Tooth whitening: what we now know.
Tooth whitening: what we now know.
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DOI：
10.1016/j.jebdp.2014.02.006
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Carey CM
中科院分区：
文献类型：
--
作者：
Carey CM
目前关于牙齿美白的研究表明，当遵循制造商的协议时，它是安全有效的，但也有专业人士和用户应该意识到的风险。本更新提供了当前研究的总结和牙齿美白方案的安全性和有效性的评估。牙齿美白已成为公众最常要求的牙科手术之一。公众已经开始要求更白，更完美的微笑，并在响应许多牙齿美白的选择已经提供。这些包括家用产品，如牙膏，凝胶和薄膜，以及基于办公室的系统，其中含有高浓度漂白剂的产品在专业监督下使用。专业人士和公众已经意识到与牙齿美白相关的某些风险，例如牙齿敏感性增加和牙龈刺激。新的研究表明，还有其他风险，如牙齿表面粗糙和软化，增加脱矿的可能性，牙齿漂白剂的降解，以及牙齿漂白剂不可接受的颜色变化。这项新研究还专注于优化美白程序，以降低牙齿敏感度并增加美白的持久性。目前文献中的报告进行了审查，涉及到使用过氧化物为基础的美白方法。这些报告包括方法优化和机制的体外研究以及各种美白方案效果的临床研究。当遵循制造商的说明时，过氧化氢和过氧化脲基牙齿美白是安全有效的。患者应被告知与牙齿美白相关的风险，并指导他们识别不良事件，以便他们在需要时寻求专业帮助。
Current research about tooth whitening shows that it is safe and effective when manufacturer’s protocol is followed, yet there are risks of which the profession and users should be aware. This update provides a summary of current research and assessment of the safety and efficacy of tooth whitening regimens. Tooth whitening has become one of the most frequently requested dental procedures by the public. The public has come to demand whiter, more perfect smiles and in response many choices for tooth whitening have been made available. These include home-based products such as toothpastes, gels, and films, as well as in-office based systems where products containing highly concentrated bleaching agents are applied under professional supervision. The profession and public have been aware of certain risks related to tooth whitening such as increased tooth sensitivity and gingival irritation. New research has shown that there are other risks such as tooth surface roughening and softening, increased potential for demineralization, degradation of dental restorations, and unacceptable color change of dental restorations. The new research is also focused on optimizing whitening procedures to reduce tooth sensitivity and to increase the persistence of the whitening. Current reports in the literature are reviewed that are related to the use of peroxide based whitening methods. These reports include in vitro studies for method optimization and mechanism as well as clinical studies on effects of various whitening regimens. When manufacturer’s instructions are followed, hydrogen peroxide and carbamide peroxide based tooth whitening is safe and effective. Patients should be informed of the risks associated with tooth whitening and instructed on identification of adverse occurrences so that they may seek professional help asneeded.
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影响因子：
2.2
作者：
Bernardon, J. K.;Sartori, N.;Baratieri, L. N.
通讯作者：
Baratieri, L. N.
影响因子：
14.9
作者：
Shi, Xin-Chang;Ma, He;Zhou, Jing-Lin;Li, Wei
通讯作者：
Li, Wei
影响因子：
4.4
作者：
Bonafe, Elize;Bacovis, Camila Lais;Kossatz, Stella
通讯作者：
Kossatz, Stella
影响因子：
3.4
作者：
Wiegand, Annette;Drebenstedt, Steffi;Attin, Thomas
通讯作者：
Attin, Thomas
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影响因子：
4.4
作者：
Yu, Hao;Li, Qing;Cheng, Hui
通讯作者：
Cheng, Hui