The effect of light on tooth whitening: a split-mouth design

Int J Dent Hyg. 2013 May;11(2):151-4. doi: 10.1111/j.1601-5037.2012.00568.x. Epub 2012 Jul 12.

Abstract

Objectives: Conflicting research exists on the effect that various lights have on in-office tooth whitening. The aim of this study was to determine whether a sodium arc bulb lamp used with 25% hydrogen peroxide shows significant differences in shade using a split-mouth design.

Methods: Forty-nine subjects meeting study criteria had anterior teeth whitened with a 25% hydrogen peroxide in-office whitening system. The light was used on a randomly selected right or left half of the mouth. The opposing side was whitening only with gel. Shades were recorded using a spectrophotometer before, immediately after, 1 and 2 weeks post-whitening. Sensitivity was also recorded using a visual analogue scale. Values were analysed with a Friedman test with a stepdown Bonferroni adjustment for multiple comparisons.

Results: All teeth increased in lightness after whitening procedures. The only significant differences between use of the light and without use of the light were on the maxillary arch 1 week after whitening (P = 0.010). Sensitivity was greatest immediately after whitening but subsided within 1 week of whitening.

Conclusions: The use of a sodium arc bulb lamp with 25% hydrogen peroxide in-office whitening produces better results on maxillary teeth up to 1 week after whitening is completed. Subjects could not distinguish differences on each side of the mouth.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Color
  • Dentin Sensitivity / classification
  • Female
  • Follow-Up Studies
  • Humans
  • Hydrogen Peroxide / therapeutic use*
  • Male
  • Phototherapy / instrumentation
  • Phototherapy / methods*
  • Spectrophotometry
  • Time Factors
  • Tooth / anatomy & histology
  • Tooth / drug effects
  • Tooth / radiation effects*
  • Tooth Bleaching / methods*
  • Tooth Bleaching Agents / therapeutic use*

Substances

  • Tooth Bleaching Agents
  • Hydrogen Peroxide