Artigo

Inflammatory response of human dental pulp to at-home and in-office tooth bleaching

Publicado em 05-07-2016

Autor(es)
Maysa Magalhães VAZ, Lawrence Gonzaga LOPES, Paula Carvalho CARDOSO, João Batista de SOUZA, Aline Carvalho BATISTA, Nádia Lago COSTA, Érica Miranda TORRES, Carlos ESTRELA
Publicado em
Palavras-chave
Tooth bleaching. Inflammation. Dental pulp. Microscopy. Immunohistochemistry.

Resumo

Tooth bleaching is a technique of choice to obtain a harmonious smile, but bleaching agentes may damage the dental pulp. Objetive: This study evaluated the inflammatory responses of human dental pulp after the use of two bleaching techniques. Material and Methods: Pulp samples were collected from human third molars extracted for orthodontic reasons and divided into three groups: control – no tooth bleaching (CG) (n=7); at-home bleaching with 15% carbamide peroxide (AH) (n=10), and in-office bleaching with 38% hydrogen peroxide (IO) (n=12). Pulps were removed and stained with hematoxylin-eosin for microscopic analysis of inflammation intensity, collagen degradation, and pulp tissue organization. Immunohistochemistry was used to detect mast cells (tryptase+), blood vessels (CD31+), and macrophages (CD68+). Chi-square, Kruskal-Wallis, and Mann Whitney tests wer used for statiscal analysis. The level of significance was set at p<.05. Results: The inflammation intensity and the number of macrophages were significanthy greater in IO than in AH and CG (p<0.05). The results of CD31+ (blood vessels per mm2) were similar in CG (61.39±20.03), AH (52.29±27.62), and IO (57.43±8.69) groups (p>0.05). No mast cells wer found in the pulp samples analyzed. Conclusion: In-office bleaching with 38% hydrogen peroxide resulted in more intense inflammaion, higher macrophages migration, and greater pulp damage then at-home bleaching with 15% carbamide peroxide, however, these bleaching techniques did not induce migration of mast cells and increased the number of blood vessels.