• Restorative Dentistry and Endodontics
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• v.35 no.3
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• pp.198-210
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• 2010

This study evaluated the safety of an office bleaching gel (RemeWhite, Remedent Inc., Deurle, Belgium) containing 30% hydrogen peroxide. 37 volunteers were received office bleaching with the RemeWhite for 3 times at one visit, total 2 visits. As control group, the same gel in which hydrogen peroxide was not included was applied to 34 volunteers with the same protocol. There was no difference between experimental group and control group using electric pulp test. In the result of gingival inflammation index and tooth sensitivity test, there was mild pain response in experimental group but it disappeared as time went by. Therefore, safety of the office bleaching gel containing 30% hydrogen peroxide was confirmed.

• Restorative Dentistry and Endodontics
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• v.35 no.1
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• pp.40-50
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• 2010

This study evaluated the efficacy of an office bleaching gel (RemeWhite, Remedent Inc., Deurle, Belgium) containing 30% hydrogen peroxide. 31 volunteers were recieved office bleaching with the RemeWhite for 3 times at one visit, total 2 visits. As control group, the same gel in which hydrogen peroxide was not included was applied to 31 volunteers with the same protocol. The shade change (${\Delta}E^*$, color difference) of 12 anterior teeth was measured using Colorimerter and Vitapan classical shade guide. The shade change of overall teeth in the experimental group was significantly greater than that in the control group which was measured using Colorimeter. There was also a significant difference between baseline and 14 weeks or 26 weeks though color rebounding phenomenon occurred as time went by. Small shade change difference can be measured accurately using Colorimeter than using Vitapan classical shade guide.

• Journal of dental hygiene science
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• v.13 no.1
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• pp.13-19
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• 2013

This study evaluated the change of color and the microhardness according to time-out using the office bleaching with in vitro test after bleaching one time 1 day per week, total three times, for the control group and three times per 1day for the experimental group. $L^*$ was increased in both groups. Group 1 showed a significant increase statistically between before and after tooth whitening (p<0.05). Group 2 showed a significant increase statistically between before and after tooth whitening (p<0.05). ${\Delta}E^*$ was huge in both groups. In group 1, it was great in terms of statistical significance between 1 day and 7 days after tooth whitening (p<0.05). In group 2, it was the greatest between before and 1 day after tooth whitening and was significant statistically as well (p<0.05). Vickers hardness number (VHN) decreased in both groups. In group 1, VHN decreased over time and the difference was significant statistically (p<0.05). In group 2, VHN decreased over time and the difference was significant statistically (p<0.05). Percentage microhardness loss was great in both groups. In group 1, it was the greatest between 1 day and 7 days after the treatment, and it was significant statistically (p<0.05). In group 2, it was the greatest between before and 1 day after the treatment, and it was significant statistically (p<0.05). Put together, the more frequent tooth whitening a day is, the longer the period of tooth whitening when applying the same frequency, the greater color change was, however the microhardness decreased, in regard to the results over time using 15% hydrogen peroxide tooth whitening product for professionals.

• The Journal of the Korea Contents Association
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• v.10 no.11
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• pp.235-242
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• 2010

The purpose of this study was to evaluate tooth whitening and microhardness after treatments with tooth bleaching agents containing dicalcium phosphate dihydrate (DCPD) and 35% hydrogen peroxide (HP) which were used in-office bleaching. Thirty enamel specimens were obtained from human premolars and randomly divided into 3 groups(n=10). Tooth bleaching agents were prepared with DCPD (0 g for controls, 0.1 g and 1 g for experimental groups) and HP solution (35% HP). All groups were applied to enamel surfaces for 60 min for 1 day. The pH of each tooth bleaching agent was measured. Tooth color, microhardness of enamel surfaces were also measured. The tooth bleaching agents containing DCPD showed a significant increase in pH compared to the ones without DCPD(p<0.05). Paired t-tests showed significant difference in color values of enamel before and after bleaching in all the groups(p<0.05). As a result, changes in color, containing DCPD group does not contain a statistically significant difference between groups was observed.(p>0.05). In all groups, tooth hardness after bleaching showed a significant decrease in microhardness (p<0.05). However, the DCPD concentration increased in the bleaching, microhardness values slightly decreased. Based on the above results, tooth bleaching agents containing DCPD and 35%HP were equally effective. Due to increases in pH and effective reduction of tooth surface decalcification, the surface characteristics are exposed to a reduced degree of negative effects, resulting in fewer constituent enamel alterations. Thus, commercial availability of the constituents of tooth whitening materials can be achieved.

• Journal of dental hygiene science
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• v.9 no.5
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• pp.525-530
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• 2009

The purpose of this study was to evaluate color change and enamel surface changes using the plasma arc light source during tooth bleaching treatments. Twenty-four extracted bovine incisors were selected and embedded in the resin blocks. All the specimens were highly polished and discolored with commercial $COCK^{(R)}$. High concentration carbamide peroxide with and without plasma arc were used for bleaching. Specimens were bleached for 1 hour per week during 3 weeks. Color and enamel surface changes were determined with colorimeter (TC-8600A), microhardness tester(MXT-a7), scanning electron microscope(S-4200). All the collected data analyzed with paired t-test, t-test and one-way ANOVA. After the bleaching, both groups showed the color changes(${\Delta}E^*$). Microhardness of two group decreased after tooth bleaching. The SEM evaluation of enamel surface of both group showed a similar morphology of decalcification after tooth bleaching. Office bleaching using the plasma arc application with 35% carbamide peroxide can increase the color change. Office bleaching using the high concentration of carbamide peroxide and plasma arc also detract the outer surface of enamel. It is recommended that careful procedures are needed during office bleaching with high concentration of carbamide peroxide and light source.

• Journal of dental hygiene science
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• v.8 no.4
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• pp.255-260
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• 2008

The purposes of this study were to examine the effect of 35% hydrogen peroxide (HP) bleaching agent on the changes in physical and chemical characteristics of tooth. The bleached teeth showed an apparent color changes. The whiteness increased linearly within the tested period as the period of bleaching increased. The microhardness between bleached groups after bleaching showed any statistically significant difference according to the paried t-test. The bleached enamel surface showed any apparent morphological changes compared to the enamel which was stored in distilled water only. The difference of the total mineral contents for the distilled water and hydrogen peroxide did not show statistical significance. These results demonstrated that bleaching using 35% hydrogen peroxide were adversely affects application time of experimental group and may confirm the safety of using these agents for a short time in dentist-monitored bleaching.

• Restorative Dentistry and Endodontics
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• v.33 no.5
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• pp.463-471
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• 2008

This study investigated the clinical effectiveness and safety of sealed bleaching compared to conventional in-office bleaching using a randomized clinical trial of split arch design. Ten participants received a chairside bleaching treatment on the upper anterior teeth, and each side was randomly designated as sealed or control side. A mixture of Brite powder (PacDent, Walnut, USA), 3% hydrogen peroxide and carbamide peroxide (KoolWhite, PacDent, Walnut, USA) were used as bleaching agent. The control side was unwrapped and the experimental side was covered with a linear low density polyethylene (LLDPE) wrap for sealed bleaching. The bleaching gel was light activated for 1 hour. The tooth shades were evaluated before treatment, after treatment, and at one week check up by means of a visual shade (VS) assessment using a value oriented shade guide and a computer assisted shade assessment using a spectrophotometer (SP). The data were analyzed by paired t-test. In the control and sealed groups, the visual shade scores after bleaching treatment and at check up showed statistically significant difference from the preoperative shade scores (p<.05). The shade scores of the sealed group were significantly lighter than the control immediately after bleaching and at the check-up appointment (p<0.05). Compared to prebleaching status, the ${\Delta}E$ values at post bleaching condition were $4.35{\pm}1.38\;and\;5.08{\pm}1.34$ for the control and sealed groups, respectively. The ${\Delta}E$ values at check up were $3.73{\pm}1.95\;and\;4.38{\pm}2.08$ for the control and sealed groups. ${\Delta}E$ values were greater for the sealed group both after bleaching (p<.05) and at check up (p<.05). In conclusion, both ${\Delta}E$ and shade score changes were greater for the sealed bleaching group than the conventional bleaching group, effectively demonstrating the improvement of effectiveness through sealing.

• Proceedings of the Korean Vacuum Society Conference
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• 2013.02a
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• pp.541-541
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• 2013

현재 병원에서 사용하는 치아미백은 고농도의 과산화수소와 carbamide peroxide가 함유된 미백제를 이용하여 전문성을 가진 의사가 직접 시술을 하고 있다 [1]. 과산화수소의 농도가 높을수록 미백효과가 높지만 [2] 과산화수소의 농도가 지나치게 높으면 인체에 유해하다 [3,4]. 따라서, 고농도의 과산화수소가 함유된 미백제의 사용은 전문가만 시술할 수 있도록 이를 제한하고 있다. 이로 인해, 일반 가정용으로 판매되는 다양한 미백제품들은 저농도(최대6%)의 과산화수소가 함유되어 있으며 장기간 지속적으로 사용해야만 치아미백효과를 볼 수 있다. 우리는 가정에서도 보다 안전하고 단기간에 효율적으로 치아의 미백효과를 보기 위하여, 식품의약품안정청에서 규제하고 있는, carbamide peroxide (15%)와 저온 대기압 플라즈마 제트를 사용하여 미백효과를 관찰하였다. 플라즈마 제트의 유량은 200 sccm이며, 공기를 사용하였다. 미백효과를 보기 위한 대상으로는 우치(牛齒)를 사용하였으며, 플라즈마를 처리하여 미백효과를 관찰하였다. 실험 대조시료군으로는 carbamide peroxide (15%)를 처리하지 않은 우치와 처리한 우치, 그리고 carbamide peroxide (15%)를 처리한 우치에 수증기(0.2~1%)를 첨가한 다음, 이들 세가지 시료에 각각 공기 플라즈마를 조사하여 비교해보았다. 모든 실험의 플라즈마 처리시간은 최대 20분까지로 하였다. 수증기를 첨가한 이유는 활성산소의 농도를 높이기 위함이며, 이로써 탁월한 미백효과를 얻을 수 있다. 이는 활성산소와 치아의 유기질이 반응하여, 색이 진한 탄소고리 화합물을 밝은 색의 사슬구조로 바꿔주기 때문이다. 실험을 통하여 우치에 carbamide peroxide (15%)와 수증기(0.2~1%)를 처리한 경우 플라즈마의 미백효과가 탁월함을 보였다. 이때 CIE색좌표 ($L^*a^*b^*$)에서 명도도가 최대 2배 이상 높아짐을 보았다. 미백효과에 대한 측정은 측색분광기(CM-3500d)를 이용하였다.

• Restorative Dentistry and Endodontics
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• v.36 no.4
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• pp.306-312
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• 2011

Objectives: This clinical study evaluated the effect of light activation on the whitening efficacy and safety of in-office bleaching system containing 15% hydrogen peroxide gel. Materials and Methods: Thirty-three volunteers were randomly treated with (n = 17, experimental group) or without light activation (n = 16, control group), using Zoom2 white gel (15% $H_2O_2$, Discus Dental) for a total treatment time of 45 min. Visual and instrumental color measurements were obtained using Vitapan Classical shade guide and Shadepilot (DeguDent) at screening test, after bleaching, and 1 month and 3 month after bleaching. Data were analyzed using t-test, repeated measure ANOVA, and chi-squared test. Results: Zoom2 white gel produced significant shade changes in both experimental and control group when pre-treatment shade was compared with that after bleaching. However, shade difference between two groups was not statistically significant (p > 0.05). Tooth shade relapse was not detected at 3 months after bleaching. The incidence of transient tooth sensitivity was 39.4%, with being no differences between two groups. Conclusions: The application of light activation with Zoom2 white gel system neither achieved additional whitening effects nor showed more detrimental influences.

• Journal of dental hygiene science
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• v.14 no.2
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• pp.191-197
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• 2014

The purpose of this study was to evaluate the tooth whitening efficacy of 2.9% hydrogen peroxide strip with primer gel of alkaline condition and containing metallic salts as catalyst in-vitro. Hydroxyapatite (HAP) disk was made by compressing and sintering 0.3 g of mixture of HAP powder and polyvinyl alcohol. This HAP disk was stained using modified Stookey's methods. Main bleaching materials were 2.9% hydrogen peroxide strips and the primer gel containing metallic salts as catalyst and pH controller. Stained HAP disks were allocated to each control or experimental groups by color grade. Stained HAP disks were treated for 30 minutes in $37^{\circ}C/80%$ incubator for wetting, then each primer gel according to control or each test group was spread and strips were attached. After 30 minutes for each group strips were detached and HAP disks were washed, dried then color was measured by colorimeter. Efficacy was evaluated by comparing ${\Delta}L$ values of HAP disks at baseline and after treated. Among some kinds of metallic salts for as catalyst, ferric chloride showed best improvement of efficacy and it was statistically significant (p<0.05) compared to control group. Evaluating whitening efficacy according to various pH of primer, efficacy using primer of alkaline condition was increased significantly (p<0.05) compared to control and primers of acidic or neutral conditions. Evaluating whitening efficacy for time course, efficacy of test group for 30 minutes was similar to that of control for 120 minutes. It can be concluded that 2.9% hydrogen peroxide strips using with primer of alkaline condition and containing ferric chloride showed significantly increased whitening efficacy compared to the case of strips only.