Can carbamide peroxide be as effective as hydrogen peroxide for in-office tooth bleaching and cause less sensitivity? A systematic review.

Autor:	de Boa PWM; Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil., Santos KS; Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil., de Oliveira FJD; Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil., Borges BCD; Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.
Jazyk:	angličtina
Zdroj:	Restorative dentistry & endodontics [Restor Dent Endod] 2024 Mar 20; Vol. 49 (2), pp. e14. Date of Electronic Publication: 2024 Mar 20 (Print Publication: 2024).
DOI:	10.5395/rde.2024.49.e14
Abstrakt:	This study aimed to answer the question through a systematic review: Can carbamide peroxide be as effective as hydrogen peroxide and cause less in-office bleaching sensitivity? A literature survey was performed in PubMed/MEDLINE, Embase, Scopus, ISI Web of Science, and gray literature. Primary clinical trials that compared the efficacy or the in-office bleaching sensitivity between carbamide and hydrogen peroxides were included. The risk of bias was evaluated using the RoB2. The certainty of the evidence was assessed using the GRADE approach. DPI training significantly improved the mean scores of the dental undergraduates from 7.53 in the pre-DPI-training test to 9.01 in the post-DPI-training test ( p < 0.001). After 6 weeks, the mean scores decreased marginally to 8.87 in the retention test ( p = 0.563). DPI training increased their confidence level from 5.68 pre-DPI training to 7.09 post-DPI training. The limited evidence suggests that the 37% carbamide peroxide may be similarly effective to the 35% hydrogen peroxide for bleaching teeth in-office and causes less bleaching sensitivity. However, more well-designed split-mouth clinical trials are necessary to strengthen the evidence. Competing Interests: Conflict of Interest: No potential conflict of interest relevant to this article was reported. (Copyright © 2024. The Korean Academy of Conservative Dentistry.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu