Active oxygen in home bleaching. Clinical observation

Abstract

Perception of the surrounding world is a subjective point of view of a single individual. Despite the multicomponent nature of the factors that determine the attitude to a particular opponent, his appearance, in particular the condition of the dentoalveolar determines the overall prognosis for further interaction. Thus, the aesthetic component, in particular the condition of the lower third of the face, plays a decisive role in assessing a person’s appearance. One of the defining tasks of aesthetic dentistry today is the development of effective and safe methods of teeth whitening. There are numerous “office” and home technologies for carrying out this procedure. The greatest interest is home bleaching, as a way to reduce the financial and time costs of patients. In addition, according to a number of studies, performing a “home ritual” contributes to greater awareness of patients about the need to monitor high-quality individual oral hygiene, which is the main component in the prevention of diseases of the oropharyngeal region. The purpose of this study is a comparative analysis of the effectiveness of existing medicinal compositions for home bleaching. Materials and methods: on the basis of PMFI, 126 patients dissatisfied with the aesthetic appearance of the dentition participated in the study, who were divided into 4 groups: 1st — 53 patients with A2 color; 2nd — 36 with B2 color; 3rd — 17 with B1 color; 4th — 20 with color B2. All subjects before the course of maintenance therapy were home bleaching for 14 days using ACTIVE OXYGEN components, after which, according to the design of the study, the proposed algorithm was performed, differing according to the division into groups, to maintain the result obtained. The evaluation criteria were — fixation of indicators according to the Vita scale on the 7th, 14th day and after 1 month. The sensitivity indicators of the dentition were also evaluated using the Schiff scale. Results: a stable result was obtained in all groups, by the 14th day of observation in 6 patients of group 1, when determining the color of the dentition on the Vita scale, the color changed to A1, in 4 patients of group 2, the color changed to B1, in group 4, 10 patients had discoloritis with a color change to A2, which it was a negative trend in the absence of the use of additional individual hygiene products. Conclusions. The use of home supportive personal hygiene products with bleaching action is a necessary condition for maintaining the result, especially in patients with bad habits and non-compliance with the “white” diet in the long term.