Quality of life and stability of tooth color change at three months after dental bleaching

Cristian Bersezio, Javier Martín, Carla Mayer, Oriana Rivera, Juan Estay, Rolando Vernal, Ziyad S. Haidar, Pablo Angel, Osmir B. Oliveira, Eduardo Fernández*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Purpose: Intracoronary bleaching is a minimally invasive, alternative treatment that addresses aesthetic concerns related to non-vital teeth discoloration. However, to the best of our knowledge, no studies have assessed the psychosocial impacts of such procedures on patients’ aesthetic perceptions. The aim of this study was to evaluate aesthetic perceptions and the psychosocial impact of patients up to 3 months after their teeth had been bleached with hydrogen peroxide (35%) and carbamide peroxide (37%) using the walking bleach technique. Methods: The patients were randomly divided into two groups according to the bleaching agent used: G1 = hydrogen peroxide 35% (n = 25) and G2 = carbamide peroxide 37% (n = 25). Non-vital bleaching was performed in four sessions. Color was objectively (ΔE) and subjectively (ΔSGU) evaluated. Aesthetic perception and psychosocial factors were evaluated before, 1 week and 1 month after the bleaching using the Oral Health Impact Profile (OHIP) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) questionnaires. Results: The color change (ΔE) values at 1 month were G1 = 16.80 ± 6.07 and G2 = 14.09 ± 4.83. These values remained stable until the third month after treatment (p > 0.05). There was a decrease in the values of OHIP-aesthetics and PIDAQ after treatment versus baseline (p < 0.05). This status was maintained through the third month after treatment. Conclusions: Both agents were highly effective and had a positive impact on the aesthetic perception and psychosocial impact of patients, values that also remained stable over time. Non-vital bleaching yields positive and stable impacts on aesthetic perception and psychosocial factors. ClinicalTrials.gov identifier NCT02718183.

Original languageEnglish
Pages (from-to)3199-3207
Number of pages9
JournalQuality of Life Research
Issue number12
StatePublished - 1 Dec 2018

Bibliographical note

Funding Information:
Funding This work was supported by the CONICYT - Fondecyt (Grant No. 1170575).

Publisher Copyright:
© 2018, Springer Nature Switzerland AG.


  • Aesthetic auto-perception
  • Dark tooth bleaching
  • Psychosocial impact
  • Randomized clinical trial


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