Overview

Light Augments Tooth Whitening With Peroxide

JADA 2003;134(2):167-75.

Background
The authors tested the adjunctive use of light with a 15 percent peroxide gel as a single-visit, in-office tooth whitening system.

Methods
Subjects (N=87) with stained (>shade D4, Vita Zahnfabrik, Bad Säckingen, Germany) anterior teeth were randomly assigned to test (peroxide and light), peroxide control (peroxide gel) or light control (placebo gel and light) groups and were treated for 1 hour. The researchers evaluated tooth shade, color and subject response at baseline and post treatment and at three and six months post treatment.

Results
The initial shade unit reduction of combined light and peroxide treatment (8.4) was greatest compared with that of peroxide alone (5.9) and of light alone (4.9). Approximately 88 percent of these effects persisted for six months. Lightness was increased and yellowness decreased to a significantly greater extent in the test group than in either control. These findings were corroborated by subject evaluation. One week after treatment, moderate to greatly increased tooth sensitivity occurred in 20 percent of test subjects, 21.7 spercent of peroxide control subjects and none of the light control subjects. Neither tooth sensitivity nor gingival redness was present at the three and six month visits.

Conclusions
Peroxide and light treatment significantly lightened the color of teeth to a greater extent than did peroxide or light alone, with a low and transient incidence of tooth sensitivity.

Clinical Implications
Light can increase the tooth-whitening effect of peroxide, thereby increasing the effectiveness of tooth-whitening procedures.

Tavares M, Newman , Smith V et al. Light augments tooth whitening with peroxide.
JADA 2003;134(2):167-75. Copyright © 2003 American Dental Association. All rights reserved. Table of Contents Page on the ADA.org Web site and follow the instructions to view the article in the February 2003 archive section. Please note that ADA members and JADA paid subscribers have full access free of charge, while all other visitors must pay an access fee per Journal article.