Back to Journals » Clinical, Cosmetic and Investigational Dentistry » Volume 3

Erosion and abrasion on dental structures undergoing at-home bleaching

Authors Demarco F, Saeger Meireles S, Ramalho Sarmento H, Fernandes Dantas RV, Botero T, Chaves Tarquinio SB

Published 18 July 2011 Volume 2011:3 Pages 45—52


Review by Single anonymous peer review

Peer reviewer comments 3

Flávio Fernando Demarco1, Sônia Saeger Meireles2, Hugo Ramalho Sarmento1, Raquel Venâncio Fernandes Dantas1, Tatiana Botero3, Sandra Beatriz Chaves Tarquinio1
1Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Brazil; 2Department of Operative Dentistry, Federal University of Paraíba, Brazil; 3Cariology, Restorative Science, and Endodontics Department, School of Dentistry, University of Michigan, MI, USA

Abstract: This review investigates erosion and abrasion in dental structures undergoing at-home bleaching. Dental erosion is a multifactorial condition that may be idiopathic or caused by a known acid source. Some bleaching agents have a pH lower than the critical level, which can cause changes in the enamel mineral content. Investigations have shown that at-home tooth bleaching with low concentrations of hydrogen or carbamide peroxide have no significant damaging effects on enamel and dentin surface properties. Most studies where erosion was observed were in vitro. Even though the treatment may cause side effects like sensitivity and gingival irritation, these usually disappear at the end of treatment. Considering the literature reviewed, we conclude that tooth bleaching agents based on hydrogen or carbamide peroxide have no clinically significant influence on enamel/dentin mineral loss caused by erosion or abrasion. Furthermore, the treatment is tolerable and safe, and any adverse effects can be easily reversed and controlled.

Keywords: peroxide, tooth bleaching, enamel, dentin, erosion, abrasion

Creative Commons License © 2011 The Author(s). 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.