In-Vitro Comparison of Radicular Penetration of Hydrogen Peroxide Among Different Intracoronal Bleaching Agents

Somayah Hürmüzlü; Berna Aslan; Ongun Mehmet Saka

doi:10.7126/cumudj.1612990

TR EN

In-Vitro Comparison of Radicular Penetration of Hydrogen Peroxide Among Different Intracoronal Bleaching Agents

Abstract

INTRODUCTION: In this study, intracoronal bleaching, which is a conservative treatment approach hydrogen peroxide to the cervical region from different bleaching agents used in penetration was aimed to be compared. METHODS: In our study, 60 single-rooted maxillary incisors were used. After root canal treatment procedures, the gutta percha canal filling was removed 4 mm below the enamel-cementum junction. Glass as a protective barrier ionomer cement was placed 2 mm below the enamel-cementum junction. RESULTS: The difference between day 1 and day 3 hydrogen peroxide uptake of the Whiteness SuperEndo group was statistically significant. not found to be significant (p>0.05), but in the other experimental groups on days 1, 3 and 7 the difference between hydrogen peroxide uptake amounts was statistically significant was observed (p < 0.05). DISCUSSION AND CONCLUSION: High levels of radicular hydrogen peroxide to minimize the risk of cervical root resorption sodium perborate + distilled sodium perborate as a good alternative to penetrating bleaching agents water mixture and carbamide peroxide gels. Also the use of carbamide peroxide gel sodium peroxide because of its ease and the fact that it is as effective as hydrogen peroxide in studies we can say that it is a good alternative to a mixture of perborate + distilled water.

Keywords

References

1. Arens D. The role of bleaching in esthetics. Dent Clin North Am 1989; 33: 319-336.
2. Rotstein I. In vitro determination and quantification of 30% hydrogen peroxide penetration through dentin and cementum during bleaching. Oral Surg Oral Med Oral Pathol 1991; 72: 602-606.
3. Rotstein I, Walton R. Bleaching Discolored Teeth: Internal and External. In: Torabinejad M, Walton JR. Principles and Practice of Endodontics, 4. Ed., Philadelphia: WB Saunders Com., 2009, p391-404.
4. Knezevic N, Obradovic M, Dolic O, Veselinovic V, Kojic Z, Josipovic R, Arapovic-Savic M. Clinical testing of walking bleach, in-office, and combined bleaching of endodontically treated teeth. Medicina (Kaunas) 2022; 59: 18.
5. Frank Ac, Kanzow P, Rödig T, Wiegand A. Comparison of the bleaching efficacy of different agents used for internal bleaching: a systematic review and meta-analysis. J Endod 2022; 48: 171-178.
6. Kahler B. Present status and future directions - managing discoloured teeth. Int Endod J 2022; 55: 922-950.
7. Greenwall L. Bleaching Techniques in Restorative Dentistry: An Illustrated Guide: CRC Press, 2001.
8. Heithersay GS. Invasive Cervical Resorption: An analysis of potential predisposing factors. Quintessence Int 1999; 30: 83-95.

9. Madison S, Walton R. Cervical root resorption following bleaching of endodontically treated teeth. J Endod 1990; 16: 570-574.
10. Harrington GW, Natkin E. External resorption associated with bleaching of pulpless teeth. J Endod 1979; 5: 344-348.
11. Newton R, Hayes J. The Association of external cervical resorption with modern internal bleaching protocols: what is the current evidence? Br Dent J 2020; 228: 333-337.
12. Mavridou Athina M, Hauben E, Wevers M, Schepers E, Bergmans L, Lambrechts P. Understanding external cervical resorption in vital teeth. J Endod 2016; 12: 1737-1751.
13. Heithersay GS. Invasive cervical resorption. Endod Topics 2004; 7: 73-92.
14. Halliwell B, Clement MV, Ramalingam J, Long LH. Hydrogen peroxide. Ubiquitous in cell culture and in vivo? IUBMB Life 2000; 50: 251-257.
15. Goldberg M, Grootveld M, Lynch E. Undesirable and adverse effects of tooth-whitening products: a review. Clin Oral Investig 2010; 14: 1-10.
16. Lee GP, Lee MY, Lum SOY, Poh RSC, Kim KC. Extraradicular diffusion of hydrogen peroxide and pH changes associated with intracoronal bleaching of discoloured teeth using different bleaching agents. Int Endod J 2004; 37: 500-506
17. Rotsteini Li Y. Tooth Discoloration and Bleaching. In: Ingle’s Endodontics, Ed.: J. I. Ingle, K. Bakland, J. C. Baumgartner, 6th Ed., Hamilton: Bc Decker Inc., P1383-1399.
18. Yongil Jin, Klenise S. Paranhos, Ann Salamone, William Bongiorno, Melina Brizuela. (2024). Internal Tooth Whitening. In: Statpearls [Internet]. Treasure Island (Fl): Statpearls Publishing.
19. Amer M. Intracoronal tooth bleaching - a review and treatment guidelines. Aust Dent J 2023; 68: S141-S152.
20. Zoya A, Tewari RK, Mishra SK, Faisal SM, Ali S, Kumar A, Moin S. Sodium percarbonate as a novel intracoronal bleaching agent: assessment of the associated risk of cervical root resorption. Int Endod J 2019; 52: 701-708.
21. Devji T. Walking bleach technique for endodontically treated teeth with 35% hydrogen peroxide and 37% carbamide peroxide may result in similar improvements in tooth color and patient satisfaction. J Am Dent Assoc 2018; 149: E113.
22. Oskoee SS, Bahari M, Daneshpooy M, Ajami AA, Rahbar M. Effect of different intraorifice barriers and bleaching agents on the fracture resistance of endodontically treated anterior teeth. J Endod. 2018; 44: 1731-1735.
23. Sismanoglu S, Yildirim-Bilmez Z, Gurcan AT, Gumustas B, Taysi M, Berkman M. Influence of intracoronal bleaching agents on the bond strength of MTA cements to composite resin and their surface morphology. Odontology 2022; 110: 148-156.
24. Abduljalil M, Sakalli B, Basmaci F. Impact of different intraorifice barriers on fracture resistance of non-vital bleached teeth. Niger J Clin Pract 2023; 26: 95-101.
25. Gökay O, Ziraman F, Çali Asal A, Saka OM. Radicular peroxide penetration from carbamide peroxide gels during intracoronal bleaching. Int Endod J 2008; 41: 556-560.
26. Madhu K, Hegde S, Mathew S, Lata D, Bhandi̇ SH, Shruthi N. Comparison of radicular peroxide leakage from four commonly used bleaching agents following intracoronal bleaching in endodontically treated teeth- an in vitro study. J Int Oral Health 2013; 5: 49-55.
27. Rokaya ME, Beshr K, Mahram AH, Pedir SS, Baroudi K. Evaluation of extraradicular diffusion of hydrogen peroxide during intracoronal bleaching using different bleaching agents. Int J Dent 2015; 2015: 493795.
28. Karayil Binu Nathan, Roopa R Nadig, Tisson Varghese Job, Puthan Veetil Nithin, Rajesh Karthik, Sailaja Choudary. (2019) Radicular Peroxide Penetration from Different Concentrations of Carbamide Peroxide Gel during Intracoronal Bleaching-An In vitro Study J Contemp Dent Pract. 1;20(5):587-592.
29. Perrine GA, Reichl RB, Baisden MK, Hondrum SO. Comparison of 10% carbamide peroxide and sodium perborate for intracoronal bleaching. Gen Dent 2000; 48: 264-270.
30. Lim MY, Lum SOY, Poh RSC, Lee GP, Lim KC. An in vitro comporation of bleaching efficacy of 35% carbamide peroxide with established intracoronal bleaching agents. Int Endod J 2004; 37: 483-488.
31. Teixeira ECN, Hara AT, Serra MC. Use of 37% carbamide peroxide in the walking bleach tecnique: a case report. Quintessence Int 2004; 35: 97-102.

Details

Primary Language

English

Subjects

Endodontics

Journal Section

Research Article

Authors

Somayah Hürmüzlü ^*
0000-0001-8756-2134
Türkiye

Berna Aslan
0000-0002-4673-7791
Türkiye

Ongun Mehmet Saka
0000-0002-8726-6391
Türkiye

Publication Date

March 28, 2025

Submission Date

January 4, 2025

Acceptance Date

January 15, 2025

Published in Issue

Year 2025 Volume: 28 Number: 1

DOI

https://doi.org/10.7126/cumudj.1612990

IZ

https://izlik.org/JA29ZX98MD

Cite

RIS / Bibtex

EndNote

Hürmüzlü S, Aslan B, Saka OM (March 1, 2025) In-Vitro Comparison of Radicular Penetration of Hydrogen Peroxide Among Different Intracoronal Bleaching Agents. Cumhuriyet Dental Journal 28 1 99–107.

In-Vitro Comparison of Radicular Penetration of Hydrogen Peroxide Among Different Intracoronal Bleaching Agents

Farklı intrakoronal beyazlatma ajanlarından hidrojen peroksitin radiküler penetrasyonunun Iin-vitro karşılaştırılması

Öz

In-Vitro Comparison of Radicular Penetration of Hydrogen Peroxide Among Different Intracoronal Bleaching Agents

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite