JKAOH Journal of Korean Academy of Oral Health

ISSN(Print) 1225-388X ISSN(Online) 2093-7784


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Original Article

Journal of Korean Academy of Oral Health 2015; 39(1): 3-8

Published online March 30, 2015 https://doi.org/10.11149/jkaoh.2015.39.1.3

Copyright © Journal of Korean Academy of Oral Health.

Tooth color reduction and consequent patient satisfaction after office and home bleaching: a 6-month follow-up study

Hyo-Jin Goo1, Hyeon-Sook Kwun1, Jeong-Hee Park1, Min-Jeong Cho2, Eun-Kyong Kim3, Youn-Hee Choi2, Keun-Bae Song2

1Department of Dental Hygiene, Masan University, Changwon, 2Department of Preventive Dentistry, Kyungpook National University School of Dentistry, Daegu, 3Department of Dental Hygiene, College of Science &Technology, Kyungpook National University, Sangju, Korea

Received: June 2, 2014; Revised: January 10, 2015; Accepted: February 13, 2015


Objectives: The quest for a happy life is accompanied by an increase in social activities, living standards, and socioeconomic development, with individuals showing increased interest in health and esthetics. In the field of dentistry, not only prevention and treatment but also esthetics is gaining popularity. The aim of this study was to identify tooth color reduction and consequent patient satisfaction over a period of 6 months after office and home bleaching. Methods: Thirty subjects were divided using the convenience sampling method into two groups based on the bleaching agent used: 10% carbamide peroxide (CP10; home bleach) and 15% hydrogen peroxide (office bleach). CP10 was used at home in a tray for 2 h/day over 14 days, while 15% hydrogen peroxide was light-activated for 15 min, three times/session (total, 45 min). A control set of teeth without any bleaching treatment was used as reference. Shade evaluation was conducted using the Shade Eye
NCC at baseline, 1 week, and 1 and 6 months after bleaching. Data were analyzed using the Mann-Whitney U test and the nonparametric Friedman test. Results: There were significant differences in tooth color before and after bleaching in both the home and office bleach groups, although intergroup differences were not observed. Although b* values after bleaching were lower than the original values, only slight tooth color reduction was observed at 6 months. ΔE*, which represents the overall change in color, at 1 and 6 months after bleaching was
significantly different from that at baseline in the home bleach group, while it showed no significant differences in the office bleach group. According to a patient satisfaction survey, patient satisfaction significantly increased over time in the home bleach group, although it did not differ significantly between groups. Conclusions: Tooth whitening was observed after bleaching in both groups. However, slight color reduction was observed at 6 months after bleaching, and complete restoration to the color before bleaching did not occur; therefore, long-term observation of color reduction is required.

Keywords: Color reduction, Patient satisfaction, Tooth bleaching