COSTA, E. I. D.; http://lattes.cnpq.br/6068061368572963; COSTA, Edivan Ilton Dantas da.
Abstract:
Cosmetic treatments in dentistry are currently being sought after, among them tooth
whitening stands out. Thus, the aim of the present study was to report a clinical case
of dental bleaching in the office and discuss the aspects related to color change, as
well as the sensitivity caused by the agent. Male patient, 26 years old, leucoderma
sought dental care from the Federal University of Campina Grande (UFCG)
complaining about the yellowish color of his teeth. Systematically healthy and in good
oral health condition, after oral examination, dental whitening was indicated in the
office with Whiteness HP 35%. The proposed treatment was initiated in the next
session with prophylaxis using pumice stone, water and robinson brush, with
subsequent application of TopDam gingival barrier and application of the bleaching
gel in a 3: 1 ratio of hydrogen peroxide and thickener, respectively. one new
application every 15 minutes, totaling 3 applications in each session, one session
weekly. Repeating the recommended protocol, in the third session a fourth
application of the bleaching gel was performed topically on the four canines, since
they were more yellowish. Thus, the color change occurred from A3 to A1 scale. The
patient was submitted to answer two questionnaires, the sensitivity test by the Wong
and Baker scale, and the individual's satisfaction regarding the aesthetics of the
smile itself. At the end of the treatment, the degree of sensitivity discomfort after the
sessions was characterized as a discomfort that hurts a lot, but lasting only for the
first 24 hours, and a high level of satisfaction after treatment. So tooth whitening is a
simple procedure, minimally invasive and with excellent aesthetic results.