A novel carbamide peroxide polymeric nanoparticle bleaching gel: Color change and hydrogen peroxide penetration inside the pulp cavity

J Esthet Restor Dent. 2021 Mar;33(2):277-283. doi: 10.1111/jerd.12652. Epub 2020 Sep 19.

Abstract

Objective: This study evaluated the hydrogen peroxide (HP) penetration inside the pulp cavity and the color change of teeth submitted to the 15% carbamide peroxide (CP) nanoparticle bleaching gel at several application times.

Materials and methods: Premolars were divided into nine groups (n = 6) according to 15% CP bleaching agents (nanoparticle and commercial) and to application times (15, 30, 45, and 60 minutes). A negative control was exposed to ultra-purified water. After a whitening procedure, the HP concentration (μg/mL) inside the pulp cavity was assessed via spectrophotometry. The color change (ΔE* and ΔE00*) was evaluated with a spectrophotometer. Data were analyzed via two-way ANOVA and Tukey (α = 0.05).

Results: A lower concentration of HP was detected for CP nanoparticle gel after 30 and 45 minutes of whitening procedure (P = .001). The bleaching groups promoted a higher color change (ΔE* and ΔE00*) regardless of the application time (P = .0001).

Conclusions: The CP nanoparticle gel reduced HP inside the pulp cavity, and showed effective bleaching compared with CP commercial gel.

Clinical significance: Using 15% carbamide peroxide nanoparticle bleaching gel decreased the HP penetration inside the pulp cavity and may decrease bleaching-induced tooth sensitivity in at-home bleaching.

Keywords: carbamide peroxide; hydrogen peroxide; nanotechnology; tooth bleaching; tooth whitening.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carbamide Peroxide
  • Color
  • Hydrogen Peroxide
  • Nanoparticles*
  • Peroxides
  • Tooth Bleaching Agents*
  • Tooth Bleaching*
  • Urea

Substances

  • Peroxides
  • Tooth Bleaching Agents
  • Carbamide Peroxide
  • Urea
  • Hydrogen Peroxide