Effectiveness of whitening techniques in vital teeth today
DOI:
https://doi.org/10.33448/rsd-v14i11.50094Keywords:
Peróxido de Hidrogênio, Tooth Bleaching, Dental Esthetics.Abstract
Tooth whitening is a conservative, safe, and effective aesthetic procedure widely used to improve the appearance of the smile. Among the methods of execution, in-office techniques, supervised at-home techniques, and, in some cases, a combination of both stand out. Objective: To evaluate, through an literature review, the effectiveness of whitening techniques applied to specific teeth, focusing on a comparison between in-office and supervised at-home protocols. In addition, the mechanisms of action of whitening agents and the prevalence of tooth sensitivity as an adverse effect were developed. Methodology: The research was conducted in the Scielo, PubMed, and Google Scholar databases, using descriptors related to dental whitening and specific teeth. Articles in Portuguese and English, published between 2015 and 2025 with full texts and aligned with the objective of the review, were included. Results and Dissemination: A review of 20 studies on teeth whitening revealed that both in-office and at-home techniques are effective, differing only in the concentration of agents and tooth sensitivity. Hydrogen peroxide and carbamide peroxide act by releasing oxygen radicals that promote pigment oxidation. Sensitivity was the main adverse effect, which was reduced with the use of fluoride and proper professional supervision. Conclusion: Dental whitening, both in-office and with home supervision, proved to be effective and safe, with differences in speed and sensitivity. Success depends on the concentration of the agent, the exposure time, and proper professional supervision.
References
Alencar, C. M., Pedrinha, V. F., Araújo, J. L. N., Esteves, R. A., Da Silveira, A. D. S., & Silva, C. M. (2017). Effect of 10% Strontium Chloride and 5% Potassium Nitrate with Fluoride on Bleached Bovine Enamel. The Open Dentistry Journal, 11(1), 476–484. https://doi.org/10.2174/1874210601711010476
Carey, C. M. (2014). Tooth whitening: What we now know. Journal of Evidence-Based Dental Practice, 14(Suppl), 70–76. https://doi.org/10.1016/j.jebdp.2014.02.006
De Geus, J. L., Martins, A. C. R., Reis, A., & Rezende, M. (2025). At-home vs in-office bleaching: An updated systematic review and meta-analysis. Operative Dentistry, 50, 000–000. https://doi.org/10.2341/24-078-LIT
Garcia, I. M. Batista, J. dos S., Rodrigues, B. N., Pereira, J. M. de S., Barbosa, K. A. G., Meira, G. de F., & Lima, T. M. de. (2022). Clareamento dental: técnica e estética – Revisão de literatura. Research, Society and Development, 11(13), e463111335928. https://doi.org/10.33448/rsd-v11i13.35928
Kina, M., Borghi, A. P. S., Fabre, A. F., Martins, O. C. L., Simonato, L. E., Boer, N. P., & Kina, J. (2015). Clareamento dental em dentes vitais: protocolo clínico em consultório. Archives of Health Investigation, 4(4), 1–6.
Lima, F. V., Costa, M. A., Oliveira, J. R., & Santos, T. R. (2019). [Title missing]. Colloids and Surfaces B: Biointerfaces, 179, 326–333. https://doi.org/10.1016/j.colsurfb.2019.03.041
Martins, J. L., Araújo, I. S., Rabelo, J. F., Soares, C. J., Faria-e-Silva, A. L., Loguercio, A. D., Santos Filho, P. C. F., Carlo, H. L., & Silva, G. R. (2025). Does patient age impact in-office tooth bleaching outcomes? Operative Dentistry, 50(3), 251–261. https://doi.org/10.2341/24-061-C
Mondelli, R. F. L., Cardoso, F. F., Santos, A. F., Gonçalves, R. S., & Furuse, A. Y. (2020). Clareamento dental com luz LED violeta com e sem a associação de gel clareador: Relato de casos. Facit Business and Technology Journal,3(19). https://revistas.faculdadefacit.edu.br/index.php/JNT/article/view/736
Palma, F. A. D. M., et al. (2021). Análise da utilização de dessensibilizante no uso prévio ao clareamento dentário: Revisão narrativa. Revista Eletrônica Acervo Saúde, 13(5), e7242. https://doi.org/10.25248/reas.e7242.2021
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica [Ebook gratuito]. Santa Maria: Editora da UFSM. Disponível em https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Qin, J., Zhang, Y., Liu, X., & Wang, H. (2019). A bio-safety tooth-whitening composite gel with novel phthalimide peroxy caproic acid. Composites Communications, 13, 107–111. https://doi.org/10.1016/j.coco.2019.04.004
Reinhardt, J. W., Balbierz, M., Schultz, C., Simetich, B., & Beatty, M. (2019). Effect of tooth-whitening procedures on stained composite resins. Operative Dentistry, 44(1), 65–75. https://doi.org/10.2341/17-301-L
Rodrigues, B. N., Pereira, J. M. de S., Garcia, I. M., Batista, J. dos S., Rodrigues, C. N., Barbosa, K. A. G., Carmo, W. do S. P. do, Meira, G. de F., & Lima, T. M. de. (2022). Sensibilidade dental pós-clareamento: revisão de literatura. Research, Society and Development, 11(13), e464111335926. https://doi.org/10.334ura48/rsd-v11i13.35926
Rother, E. T. (2007). Revisão sistemática x revisão integrativa. Acta Paulista de Enfermagem, 20(2), 5–6. https://doi.org/10.1590/S0103-21002007000200001
Santana, G. O., & Silva, M. J. A. (2019). Clareamento dental e a influência da dieta na estabilidade da cor: revisão de literatura. Id on Line Revista Multidisciplinar e de Psicologia, 13(48), 268–279. https://doi.org/10.14295/idonline.v13i48.2163
Santeiro, F. S., Nazário, I. A. O., Oliveira, N. C. da S. de, Fonseca, T. S. da, & Barbosa, K. A. G. (2024). Sensibilidade dental após clareamento pela técnica de consultório. Brazilian Journal of Health Review, 7(3), 1–17. https://doi.org/10.34119/bjhrv7n3-227
Santiago, S. R., Oliveira, M. A., & Costa, R. F. (2020). Efeitos do uso de flúor tópico e laser de baixa potência pós-clareamento no controle da sensibilidade imediata. Revista de Odontologia Contemporânea, 4(1), 56–62.
Santos, L. R. dos, Penha, K. J. S., Monteiro, T. M. L. O., Lima, D. M., & Firoozmand, L. M. (2022). Métodos para contornar a sensibilidade no clareamento dental: Revisão de literatura. Revista Ciências e Odontologia, 6(1), 71–83.
Silva, S. L. D., Leite, C. S., Souza, C. M. A., Lima, T. M., & Sá, J. L. (2023). Métodos para diminuir a sensibilidade dental associada ao tratamento clareador. Revista Eletrônica Acervo Saúde, 23(7), 1–8. https://doi.org/10.25248/REAS.e13015.2023
Soeteman, G. D., Valkenburg, C., van der Weijden, G. A., van Loveren, C., Bakker, E. W. P., & Slot, D. E. (2018). Whitening dentifrice and tooth surface discoloration: A systematic review and meta-analysis. International Journal of Dental Hygiene, 16(1), 24–35. https://doi.org/10.1111/idh.12289
Sulaiman, T. A., Alharbi, A., Alqahtani, M., & Alshahrani, A. (2021). Post-operative sensitivity and color change due to in-office bleaching with the prior use of different desensitizing agents: A systematic review. Journal of Clinical and Experimental Dentistry, 13(4), e330–e340. https://doi.org/10.4317/jced.58249
Tarayra, M. A., & Antezana-Vera, S. A. (2023). Hipersensibilidade dentária após o clareamento: revisão de literatura. Brazilian Journal of Health Review, 6(5), 25654–25665. https://doi.org/10.34119/bjhrv6n5-554
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Flávia Duranes Souza, Flávio Henrique de Sousa Coimbra, Iende Camile Argôlo da Silva, Lara Alves dos Santos, Ana Flávia Soares, Ian Matos Vieira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
