Skip to main content

Laser Application for Dental Bleaching/Whitening

  • Chapter
Lasers in Restorative Dentistry

Abstract

The esthetics of the smile has nowadays an increased demand in clinical dental practice. The color of teeth depends on the quantity and quality of reflected light, the quantity of the incident light, the thickness of the enamel, and the quantity and quality of dentin reflecting the light. The classification of discolorations includes intrinsic and extrinsic dyschromia; dyschromia can be isolated to one or more elements or generalized, so extended to many elements. While extrinsic dyschromia can be easily treated at home by the patient with toothpaste or by professional polishing techniques, air-flow polishing, the intrinsic dyschromia requires professional bleaching treatments or esthetic dentistry treatments (composite resins, veneers, crowns). Among the side effects of dental bleaching, over-bleaching represents a serious risk that can be easily avoided using laser with proper parameters and time of application. Research demonstrated the presence of damage to the enamel surface when the time of application of the bleaching gel lasts more than 20 min. Different wavelengths and protocols are proposed, all having a safe total time of application within 20 min.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Caprioglio C, Olivi G, Genovese MD. I laser In Traumatologia Dentale. Ed.Martina, Bologna 2010 (in italian).

    Google Scholar 

  2. Harlan AW. The removal of stains from teeth caused by administration of medical agents and the bleaching of pulpless tooth. Am J Dent Sci. 1884/1885;18(521):355–61.

    Google Scholar 

  3. Abbot CH. Bleaching discoloured teeth by means of 30 percent perhydrol and the electric light rays. J Allied Dent Soc. 1918;13:259.

    Google Scholar 

  4. Prinz H. Recent improvements in tooth bleaching. A clinical syllabus. Dent Cosmos. 1924;66:558–60.

    Google Scholar 

  5. Rosenthal P. The combined use of ultra-violet rays and hydrogen dioxide for bleaching teeth. Dent Cosmos. 1911;53:246–7.

    Google Scholar 

  6. Brininstool CL. Vapor bleaching. Dent Cosmos. 1913;55:532.

    Google Scholar 

  7. Nutting EB, Poe GS. A new combination for bleaching teeth. J So Calif Dent Assoc. 1963;31:289–91.

    Google Scholar 

  8. Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int. 1989;20:173–6.

    PubMed  Google Scholar 

  9. Haywood VB. History, safety and effectiveness of current bleaching techniques and applications of the nightguard vital bleaching technique. Quintessence Int. 1992;23:471–88.

    PubMed  Google Scholar 

  10. Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J. 2001;190(6):309–16.

    PubMed  Google Scholar 

  11. Addy M, Moran J. Mechanisms of stain formation on teeth, in particular associated with metal ions and antiseptics. Adv Dent Res. 1995;9:450–6.

    Article  Google Scholar 

  12. Nathoo SA. The chemistry and the mechanism of extrinsic and intrinsic discoloration. J Am Dent Assoc. 1997;128:6–10.

    Article  Google Scholar 

  13. Dean HT. Classification of mottled enamel diagnosis. J Am Dent Assoc. 1934;21:1421.

    Google Scholar 

  14. Dean HT. The investigation of physiological effects by the epidemiological method. In: Moulton FR, editor. Fluorine and dental health. Washington: AAAS; 1942. p. 23.

    Google Scholar 

  15. Caprioglio D, Zappalà C. Lo sbiancamento dei denti. Milano: Scienza e Tecnica dentistica Edizioni Internazionali srl; 1992.

    Google Scholar 

  16. Buchalla W, Attin T. External bleaching therapy with activation by heat, light or laser a systematic review. Dent Mater. 2007;23:586–96.

    Article  PubMed  Google Scholar 

  17. Condò SG. Sbiancamento dei denti. Come e perché. Bologna: Ed. Martina; 1999.

    Google Scholar 

  18. Da Costa JB, Mazur RF. Effects of new formulas of bleaching gel and fluoride application on enamel micro-hardness: an in vitro study. Oper Dent. 2007;32:589–94.

    Article  PubMed  Google Scholar 

  19. Frysh H. Chemistry of bleaching: complete dental bleaching. Chicago: Quintessence; 1995. p. 25–32.

    Google Scholar 

  20. Hess WT. Hydrogen peroxide. In: Kirk-Othmer encyclopedia of chemical technology, vol. 13. 4th ed. New York: Wiley; 1995. p. 961–95.

    Google Scholar 

  21. McEvoy SA. Chemical agents for removing intrinsic stains from vital teeth. I technique development, vol. 20. Chicago: Quintessence Int; 1989. p. 323–8.

    Google Scholar 

  22. McEvoy S. Chemical agents for removing intrinsic stains from vital teeth. II. Current techniques and their clinical application, vol. 20. Chicago: Quintessence Int; 1989. p. 379–84.

    Google Scholar 

  23. Barone M, Crippa R, Benedicenti S. Laser a diodi in odontoiatria. Milano: EdiErmes; 2008. p. 159–61.

    Google Scholar 

  24. Scientific Committee on Consumer Products (European Commission). Opinion on hydrogen peroxide in tooth whitening products. SCCP/0844/04, 15 Mar 2005.

    Google Scholar 

  25. Scientific Committee on Consumer Products (European Commission). Opinion on hydrogen peroxide, in its free form or when released, in oral hygiene products and tooth whitening products. SCCP/1129/07, 18 Dec 2007.

    Google Scholar 

  26. Gazzetta ufficiale dell’Unione europea DIRETTIVA 2011/84/UE L283/36-283/38, allegato III, 29 Oct 2011.

    Google Scholar 

  27. Pinheiro JE, Fidel R, da Cruz Filho AM, et al. In vitro action of various carbamide peroxide gel bleaching agents on the microhardness of human enamel. Braz Dent J. 1996;7(2):75–9.

    Google Scholar 

  28. Benedicenti A, Giannetti R, Merlini A, Martino AR, Traverso M, Franco R, Galli D. The Argon laser in dentistry. Parodontol Stomatol (Nuova). 1984;23(3):127–38.

    Google Scholar 

  29. Mills RW, Jandt KD, Ashworth SH. Dental composite depth of cure with halogen and blue light emitting diode technology. Br Dent J. 1999;186:388–91.

    PubMed  Google Scholar 

  30. Cobb D, Dederich S, et al. In vitro temperature change at the dentin/pulpal interface by using conventional visible light versus argon laser. Laser Surg Med. 2000;26:386–97.

    Article  Google Scholar 

  31. Tooth whitening/bleaching: treatment considerations for dentists and their patients. ADA Council on Scientific Affairs. Sept 2009 (revised Nov 2010), p. 1–12.

    Google Scholar 

  32. Sulieman M, Rees JS, Addy M. Surface and pulp chamber temperature rises during tooth bleaching using a diode laser: a study in vitro. Br Dent J. 2006;200:631–4.

    Article  PubMed  Google Scholar 

  33. Lin LC, Pitts DL, Burgess LW. An investigation into the feasibility of photobleaching tetracycline-stained teeth. J Endodod. 1988;14:293–9.

    Article  Google Scholar 

  34. Davies AK, Cundall RB, Dandiker Y, Sifkin MA. Photooxidation of tetracycline adsorbed onto hydroxyapatite in relation to the light-induced staining of teeth. J Dent Res. 1985;64:936–9.

    Article  PubMed  Google Scholar 

  35. Wetter NU, Walverde DA, Kato IT, Eduardo C. Bleaching efficacy of whitening agents activated by xenon lamp and 960 nm diode radiation. Photomed Laser Surg. 2004;22(6):489–93.

    Article  PubMed  Google Scholar 

  36. Dostalova T, Jelinkova H, Housova D, Sulc J, Nemec M, Miyagi M, Brugnera Jr A, Zanin F. Diode laser-activated bleaching. Braz Dent J. 2004;15:SI-3–8.

    Article  Google Scholar 

  37. Zhang C, Wang X, Kinoshita J-I, Zhao B, Toko T, Kimura Y, Matsumoto K. Effects of KTP laser irradiation, diode laser, and LED on tooth bleaching: a comparative study. Photomed Laser Surg. 2007;25(2):91–5.

    Article  PubMed  Google Scholar 

  38. Strobl A, Gutknecht N, Franzen R, Hilgers RD, Lampert F, Meister J. Laser-assisted in-office bleaching using a neodymium:yttrium-aluminum-garnet laser: an in vivo study. Lasers Med Sci. 2010;25(4):503–9. Epub 9 May 2009.

    Article  PubMed  Google Scholar 

  39. Gutknecht N, Franzen R, Meister J, Lukac M, Pirnat S, Zabkar J, Cencic B, Jovanovic J. A novel. Er:YAG laser-assisted tooth whitening method. J Laser Health Acad. 2011;2011(1). ISSN 1855–9913. www.laserandhealth.com.

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

    Article  PubMed  Google Scholar 

  41. Sari T, Usumez A. Office bleaching with Er:YAG laser. Case report. J Laser Health Acad. 2013;2013(1). www.laserandhealth.com.

  42. Majaron B, Sustercic D, Lukac M, Skaleric U, Funduk N. Heat diffusion and debris screening in Er:YAG laser ablation of hard dental tissues. Appl Phys B. 1998;66:479–87.

    Article  Google Scholar 

  43. van As G. Laser dentistry: power laser bleaching with the AMD Picasso diode laser. Dent Today. 2010;200.

    Google Scholar 

  44. Laserwhite*20 whitening gel instructions. BIOLASE, Inc. http://www.biolase.com/ProductOwner/Documents/LaserWhite20.pdf. Last accessed on 28 Jan 2015.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefano Benedicenti DDS, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Olivi, G., Benedicenti, S. (2015). Laser Application for Dental Bleaching/Whitening. In: Olivi, G., Olivi, M. (eds) Lasers in Restorative Dentistry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47317-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-47317-7_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47316-0

  • Online ISBN: 978-3-662-47317-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics