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Effects of preoperative air-powder polishing and rubber-cup prophylaxis on tooth bleaching: randomized controlled split-mouth clinical study

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Abstract

Objective

This clinical study aimed to compare the effects of preoperative air-powder polishing and rubber-cup prophylaxis on tooth bleaching.

Materials and methods

Twenty-three patients with tooth discoloration were enrolled in this randomized controlled split-mouth experimental study. Before bleaching, air-powder polishing (APP) and rubber-cup polishing (RCP) techniques were applied on either side of the mouth. A 40% hydrogen peroxide bleaching agent was applied twice for 15 min for the in-office bleaching treatment. The tooth bleaching effects were assessed immediately and 1 week after bleaching.

Results

There were no significant differences between the prophylaxis groups with respect to all color parameters (ΔL, Δa, Δb, ΔSGU, and ΔE00) immediately after bleaching (p > 0.05). At 1-week assessment period, there were no significant differences between the prophylaxis groups with respect to all color parameters (p > 0.05), except ΔE00 (p < 0.05).

Conclusion

Immediately after the bleaching treatment, the two prophylactic techniques produced similar efficacy. One week after the bleaching treatment, the APP technique produced higher levels of color changes.

Clinical relevance

APP prophylaxis before bleaching treatment may reduce the application time and the number of sessions to achieve the desired color.

Trial registration

ClinicalTrial.gov ID: NCT04407910.

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Acknowledgements

The authors would like to acknowledge Prof. Dr. Yuksel Bek, Ondokuz Mayıs University, · Department of Biostatistics and Medical Informatics, Turkey, for his assistance in statistical analysis and Prof. Dr. Cenk Haytaç, Cukurova University, Department of Periodontology, Turkey, for his insightful comments and suggestions.

Funding

This study was funded by Research Fund of Cukurova University (project number: TSA-2018–10847).

Author information

Authors and Affiliations

  1. Faculty of Dentistry, Department of Restorative Dentistry, Cukurova University, Sarıcam, Adana, Turkey

    Zeliha Gonca Bek Kurklu

  2. Faculty of Dentistry, Department of Periodontology, Cukurova University, Sarıcam, Adana, Turkey

    Mustafa Ozcan

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  1. Zeliha Gonca Bek Kurklu
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Contributions

ZGBK and MO developed the study outlines and coordinated the protocol. ZGBK collected the data. ZGBK and OY analyzed the data and MO contributed to revision of the final draft. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Zeliha Gonca Bek Kurklu.

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Ethics approval

The protocol was reviewed and approved by Non-Invasive Clinical Research Ethics Committee of Cukurova University Faculty of Medicine (no: 1–6-18–78/78). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors declare no competing interests.

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Kurklu, Z.G.B., Ozcan, M. Effects of preoperative air-powder polishing and rubber-cup prophylaxis on tooth bleaching: randomized controlled split-mouth clinical study. Clin Oral Invest 25, 6007–6014 (2021). https://doi.org/10.1007/s00784-021-04023-2

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  • DOI: https://doi.org/10.1007/s00784-021-04023-2

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