[Discolorations: a new method of bleaching discolored vital teeth. (Preliminary study)]. 1990

G Mountouris, and Z Mantzavinos, and H Michou
Faculty of Dentistry, University of Athens.

The demand for an acceptable appearance, including a natural and attractive smile, has nowadays a great effect on clinical practice. More patients than ever are requesting various types of cosmetic dentistry in order to improve their smile. The clinical practitioner has to deal with discolorations, particularly in the anterior region of the mouth. The most severe of these problems are caused by administration of tetracycline or other medicine during the period of mineralization. The usual treatment of these cases includes full crown restorations and more recently, direct or indirect veneers (porcelain or composite-resin veneers). As an alternative, the various techniques of bleaching consist the most conservative of all above treatments. For many year, their application gives effective solutions in many cases. This article describes both clinical and laboratory procedures of a new technique for bleaching discolored vital teeth. This technique uses a warming device to apply controlled heat to the bleaching solution which is placed on both labial and lingual surfaces of the teeth to be bleached. Special thermotrays are used for the placement of the solution according to the specifications of the manufacturer. This paper presents a preliminary study of the advantages and disadvantages of this bleaching method and gives an evaluation of the results from several clinical cases.

UI MeSH Term Description Entries
D010545 Peroxides A group of compounds that contain a bivalent O-O group, i.e., the oxygen atoms are univalent. They can either be inorganic or organic in nature. Such compounds release atomic (nascent) oxygen readily. Thus they are strong oxidizing agents and fire hazards when in contact with combustible materials, especially under high-temperature conditions. The chief industrial uses of peroxides are as oxidizing agents, bleaching agents, and initiators of polymerization. (From Hawley's Condensed Chemical Dictionary, 11th ed) Peroxide
D004338 Drug Combinations Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture. Drug Combination,Combination, Drug,Combinations, Drug
D004955 Esthetics, Dental Skills, techniques, standards, and principles used to improve the art and symmetry of the teeth and face to improve the appearance as well as the function of the teeth, mouth, and face. (From Boucher's Clinical Dental Terminology, 4th ed, p108) Cosmetic Dentistry,Aesthetics, Dental,Dental Esthetic,Dental Esthetics,Esthetic, Dental,Cosmetic Dentistries,Dentistries, Cosmetic,Dentistry, Cosmetic
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077463 Carbamide Peroxide A urea peroxide compound that is commonly used in tooth whitening agents; topical anti-infective agents, and earwax remover. Perhydrol Urea,Urea Hydrogen Peroxide,Urea Peroxide,Hydrogen Peroxide, Urea
D014073 Tooth Bleaching The use of a chemical oxidizing agent to whiten TEETH. In some procedures the oxidation process is activated by the use of heat or light. Teeth Bleaching,Teeth Whitening,Tooth Whitening,Bleaching, Teeth,Bleaching, Tooth,Whitening, Teeth,Whitening, Tooth
D014075 Tooth Discoloration Any change in the hue, color, or translucency of a tooth due to any cause. Restorative filling materials, drugs (both topical and systemic), pulpal necrosis, or hemorrhage may be responsible. (Jablonski, Dictionary of Dentistry, 1992, p253) Discoloration, Tooth,Discolorations, Tooth,Tooth Discolorations
D014508 Urea A compound formed in the liver from ammonia produced by the deamination of amino acids. It is the principal end product of protein catabolism and constitutes about one half of the total urinary solids. Basodexan,Carbamide,Carmol

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