Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP 14801-903, Brazil.
Department of Dental Materials and Prosthodontics, School of Dentistry, Araraquara, São Paulo State University - UNESP, Araraquara, SP 14801-903, Brazil.
Photodiagnosis Photodyn Ther. 2019 Dec;28:234-237. doi: 10.1016/j.pdpdt.2019.08.024. Epub 2019 Aug 21.
Different light sources have been used during dental bleaching procedures. More recently, a violet LED system was introduced as a promising and viable light source, which is capable to promote dental bleaching without chemical agents, although this light source could be also associated to a bleaching agent. This case report aimed to present the association of a violet LED and a bleaching agent over a discolored non-vital tooth. After anamnesis, clinical and radiographic examinations, a dental bleaching protocol was proposed as follow: 15 applications of the violet LED during 60 s (Bright Max Whitening, MMOptics) with 30 s interval between them. Before the last 5 applications, 35% hydrogen peroxide gel (Whiteness HP Maxx, FGM) was applied inside the pulp chamber and on enamel surface of the tooth (vestibular and palatal surfaces) and then the last 5 irradiations were performed. Three sessions were performed, with 7-days interval. Color assessment using a VITA classical scale and VITA EasyShade® spectrophotometer was carried out. After dental bleaching, color changed (tooth 21) from A3.5 to B2. The protocol used in this case report showed to be satisfactory for the non-vital tooth bleaching.
在牙齿漂白过程中使用了不同的光源。最近,一种紫光 LED 系统被引入作为一种有前途和可行的光源,它能够在没有化学试剂的情况下促进牙齿漂白,尽管这种光源也可能与漂白剂有关。本病例报告旨在介绍将紫光 LED 和漂白剂联合应用于变色的非活髓牙。经过病史、临床和影像学检查,提出了以下牙齿漂白方案:在 60 秒内使用 Bright Max Whitening(MMOptics)进行 15 次紫光 LED 照射,每次照射间隔 30 秒。在前 5 次应用之间,将 35%过氧化氢凝胶(Whiteness HP Maxx,FGM)涂于牙髓腔和牙齿的釉质表面(颊侧和腭侧),然后进行最后 5 次照射。共进行了 3 次治疗,每次治疗间隔 7 天。使用 Vita 经典比色板和 Vita EasyShade®分光光度计进行颜色评估。牙齿漂白后,颜色从 A3.5 变为 B2(21 号牙)。本病例报告中使用的方案对非活髓牙漂白显示出令人满意的效果。