International Journal of Medical and Dental Sciences

Open Access Open Access  Restricted Access Subscription Access

A Survey among Palestinian Dentists Regarding Preferences Over Vital and Non-Vital Teeth Bleaching: A Cross-Sectional Study


Affiliations
1 Al Quds University, Palestinian Territory, Occupied
 

Background:With bleaching treatments becoming very popular, assessment was conducted among Palestinian dentists to check their preferences.

Objective: To evaluate the preferences of general dentists regarding vital and non-vital tooth bleaching therapies and to investigate whether the time of clinical practice influences these options.

Material&Methods: A cross-sectional study was conducted among 200 Palestinian dentists. Options regarding bleaching therapies including the first choice of material, technique and clinical practice for vital and non-vital tooth bleaching therapies were included in the 20 item questionnaire. Data were submitted to descriptive analysis and the associations were evaluated using chi-square test (p<0.05).

Results: The response rate was 56.7%. In-office therapy (50.9%) was the preferred treatment of choice for the dentists, followed by a combination of in-office and at-home therapies (29.8%); At home therapies were the least preferred (19.3%). Hydrogen peroxide more than 22% was the preferred treatment of choice for vital bleaching therapy (57.9%), whereas the combination of sodium perborate with water or hydrogen peroxide (46.5%) was the preferred treatment of choice for non-vital bleaching. There was a significant association between the time since graduation and the preference for in-office bleaching (P=0.01) and no significant association between the time since graduation and the material used.

Conclusion: In-office bleaching was preferred over at-home therapies; HP >22% and sodium perborate with water or HP were chosen as first treatment options to manage discolored vital and non-vital teeth, respectively. The time in clinical practice had an effect only on the choice of vital bleaching technique.


Keywords

Tooth Bleaching, Vital Bleaching, Non-Vital Bleaching, Hydrogen Peroxide, Sodium Perborate.
User
Notifications
Font Size


  • Kihn PW. Vital tooth whitening. Dent Clin North Am 2007 Apr 30;51(2):319-31.

  • Haywood VB. A comparison of at-home and in-office bleaching. Dent Today 2000 Apr 1;19(4):44-53.

  • Zekonis R, Matis BA, Cochran MA, Shetri SA, Eckert GJ, Carlson TJ. Clinical evaluation of in-office and at-home bleaching treatments. Oper Dent 2003 Mar 1;28(2):114-21.

  • Barghi N. Making a clinical decision for vital tooth bleaching: at-home or inoffice? Compend Contin Educ Dent (Jamesburg, NJ:1995) 1998 Aug;19(8):831-8.

  • Auschill TM, Hellwig E, Schmidale S, Sculean A, Arweiler NB. Efficacy, side effects and patients acceptance of different bleaching techniques (OTC, inoffice, at-home). Oper Dent 2005 Mar 1;30(2):156-63.

  • Da Costa JB, McPharlin R, Paravina RD, Ferracane JL. Comparison of at-home and in-office tooth whitening using a novel shade guide. Oper Dent 2010 Jul;35(4):381-8.

  • Demarco FF, Conde MC, Ely C, Torre EN, Costa JR, Fernandez MR, Tarquinio SB. Preferences on vital and nonvital tooth bleaching: a survey among dentists from a city of Southern Brazil. Braz dent j 2013 Oct;24(5):527-31.

  • Hatherell S, Lynch CD, Burke FM, Ericson D, Gilmour AS. Attitudes of final-year dental students to bleaching of vital and non-vital teeth in Cardiff, Cork, and Malmo. J Oral Rehabil 2011;38:263-9.

  • Brunton PA, Burke FJ, Sharif MO, Creanor S, Hosey MT, Mannocci F, et al. Contemporary dental practice in the UK in 2008: aspects of direct restorations, endodontics, and bleaching. Br Dent J 2012 Jan 28;212(2):63-7.

  • Deliperi S, Bardwell DN, Papathanasiou A. Clinical evaluation of a combined inoffice and take-home bleaching system. J Am Dent Assoc 2004 May 31;135(5):628-34.

  • Nakabayashi N, K Kojima, E Masuhara. The promotion of adhesion by the infiltration of monomers into tooth substrates. J Biomed Mater Res 1982;16(3):265-73.

  • Tames D, LJ Grando, DR Tames. Changes of dental enamel subjected to treatment with 10% carbamide peroxide [in Portuguese]. Revista da Associação Paulista de Cirurgiões Dentistas 1998;52:145-9.

  • Oliveira R, AF Paes Leme, M Giannini. Effect of a carbamide peroxide bleaching gel containing calcium or fluoride on human enamel surface microhardness. Braz dent J 2005; 16(2):103-6.

  • McCracken, VB Haywood. Demineralization effects of 10 percent carbamide peroxide. J Dent 1996; 24(6):395-8.

  • Kugel G, Perry RD, Hoang E, Scherer W.Effective tooth bleaching in 5 days: using a combined in-office and at-home bleaching system. Compend Contin Educ Dent 1997 Apr;18(4):378-80.

  • Alomari Q, El Daraa E. A randomized clinical trial of in-office dental bleaching with or without light activation. J Contemp Dent Pract 2010 Jan 1;11(1):E017-24.

  • Nakamura T, Saito O, Ko T, Maruyama T. The effects of polishing and bleaching on the color of discolored teeth in vivo. J oral rehabil 2001 Nov 1;28(11):1080-4.

  • Sulieman M, MacDonald E, Rees JS, Addy M. Comparison of three in-office bleaching systems based on 35% hydrogen peroxide with different light activators. Amer J Dent 2005 Jun;18(3):194-7.

  • Polydorou O, Hellwig E, Hahn P. The efficacy of three different in-office bleaching systems and their effect on enamel microhardness. Oper Dent 2008 Sep;33(5):579-86.

  • Marson FC, Sensi LG, Vieira LC, Araujo E. Clinical evaluation of in-office dental bleaching treatments with and without the use of light-activation sources. Oper Dent 2008 Jan;33(1):15-22.

  • Jones AH, Diaz‐arnold AM, Vargas MA, Cobb DS. Colorimetric assessment of laser and home bleaching techniques. J esthet & restorat dent 1999 Mar 1;11(2):87-94.

  • Luk K, Tam L, Hubert M. Effect of light energy on peroxide tooth bleaching. J Am Dent Assoc 2004 Feb 29;135(2):194-201.


Abstract Views: 236

PDF Views: 103




  • A Survey among Palestinian Dentists Regarding Preferences Over Vital and Non-Vital Teeth Bleaching: A Cross-Sectional Study

Abstract Views: 236  |  PDF Views: 103

Authors

T. H. Rabi
Al Quds University, Palestinian Territory, Occupied

Abstract


Background:With bleaching treatments becoming very popular, assessment was conducted among Palestinian dentists to check their preferences.

Objective: To evaluate the preferences of general dentists regarding vital and non-vital tooth bleaching therapies and to investigate whether the time of clinical practice influences these options.

Material&Methods: A cross-sectional study was conducted among 200 Palestinian dentists. Options regarding bleaching therapies including the first choice of material, technique and clinical practice for vital and non-vital tooth bleaching therapies were included in the 20 item questionnaire. Data were submitted to descriptive analysis and the associations were evaluated using chi-square test (p<0.05).

Results: The response rate was 56.7%. In-office therapy (50.9%) was the preferred treatment of choice for the dentists, followed by a combination of in-office and at-home therapies (29.8%); At home therapies were the least preferred (19.3%). Hydrogen peroxide more than 22% was the preferred treatment of choice for vital bleaching therapy (57.9%), whereas the combination of sodium perborate with water or hydrogen peroxide (46.5%) was the preferred treatment of choice for non-vital bleaching. There was a significant association between the time since graduation and the preference for in-office bleaching (P=0.01) and no significant association between the time since graduation and the material used.

Conclusion: In-office bleaching was preferred over at-home therapies; HP >22% and sodium perborate with water or HP were chosen as first treatment options to manage discolored vital and non-vital teeth, respectively. The time in clinical practice had an effect only on the choice of vital bleaching technique.


Keywords


Tooth Bleaching, Vital Bleaching, Non-Vital Bleaching, Hydrogen Peroxide, Sodium Perborate.

References





DOI: https://doi.org/10.18311/ijmds%2F2016%2F100611