Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 45 / No. 2 / Published : 2012-06
Order : 6, and page :89 - 92
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Original Article :
Pulpal inflammation after vital tooth bleaching with 38% hydrogen peroxide
Author :
- Ardiny Andriani*1
- Juni Handajani*2
- Tetiana Haniastuti*3
- Dental Student, Faculty of Dentistry, Gadjah Mada University, Yogyakarta – Indonesia
- Department of Oral Biology, Faculty of Dentistry, Gadjah Mada University, Yogyakarta – Indonesia
- Department of Oral Biology, Faculty of Dentistry, Gadjah Mada University, Yogyakarta – Indonesia
Abstract :
Background: In-office vital tooth bleaching is a treatment to remove tooth stains. Tooth sensitivity is one of side effect commonly complained by patients receiving this treatment. Purpose: The aim of this study was to examine histological inflammatory cells infiltration of dental pulp after application of 38% H2O2 as a vital tooth bleaching agent. Methods: Under informed consent, a total of 15 premolars from 8 healthy subjects scheduled for orthodontic extraction were used in this study. Thirty eight percent H2O2 was applied on the buccal surface of the treated group. The treated teeth were extracted after 1 hour, 5, 8, and 15 days. All specimens were embedded in paraffin wax, sectioned serially and stained with Hematoxyllin Eosin. Histological specimens were then observed under a light microscope. Results: All treated groups showed a slight disorganization of odontoblasts layer and slight inflammation in the pulp tissue adjacent to the 38% H2O2 application site. The number of polymorphonuclear leukocytes (PMN) had increased significantly 1 hour after application of 38% H2O2 (p<0.05), while macrophages had significantly increased 5 days after the application (p<0.05). The most intense PMN and macrophages infiltration was found 5 days after the application and gradually decreased 8 days after application of38% H2O2. Conclusion: Application of 38% H2O2 as a vital tooth bleaching agent induces acute inflammation in human dental pulp; however, the inflammation will decrease 8 days after the application.
Keyword :
Vital tooth bleaching, 38% hydrogen peroxide, inflammation,
References :
El Askary AES,(2007) Fundamentals of esthetic implant dentistry Iowa : Blackwell Publishing
Archive Article
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Volume : 45 / No. : 2 / Pub. : 2012-06 |
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