Nightguard vital bleaching: effects on enamel surface texture and diffusion

Quintessence Int. 1990 Oct;21(10):801-4.

Abstract

A recently reported technique for bleaching vital discolored teeth involves the use of a mouthguard and 10% carbamide peroxide without preoperative etching or postoperative polishing of the enamel. This in vitro study evaluated the effects of the bleaching agent on the surface texture of the enamel. Thirty-three extracted teeth were subjected to 10% carbamide peroxide for a period equivalent to 5 weeks of nighttime wear. A control area on each tooth had been covered and sealed. All discolored teeth experienced lightening, but there was no difference in color between the treated and control areas; the color-changing effects apparently extend to portions of the tooth not in direct contact with the solution. Epoxy replicas of the teeth were examined under a scanning electron microscope. No etching was apparent, and no difference in surface texture between treated and control areas was detected.

MeSH terms

  • Bicuspid
  • Carbamide Peroxide
  • Dental Enamel / drug effects*
  • Drug Combinations
  • Humans
  • Peroxides*
  • Surface Properties
  • Tooth Bleaching / methods*
  • Tooth Discoloration / therapy
  • Urea / analogs & derivatives*

Substances

  • Drug Combinations
  • Peroxides
  • Carbamide Peroxide
  • Urea