Bleaching vital teeth. 1994

R A Feinman
Case Western Reserve University, Cleveland, Ohio.

This year is approximately the fifth year of controlled bleaching of vital teeth administered by the patient, and this practice still generates a great deal of discussion by the American Dental Association, the US Food and Drug Administration, the media, and general practitioners. The placement of a plastic carrier intraorally to hold a carbamide peroxide gel in the mouth is referred to as passive bleaching or dentist-prescribed home bleaching. This article reviews the past year's research, which contains many opposing opinions in both in vitro and in vivo studies with respect to the effect of carbamide peroxide on the hard and soft tissues when they come into contact with this agent for various lengths of time. Above all, the question of safety still arises, although few if any adverse effects have been reported with the use of dentist-prescribed, patient-applied home bleaching. Five years of nonproblematic treatment for millions of patients leads many dentists to believe that this technique, when controlled by the dentist, serves the public well.

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
D003742 Dental Devices, Home Care Devices used in the home by persons to maintain dental and periodontal health. The devices include toothbrushes, dental flosses, water irrigators, gingival stimulators, etc. Dental Floss,Floss, Dental,Home Care Dental Devices
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D003802 Dentifrices Any preparations used for cleansing teeth; they usually contain an abrasive, detergent, binder and flavoring agent and may exist in the form of liquid, paste or powder; may also contain medicaments and caries preventives. Polishes, Dental,Dental Polishes,Dentifrice
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
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
D012648 Self Care Caring for self when ill or positive actions and adopting behaviors to prevent illness. Self-Care,Care, Self
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property
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

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