Back to Journals » Clinical, Cosmetic and Investigational Dentistry » Volume 6

Clinical study of the safety and effectiveness of a novel over-the-counter bleaching tray system

Authors Ghalili KM, Khawaled K, Rozen D, Afsahi V

Received 16 December 2013

Accepted for publication 17 January 2014

Published 21 February 2014 Volume 2014:6 Pages 15—19


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

K Michael Ghalili,1 Kamal Khawaled,2 Doran Rozen,2 Veda Afsahi3

1Department of Prosthodontics, New York University College of Dentistry, New York, NY, USA; 2Department of R&D; Department of Clinical Affairs, Syneron Beauty, Ltd, Yokneam, Israel; 3Veda Faith Afsahi Inc., Fountain Valley, CA, USA

Abstract: We investigated color change, gingival irritation, and tooth sensitivity in patients undergoing at-home vital tooth bleaching with a novel over-the-counter bleaching tray system. Tooth color shade in anterior teeth, supragingival plaque and gingivitis in Ramfjord teeth, as well as visual assessment of teeth gingival tissues and mucosa were evaluated in-office prior to treatment, after two consecutive applications of the 9% hydrogen peroxide bleaching product, after eight applications (10 minutes/day for 3 days at home), and after ten applications (50 minutes exposure over 5 days). Color stability was evaluated at 3 months after completing the treatment regimen. Over-the-counter bleaching products can be used by the patient at home without dentist supervision, but are frequently associated with gingival irritation and tooth sensitivity despite low concentrations of peroxide agents. Our investigations showed that the treatment is tolerable and safe with a low incidence of adverse effects. Any adverse effects associated with use of the whitening gel and tray are temporary, easily controlled, and often disappear within minutes of treatment. Statistical analysis revealed significant improvement in teeth whitening following treatment (mean color change of seven shades) and at three months after treatment.

Keywords: at home tooth-whitening, hydrogen peroxide teeth whitening, over-the-counter tooth-whitening, teeth bleaching

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]