inflammatory response of human dental pulp to at-home and in-office tooth bleaching

inflammatory response of human dental pulp to at-home and in-office tooth bleaching

;Maysa Magalhães Vaz;Lawrence Gonzaga Lopes;Paula Carvalho Cardoso;João Batista de Souza;Aline Carvalho Batista;Nádia Lago Costa;Érica Miranda Torres;Carlos Estrela
journal of animal and plant sciences Vol. 24 pp. 509-517
245
vazjournalinflammatory

Abstract

ABSTRACT Tooth bleaching is a technique of choice to obtain a harmonious smile, but bleaching agents may damage the dental pulp. Objective: This study evaluated the inflammatory responses of human dental pulp after the use of two bleaching techniques. Material and Methods: Pulp samples were collected from human third molars extracted for orthodontic reasons and divided into three groups: control - no tooth bleaching (CG) (n=7); at-home bleaching with 15% carbamide peroxide (AH) (n = 10), and in-office bleaching with 38% hydrogen peroxide (IO) (n=12). Pulps were removed and stained with hematoxylin-eosin for microscopic analysis of inflammation intensity, collagen degradation, and pulp tissue organization. Immunohistochemistry was used to detect mast cells (tryptase+), blood vessels (CD31+), and macrophages (CD68+). Chi-square, Kruskal-Wallis, and Mann Whitney tests were used for statistical analysis. The level of significance was set at p<.05. Results: The inflammation intensity and the number of macrophages were significantly greater in IO than in AH and CG (p<0.05). The results of CD31+ (blood vessels per mm2) were similar in CG (61.39±20.03), AH (52.29±27.62), and IO (57.43±8.69) groups (p>0.05). No mast cells were found in the pulp samples analyzed. Conclusion: In-office bleaching with 38% hydrogen peroxide resulted in more intense inflammation, higher macrophages migration, and greater pulp damage then at-home bleaching with 15% carbamide peroxide, however, these bleaching techniques did not induce migration of mast cells and increased the number of blood vessels.

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ID: 135783
Ref Key: vazjournalinflammatory
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0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
135783
Unique Identifier:
10.1590/1678-775720160137
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Scimatic Chain (ID: 481)
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