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

Year 2025, Volume: 28 Issue: 1, 99 - 107, 28.03.2025
https://doi.org/10.7126/cumudj.1612990

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.

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.

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

Year 2025, Volume: 28 Issue: 1, 99 - 107, 28.03.2025
https://doi.org/10.7126/cumudj.1612990

Abstract

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.
There are 31 citations in total.

Details

Primary Language English
Subjects Endodontics
Journal Section Original Research Articles
Authors

Somayah Hürmüzlü 0000-0001-8756-2134

Berna Aslan 0000-0002-4673-7791

Ongun Mehmet Saka 0000-0002-8726-6391

Publication Date March 28, 2025
Submission Date January 4, 2025
Acceptance Date January 15, 2025
Published in Issue Year 2025Volume: 28 Issue: 1

Cite

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.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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