Restorative Dentistry and Endodontics

  • 제31권4호
  • /
  • Pages.269-281
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  • 2006
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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2.9% 과산화수소를 함유한 부착형 미백제의 임상적 효능과 안전성에 관한 연구

A CLINICAL EVALUATION OF A BLEACHING STRIP CONTAINING 2.9% HYDROGEN PEROXIDE

  • 박은숙 (서울대학교 치과대학 치과보존학교실) ;
  • 성소래 (서울대학교 치과대학 치과보존학교실) ;
  • 홍성태 (서울대학교 치과대학 치과보존학교실) ;
  • 김지은 (서울대학교 치과대학 치과보존학교실) ;
  • 이소영 (서울대학교 치과대학 치과보존학교실) ;
  • 황수연 (서울대학교 치과대학 치과보존학교실) ;
  • 이신재 (서울대학교 치과대학 치과교정학교실) ;
  • 진보형 (서울대학교 치과대학 예방치학교실) ;
  • 손호현 (서울대학교 치과대학 치과보존학교실) ;
  • 조병훈 (서울대학교 치과대학 치과보존학교실)
  • Park Eun-Sook (Department of Conservative Dentistry, Seoul National University) ;
  • Seong So-Rae (Department of Conservative Dentistry, Seoul National University) ;
  • Hong Seong-Tae (Department of Conservative Dentistry, Seoul National University) ;
  • Kim Ji-Eun (Department of Conservative Dentistry, Seoul National University) ;
  • Lee So-Young (Department of Conservative Dentistry, Seoul National University) ;
  • Hwang Soo-Youn (Department of Conservative Dentistry, Seoul National University) ;
  • Lee Shin-Jae (Department of Orthodontics, Seoul National University) ;
  • Jin Bo-Hyoung (Department of Preventive Dentistry, School of Dentistry, Seoul National University) ;
  • Son Ho-Hyun (Department of Conservative Dentistry, Seoul National University) ;
  • Cho Byeong-Hoon (Department of Conservative Dentistry, Seoul National University)
  • 발행 : 2006.07.01
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초록

2.9%의 과산화수소를 함유한 시험용 부착형 미백제 (Medison dental whitening strip, Samsung medical Co., Anyang, Korea)를 실험군 피험자 23명, 시험용 미백제에서 과산화수소를 제외한 동일한 제재를 대조약으로 대조군 피험자 24명에게 매일 1시간 30분씩, 2주간 적용하여 임상적 효능과 안전성을 평가하였다. 미백 효과는 Shade Vision, Chroma Meter 및 Vitapan classical shade guide를 이용하여 색변화를 측정하여 다음과 같은 결론을 얻었다. 1. 실험군에서의 전체 치아의 색변화량 $({\Delta}E^{*})$은 세 가지 측정법에서 모두 대조군에 비해 통계적으로 유의한 차이를 보였고 (p < 0.05), 쉽게 인지할 수 있는 정도였다. 2. 색변화는 색좌표 상에서 병도의 증가와 녹색조 및 청색조로의 변화에 의해 얻어졌다. 3. 치아별로는 어두운 견치의 색변화량이 가장 컸고, 측절치, 중절치 순으로 감소하였다. 4. 47명의 피험자 중 5명이 경도의 과민증을 경험하였으나 곧 완화되었고, 치은염증지수와 전기치수검사 결과 시험 전후에 차이가 없어 안전성을 확인하였다.

This study evaluated the effectiveness and safety of an experimental bleaching strip (Medison dental whitening strip. Samsung medical Co., Anyang, Korea) containing 2.9% hydrogen peroxide. Twenty-three volunteers used the bleaching strips for one and a half hour daily for 2 weeks. As control group. the same strips in which hydrogen peroxide was not included were used by 24 volunteers with the same protocol. The shade change (${\Delta}E^{*}$, color difference) of twelve anterior teeth was measured using Shade Vision (X-Rite Inc., S.W. Grandville, MI, USA). Chroma Meter (Minolta Co., Ltd. Osaka. Japan) and Vitapan classical shade guide (Vita Zahnfabrik, Germany). The shade change of overall teeth in the experimental group was significantly greater than that in the control group (p < 0.05) and was easily perceivable. The change resulted from the increase of lightness (CIE $L^{*}$ value) and the decrease of redness (CIE $a^{*}$ value) and yellowness (CIE $b^{*}$ value). The shade change of individual tooth was greatest in canine. and smallest in central incisor. The safety of the bleaching strip was also confirmed.

키워드

참고문헌

  1. Brown G. Factors influencing successful bleaching of the discolored root-filled tooth. Oral Surgery 20:238-244, 1965 https://doi.org/10.1016/0030-4220(65)90197-0
  2. 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 4:23-26, 1988 https://doi.org/10.1111/j.1600-9657.1988.tb00288.x
  3. Nathoo SA. The chemistry and mechanisms of extrinsic and intrinsic discoloration. J Am Dent Assoc 128 suppl: 6S-10S. 1997
  4. Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int 20:173-176.1989
  5. Haywood VB. Heymann HO. Nightguard vital bleaching: how safe is it? Quintessence Int 22:515-523, 1991
  6. 박상현, 문혁수, 한수부, 가정용치아미백제로서의 6% 과산화수소욕액의 효과와 안전성. 대한치주과학회지 24:433-440, 1994
  7. 박덕영, 정세환, 마득상, 장석윤, 윤세영. 2.6% hydrogen peroxide 부착대 (strip) 의 치아미백효과에 관한 실용실험연구, 대한구강보건학회지 26: 385-396, 2002
  8. Gerlach RW, Gibb RD, Sagel FA. A randomized clinical trial comparing a novel 5.3 % hydrogen peroxide whitening strip to 10%, 15%, and 20% carbamide peroxide tray-based bleaching systems. Compend Contin Educ Dent 21:S22-S28, 2000
  9. O'Brien WJ, Groh CL, Boenke KM. A new, small-color-difference equation for dental shades. J Dent Res 69:1762-1764,1990 https://doi.org/10.1177/00220345900690111001
  10. Seghi RR, Gritz MD, Kim J. Colorimetric changes in composites resulting from visible-light-initiated polymerization. Dent Mater 6:133-137, 1990 https://doi.org/10.1016/S0109-5641(05)80044-2
  11. Asmussen E. An accelerated test for color stability of restorative resins. Acta Odontol Scnad 39:329-332, 1982
  12. Gross MD, Moser JB. A colorimetric study of coffee and tea staining of four composite resins. J Oral Rehabil 4:311-322, 1977 https://doi.org/10.1111/j.1365-2842.1977.tb00997.x
  13. Ruyter IE, Nilner K, Moller B. Color stability of dental composite resin materials for crown and bridge veneers. Dent Mater 3:246-251, 1987 https://doi.org/10.1016/S0109-5641(87)80081-7
  14. Al Shethri S, Matis BA, Cochran MA, Zekonis R, Stropes M. A clinical evaluation of two in-office bleaching products. Oper Dent 28:488-495, 2003
  15. Zekonis R, Matis BA, Cochran MA, Al Shethri SE, Eckert GJ, Carlson TJ. Clinical evaluation of in-office and at-home bleaching treatments. Oper Dent 29: 114- 121, 2003
  16. Sulieman M, Addy M, Rees JS. Development and evaluation of a method in vitro to study the effectiveness of tooth bleaching. J Dent 31 :415-422, 2003 https://doi.org/10.1016/S0300-5712(03)00069-1
  17. Tavares M, Stultz J, Bewman M, Smith V, Kent R, Carpino E, Goodson JM. Light augments tooth whitening with peroxide. J Am Dent Assoc 134:167-175, 2003 https://doi.org/10.14219/jada.archive.2003.0130

피인용 문헌

  1. Clinical study of shade improvement and safety of polymer-based pen type BlancTic Forte whitening agent containing 8.3% Carbamide peroxide vol.34, pp.2, 2009, https://doi.org/10.5395/JKACD.2009.34.2.154
  2. Effect of the bleaching light on whitening efficacy vol.34, pp.2, 2009, https://doi.org/10.5395/JKACD.2009.34.2.095
  3. A clinical evaluation of efficacy of an office bleaching gel containing 30% hydrogen peroxide vol.35, pp.1, 2010, https://doi.org/10.5395/JKACD.2010.35.1.040
  4. The evaluation of clinical efficacy and longevity of home bleaching without combined application of In-office bleaching vol.35, pp.5, 2010, https://doi.org/10.5395/JKACD.2010.35.5.387
  5. Effects of a whitening strip combined with a desensitizing primer on tooth color vol.40, pp.1, 2016, https://doi.org/10.11149/jkaoh.2016.40.1.31