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11.12.2017 | Original Article

Influence of different types of light on the response of the pulp tissue in dental bleaching: a systematic review

verfasst von: Francine Benetti, Cleidiel Aparecido Araújo Lemos, Marjorie de Oliveira Gallinari, Amanda Miyuki Terayama, André Luiz Fraga Briso, Rogério de Castilho Jacinto, Gustavo Sivieri-Araújo, Luciano Tavares Angelo Cintra

Erschienen in: Clinical Oral Investigations | Ausgabe 4/2018

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Abstract

Objectives

This systematic review (PROSPERO register: CRD42016053140) investigated the influence of different types of light on the pulp tissue during dental bleaching.

Materials and methods

Two independent authors conducted a systematic search and risk of bias evaluations. An electronic search was undertaken (PubMed/Medline, Embase, The Cochrane Library, and other databases) until May 2017. The population, intervention, comparison, outcomes (PICO) question was: “Does the light in dental bleaching change the response of the pulp to the bleaching procedure?” The intervention involved pulp tissue/cells after bleaching with light, while the comparison involved pulp tissue/cells after bleaching without light. The primary outcome was the inflammation/cytotoxicity observed in pulp after bleaching.

Results

Out of 2210 articles found, 12 articles were included in the review; four were in vivo studies (one study in dogs/others in human), and eight were in vitro studies (cell culture/with artificial pulp chamber or not). The light source used was halogen, light-emitting diode (LED), and laser. Only one in vivo study that used heat to simulate light effects showed significant pulp inflammation. Only two in vitro studies demonstrated that light influenced cell metabolism; one using halogen light indicated negative effects, and the other using laser therapy indicated positive effects. Given that animal and in vitro studies have been identified, there remain some limitations for extrapolation to the human situation. Furthermore, different light parameters were used.

Conclusions

The effects of dental bleaching on the pulp are not influenced by different types of light, but different light parameters can influence these properties.

Clinical relevance

There is insufficient evidence about the influence of different types of light on inflammation/cytotoxicity of the pulp.

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Titel: Influence of different types of light on the response of the pulp tissue in dental bleaching: a systematic review
verfasst von: Francine Benetti
Cleidiel Aparecido Araújo Lemos
Marjorie de Oliveira Gallinari
Amanda Miyuki Terayama
André Luiz Fraga Briso
Rogério de Castilho Jacinto
Gustavo Sivieri-Araújo
Luciano Tavares Angelo Cintra
Publikationsdatum: 11.12.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 4/2018
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2278-9

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Influence of different types of light on the response of the pulp tissue in dental bleaching: a systematic review

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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Springer Medizin

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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