Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching

Dental bleaching has become one of the most frequently requested esthetic treatments in dental offices. Despite the high clinical success observed with this procedure, some adverse effects have been reported, including a potential for developing premalignant lesions, root resorption and tooth sensit...

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Main Authors: Aline Ferreira de ALMEIDA, Eliana do Nascimento TORRE, Maicon dos Santos SELAYARAN, Fábio Renato Manzolli LEITE, Flávio Fernando DEMARCO, Alessandro Dourado LOGUERCIO, Adriana ETGES
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2015-01-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242015000100217&lng=en&tlng=en
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author Aline Ferreira de ALMEIDA
Eliana do Nascimento TORRE
Maicon dos Santos SELAYARAN
Fábio Renato Manzolli LEITE
Flávio Fernando DEMARCO
Alessandro Dourado LOGUERCIO
Adriana ETGES
author_facet Aline Ferreira de ALMEIDA
Eliana do Nascimento TORRE
Maicon dos Santos SELAYARAN
Fábio Renato Manzolli LEITE
Flávio Fernando DEMARCO
Alessandro Dourado LOGUERCIO
Adriana ETGES
author_sort Aline Ferreira de ALMEIDA
collection DOAJ
description Dental bleaching has become one of the most frequently requested esthetic treatments in dental offices. Despite the high clinical success observed with this procedure, some adverse effects have been reported, including a potential for developing premalignant lesions, root resorption and tooth sensitivity, especially when misused. The aim of this study was to evaluate the genotoxic response using a micronucleus (MN) assay, after the application of two concentrations of carbamide peroxide. Thirty-seven patients were divided into two groups and randomly received either a 10% carbamide peroxide (CP) (19) or a 16% carbamide peroxide (18) concentration for 21 days in individual dental trays. Gingival margin cells were collected immediately before the first use (baseline), and then 15 and 45 days after baseline. The cells were placed on a histological slide, stained by the Feulgen technique, and evaluated by an experienced blinded examiner. One thousand cells per slide were counted, and the MN rate was determined. The two groups were analyzed by the Wilcoxon rank-sum test and the Kruskal-Wallis equality-of-populations rank test. A slight increase in MN was observed for both groups, in comparison with the baseline, at 15 days. However, no difference was observed between the two groups (10% and 16%), at either 15 or 45 days (p = 0.90). When bleaching is not prolonged or not performed very frequently, bleaching agents containing carbamide peroxide alone will not cause mutagenic stress on gingival epithelial cells.
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spelling doaj.art-fe974d209d3948548d17595c9015358d2022-12-21T19:15:07ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072015-01-012911710.1590/1807-3107BOR-2015.vol29.0021S1806-83242015000100217Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleachingAline Ferreira de ALMEIDAEliana do Nascimento TORREMaicon dos Santos SELAYARANFábio Renato Manzolli LEITEFlávio Fernando DEMARCOAlessandro Dourado LOGUERCIOAdriana ETGESDental bleaching has become one of the most frequently requested esthetic treatments in dental offices. Despite the high clinical success observed with this procedure, some adverse effects have been reported, including a potential for developing premalignant lesions, root resorption and tooth sensitivity, especially when misused. The aim of this study was to evaluate the genotoxic response using a micronucleus (MN) assay, after the application of two concentrations of carbamide peroxide. Thirty-seven patients were divided into two groups and randomly received either a 10% carbamide peroxide (CP) (19) or a 16% carbamide peroxide (18) concentration for 21 days in individual dental trays. Gingival margin cells were collected immediately before the first use (baseline), and then 15 and 45 days after baseline. The cells were placed on a histological slide, stained by the Feulgen technique, and evaluated by an experienced blinded examiner. One thousand cells per slide were counted, and the MN rate was determined. The two groups were analyzed by the Wilcoxon rank-sum test and the Kruskal-Wallis equality-of-populations rank test. A slight increase in MN was observed for both groups, in comparison with the baseline, at 15 days. However, no difference was observed between the two groups (10% and 16%), at either 15 or 45 days (p = 0.90). When bleaching is not prolonged or not performed very frequently, bleaching agents containing carbamide peroxide alone will not cause mutagenic stress on gingival epithelial cells.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242015000100217&lng=en&tlng=enTooth BleachingPeroxidesCytologyMicronucleus Tests
spellingShingle Aline Ferreira de ALMEIDA
Eliana do Nascimento TORRE
Maicon dos Santos SELAYARAN
Fábio Renato Manzolli LEITE
Flávio Fernando DEMARCO
Alessandro Dourado LOGUERCIO
Adriana ETGES
Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching
Brazilian Oral Research
Tooth Bleaching
Peroxides
Cytology
Micronucleus Tests
title Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching
title_full Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching
title_fullStr Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching
title_full_unstemmed Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching
title_short Genotoxic potential of 10% and 16% Carbamide Peroxide in dental bleaching
title_sort genotoxic potential of 10 and 16 carbamide peroxide in dental bleaching
topic Tooth Bleaching
Peroxides
Cytology
Micronucleus Tests
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242015000100217&lng=en&tlng=en
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