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Catalysis-based approaches with biopolymers and violet LED to improve in-office dental bleaching.

Rafael Antonio de Oliveira RibeiroBeatriz Voss MartinsMarlon Ferreira DiasVictória PeruchiIgor Paulino Mendes SoaresCaroline AnselmiJosimeri HeblingCarlos Alberto de Souza Costa
Published in: Lasers in medical science (2024)
This in vitro experimental investigation aimed to evaluate the impact of the combined application of a nanofiber scaffold (NS), a polymeric catalyst primer (PCP) containing 10 mg/mL of heme peroxidase enzyme, and violet LED (LEDv) on the esthetic efficacy (EE), trans-amelodentinal cytotoxicity (TC), and procedural duration of conventional in-office bleaching therapy. To achieve this, 96 standardized enamel/dentin discs were individually placed in artificial pulp chambers. A 35% hydrogen peroxide (H 2 O 2 ) bleaching gel was administered for 45, 30, or 15 min to the enamel, either previously coated with NS + PCP or left uncoated, followed by irradiation with LEDv for 15 min or no irradiation. The established groups were as follows: G1, negative control (no treatment); G2, 35% H 2 O 2 /45 min; G3, NS + PCP + LEDv; G4, NS + PCP + 35%H 2 O 2 /45 min + LEDv; G5, NS + PCP + 35%H 2 O 2 /30 min + LEDv; and G6, NS + PCP + 35%H 2 O 2 /15 min + LEDv. Extracts (culture medium + gel components diffused through the discs) were collected and applied to odontoblast-like MDPC-23 cells. EE (ΔE 00 and ΔWI) and TC were assessed using ANOVA/Tukey analysis (p < 0.05). The EE analysis revealed no statistical differences between G6 and G2 (p > 0.05). Cells in G6 exhibited higher viability and lower oxidative stress compared to other bleached groups (p < 0.05). In conclusion, employing NS + PCP + LEDv to catalyze a 35%H 2 O 2 bleaching gel applied for 15 min to the enamel resulted in successful esthetic improvements and reduced the cytotoxicity commonly linked with traditional in-office bleaching procedures.
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