Clinical study of shade improvement and safety of polymer-based pen type BlancTic Forte whitening agent containing 8.3% Carbamide peroxide

Jin-Kyung Lee; Sun-Hong Min; Sung-Tae Hong; So-Ram Oh; Shin-Hye Chung; Young-Hye Hwang; Sung-Yeop You; Kwang-Shik Bae; Seung-Ho Baek; Woo-Cheol Lee; Won-Jun Son; Kee-Yeon Kum

doi:10.5395/JKACD.2009.34.2.154

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Original Article Clinical study of shade improvement and safety of polymer-based pen type BlancTic Forte whitening agent containing 8.3% Carbamide peroxide: Jin-Kyung Lee^1,#, Sun-Hong Min^1,#, Sung-Tae Hong, So-Ram Oh¹, Shin-Hye Chung¹, Young-Hye Hwang¹, Sung-Yeop You¹, Kwang-Shik Bae^1,2,3, Seung-Ho Baek^1,2, Woo-Cheol Lee^1,2, Won-Jun Son^1,2, Kee-Yeon Kum^1,2,3; 2009;34(2):-161.
DOI: https://doi.org/10.5395/JKACD.2009.34.2.154
Published online: March 31, 2009

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

²Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

³BK21 Program, School of Dentistry, Seoul National University, Seoul, Korea.

Corresponding Author: Kee-Yeon Kum. Department of Conservative Dentistry, School of Dentistry. Seoul National University, 28-2 Yeongun-dong, Chongro-gu, Seoul, Korea 110-749. TEL +82-2-2072-2656, FAX +82-2-764-3514, kum6139@snu.ac.kr

#These authors contributed equally to the work presented here.

• Received: March 3, 2009 • Revised: March 8, 2009 • Accepted: March 10, 2009

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Abstract
REFERENCES

Abstract

This clinical study evaluated the whitening effect and safety of polymer based-pen type BlancTis Forte (NIBEC) containing 8.3% carbamide peroxide. Twenty volunteers used the BlancTis Forte whitening agent for 2 hours twice a day for 4 weeks. As a control, Whitening Effect Pen (LG) containing 3% hydrogen peroxide was used by 20 volunteers using the same protocol. The change in shade (ΔE^*, color difference) was measured using Shadepilot™ (DeguDent) before, during, and after bleaching (2 weeks, 4 weeks, and post-bleaching 4 weeks). A clinical examination for any side effects (tooth hypersensitivity or soft tissue complications) was also performed at each check-up. The following results were obtained.

1. Both the experimental and control groups displayed a noticeable change in shade (ΔE) of over 2. No significant differences were found between the two groups (p > 0.05), implying that the two agents have a similar whitening effect.

2. The whitening effect was mainly due to changes in a and b values rather than in L value (brightness). The experimental group showed a significantly higher change in b value, thus yellow shade, than the control (p < 0.05).

3. None of the participants complained of tooth hypersensitivity or soft tissue complications, confirming the safety of both whitening agents.
Keywords: Clinical study; Polymer-based whitening agent; Safety; Shade improvement; Shadepilot™

Table 1

Color measurement value calculated by Shadepilot™ and their statistical results

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 2

Calculated value of Shadepilot™ in Maxillary anterior teeth: color changes and their statistical results.

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 3

Calculated value of Shadepilot™ in Mandibular teeth: color changes and their statistical results.

SD: standard deviation, D: mean difference

^*means p < 0.05 for independent t-test.

REFERENCES

1. Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int. 1989;20: 173-176.PubMed
2. Park ES, Seong SR, Hong ST, Kim JE, Lee SY, Hwang SY, Lee SJ, Jin BH, Son HH, Cho BH. A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide. J Korean Acad Conserv Dent. 2006;31: 269-281.Article
3. Park DY, Jung SH, Ma DS, Chang SY, Yun SY. Randomized controlled clinical trial of the efficacy and safety of a 2.6% hydrogen peroxide containing tooth - whitening strips. J Korean Acad Dent Health. 2002;26: 385-396.
4. Gerlach RW, Gibb RD, Sagel PA. A randomized clinical trial comparing a novel 5.3% hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent Suppl. 2000;(29):S22-S28.
5. Park YJ, Chung CP, Hwang SY, Lee JK, Kum KY. Advanced concept of tooth whitening, 3: Polymer-based bleaching agents. J Dent Clin. 2007;27(10):1099-1011.
6. Hassel AJ, Koke U, Schmitter M, Beck J, Rammelsberg P. Clinical effect of different shade guide systems on the tooth shades of ceramic-veneered restorations. Int J Prosthodont. 2005;18(5):422-426.Article PubMed
7. Joiner A. Tooth color: A review of the literature. J Dent. 2004;32: Suppl 1. 3-12.
8. Kielbassa AM, Beheim-Schwarzbach NJ, Neumann K, Zantner C. In vitro comparison of visual and computer-aided pre- and post-tooth shade determination using various home bleaching procedures. J Prosthet Dent. 2009;101(2):92-100.Article PubMed
9. Fani G, Vichi A, Davidson CL. Spectrophotometric and visual shade measurements of human teeth using three shade guides. Am J Dent. 2007;20: 142-146.PubMed
10. Asmussen E. An accelerated test for color stability of restorative resins. Acta Odontol Scand. 1981;39: 329-332.Article
11. Gross MD, Moser JB. A colorimetric study of coffee and tea staining of four composite resins. J Oral Rehabil. 1977;4: 311-322.Article PubMed
12. Kugel G. Over-the-Counter tooth-whitening systems. Compend Contin Educ Dent. 2003;24: 376-382.PubMed
13. Nathoo S, Stewart B, Petrone ME, Chaknis P, Zhang YP, DeVizio W, Volpe AR. Comperative clinical investigation of the tooth whitening efficacy of two tooth whitening gels. J Clin Dent. 2003;14: 64-69.PubMed
14. Hannig C, Lindner D, Attin T. Efficacy and tolerability of two home bleaching systems having different peroxide delivery. Clin Oral Investig. 2007;11: 321-329.Article PubMed PDF
15. Kishta-derani M, Neiva G, Yaman P, Dennison D. In vitro evaluation of tooth-color change using four painton tooth whiteners. Oper Dent. 2007;32(4):394-398.Article PubMed PDF
16. Gerlach RW, Barker ML, Tucker HL. Clinical response of three whitening products having different peroxide delivery: comparison of tray, paint-on gel, and dentifrice. J Clin Dent. 2004;15: 112-117.PubMed
17. Li Y, Lee SS, Cartwright S, Wilson AC. Comparative tooth whitening efficacy of 18% carbamide peroxide liquid whitening gel using three different regimens. J Clin Dent. 2004;15: 11-16.PubMed
18. Gerlach RW, Barker ML. Randomized trial comparing overnight use of two self-directed peroxide tooth whiteners. Am J Dent. 2003;16(Spec No):17B-21B.PubMed

Tables & Figures

Table 1

Color measurement value calculated by Shadepilot™ and their statistical results

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 2

Calculated value of Shadepilot™ in Maxillary anterior teeth: color changes and their statistical results.

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 3

Calculated value of Shadepilot™ in Mandibular teeth: color changes and their statistical results.

SD: standard deviation, D: mean difference

^*means p < 0.05 for independent t-test.

REFERENCES

1. Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int. 1989;20: 173-176.PubMed
2. Park ES, Seong SR, Hong ST, Kim JE, Lee SY, Hwang SY, Lee SJ, Jin BH, Son HH, Cho BH. A clinical evaluation of a bleaching strip containing 2.9% hydrogen peroxide. J Korean Acad Conserv Dent. 2006;31: 269-281.Article
3. Park DY, Jung SH, Ma DS, Chang SY, Yun SY. Randomized controlled clinical trial of the efficacy and safety of a 2.6% hydrogen peroxide containing tooth - whitening strips. J Korean Acad Dent Health. 2002;26: 385-396.
4. Gerlach RW, Gibb RD, Sagel PA. A randomized clinical trial comparing a novel 5.3% hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent Suppl. 2000;(29):S22-S28.
5. Park YJ, Chung CP, Hwang SY, Lee JK, Kum KY. Advanced concept of tooth whitening, 3: Polymer-based bleaching agents. J Dent Clin. 2007;27(10):1099-1011.
6. Hassel AJ, Koke U, Schmitter M, Beck J, Rammelsberg P. Clinical effect of different shade guide systems on the tooth shades of ceramic-veneered restorations. Int J Prosthodont. 2005;18(5):422-426.Article PubMed
7. Joiner A. Tooth color: A review of the literature. J Dent. 2004;32: Suppl 1. 3-12.
8. Kielbassa AM, Beheim-Schwarzbach NJ, Neumann K, Zantner C. In vitro comparison of visual and computer-aided pre- and post-tooth shade determination using various home bleaching procedures. J Prosthet Dent. 2009;101(2):92-100.Article PubMed
9. Fani G, Vichi A, Davidson CL. Spectrophotometric and visual shade measurements of human teeth using three shade guides. Am J Dent. 2007;20: 142-146.PubMed
10. Asmussen E. An accelerated test for color stability of restorative resins. Acta Odontol Scand. 1981;39: 329-332.Article
11. Gross MD, Moser JB. A colorimetric study of coffee and tea staining of four composite resins. J Oral Rehabil. 1977;4: 311-322.Article PubMed
12. Kugel G. Over-the-Counter tooth-whitening systems. Compend Contin Educ Dent. 2003;24: 376-382.PubMed
13. Nathoo S, Stewart B, Petrone ME, Chaknis P, Zhang YP, DeVizio W, Volpe AR. Comperative clinical investigation of the tooth whitening efficacy of two tooth whitening gels. J Clin Dent. 2003;14: 64-69.PubMed
14. Hannig C, Lindner D, Attin T. Efficacy and tolerability of two home bleaching systems having different peroxide delivery. Clin Oral Investig. 2007;11: 321-329.Article PubMed PDF
15. Kishta-derani M, Neiva G, Yaman P, Dennison D. In vitro evaluation of tooth-color change using four painton tooth whiteners. Oper Dent. 2007;32(4):394-398.Article PubMed PDF
16. Gerlach RW, Barker ML, Tucker HL. Clinical response of three whitening products having different peroxide delivery: comparison of tray, paint-on gel, and dentifrice. J Clin Dent. 2004;15: 112-117.PubMed
17. Li Y, Lee SS, Cartwright S, Wilson AC. Comparative tooth whitening efficacy of 18% carbamide peroxide liquid whitening gel using three different regimens. J Clin Dent. 2004;15: 11-16.PubMed
18. Gerlach RW, Barker ML. Randomized trial comparing overnight use of two self-directed peroxide tooth whiteners. Am J Dent. 2003;16(Spec No):17B-21B.PubMed

Citations

Citations to this article as recorded by

Surface Damage and Bleaching Effect according to the Application Type of Home Tooth Bleaching Applicants
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Clinical study of shade improvement and safety of polymer-based pen type BlancTic Forte whitening agent containing 8.3% Carbamide peroxide

J Korean Acad Conserv Dent. 2009;34(2):154-161. Published online March 31, 2009

DOI: https://doi.org/10.5395/JKACD.2009.34.2.154

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Clinical study of shade improvement and safety of polymer-based pen type BlancTic Forte whitening agent containing 8.3% Carbamide peroxide

Table 1

Color measurement value calculated by Shadepilot™ and their statistical results

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 2

Calculated value of Shadepilot™ in Maxillary anterior teeth: color changes and their statistical results.

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 3

Calculated value of Shadepilot™ in Mandibular teeth: color changes and their statistical results.

SD: standard deviation, D: mean difference

^*means p < 0.05 for independent t-test.

Table 1 Color measurement value calculated by Shadepilot™ and their statistical results

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 2 Calculated value of Shadepilot™ in Maxillary anterior teeth: color changes and their statistical results.

SD: standard deviation, M: mean difference

^*means p < 0.05 for independent t-test.

Table 3 Calculated value of Shadepilot™ in Mandibular teeth: color changes and their statistical results.