Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial
Abstract Background Light-cured resins are widely used as gingival barriers to protect the gums from highly concentrated peroxides used in tooth bleaching. The impact of barrier brand on clinical outcomes is typically considered negligible. However, there is limited evidence on the effects of differ...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-024-03900-y |
| _version_ | 1797276237604847616 |
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| author | Tauan Rosa Santana Paula Fernanda Damasceno Silva Márcia Luciana Carregosa Santana Clara Lemos Leal Barata de Mattos Michael Willian Favoreto Taynara de Souza Carneiro Alessandra Reis Alessandro Dourado Loguércio Larissa Maria Assad Cavalcante Luis Felipe Jochims Schneider André Luis Faria-e-Silva |
| author_facet | Tauan Rosa Santana Paula Fernanda Damasceno Silva Márcia Luciana Carregosa Santana Clara Lemos Leal Barata de Mattos Michael Willian Favoreto Taynara de Souza Carneiro Alessandra Reis Alessandro Dourado Loguércio Larissa Maria Assad Cavalcante Luis Felipe Jochims Schneider André Luis Faria-e-Silva |
| author_sort | Tauan Rosa Santana |
| collection | DOAJ |
| description | Abstract Background Light-cured resins are widely used as gingival barriers to protect the gums from highly concentrated peroxides used in tooth bleaching. The impact of barrier brand on clinical outcomes is typically considered negligible. However, there is limited evidence on the effects of different brands on operator experience, barrier adaptation, and patient comfort. Objective This clinical trial assessed the impact of four commercial gingival barrier brands (Opaldam, Topdam, Lysadam, and Maxdam) on operator perception, adaptation quality, and patient comfort. Methods Twenty-one undergraduate students placed gingival barriers in a randomized sequence using blinded syringes. Photographs of the barriers were taken from frontal and incisal perspectives. After bleaching procedures, operators rated handling features and safety using Likert scale forms. Two experienced evaluators independently assessed barrier adaptation quality on a scale from 1 (perfect) to 5 (unacceptable). The absolute risk of barrier-induced discomfort was recorded. Data were analyzed using Friedman and Chi-square tests (α = 0.05). Results Opaldam and Topdam received the highest scores in most handling features, except for removal, which was similar among all brands. No significant difference was observed in barrier adaptation quality between the evaluated brands. Discomforts were mainly reported in the upper dental arch, with Maxdam having the highest absolute risk (35% for this arch and 24% overall). Conclusions This study suggests that gingival barrier brands can influence operator perception and patient comfort. Opaldam and Topdam were preferred by operators, but all brands demonstrated comparable adaptation quality. Clinical trial registration The study was nested in a randomized clinical trial registered in the Brazilian Clinical Trials Registry under identification number RBR-9gtr9sc. |
| first_indexed | 2024-03-07T15:25:27Z |
| format | Article |
| id | doaj.art-112781b08e1d4a269f3d6a921acd5097 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-07T15:25:27Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-112781b08e1d4a269f3d6a921acd50972024-03-05T17:07:39ZengBMCBMC Oral Health1472-68312024-01-012411810.1186/s12903-024-03900-yEffect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trialTauan Rosa Santana0Paula Fernanda Damasceno Silva1Márcia Luciana Carregosa Santana2Clara Lemos Leal Barata de Mattos3Michael Willian Favoreto4Taynara de Souza Carneiro5Alessandra Reis6Alessandro Dourado Loguércio7Larissa Maria Assad Cavalcante8Luis Felipe Jochims Schneider9André Luis Faria-e-Silva10Graduate Program in Dentistry, Federal University of SergipeGraduate Program in Dentistry, Federal University of SergipeGraduate Program in Dentistry, Federal University of SergipeGraduate Program in Dentistry, Federal University of SergipeDepartment of Restorative Dentistry, State University of Ponta GrossaDepartment of Restorative Dentistry, State University of Ponta GrossaDepartment of Restorative Dentistry, State University of Ponta GrossaDepartment of Restorative Dentistry, State University of Ponta GrossaSchool of Dentistry, Federal Fluminense UniversitySchool of Dentistry, Federal Fluminense UniversityGraduate Program in Dentistry, Federal University of SergipeAbstract Background Light-cured resins are widely used as gingival barriers to protect the gums from highly concentrated peroxides used in tooth bleaching. The impact of barrier brand on clinical outcomes is typically considered negligible. However, there is limited evidence on the effects of different brands on operator experience, barrier adaptation, and patient comfort. Objective This clinical trial assessed the impact of four commercial gingival barrier brands (Opaldam, Topdam, Lysadam, and Maxdam) on operator perception, adaptation quality, and patient comfort. Methods Twenty-one undergraduate students placed gingival barriers in a randomized sequence using blinded syringes. Photographs of the barriers were taken from frontal and incisal perspectives. After bleaching procedures, operators rated handling features and safety using Likert scale forms. Two experienced evaluators independently assessed barrier adaptation quality on a scale from 1 (perfect) to 5 (unacceptable). The absolute risk of barrier-induced discomfort was recorded. Data were analyzed using Friedman and Chi-square tests (α = 0.05). Results Opaldam and Topdam received the highest scores in most handling features, except for removal, which was similar among all brands. No significant difference was observed in barrier adaptation quality between the evaluated brands. Discomforts were mainly reported in the upper dental arch, with Maxdam having the highest absolute risk (35% for this arch and 24% overall). Conclusions This study suggests that gingival barrier brands can influence operator perception and patient comfort. Opaldam and Topdam were preferred by operators, but all brands demonstrated comparable adaptation quality. Clinical trial registration The study was nested in a randomized clinical trial registered in the Brazilian Clinical Trials Registry under identification number RBR-9gtr9sc.https://doi.org/10.1186/s12903-024-03900-yClinical trialGingival barrierPatient-related outcomeTooth bleaching |
| spellingShingle | Tauan Rosa Santana Paula Fernanda Damasceno Silva Márcia Luciana Carregosa Santana Clara Lemos Leal Barata de Mattos Michael Willian Favoreto Taynara de Souza Carneiro Alessandra Reis Alessandro Dourado Loguércio Larissa Maria Assad Cavalcante Luis Felipe Jochims Schneider André Luis Faria-e-Silva Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial BMC Oral Health Clinical trial Gingival barrier Patient-related outcome Tooth bleaching |
| title | Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial |
| title_full | Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial |
| title_fullStr | Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial |
| title_full_unstemmed | Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial |
| title_short | Effect of gingival barrier brands on operator perception, cervical adaptation, and patient comfort during in-office tooth bleaching: a randomized clinical trial |
| title_sort | effect of gingival barrier brands on operator perception cervical adaptation and patient comfort during in office tooth bleaching a randomized clinical trial |
| topic | Clinical trial Gingival barrier Patient-related outcome Tooth bleaching |
| url | https://doi.org/10.1186/s12903-024-03900-y |
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