Effectiveness and Impact of the Walking Bleach Technique on Esthetic Self-perception and Psychosocial Factors: A Randomized Double-blind Clinical Trial.
Study Goal
The researchers aimed to evaluate the impact of the walking bleach technique on psychosocial and esthetic self-perceptions of patients with nonvital tooth discoloration and assess its clinical effectiveness.
Results Summary
The walking bleach technique was highly effective in whitening nonvital teeth, with no significant difference between hydrogen peroxide and carbamide peroxide except at sessions 3 and 4. The treatment also improved patients' esthetic self-perception and reduced psychosocial impacts related to dental appearance.
Population
Fifty volunteers with nonvital tooth discoloration.
Effective Dosage
35% hydrogen peroxide (n=25) and 37% carbamide peroxide (n=25), administered over four sessions.
Duration
Four sessions (exact duration not specified).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
35% hydrogen peroxide walking bleach technique | increase | tooth color | patients with nonvital tooth discoloration | 15.48<5.17 | color change was | #1 |
37% carbamide peroxide walking bleach technique | increase | tooth color | patients with nonvital tooth discoloration | 14.02<4.85 | color change was | #2 |
walking bleach technique | increase | nonvital teeth | patients with nonvital tooth discoloration | - | was highly effective on | #3 |
walking bleach technique | increase | self-esthetic perception | patients with nonvital tooth discoloration | - | had a positive effect on | #4 |
walking bleach technique | increase | psychological impact | patients with nonvital tooth discoloration | - | had a positive effect on | #5 |
walking bleach technique | decrease | Oral Health Impact Profile questionnaire scores | patients with nonvital tooth discoloration | - | decrease in | #6 |
walking bleach technique | decrease | Psychosocial Impact of Dental Esthetics questionnaire scores | patients with nonvital tooth discoloration | - | decrease in | #7 |
OBJECTIVE: This trial evaluates the impact of psychosocial and esthetic self-perceptions of patients undergoing nonvital tooth bleaching using the walking bleach technique. We also assessed the clinical effectiveness of bleaching tooth discoloration. METHODS: Fifty volunteers with nonvital tooth discoloration were enrolled. Teeth were randomized into two groups: 35% hydrogen peroxide (n=25) and 37% carbamide peroxide (n=25). Intracoronal bleaching was performed over four sessions using the walking bleach technique. Tooth color was evaluated at each session to measure total color variation. The shade guide was arranged from highest (B1) to lowest (C4) values to assess the color and calculate the color change in the number of shade guide units. Subjective and objective assessments were compared with the tooth counterpart. Esthetic self-perception and psychosocial factors were assessed before and after treatment. RESULTS: Color change was 15.48<5.17 for hydrogen peroxide and 14.02<4.85 for carbamide peroxide. There was no significant difference at any time point (p>0.05) except at sessions 3 and 4 (p<0.05). Overall, whitened teeth values were similar to those of counterpart teeth (p>0.05). There was a decrease in Oral Health Impact Profile and Psychosocial Impact of Dental Esthetics questionnaire scores after treatment compared with baseline (p<0.05). CONCLUSION: The walking bleach technique was highly effective on nonvital teeth and had a positive effect on self-esthetic perception and psychological impact for the patients.