during light-activated bleaching.J Biomed Mater Res B Appl Biomater. 2005 Feb 15;72(2):254-9.
29. Stahl F, Asworth SH,Jandt KD, Mills RW. Light-emitting diyote (LED) polymerisation ofdental composites: flexural properties and polymerisation potential. Biomaterials. 2000 Jul;21(13):1379-85.

Thank you for copying data from http://www.arastirmax.com