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A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide
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Original Article A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide
Eun-Sook Park1, So-Rae Seong1, Seong-Tae Hong1, Ji-Eun Kim1, So-Young Lee1, Soo-Youn Hwang1, Shin-Jae Lee2,4, Bo-Hyoung Jin3,4, Ho-Hyun Son1,4, Byeong-Hoon Cho1,4orcid
Journal of Korean Academy of Conservative Dentistry 2006;31(4):269-281.
DOI: https://doi.org/10.5395/JKACD.2006.31.4.269
Published online: July 31, 2006

1Department of Conservative Dentistry, School of Dentistry, Seoul National University, Seoul, Korea.

2Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Korea.

3Department of Preventive Dentistry, School of Dentistry, Seoul National University, Seoul, Korea.

4Dental Research Institute, Seoul National University, Seoul, Korea.

Corresponding Author: Byeong-Hoon Cho. Dept. of Conservative Dentistry, School of Dentistry, and Dental Research Institute, Seoul National University, 28-2 Yeongun-dong, Chongro-gu, Seoul, Korea 110-749. Tel: +82-2-2072-3514, Fax: +82-2-764-3514, chobh@snu.ac.kr
• Received: January 26, 2006   • Revised: February 28, 2006   • Accepted: March 3, 2006

Copyright © 2006 Korean Academy of Conservative Dentistry

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  • This study evaluated the effectiveness and safety of an experimental bleaching strip (Medison dental whitening strip, Samsung medical Co., Anyang, Korea) containing 2.9% hydrogen peroxide. Twenty-three volunteers used the bleaching strips for one and a half hour daily for 2 weeks. As control group, the same strips in which hydrogen peroxide was not included were used by 24 volunteers with the same protocol. The shade change (ΔE*, color difference) of twelve anterior teeth was measured using Shade Vision (X-Rite Inc., S.W. Grandville, MI, USA), Chroma Meter (Minolta Co., Ltd. Osaka, Japan) and Vitapan classical shade guide (Vita Zahnfabrik, Germany). The shade change of overall teeth in the experimental group was significantly greater than that in the control group (p < 0.05) and was easily perceivable. The change resulted from the increase of lightness (CIE L* value) and the decrease of redness (CIE a* value) and yellowness (CIE b* value). The shade change of individual tooth was greatest in canine, and smallest in central incisor. The safety of the bleaching strip was also confirmed.
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Figure 1
Differences in ΔE* between control group and experimental group obtained using Shade Vision (SV), Chroma Meter CR 321 (CR) and Vitapan shade guide (VP).
jkacd-31-269-g001.jpg
Figure 2
Shade changes by the bleaching procedure in overall means of L*, a*, and b* measured using Chroma Meter CR 321.
jkacd-31-269-g002.jpg
Figure 3
Shade changes by the bleaching procedure in overall means of L*, a*, and b* measured using Shade Vision.
jkacd-31-269-g003.jpg
Figure 4
Shade changes by the bleaching procedure in overall means of L*, a*, and b* measured using Vitapan classical shade guide.
jkacd-31-269-g004.jpg
Table 1
CIE Lab* values§ of each shade tab coded in the Vita classical shade guide and their ordinal values converted by the descending-ordered brightness sequence

§O'Brien WJ, Groh CL, Boenke KM9). A new, small-color-difference equation for dental shades. J Dent Res 69:1762-1764, 1990.

jkacd-31-269-i001.jpg
Table 2
Age and gender of the participants in the study
jkacd-31-269-i002.jpg
Table 3
Shade Vision: color measurements, color changes and their statistical results

Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

*, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

jkacd-31-269-i003.jpg
Table 4
Chroma Meter CR 321: color measurements, color changes and their statistical results

Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

*, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

jkacd-31-269-i004.jpg
Table 5
Vitapan classical shade guide: color measurements, color changes and their statistical results

Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

*, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

jkacd-31-269-i005.jpg
Table 6
Gingival inflammation index, Plaque index, and change in Electric pulp test scores before and after bleaching with experimental and control strips
jkacd-31-269-i006.jpg
Table 7
Initial ordinal shade values§ of the experimental and control groups measured using Shade Vision and Vitapan classical shade guide and their changes after bleaching study

§The shade code of each tab in Vita classical shade guide were converted to ordinal values by the descending-ordered brightness sequence.

jkacd-31-269-i007.jpg

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      A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide
      Image Image Image Image
      Figure 1 Differences in ΔE* between control group and experimental group obtained using Shade Vision (SV), Chroma Meter CR 321 (CR) and Vitapan shade guide (VP).
      Figure 2 Shade changes by the bleaching procedure in overall means of L*, a*, and b* measured using Chroma Meter CR 321.
      Figure 3 Shade changes by the bleaching procedure in overall means of L*, a*, and b* measured using Shade Vision.
      Figure 4 Shade changes by the bleaching procedure in overall means of L*, a*, and b* measured using Vitapan classical shade guide.
      A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide

      CIE Lab* values§ of each shade tab coded in the Vita classical shade guide and their ordinal values converted by the descending-ordered brightness sequence

      §O'Brien WJ, Groh CL, Boenke KM9). A new, small-color-difference equation for dental shades. J Dent Res 69:1762-1764, 1990.

      Age and gender of the participants in the study

      Shade Vision: color measurements, color changes and their statistical results

      Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

      *, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

      Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

      Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

      Chroma Meter CR 321: color measurements, color changes and their statistical results

      Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

      *, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

      Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

      Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

      Vitapan classical shade guide: color measurements, color changes and their statistical results

      Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

      *, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

      Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

      Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

      Gingival inflammation index, Plaque index, and change in Electric pulp test scores before and after bleaching with experimental and control strips

      Initial ordinal shade values§ of the experimental and control groups measured using Shade Vision and Vitapan classical shade guide and their changes after bleaching study

      §The shade code of each tab in Vita classical shade guide were converted to ordinal values by the descending-ordered brightness sequence.

      Table 1 CIE Lab* values§ of each shade tab coded in the Vita classical shade guide and their ordinal values converted by the descending-ordered brightness sequence

      §O'Brien WJ, Groh CL, Boenke KM9). A new, small-color-difference equation for dental shades. J Dent Res 69:1762-1764, 1990.

      Table 2 Age and gender of the participants in the study

      Table 3 Shade Vision: color measurements, color changes and their statistical results

      Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

      *, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

      Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

      Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

      Table 4 Chroma Meter CR 321: color measurements, color changes and their statistical results

      Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

      *, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

      Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

      Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

      Table 5 Vitapan classical shade guide: color measurements, color changes and their statistical results

      Abbreviations; tx: treatment, R: correlation coefficient between the measrements before treatment and the changes after treatment, SD: standard deviation, D: mean differences, NS: not significant

      *, **, and *** mean p < 0.05, p < 0.01, and p < 0.001, respectively.

      Sample numbers of overall measurements: Control, n = 288; Experimental, n = 276)

      Sample numbers of each tooth measurements: Control, n = 24; Experimental, n = 23)

      Table 6 Gingival inflammation index, Plaque index, and change in Electric pulp test scores before and after bleaching with experimental and control strips

      Table 7 Initial ordinal shade values§ of the experimental and control groups measured using Shade Vision and Vitapan classical shade guide and their changes after bleaching study

      §The shade code of each tab in Vita classical shade guide were converted to ordinal values by the descending-ordered brightness sequence.


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