Schoppmeier, Christoph M., Derman, Sonja H. M. ORCID: 0000-0003-2239-6010, Noack, Michael J. and Wicht, Michael J.
(2018).
Power bleaching enhances resin infiltration masking effect of dental fluorosis. A randomized clinical trial.
J. Dent., 79.
S. 77 - 85.
OXFORD:
ELSEVIER SCI LTD.
ISSN 1879-176X
Abstract
Objectives: Patients with moderate dental fluorosis often feel esthetically compromised. Aim of this RCT was to evaluate the objectively and self-assessed masking effect of resin infiltration alone or in combination with inoffice bleaching on dental fluorosis in adults. Methods: Twenty-seven patients (9 male, 18 female, 24.81 +/- 3.7 yrs) with 410 fluorotic teeth (TF 1-4) were randomly assigned to a treatment (BLI) or control group (NBLI). Patients underwent in-office bleaching (25% H2O2) in the BLI or a placebo bleaching (ACP gel) in the NBLI group followed by resin infiltration after two weeks. Standardized digital photographs were obtained at baseline; after bleaching; before and after resin infiltration and after 1, 3, and 6 months. Color differences (AE) between sound and fluorotic areas were calculated and patient satisfaction was evaluated using a VAS (1-10). Results: Statistical analysis revealed significant differences in the mean AE values 6 months after resin infiltration between the BLI (Delta E = 1.41) and the NBLI group (Delta E = 4.33) (p = 0.024). VAS values increased after resin infiltration (p < 0.05) in both groups. After 3 months patients in the BLI group had higher VAS values than in the NBLI group (p = 0.029). Conclusions: Findings of this study suggest that resin infiltration alone can effectively mask mild to moderate dental fluorosis in young adults. In-office bleaching with 25% H2O2 before resin infiltration provides significantly better masking effects. Clinical Significance: Resin infiltration is a safe and efficient treatment option for masking fluorotic opacities. A priori in-office bleaching with 25% H2O2 enhances the masking effect.
Item Type: | Journal Article | ||||||||||||||||||||
Creators: |
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URN: | urn:nbn:de:hbz:38-163973 | ||||||||||||||||||||
DOI: | 10.1016/j.jdent.2018.10.005 | ||||||||||||||||||||
Journal or Publication Title: | J. Dent. | ||||||||||||||||||||
Volume: | 79 | ||||||||||||||||||||
Page Range: | S. 77 - 85 | ||||||||||||||||||||
Date: | 2018 | ||||||||||||||||||||
Publisher: | ELSEVIER SCI LTD | ||||||||||||||||||||
Place of Publication: | OXFORD | ||||||||||||||||||||
ISSN: | 1879-176X | ||||||||||||||||||||
Language: | English | ||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||
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Refereed: | Yes | ||||||||||||||||||||
URI: | http://kups.ub.uni-koeln.de/id/eprint/16397 |
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