Kwon So Ran, Wertz Philip W
Department of Operative Dentistry, University of Iowa College of Dentistry & Dental Clinics, Iowa City, IA, USA.
Oral Pathology, Radiology and Medicine, Dows Institute for Dental Research, University of Iowa College of Dentistry & Dental Clinics, Iowa City, IA, USA.
J Esthet Restor Dent. 2015 Sep-Oct;27(5):240-57. doi: 10.1111/jerd.12152. Epub 2015 May 13.
This review integrated the current literature on diffusion of whitening agents, their interactions with stain molecules, and changes to the surface, with the aim of establishing a better understanding of the mechanism underlying tooth whitening.
An electronic PubMed database search, with combinations of the following terms was performed: Tooth Bleaching, Tooth Bleaching Agent, Hydrogen Peroxide, Pharmacokinetics, Tooth Permeability, Oxidation-Reduction, Tooth Demineralization, and Color.
Tooth whitening is a dynamic process that involves diffusion of the whitening material to interact with stain molecules and also involves micromorphologic alterations on the surface and changes within the tooth that affect its optical properties. The interaction seems not to be limited to stain molecules, but rather an affinity-based interaction process that also accompanies effects on sound enamel and dentin structures.
This review underlines that supervision by dental health professionals as recommended by the American Dental Association (ADA) Council on Scientific Affairs is critical to achieving a successful and safe whitening outcome.
The mechanism that underlies tooth whitening with the use of peroxide-based materials is a complex phenomenon encompassing diffusion, interaction, and surfaces changes within the tooth. Therefore, supervision by dental health professionals as recommended by the ADA Council on Scientific Affairs is imperative to achieve a successful and safe whitening outcome.
本综述整合了有关美白剂扩散、它们与污渍分子的相互作用以及牙齿表面变化的当前文献，旨在更好地理解牙齿美白的潜在机制。
利用电子PubMed数据库进行检索，检索词组合如下：牙齿漂白、牙齿漂白剂、过氧化氢、药代动力学、牙齿渗透性、氧化还原、牙齿脱矿质和颜色。
牙齿美白是一个动态过程，涉及美白材料的扩散以与污渍分子相互作用，还涉及牙齿表面的微观形态改变以及牙齿内部影响其光学性质的变化。这种相互作用似乎不仅限于污渍分子，而是一个基于亲和力的相互作用过程，同时也伴随着对健康牙釉质和牙本质结构的影响。
本综述强调，按照美国牙科协会（ADA）科学事务委员会的建议，由牙科保健专业人员进行监督对于实现成功且安全的美白效果至关重要。
使用基于过氧化物的材料进行牙齿美白的潜在机制是一个复杂的现象，包括扩散、相互作用以及牙齿内部的表面变化。因此，按照ADA科学事务委员会的建议，由牙科保健专业人员进行监督对于实现成功且安全的美白效果必不可少。
