Nightguard vital bleaching: Effects on enamel surface texture and diffusion

Van B. Haywood, Thomas Leech, Harald O. Heymann, Diane Crumpler, Karen Bruggers

Research output: Contribution to journalArticlepeer-review

147 Scopus citations


A recently reported technique for bleaching vital discolored teeth involves the use of a mouthguard and 10% carbamide peroxide without preoperative etching or postoperative polishing of the enamel. This in vitro study evaluated the effects of the bleaching agent on the surface texture of the enamel. Thirty-three extracted teeth were subjected to 10% carbamide peroxide for a period equivalent to 5 weeks of nighttime wear. A control area on each tooth had been covered and sealed. All discolored teeth experienced lightening, but there was no difference in color between the treated and control areas; the color-changing effects apparently extend to portions of the tooth not in direct contact with the solution. Epoxy replicas of the teeth were examined under a scanning electron microscope. No etching was apparent, and no difference in surface texture between treated and control areas was delected.

Original languageEnglish (US)
Pages (from-to)801-804
Number of pages4
JournalQuintessence international
Issue number10
StatePublished - Jan 1 1990
Externally publishedYes

ASJC Scopus subject areas

  • Dentistry(all)


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