02674nab a2200325 a 4500003000900000005001700009008004100026041000800067100002200075700001700097700002000114700002200134700002200156700002100178700002100199245018200220246014400402264000900546300001600555520152500571650002702096650002602123650004402149650002102193650002302214773005402237035001502291001000702306040003502313AR-ReUNN20260702004712.0260701s2021    ag |||||||||||||||||eng  0 aeng1 aLucchese, Alberta1 aItro, Angelo1 aMarotta, Andrea1 aSantoro, Rossella1 aLauritano, Dorina1 aDi Stasio, Dario1 aDe Rosa, Alfredo10aAnálisis no invasivo del efecto blanqueador del peróxido de hidrógeno sobre el esmalte mediante microscopía confocal de reflectancia (RCM): estudio de una serie de casos13aNon-Invasive analysis of bleaching effect of hydrogen peroxide on enamel by reflectance confocal microscopy (rcm): study of series of cases 1c2021  a6 páginas  aThe aim of this study is to evaluate in vivo the effects of in-office tooth whitening hydrogen peroxide (HP) agent on enamel-microstructured surface by a reflectance confocal microscopy (RCM). Ten healthy volunteers assisted at the Dental School presenting teeth with vital pulp were selected. The 35% HP whiteness product was applied in two visits on discolored teeth, 1-week interval between, via 20-min applications. A commercially available hand-held RCM (Vivascope3000®, Lucid, Rochester, NY, USA) was used to image in vivo the dental surface of the selected tooth of each volunteer. Twenty upper central incisors’ vestibular surfaces were imaged, before bleaching (T0), immediately after (T1) and 1 week later (T2). The peculiar structure of the enamel was seen at T0. After bleaching, white reflective circular bodies were found all over the teeth surfaces, which disappear 1 week later (T2). When the HP gel® was imaged, the same white circular areas were observed. Going deeper, the regular enamel architecture was preserved. Textural analysis of the images in T0 and T2 was performed: GLCM parameters were extracted. Mann–Whitney U test was performed to evaluate statistical differences between two groups of data (p?>?0.05). Finally, 35 prisms were randomly selected from T0 and T2 image and diameters were measured; a paired t test was performed (p?=?0.381). The RCM is a promisor tool for investigating the features of enamel in vivo, immediately after bleaching procedures, as well as longitudinally. 4aBlanqueamiento Externo 4aPeroxido de Hidrogeno 4aMicroscopia de Barrido Láser Concofal 4aImagenes in Vivo 4aAnalisis de Imagen0 tOdontologyx1618-1247gv. 107 n. 3 (2019)w257190  a(ODN)64360265474  aAR-ReUNNbspacAR-ReUNNeaacr2