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DOI: 10.1055/s-0029-1216333
© Georg Thieme Verlag Stuttgart · New York
Bleichmöglichkeiten und entsprechende Effekte auf die Zahnhartsubstanz
Publikationsverlauf
Publikationsdatum:
17. März 2009 (online)

Lernziele
Der Leser sollte nach dem Durcharbeiten des Artikels
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mögliche Indikationsstellungen zur Anwendung diverser Bleichtechniken erkennen und den Patienten entsprechend beraten können,
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die verschiedenen Anwendungsmöglichkeiten und Verfahren kennen,
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die wesentlichen effektiven Wirkstoffe in den jeweils angebotenen Produkten kritisch überdenken und insbesondere den vorliegenden pH–Wert berücksichtigen,
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die spezielle Problematik bei erosiv vorgeschädigten Zähnen verstanden haben,
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mögliche Nebenwirkungen bei vitalen Zähen bewerten können,
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die individuell begrenzte Dauer der Bleicherfolge dem Patienten erklären können.
Literatur
- 1 Attin T.. Die Aufhellung verfärbter, avitaler Zähne mit der „Walking–bleach–Technik”. Dtsch Zahnärztl Z. 2001; 56 78
- 2 Attin T, Kocabiyik M, Buchalla W. et al. . Susceptibility of enamel surfaces to demineralization after application of fluoridated carbamide peroxide gels. Caries Res. 2003; 37 93-99
- 3 Baik W J, Rueggeberg A F, Liewehr R. F. Effect of light–enhanced bleaching on in vitro surface and intrapulpal temperature rise. J Esthet Restor Dent. 2001; 13 370-378
- 4 Basting T R, Rodrigues L A, Serra C. M. The effect of 10 % carbamide peroxide bleaching material on microhardness of sound and demineralised enamel and dentin in situ. Oper Dent. 2001; 26 531-539
- 5 Basting T R, Rodrigues L A, Serra C. M. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J Am Dent Assoc. 2003; 134 1335-1342
- 6 Bose M, Ott R. K H. Das Bleichen von Zähnen. Dtsch Zahnärztl Z. 1994; 49 209
- 7 Bowles H W, Thompson R. L. Vital bleaching: the effects of heat and hydrogen peroxide on pulpal enzymes. J Endod. 1986; 12 108-112
- 8 Cvek M, Lindvall M. A. External root resorption following bleaching of pulpless teeth with oxygen peroxide. Endod Dent Traumatol. 1985; 1 56-60
- 9 Ernst P C, Briseno B, Hickel R.. Bleichbehandlung von vitalen und avitalen Zähnen. Phillip J. 1995; 12 229
- 10 Faunce F.. Management of discoloured teeth. Dent Clin North Am. 1983; 27 657-670
- 11 Feinmann A R, Mandray G, Yarborough D.. Chemical, optical and physiologic mechanisms of bleaching products: a review. Pract Periodontics Aesthet Dent. 1991; 3 32-36
- 12 Friedman S, Rotstein I, Libfeld H. et al. . Incidence of external root resorption and esthetic results in 58 bleached pulpless teeth. Endod Dent Traumatol. 1988; 4 23-26
- 13 Ganss C, Klimek J, Giese K.. Dental erosion in children and adolescents – a cross–sectional and longitudinal investigation using study models. Community Dent Oral Epidemiol. 2001; 29 264-271
- 14 Glockner K, Hulla H, Ebelseder K. et al. . Five–year follow–up of internal bleaching. Braz Dent J. 1999; 10 105-110
- 15 Goldstein E R, Garber A. D. Complete dental bleaching. Chicago, Berlin, London, Tokyo, Sao Paulo, Moskau, Prag, Waschau: Quintessence 1995
- 16 Justino M L, Tames R D, Demarco F. F. In situ and in vitro effects of bleaching with carbamide peroxide on human enamel. Oper Dent. 2004; 29 219-225
- 17 Kielbassa M A, Zanter C.. Zur Einordnung der Bleichtherapie im zahnärztlichen Behandlungsspektrum. Quintessenz. 2001; 52 1105-1113
- 18 Kim T S, Abbott V P, Mc P. Ginley. The effects of Ledermix paste on discolouration of masture teeth. Int Endod J. 2000; 33 233-237
- 19 Lewinstein I, Hirschfeld Z, Stabholz A. et al. . Effect of hydrogen peroxide and sodium perborate on the microhardness f human enamel and dentin. J Endod. 1994; 20 61-63
- 20 Lips M.. Blondierte Zähne. Zahnärztliche Mitteilung. 2004; 94 32-38
- 21 Lopes C G, Bonissioni L, Baratieri N L. et al. . Effect of bleaching agents on the hardness and morphology of enamel. J Esthet Restor Dent. 2002; 14 24-30
- 22 McGuckin S R, Babin F J, Meyer J. B. Alterations in human enamel surface morphology following vital bleaching. J Prosthet Dent. 1992; 68 754-760
- 23 Moraes R R, Marimon M J L, Schneider J L F. et al. . Carbamide peroxide bleaching agents: effects on surface roughness of enamel, composite and porcelain. Clin Oral Invest. 2006; 10 23-28
- 24 Nutting B E, Poe S. G. A new combination for bleaching teeth. J South Calif Dent Assoc. 1963; 31 289
- 25 de Oliveira R, Paes F Leme A, Giannini M.. Effect of carbamide peroxide bleaching gel containing calcium or fluoride on human enamel surface microhardness. Braz Dent J. 2005; 16 103-106
- 26 Oltu Ü, Gürgan S.. Effects of three concentrations of carbamide peroxide on the structure of enamel. J Oral Rehabil. 2000; 27 332-340
- 27 Pashley H D, Thompson M S, Stewart P. F. Dentin permeability: Effects of temperature on hydraulic conductance. J Dent Res. 1983; 62 956-959
- 28 Pinto F C, de R Oliveira, Cavalli V. et al. . Peroxide bleaching agent effects on enamel surface microhardness, roughness and morphology. Braz Oral Res. 2004; 18 306-311
- 29 Potocnik I, Kosec L, Gaspersic D.. Effect of 10 % carbamide peroxide bleaching gel on enamel microhardness, microstructure, and mineral content. J Endod. 2000; 26 203-206
- 30 Price T R B, Sedarous M, Hiltz S. G. The pH of tooth–whitening products. J Can Dent Assoc. 2000; 66 421-426
- 31 Rodrigues A J, Basting T R, Serra C M. et al. . Effects of 10 % carbamide peroxide bleaching materials on enamel microhardness. Am J Dent. 2001; 14 67-71
- 32 Rodrigues A J, Erhardt G M C, Marchi M G. et al. . Association effect of in–office and nightguard vital bleaching on dental enamel microhardness. Braz J Oral Sci. 2003; 2 365-369
- 33 Rodrigues A J, Marchi M G, Ambrosano B G M. et al. . Microhardness evaluation of in situ vital bleaching on human enamel using a novel study design. Dent Mat. 2005; 21 1059-1067
- 34 Spasser F. H. A simple bleaching technique using sodium perborate. N Y State Dent J. 1961; 27 332
- 35 Stokes N A, Hood A J, Dhariwal D. et al. . Effect of peroxide bleaches on resin–enamel bonds. Quintessence Int. 1992; 23 769-771
- 36 Titley C K, Torneck D C, Ruse D. N. The effect of carbamide–peroxide gel on the shear bond strength of a microfil resin to bovine enamel. J Dent Res. 1992; 71 20-24
- 37 Thintinanthapan W, Satamanont P, Vongsavan N.. In vitro penetration of the pulp chamber by three brands of carbamide peroxide. J Esthet Dent. 1999; 11 259-264
- 38 Van der Burgt P T, Eronat C, Plaesschaert M. A J. Staining patterns in teeth discoloured by endodontic sealers. J Endod. 1986; 12 187-191
- 39 Willershausen B, Schulz–Dobrick B.. In vitro study on dental erosion provoked by various beverages using electron probe microanalysis. Eur J Med Res. 2004; 9 432-438
- 40 Worschech C C, Rodrigues A J, Martins M L R. et al. . In vitro evaluation of human dental enamel surface roughness bleached with 35 % carbamide peroxide andsubmitted to dentifrice brushing. Braz Dent Res. 2003; 17 342-348
- 41 Yeh T S, Su Y, Lu C Y. et al. . Surface changes and acid dissolution of enamel after carbamide peroxide bleach treatment. Oper Dent. 2005; 30 507-515
Korrespondenzadresse:
Prof. Brita Willershausen
Poliklinik für Zahnerhaltungskunde Universitätsmedizin Johannes Gutenberg–Universität Mainz
Augustusplatz 2
55131 Mainz
eMail: willersh@uni-mainz.de