Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo

Light and heat increase the reactivity of hydrogen peroxide. There is no evidence that light activation (power bleaching with high-intensity light) results in a more effective bleaching with a longer lasting effect with high concentrated hydrogen peroxide bleaching gels. Laser light differs from con...

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Main Authors: Roeland Jozef Gentil De Moor, Jeroen Verheyen, Peter Verheyen, Andrii Diachuk, Maarten August Meire, Peter Jozef De Coster, Mieke De Bruyne, Filip Keulemans
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/835405
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author Roeland Jozef Gentil De Moor
Jeroen Verheyen
Peter Verheyen
Andrii Diachuk
Maarten August Meire
Peter Jozef De Coster
Mieke De Bruyne
Filip Keulemans
author_facet Roeland Jozef Gentil De Moor
Jeroen Verheyen
Peter Verheyen
Andrii Diachuk
Maarten August Meire
Peter Jozef De Coster
Mieke De Bruyne
Filip Keulemans
author_sort Roeland Jozef Gentil De Moor
collection DOAJ
description Light and heat increase the reactivity of hydrogen peroxide. There is no evidence that light activation (power bleaching with high-intensity light) results in a more effective bleaching with a longer lasting effect with high concentrated hydrogen peroxide bleaching gels. Laser light differs from conventional light as it requires a laser-target interaction. The interaction takes place in the first instance in the bleaching gel. The second interaction has to be induced in the tooth, more specifically in the dentine. There is evidence that interaction exists with the bleaching gel: photothermal, photocatalytical, and photochemical interactions are described. The reactivity of the gel is increased by adding photocatalyst of photosensitizers. Direct and effective photobleaching, that is, a direct interaction with the colour molecules in the dentine, however, is only possible with the argon (488 and 415 nm) and KTP laser (532 nm). A number of risks have been described such as heat generation. Nd:YAG and especially high power diode lasers present a risk with intrapulpal temperature elevation up to 22°C. Hypersensitivity is regularly encountered, being it of temporary occurrence except for a number of diode wavelengths and the Nd:YAG. The tooth surface remains intact after laser bleaching. At present, KTP laser is the most efficient dental bleaching wavelength.
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spelling doaj-art-b5dd1c696e204d1eb61001ffe797a1a72025-08-20T03:20:55ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/835405835405Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In VivoRoeland Jozef Gentil De Moor0Jeroen Verheyen1Peter Verheyen2Andrii Diachuk3Maarten August Meire4Peter Jozef De Coster5Mieke De Bruyne6Filip Keulemans7Department of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumDepartment of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumSOLA Academy, Bernhard Gottlieb University Clinic of Dentistry, Sensengasse 2A, 1090 Vienna, AustriaDepartment of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumDepartment of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumDepartment of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumDepartment of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumDepartment of Restorative Dentistry and Endodontology, Ghent Dental Laser Centre, Ghent Dental Photonics Research Cluster, Ghent University, Ghent University Hospital, Dental School, De Pintelaan 185-P8, 9000 Gent, BelgiumLight and heat increase the reactivity of hydrogen peroxide. There is no evidence that light activation (power bleaching with high-intensity light) results in a more effective bleaching with a longer lasting effect with high concentrated hydrogen peroxide bleaching gels. Laser light differs from conventional light as it requires a laser-target interaction. The interaction takes place in the first instance in the bleaching gel. The second interaction has to be induced in the tooth, more specifically in the dentine. There is evidence that interaction exists with the bleaching gel: photothermal, photocatalytical, and photochemical interactions are described. The reactivity of the gel is increased by adding photocatalyst of photosensitizers. Direct and effective photobleaching, that is, a direct interaction with the colour molecules in the dentine, however, is only possible with the argon (488 and 415 nm) and KTP laser (532 nm). A number of risks have been described such as heat generation. Nd:YAG and especially high power diode lasers present a risk with intrapulpal temperature elevation up to 22°C. Hypersensitivity is regularly encountered, being it of temporary occurrence except for a number of diode wavelengths and the Nd:YAG. The tooth surface remains intact after laser bleaching. At present, KTP laser is the most efficient dental bleaching wavelength.http://dx.doi.org/10.1155/2015/835405
spellingShingle Roeland Jozef Gentil De Moor
Jeroen Verheyen
Peter Verheyen
Andrii Diachuk
Maarten August Meire
Peter Jozef De Coster
Mieke De Bruyne
Filip Keulemans
Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo
The Scientific World Journal
title Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo
title_full Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo
title_fullStr Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo
title_full_unstemmed Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo
title_short Laser Teeth Bleaching: Evaluation of Eventual Side Effects on Enamel and the Pulp and the Efficiency In Vitro and In Vivo
title_sort laser teeth bleaching evaluation of eventual side effects on enamel and the pulp and the efficiency in vitro and in vivo
url http://dx.doi.org/10.1155/2015/835405
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