Tavarez Rudys-Rodolfo-De Jesus, Lima Suellen-Nogueira-Linares, Malheiros Adriana-Santos, Menezes Lucas-Lage, Bandeca Matheus-Coelho, de Miranda Rita-de Cássia-Mendonça, Ferreira Meire-Coelho
DDS, PhD. Professor of Ceuma University São Luís MA, Brazil.
PhD, Dentistry student, Ceuma University São Luís MA, Brazil.
J Clin Exp Dent. 2021 May 1;13(5):e440-e445. doi: 10.4317/jced.57831. eCollection 2021 May.
This study aimed to evaluate the impact of home bleaching with 10% carbamide peroxide on the quality of life and aesthetic perception of patients.
A total of 107 patients between 18 and 38 years of age with good oral and general health and at least one anterior tooth in color A2 or darker were selected. Patients who previously underwent any type of bleaching procedures were excluded. All patients received a home bleaching treatment with 10% carbamide peroxide. Before beginning the bleaching treatment, the selected patients responded a form with the Oral Health Impact Profile short form (OHIP-14) and Oral Aesthetic Subjective Impact Scale (OASIS) questionnaire. One month after the bleaching treatment, the patients answered the same questionnaires again. The mean ΔE after bleaching was obtained for the canines and lateral and central incisors. The OHIP-14 and OASIS data were measured for the total sample before and after bleaching using the Wilcoxon signed-rank test with a 5% significance level.
The effectiveness of whitening by significant color variation was observed in all groups of teeth with less variation in ΔE for central incisors. Comparing before and after bleaching, there was no significant difference in impact for any of the seven domains and total OHIP-14 scores, although a decrease was observed in the discomfort and psychological disability domains. As for the self-perception of dental aesthetics, measured by the OASIS, there was also no significant difference for all the items evaluated; however, it was possible to observe an increase in "concern with dental appearance" after bleaching.
Home bleaching with 10% carbamide peroxide did not have a significant impact on patients' quality of life and aesthetic perception, although there was a decrease in the domain of psychological discomfort and an increase in concerns about dental appearance. Tooth Bleaching, quality of life, self-perception, dental aesthetics.
本研究旨在评估10%过氧化脲家庭漂白术对患者生活质量和美学认知的影响。
选取107例年龄在18至38岁之间、口腔及全身健康状况良好且至少有一颗A2色或更深色前牙的患者。排除既往接受过任何类型漂白治疗的患者。所有患者均接受10%过氧化脲家庭漂白术治疗。在开始漂白治疗前，选定患者填写口腔健康影响程度简表（OHIP - 14）和口腔美学主观影响量表（OASIS）问卷。漂白治疗1个月后，患者再次回答相同问卷。获取尖牙、侧切牙和中切牙漂白后的平均ΔE值。使用Wilcoxon符号秩检验，以5%的显著性水平测量漂白前后总样本的OHIP - 14和OASIS数据。
所有牙组均观察到明显的颜色变化导致的美白效果，中切牙的ΔE变化较小。比较漂白前后，七个领域中的任何一个领域以及OHIP - 14总分的影响均无显著差异，尽管在不适和心理障碍领域观察到有所下降。至于通过OASIS测量的牙齿美学自我认知，所有评估项目也均无显著差异；然而，漂白后可以观察到“对牙齿外观的关注”有所增加。
10%过氧化脲家庭漂白术对患者的生活质量和美学认知没有显著影响，尽管在心理不适领域有所下降，且对牙齿外观的关注有所增加。牙齿漂白、生活质量、自我认知、牙齿美学。
