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Article

Effect of 10% Carbamide Peroxide on Tooth Shade, Plaque Index and Gingival Index during Invisalign Treatment

1
College of Dental Medicine, Western University of Health Sciences, 309 E. Second Street, Pomona, CA 91766-1854, USA
2
Eastman Institute for Oral Health, Orthodontic Residency Program, University of Rochester, Rochester, NY 14620, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Nikolaos Gkantidis
Received: 9 April 2021 / Revised: 22 April 2021 / Accepted: 23 April 2021 / Published: 26 April 2021
Invisalign has improved periodontal health in comparison to traditional metal wire braces. Due to a growing interest in attaining better teeth esthetics, there are more adults seeking Invisalign treatment. Ten percent carbamide peroxide (CP) breaks down to 6.5% urea and 3.5% hydrogen peroxide, which elevates oral pH, removes stains, and diminishes caries by inhibiting plaque formation. The aim of this study is to investigate whether 10% CP use during Invisalign treatment can enhance tooth shade esthetics while decreasing plaque levels and improving gingival health indices. Twenty-eight patients at Western University dental center undergoing Invisalign were assigned to two groups where the experimental group applied daily bleaching material (10% CP, Ultradent Inc., South Jordan, UT, USA), while the control group did not for 4 weeks. Tooth shade, plaque index (PI), and gingival index (GI) were assessed at baseline and in 2-week intervals for 6 weeks. Results showed that 10% CP had significant change in tooth shade over the 2- and 4-weeks periods (p < 0.05) and significantly reduced plaque and gingival indices (p < 0.05), with minimal to no relapse after 2 weeks post-op. Thus, applying CP at 10% may be a useful application during Invisalign treatment in improving teeth shade and overall gingival health. View Full-Text
Keywords: gingival index; plaque index; carbamide peroxide; Invisalign gingival index; plaque index; carbamide peroxide; Invisalign
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MDPI and ACS Style

Seleem, D.; Dadjoo, S.; Ha, A.; Santos, C.; Mirfarsi, S.; Matsumura-Lem, K.; Lazarchik, D. Effect of 10% Carbamide Peroxide on Tooth Shade, Plaque Index and Gingival Index during Invisalign Treatment. Dent. J. 2021, 9, 48. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9050048

AMA Style

Seleem D, Dadjoo S, Ha A, Santos C, Mirfarsi S, Matsumura-Lem K, Lazarchik D. Effect of 10% Carbamide Peroxide on Tooth Shade, Plaque Index and Gingival Index during Invisalign Treatment. Dentistry Journal. 2021; 9(5):48. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9050048

Chicago/Turabian Style

Seleem, Dalia, Shaahin Dadjoo, Ambrose Ha, Caitlyn Santos, Sahar Mirfarsi, Karen Matsumura-Lem, and David Lazarchik. 2021. "Effect of 10% Carbamide Peroxide on Tooth Shade, Plaque Index and Gingival Index during Invisalign Treatment" Dentistry Journal 9, no. 5: 48. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9050048

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