Clareamento para dentes despolpados: revisão de literatura e considerações

Autores

  • Juliana Maria Capelozza Boaventura UNESP
  • Andiara Ribeiro Roberto UNESP
  • João Paulo Martins de Lima UNESP
  • Gislaine Cristina Padovani UNESP
  • Luis César Brisighello USP
  • Marcelo Ferrarezi de Andrade UNESP

DOI:

https://doi.org/10.26843/ro_unicid.v24i2.363

Palavras-chave:

Clareamento dental, Dente não vital, Reabsorção da raiz, Peróxido de hidrogênio.

Resumo

A estética dos dentes não é privilégio dos dias atuais, pois preocupações nesse sentido têm sido relatadas desde 1860. Diante de um dente tratado endodonticamente e que apresenta qualquer tipo de escurecimento dental, o profissional pode lançar mão do clareamento intracoronário, que é a tentativa mais conservadora de restabelecer a cor normal dos dentes. O clareamento objetiva remover pigmentos por meio de agentes oxidantes e para isso foram desenvolvidas diversas técnicas. Entre os riscos do clareamento dental, o mais grave é a reabsorção cervical externa, que ocorre quando o produto clareador penetra através dos túbulos dentinários ao ligamento periodontal e inicia a reação inflamatória. Para evitar que ocorra tal reabsorção, é necessária a colocação de uma base protetora cervical.

Downloads

Não há dados estatísticos.

Referências

Ho S, Goerig AC. An in vitro comparison of different bleaching agents in the discolored tooth. J endod 1989 Mar;15(3):106-11.

Haywood VB. History, safety, and effectiveness of current bleaching techniques and applications of the nightguard vital bleaching technique. Quintessence int 1992 Jul;23(7):471-88.

Lee GP, Lee MY, Lum SO, Poh RS, Lim KC. Extraradicular diffusion of hydrogen peroxide and pH changes associated with intracoronal bleaching of discoloured teeth using different bleaching agents. int endod J 2004 Jul;37(7):500-6.

Liebenberg WH. Intracoronal lightening of discolored pulpless teeth: a modified walking bleach technique. Quintessence int 1997 Dec;28(12):771-7.

de Oliveira LD, Carvalho CA, Hilgert E, Bondioli IR, de Araujo MA, Valera MC. Sealing evaluation of the cervical base in intracoronal bleaching. dent traumatol 2003 Dec;19(6):309-13

Harrington GW, Natkin E. External resorption associated with bleaching of pulpless teeth. J endod 1979 Nov;5(11):344-8.

Friedman S, Rotstein I, Libfeld H, Stabholz A, Heling I. Incidence of external root resorption and esthetic results in 58 bleached pulpless teeth. endod dent traumatol 1988 Feb;4(1):23-6.

McQuillen J. Bleaching discolored teeth. dent cosmos 1867 8(9):457

Woodnutt C. Discoloration of dentine. dent cosmos 1860 2(12):662.

Chapple J. Restoring discolored teeth to normal. dent cosmos 1877 19(9):499. 11. Westlake A. Bleaching teeth by eletricy. amer J dental science 1985 29(1):101.

Abbot C. Bleaching discolored teeth by means of the 30 per cent perhidrol and electric light rays. J allied dental society 1918 13(3):259.

Prinz H. Recent improvements in tooth bleaching: a clinical syllabus. dent cosmos 1924 66(6):558-60.

Salvas J. Perborate as a bleaching agent. J amer dent assoc 1938 25(4):324.

Grossman L. Root canal therapy. Philadelphia: Lea & Febiger; 1946.

Spasser H. A simple bleaching technique using sodium perborate. state dent J 1961 27(9):332-4.

Nutting EB, Poe GS. Chemical bleaching of discolored endodontically treated teeth. dent clin north am 1967 Nov;655-62.

Bartlett D. Bleaching discoloured teeth. dent update 2001 Jan-Feb;28(1):14-8.

Settembrini L, Gultz J, Kaim J, Scherer W. A technique for bleaching nonvital teeth: inside/outside bleaching. J am dent assoc 1997 Sep;128(9):1283-4.

Andrade M, Huck C, Flores V. Clareamento dental: o clareamento à luz da ciência. In: Leonardo M. Endodntia: tratamento de canais radiculares, princípios técnicos e biológicos. São Paulo: Artes Médias; 2005. p. 1345-92.

Carrasco LD, Zanello Guerisoli DM, Pecora JD, Froner IC. Evaluation of dentin permeability after light activated internal dental bleaching. dent traumatol 2007 Feb;23(1):30-4.

Ari H, Ungor M. In vitro comparison of different types of sodium perborate used for intracoronal bleaching of discoloured teeth. int endod J 2002 May;35(5):433-6.

Heller D, Skriber J, Lin LM. Effect of intracoronal bleaching on external cervical root resorption. J endod 1992 Apr;18(4):145-8.

Trope M. Cervical root resorption. J am dent assoc 1997 Apr;128 Suppl(56S-9S.

Lado EA, Stanley HR, Weisman MI. Cervical resorption in bleached teeth. oral surg oral Med oral pathol 1983 Jan;55(1):78-80.

Vaes G. On the mechanisms of bone resorption. The action of parathyroid hormone on the excretion and synthesis of lysosomal enzymes and on the extracellular release of acid by bone cells. J cell Biol 1968 Dec;39(3):676-97.

Dahlstrom SW, Heithersay GS, Bridges TE. Hydroxyl radical activity in thermo-catalytically bleached root-filled teeth. endod dent traumatol 1997 Jun;13(3):119-25.

Plotino G, Buono L, Grande NM, Pameijer CH, Somma F. Nonvital tooth bleaching: a review of the literature and clinical procedures. J endod 2008 Apr;34(4):394-407.

Roberto A. Influência da aplicação de diferentes procedimentos restauradores na resistência à fratura de dentes submetidos ao clareamento dental interno com peróxido de hidrogênio a 38% e fotoativação pelo sistema LED-laser [Dissertação]. Ribeirão Preto: Universidade de Ribeirão Preto; 2008.

Spalding M, Taveira LA, de Assis GF. Scanning electron microscopy study of dental enamel surface exposed to 35% hydrogen peroxide: alone, with saliva, and with 10% carbamide peroxide. J esthet restor dent 2003 15(3):154-64; discussion 65.

Marson FC, Sensi LG, Arruda T. Efeito do clareamento dental sobre a resistência adesiva do esmalte rgo (Porto Alegre) 2008 jan.-mar. ;56(1):33-7.

Barbosa CM, Sasaki RT, Florio FM, Basting RT. Influence of time on bond strength after bleaching with 35% hydrogen peroxide. J contemp dent pract 2008 9(2):81-8.

Rotstein I, Lehr Z, Gedalia I. Effect of bleaching agents on inorganic components of human dentin and cementum. J endod 1992 Jun;18(6):290-3.

Carrasco LD, Froner IC, Corona SA, Pecora JD. Effect of internal bleaching agents on dentinal permeability of non-vital teeth: quantitative assessment. dent traumatol 2003 Apr;19(2):85-9.

Oliveira DP, Gomes BP, Zaia AA, Souza-Filho FJ, Ferraz CC. In vitro assessment of a gel base containing 2% chlorhexidine as a sodium perborate's vehicle for intracoronal bleaching of discolored teeth. J endod 2006 Jul;32(7):672-4

Valera MC, Camargo CH, Carvalho CA, de Oliveira LD, Camargo SE, Rodrigues CM. Effectiveness of carbamide peroxide and sodium perborate in non-vital discolored teeth. J appl oral sci 2009 May-Jun;17(3):254-61.

de Souza-Zaroni WC, Lopes EB, Ciccone-Nogueira JC, Silva RC. Clinical comparison between the bleaching efficacy of 37% peroxide carbamide gel mixed with sodium perborate with established intracoronal bleaching agent. oral surg oral Med oral pathol oral radiol endod 2009 Feb;107(2):e43-7.

Rotstein I. In vitro determination and quantification of 30% hydrogen peroxide penetration through dentin and cementum during bleaching. oral surg oral Med oral pathol 1991 Nov;72(5):602-6.

Shinohara MS, Rodrigues JA, Pimenta LA. In vitro microleakage of composite restorations after nonvital bleaching. Quintessence int 2001 May;32(5):413-7.

Crim GA. Prerestorative bleaching: effect on microleakage of Class V cavities. Quintessence int 1992 Dec;23(12):823-5.

Ulukapi H, Benderli Y, Ulukapi I. Effect of pre- and postoperative bleaching on marginal leakage of amalgam and composite restorations. Quintessence int 2003 Jul-Aug;34(7):505-8.

Titley KC, Torneck CD, Smith DC, Adibfar A. Adhesion of composite resin to bleached and unbleached bovine enamel. J dent res 1988 Dec;67(12):1523-8.

Torneck CD, Titley KC, Smith DO, Adibfar A. Effect of water leaching the adhesion of composite resin to bleached and unbleached bovine enamel. J endod 1991 Apr;17(4):156-60.

Downloads

Publicado

2017-12-05

Edição

Seção

Artigos originais / Original Articles