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Effectiveness and Impact of the Walking Bleach Technique on Esthetic Self-perception and Psychosocial Factors: A Randomized Double-blind Clinical Trial.

Operative dentistry
January 1, 2017
C Bersezio et al. (8 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

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

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultAgedCarbamide PeroxideDouble-Blind MethodEsthetics, DentalFemaleHumansHydrogen PeroxideMaleMiddle AgedPeroxidesPsychologySelf ConceptSurveys and QuestionnairesTooth BleachingTooth Bleaching AgentsTooth DiscolorationUreaYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year1.9
Relative Citation Ratio1.45
NIH Percentile63.8%
Research Impact Scores
APT Score0.75
Weight Score1.87
Normalized Score0.69
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