{"title":"Effect of tooth bleaching in patients with fixed orthodontic appliances: A systematic review.","authors":"Gustavo Teodoro Costa Lizarelli, Rafaela Manente, Aline Souza-Gabriel, Silmara Aparecida Milori Corona","doi":"10.17219/dmp/171606","DOIUrl":null,"url":null,"abstract":"<p><p>Patients seeking a harmonious smile that combines satisfactory aesthetics and stable occlusion raise questions about the concomitant association of treatments. This systematic review aimed to answer the following question: \"Does the application of hydrogen peroxide on teeth with fixed metallic orthodontic brackets interfere with the dental bleaching effect?\". The PICOS (Population, Intervention, Comparison, Outcome, and Study design) strategy and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were adhered to during the review process. A comprehensive search strategy was implemented, encompassing the PubMed®, Web of Science, Scopus, Embase, and LILACS databases. The risk of bias was assessed using the Cochrane risk of bias (RoB) 2.0 tool. The initial search yielded 51 articles, which were then filtered to remove duplicates. The titles and abstracts of 26 studies were subsequently reviewed. Eleven articles were selected for full-text reading, and after applying the eligibility criteria, 3 studies were included for qualitative analysis. Two studies were classified as having a low risk of bias, while 1 study was classified as having some concerns. The bleaching was satisfactory with 8% and 10% hydrogen peroxide (HP) applied for 45 min daily over 10 days, even with fixed orthodontic brackets. However, a single study that employed the in-office technique (38% HP) demonstrated that fixed orthodontic appliances influenced external tooth bleaching. Tooth bleaching using the home bleaching technique yielded effective results when performed alongside orthodontic treatment.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dental and Medical Problems","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17219/dmp/171606","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Patients seeking a harmonious smile that combines satisfactory aesthetics and stable occlusion raise questions about the concomitant association of treatments. This systematic review aimed to answer the following question: "Does the application of hydrogen peroxide on teeth with fixed metallic orthodontic brackets interfere with the dental bleaching effect?". The PICOS (Population, Intervention, Comparison, Outcome, and Study design) strategy and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were adhered to during the review process. A comprehensive search strategy was implemented, encompassing the PubMed®, Web of Science, Scopus, Embase, and LILACS databases. The risk of bias was assessed using the Cochrane risk of bias (RoB) 2.0 tool. The initial search yielded 51 articles, which were then filtered to remove duplicates. The titles and abstracts of 26 studies were subsequently reviewed. Eleven articles were selected for full-text reading, and after applying the eligibility criteria, 3 studies were included for qualitative analysis. Two studies were classified as having a low risk of bias, while 1 study was classified as having some concerns. The bleaching was satisfactory with 8% and 10% hydrogen peroxide (HP) applied for 45 min daily over 10 days, even with fixed orthodontic brackets. However, a single study that employed the in-office technique (38% HP) demonstrated that fixed orthodontic appliances influenced external tooth bleaching. Tooth bleaching using the home bleaching technique yielded effective results when performed alongside orthodontic treatment.
患者寻求一个和谐的微笑,结合令人满意的美学和稳定的咬合提出的问题,伴随治疗的关联。本系统综述旨在回答以下问题:“在固定金属正畸托槽的牙齿上使用过氧化氢是否会影响牙齿漂白效果?”在评估过程中遵循PICOS(人口、干预、比较、结果和研究设计)策略和PRISMA(系统评价和荟萃分析的首选报告项目)指南。我们实施了一个全面的搜索策略,包括PubMed®、Web of Science、Scopus、Embase和LILACS数据库。使用Cochrane风险偏倚(RoB) 2.0工具评估偏倚风险。最初的搜索产生了51篇文章,然后过滤掉重复的文章。随后对26项研究的标题和摘要进行了审查。选择11篇文章进行全文阅读,应用合格标准后,纳入3篇研究进行定性分析。两项研究被归类为低偏倚风险,而一项研究被归类为有一定风险。8%和10%双氧水(HP)每天应用45分钟,持续10天,即使使用固定的正畸托槽,漂白效果也令人满意。然而,一项采用办公室技术的单一研究(38% HP)表明,固定正畸器具影响外部牙齿漂白。牙齿漂白使用家庭漂白技术产生了有效的结果,同时进行正畸治疗。