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CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(03): 329-333
DOI: 10.4103/ejd.ejd_167_18
Original Article
Dental Investigation Society

The combined use of a nonabrasive, activator-containing toothpaste and a light emitting diode device improves the onset time of tooth whitening

Stephan Bielfeldt
1   proDERM Institute for Applied Dermatological Research GmbH, Schenefeld, Hamburg, Germany
,
Ismaela Foltran
2   Incos Cosmetica Industriale s.r.l, Castello d`Argile Bologna, Italy
,
Arne Böhling
1   proDERM Institute for Applied Dermatological Research GmbH, Schenefeld, Hamburg, Germany
,
Caroline Manger
1   proDERM Institute for Applied Dermatological Research GmbH, Schenefeld, Hamburg, Germany
,
Klaus-Peter Wilhelm
1   proDERM Institute for Applied Dermatological Research GmbH, Schenefeld, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
16 September 2019 (online)

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ABSTRACT

Objective: The objective of this randomized clinical study was to assess the onset time of the whitening effect of a combined use of a nonabrasive, activator-containing toothpaste and a light emitting diode (LED) device, compared to that of the toothpaste alone. Materials and Methods: A nonabrasive, activator-containing toothpaste was used twice daily alone or combined with an LED device for 15 days. The onset of the tooth whitening effect was evaluated through tooth color (a* b*, CIELAB) and tooth whiteness (WIO) by image analysis of standardized images. Local tolerance was assessed at days 1, 8, and 15. Results: On day 8, a significant (P = 0.003) tooth whitening effect compared to day 1 was observed with the toothpaste and the LED device, sustaining until the end of the study. Whitening using the toothpaste alone was significant compared to day 1 after 15 days, only. One subject reported mild redness, itching, and burning on day 1 on the gum of the lower jaw that was possibly related to with the toothpaste. The subject withdrew from the study. No adverse event was reported in the group using the LED device. Conclusion: Both tooth whitening methods had a significant whitening effect after 15 days of use. However, the onset of whitening was significantly faster when using the nonabrasive, activator-containing toothpaste combined with an LED device. The toothpaste and LED device were both safe.

Key words:

Light emitting diode-device - nonabrasive toothpaste - photoactivation - tooth color - tooth whitening
 

  • REFERENCES

  • 1 Alshara S, Lippert F, Eckert GJ, Hara AT. Effectiveness and mode of action of whitening dentifrices on enamel extrinsic stains. Clin Oral Investig 2014; 18: 563-9
    CrossrefPubMedGoogle Scholar
  • 2 Majeed A, Farooq I, Grobler SR, Rossouw RJ. Tooth-bleaching: A review of the efficacy and adverse effects of various tooth whitening products. J Coll Physicians Surg Pak 2015; 25: 891-6
    PubMedGoogle Scholar
  • 3 Horn BA, Bittencourt BF, Gomes OM, Farhat PA. Clinical evaluation of the whitening effect of over-the-counter dentifrices on vital teeth. Braz Dent J 2014; 25: 203-6
    PubMedGoogle Scholar
  • 4 Soares CN, Amaral FL, Mesquita MF, Franca FM, Basting RT, Turssi CP. Toothpastes containing abrasive and chemical whitening agents: Efficacy in reducing extrinsic dental staining. Gen Dent 2015; 63: e24-8
    PubMedGoogle Scholar
  • 5 Schemehorn BR, Moore MH, Putt MS. Abrasion, polishing, and stain removal characteristics of various commercial dentifrices in vitro . J Clin Dent 2011; 22: 11-8
    PubMedGoogle Scholar
  • 6 Torres CR, Perote LC, Gutierrez NC, Pucci CR, Borges AB. Efficacy of mouth rinses and toothpaste on tooth whitening. Oper Dent 2013; 38: 57-62
    CrossrefPubMedGoogle Scholar
  • 7 Joiner A, Philpotts CJ, Ashcroft AT, Laucello M, Salvaderi A. In vitro cleaning, abrasion and fluoride efficacy of a new silica based whitening toothpaste containing blue covarine. J Dent 2008; 36 (Suppl. 01) S32-7
    CrossrefPubMedGoogle Scholar
  • 8 Meyers IA, McQueen MJ, Harbrow D, Seymour GJ. The surface effect of dentifrices. Aust Dent J 2000; 45: 118-24
    CrossrefPubMedGoogle Scholar
  • 9 Joiner A. The bleaching of teeth: A review of the literature. J Dent 2006; 34: 412-9
    CrossrefPubMedGoogle Scholar
  • 10 Collins LZ, Maggio B, Liebman J, Blanck M, Lefort S, Waterfield P, et al. Clinical evaluation of a novel whitening gel, containing 6% hydrogen peroxide and a standard fluoride toothpaste. J Dent 2004; 32 (Suppl. 01) 13-7
    CrossrefPubMedGoogle Scholar
  • 11 Kielbassa AM, Gillmann L, Zantner C, Meyer-Lueckel H, Hellwig E, Schulte-Mönting J. Profilometric and microradiographic studies on the effects of toothpaste and acidic gel abrasivity on sound and demineralized bovine dental enamel. Caries Res 2005; 39: 380-6
    CrossrefPubMedGoogle Scholar
  • 12 Attin T, Koidl U, Buchalla W, Schaller HG, Kielbassa AM, Hellwig E. Correlation of microhardness and wear in differently eroded bovine dental enamel. Arch Oral Biol 1997; 42: 243-50
    CrossrefPubMedGoogle Scholar
  • 13 Pickles MJ. Tooth wear. Monogr Oral Sci 2006; 19: 86-104
    PubMedGoogle Scholar
  • 14 Patil PA, Ankola AV, Hebbal MI, Patil AC. Comparison of effectiveness of abrasive and enzymatic action of whitening toothpastes in removal of extrinsic stains – A clinical trial. Int J Dent Hyg 2015; 13: 25-9
    CrossrefPubMedGoogle Scholar
  • 15 Kim MK, Park H, Oh TJ. Antibacterial and antioxidant capacity of polar microorganisms isolated from arctic lichen Ochrolechia sp. Pol J Microbiol 2014; 63: 317-22
    CrossrefPubMedGoogle Scholar
  • 16 Gerlach RW, Gibb RD, Sagel PA. A randomized clinical trial comparing a novel 5.3% hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent (Suppl. 00) 2000; 29: S22-8
    Google Scholar
  • 17 Sagel PA, Jeffers ME, Gibb RD, Gerlach RW. Overview of a professional tooth-whitening system containing 6.5% hydrogen peroxide whitening strips. Compend Contin Educ Dent 2002; 23: 9-15
    PubMedGoogle Scholar
  • 18 Bentley C, Leonard RH, Nelson CF, Bentley SA. Quantitation of vital bleaching by computer analysis of photographic images. J Am Dent Assoc 1999; 130: 809-16
    CrossrefPubMedGoogle Scholar
  • 19 Guan YH, Lath DL, Lilley TH, Willmot DR, Marlow I, Brook AH. The measurement of tooth whiteness by image analysis and spectrophotometry: A comparison. J Oral Rehabil 2005; 32: 7-15
    CrossrefPubMedGoogle Scholar
  • 20 Jarad FD, Russell MD, Moss BW. The use of digital imaging for colour matching and communication in restorative dentistry. Br Dent J 2005; 199: 43-9
    CrossrefPubMedGoogle Scholar
  • 21 Luo W, Westland S, Brunton P, Ellwood R, Pretty IA, Mohan N. Comparison of the ability of different colour indices to assess changes in tooth whiteness. J Dent 2007; 35: 109-16
    CrossrefPubMedGoogle Scholar
  • 22 Shi XC, Ma H, Zhou JL, Li W. The effect of cold-light-activated bleaching treatment on enamel surfaces in vitro . Int J Oral Sci 2012; 4: 208-13
    CrossrefPubMedGoogle Scholar
  • 23 Grujičić D, Stošić I, Kosanić M, Stanojković T, Ranković B, Milošević-Djordjević O. Evaluation of in vitro antioxidant, antimicrobial, genotoxic and anticancer activities of lichen cetraria islandica. Cytotechnology 2014; 66: 803-13
    CrossrefPubMedGoogle Scholar
  • 24 Li Y, Zhang Q, Zhang F, Liu R, Liu H, Chen F. Analysis of the microbiota of black stain in the primary dentition. PLoS One 2015; 10: e0137030
    CrossrefPubMedGoogle Scholar
  • 25 Ronay V, Attin T. Black stain – A review. Oral Health Prev Dent 2011; 9: 37-45
    PubMedGoogle Scholar
  • 26 Zhou H, Lee J. Nanoscale hydroxyapatite particles for bone tissue engineering. Acta Biomater 2011; 7: 2769-81
    CrossrefPubMedGoogle Scholar
  • 27 Lim BK, Sun F, Ryu SC, Koh K, Han DW, Lee J, et al. Hydroxyapatite coating on damaged tooth surfaces by immersion. Biomed Mater 2009; 4: 025017
    CrossrefPubMedGoogle Scholar