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VOLUME 20 , ISSUE 10 ( October, 2019 ) > List of Articles

ORIGINAL RESEARCH

Internal Bleaching of Endodontically Treated Teeth: A Dental Practitioner's Perspective from Kingdom of Saudi Arabia

Mazen Doumani, Ahmed N Alotaibi, Fadi Al Hussain, Ali A Alsweed, Ayman O Mandorah, Karim AH Qaddoura, Salman M Alanazi

Keywords : Carbamide peroxide, Discoloration, Hydrogen peroxide, Internal bleaching, Resorption, Sodium perborate

Citation Information : Doumani M, Alotaibi AN, Al Hussain F, Alsweed AA, Mandorah AO, Qaddoura KA, Alanazi SM. Internal Bleaching of Endodontically Treated Teeth: A Dental Practitioner's Perspective from Kingdom of Saudi Arabia. J Contemp Dent Pract 2019; 20 (10):1141-1145.

DOI: 10.5005/jp-journals-10024-2675

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: To determine the knowledge and attitude of dental practitioners (DPs) for internal bleaching technique (IBT) in Kingdom of Saudi Arabia. Materials and methods: A cross-sectional study was developed based on a convenient sampling of dental practitioners and specialists working in Kingdom of Saudi Arabia. DPs responded to a structured, self-administered questionnaire for evaluation of their knowledge and attitude toward IBT. The questionnaire had two components: (i) the characteristics of the study participants; and (ii) the items related to the internal bleaching technique (IBT). Data analysis was conducted using SPSS (version 25.0), with descriptive statistics and a bivariate analysis. Results: A total of 532 dental practitioners (61.3% males and 38.7% females) participated in this study. The response rate of participation was estimated at 92.5%. Almost 37% participants considered the sodium perborate as the most commonly used dental material for internal bleaching. Almost 70% participants reported that superficial enamel discoloration was a contraindication for internal bleaching in endodontically treated teeth. Conclusion: DPs have good knowledge and attitude on use of IBT for discolored teeth. In general, there is a need to improve knowledge and attitude of dental professionals about the IBT by attending continuing dental educational programs. Clinical significance: Saving of the remaining tooth structure is a main principle of the different types of dental treatments. So the IBT should be known for all dental practitioners to use it before going to more aggressive dental treatment options such as full crowns.


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  1. Dahl J, Pallesen U. Tooth bleaching—a critical review of the biological aspects. Crit Rev Oral Biol Med 2003;14(4):292–304.
  2. Sibilla P, Cogo E, et al. The timing and operational management of the variables of bleaching in cases of rehabilitation in the esthetic field. Int J Esthet Dent 2014;9(3):436–445.
  3. Salvas JC. Perborate as a bleaching agent. Journal of the American Dental Association and The Dental Cosmos 1938;25(2):324. DOI: 10.14219/jada.archive.1938.0054.
  4. Spasser HF. A simple bleaching technique using sodium perborate. NY State Dent J 1961;27:332–334.
  5. Attin T, Paque F, et al. Review of the current status of tooth whitening with the walking bleach technique. Int Endod J 2003;36(5):313–329. DOI: 10.1046/j.1365-2591.2003.00667.x.
  6. Thosre D, Mulay S. Smile enhancement the conservative way: Tooth whitening procedures. J Conserv Dent 2009;12(4):164. DOI: 10.4103/0972-0707.58342.
  7. Meireles SS, Goettems ML, et al. Changes in oral health related quality of life after dental bleaching in a double-blind randomized clinical trial. J Dent 2014;42(2):114–121.
  8. Rotstein I, Zalkind M, et al. In vitro efficacy of sodium perborate preparations used for intracoronal bleaching of discolored non-vital teeth. Endod Dent Traumatol 1991;7(4):177–180. DOI: 10.1111/j.1600-9657.1991.tb00204.x.
  9. Rotstein I, Mor C, et al. Prognosis of intracoronal bleaching with sodium perborate preparations in vitro: 1-year study. J Endod 1993;19(1):10–12.
  10. Asfora KK, da Silva Mdo CM, et al. Evaluation of biocompatibility of sodium perborate and 30% hydrogen peroxide using the analysis of the adherence capacity and morphology of macrophages. J Dent 2005;33(2):155–162. DOI: 10.1016/j.jdent.2004.08.011.
  11. Maleknejad F, Ameri H, et al. Effect of intracoronal bleaching agents on ultrastructure and mineral content of dentin. J Conserv Dent 2012;15(2):174. DOI: 10.4103/0972-0707.94586.
  12. Attin T, Greenwall L. The Effect of Whitening on Restorative Materials. Tooth Whitening Techniques. CRC Press; 2017. pp. 247–258.
  13. Singh S, Shah N, et al. Esthetic enhancement by nonvital bleaching procedure and diastema closure with ceramic veneer on maxillary central incisor. Indian J Sci Res 2015;10(1):7–11. DOI: 10.4103/0971-5916.176596.
  14. Harrington GW, Natkin E. External resorption associated with bleaching of pulpless teeth. J Endod 1979;5(11):344–348. DOI: 10.1016/S0099-2399(79)80091-6.
  15. Madison S, Walton R. Cervical root resorption following bleaching of endodontically treated teeth. J Endod 1990;16(12):570–574. DOI: 10.1016/S0099-2399(07)80199-3.
  16. Anderson DG, Chiego Jr DJ, et al. A clinical assessment of the effects of 10% carbamide peroxide gel on human pulp tissue. J Endod 1999;25(4):247–250. DOI: 10.1016/S0099-2399(99)80152-6.
  17. Weiger R, Kuhn A, et al. In vitro comparison of various types of sodium perborate used for intracoronal bleaching of discolored teeth. J Endod 1994;20(7):338–341. DOI: 10.1016/S0099-2399(06) 80096-8.
  18. Howell R. The prognosis of bleached root-filled teeth. Int Endod J 1981;14(1):22–26. DOI: 10.1111/j.1365-2591.1981.tb01055.x.
  19. Vachon C, Vanek P, et al. Internal bleaching with 10% carbamide peroxide in vitro. Pract Periodontics Aesthet Dent 1998;10(9): 1145–1148.
  20. Burrows S. A review of the safety of tooth bleaching. Dent Update 2009;36(10):604–614. DOI: 10.12968/denu.2009.36.10.604.
  21. Nutting EB. Chemical bleaching of discolored endodontically treated teeth. Dent Clin North Am 1967;655–662.
  22. Titley K, Torneck C, et al. The effect of carbamide-peroxide gel on the shear bond strength of a microfil resin to bovine enamel. J Dent Res 1992;71(1):20–24. DOI: 10.1177/00220345920710010301.
  23. Timpawat S, Nipattamanon C, et al. Effect of bleaching agents on bonding to pulp chamber dentine. Int Endod J 2005;38(4):211–217. DOI: 10.1111/j.1365-2591.2004.00931.x.
  24. Eimar H, Siciliano R, et al. Hydrogen peroxide whitens teeth by oxidizing the organic structure. J Dent 2012;40:e25–e33. DOI: 10.1016/j.jdent.2012.08.008.
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