Maintenance of Dental Bleaching: A Systematic Review

Authors

Emma Devoto, Independent Researcher, 16030 Sestri Levante, ItalyFollow
Walter Devoto, Independent Researcher, 16030 Sestri Levante, ItalyFollow
Sandro Pradella, Odontoiatra, Libero professionista, Curtatone (MN), Italia Socio Attivo AIC
Carlos Enrique Cuevas-Suárez, Dental Materials Laboratory, Academic Area of Dentistry, Autonomous University of Hidalgo State, San Agustín Tlaxiaca 42160, Mexico
J. Eliezer Zamarripa-Calderon, Dental Materials Laboratory, Academic Area of Dentistry, Autonomous University of Hidalgo State, San Agustín Tlaxiaca 42160, Mexico
Bogdan Dimitriu, Department of Endodontics, Deputy Dean, Faculty of Dental Medicine “Carol Davila” University, 020021 Bucharest, Romania
Monika Lukomska-Szymańska, Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland
Naji Kharouf, Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, University of Strasbourg, 67000 Strasbourg, France; Department of Endodontics and Conservative Dentistry, Faculty of Dental Medicine, University of Stras-bourg, 67000 Strasbourg, France
Rim Bourgi, Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, University of Strasbourg, 67000 Strasbourg, France
Louis Hardan, Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, LebanonFollow

DOI

https://doi.org/10.70174/iajd.v15i2.1049

Abstract

After bleaching procedure, color pigments can adhere to the rough dental surface and can trigger more discoloration. In this sense, no standard post-bleaching maintenance technique exists. Then, the purpose of this study was to evaluate the maintenance of enamel color after bleaching procedure through a systematic review. The research question was defined as follows: Is the tooth whitening maintenance necessary after a bleaching treatment? Two reviewers conducted the literature search in PubMed (MEDLINE), Web of Science, Scopus, EMBASE, and SciELO. Both in vitro and clinical trials reporting the color change of bleached enamel after the use of a tooth whitening agent were included in the review. The risk of bias in the included manuscripts was evaluated using the RoBDEMAT tool. A total of 11 articles were included in the qualitative analysis. Due to the lack of groups for comparison, a meta-analysis could not be conducted. The whitening maintenance procedures identified were remineralizing agents, antioxidants, over-the-counter agents, toothpaste containing Blue Covarine, casein phosphopeptide-amorphous calcium phosphate fluoride paste, 0.05% sodium fluoride mouthwash, arginine, nano-hydroxyapatite, nano-carbonate apatite, and CO₂ laser. In conclusion, tooth whitening maintenance could be achieved by using some agents. The association of these agents might be beneficial for maintaining the color of the enamel throughout 12 months following bleaching procedure.

Recommended Citation

Devoto, Emma; Devoto, Walter; Pradella, Sandro; Cuevas-Suárez, Carlos Enrique; Zamarripa-Calderon, J. Eliezer; Dimitriu, Bogdan; Lukomska-Szymańska, Monika; Kharouf, Naji; Bourgi, Rim; and Hardan, Louis (2024) "Maintenance of Dental Bleaching: A Systematic Review," International Arab Journal of Dentistry: Vol. 15: Iss. 2, Article 20.
DOI: https://doi.org/10.70174/iajd.v15i2.1049
Available at: https://digitalcommons.aaru.edu.jo/iajd/vol15/iss2/20