Document Detail


The effect of bleachıng systems on the gingiva and the levels of IL-1β and IL-10 in gingival crevicular fluid.
MedLine Citation:
PMID:  21913862     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study aimed to evaluate the color change and clinical periodontal parameters and to analyze the interleukin–1 beta (IL-1β) and interleukin-10 (IL-10) levels in gingival crevicular fluid (GCF) of patients treated with different bleaching systems.
MATERIALS AND METHODS: According to pre-established criteria, 30 healthy volunteers were selected and randomly divided into three groups (n=10): G1, home bleaching (Opalescence 35% Carbamide Peroxide, CP); G2, chemically activated office bleaching (Opalescence Xtra Boost 38% Hydrogen Peroxide, HP); G3, light-activated office bleaching (Opalescence Xtra 35% HP). Treatments were applied according to the manufacturer's recommendations. After shade evaluation, clinical periodontal parameters were evaluated as follows: gingival index (GI), plaque index (PI), and bleeding on probing (BOP). GCF were collected from six maxillary sites per patient at baseline (T0), one day (T1) after bleaching treatments, and 15 days (T2) after bleaching treatments and analyzed for IL-1β and IL-10 by enzyme-linked immunosorbent assay. Data were subjected to statistical analysis (p<0.05).
RESULTS: Spectrophotometer readings exhibited significant differences among the groups (p<0.05). The ΔE values (color change) of G3 were statistically higher than the other groups (p<0.05). The PI of G3 after 15 days was significantly higher than the PI of G2 after 15 days (p<0.05). The GI of G2 was lower than that of G1 and G3 before bleaching (p<0.05). According to BOP, no significant differences were found among the groups at any time intervals (p>0.05). In G3, the total amount of IL-1β after 15 days was higher than the amount before bleaching (p<0.05). The IL-10 total amount and concentration levels did not exhibit any significant differences among the groups or by time (p>0.05).
CONCLUSION: Home and chemically activated bleaching systems could be considered as safer in tooth whitening and maintaining gingival health when compared with a light-activated bleaching system, which might lead to increased proinflammatory cytokine (IL-1β).
Authors:
E Firat; E Ercan; S Gurgan; Ozlem Ozer Yucel; F Yalcin Cakir; E Berker
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2011-09-13
Journal Detail:
Title:  Operative dentistry     Volume:  36     ISSN:  0361-7734     ISO Abbreviation:  Oper Dent     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2011-10-31     Completed Date:  2012-01-10     Revised Date:  2012-02-23    
Medline Journal Info:
Nlm Unique ID:  7605679     Medline TA:  Oper Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  572-80     Citation Subset:  D    
Affiliation:
Hacettepe University, Department of Restorative Dentistry, Ankara, Turkey. esra2915@mynet.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Dental Plaque Index
Female
Gingiva / drug effects*,  radiation effects*
Gingival Crevicular Fluid / chemistry
Humans
Hydrogen Peroxide / administration & dosage
Interleukin-10 / analysis
Interleukin-1beta / analysis*
Light / adverse effects
Male
Periodontal Index
Peroxides / administration & dosage
Spectrophotometry
Statistics, Nonparametric
Tooth Bleaching / adverse effects,  methods*
Tooth Bleaching Agents / administration & dosage
Tooth Discoloration / therapy
Urea / administration & dosage,  analogs & derivatives
Young Adult
Chemical
Reg. No./Substance:
0/Interleukin-1beta; 0/Peroxides; 0/Tooth Bleaching Agents; 124-43-6/carbamide peroxide; 130068-27-8/Interleukin-10; 57-13-6/Urea; 7722-84-1/Hydrogen Peroxide
Comments/Corrections
Erratum In:
Oper Dent. 2012 Jan-Feb;37(1):108
Note: Yucel, Ozlem Ozer [added]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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