02768nab a2200337 a 4500 AR-ReUNN 20260702004712.0 260701s2021 ag |||||||||||||||||eng eng Lucchese, Alberta 197157 Itro, Angelo 197158 Marotta, Andrea 197159 Santoro, Rossella 197160 Lauritano, Dorina 197161 Di Stasio, Dario 197162 De Rosa, Alfredo 197163 Análisis no invasivo del efecto blanqueador del peróxido de hidrógeno sobre el esmalte mediante microscopía confocal de reflectancia (RCM): estudio de una serie de casos Non-Invasive analysis of bleaching effect of hydrogen peroxide on enamel by reflectance confocal microscopy (rcm): study of series of cases 2021 6 páginas The 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. Blanqueamiento Externo 189878 Peroxido de Hidrogeno 172099 Microscopia de Barrido Láser Concofal 197164 Imagenes in Vivo 197165 Analisis de Imagen 197166 Odontology 1618-1247 v. 107 n. 3 (2019) 257190 ART (ODN)64360 265474 265474 265474 AR-ReUNN spa AR-ReUNN aacr2