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https://doi.org/10.14300/mnnc.2024.19032

Comparative assessment of clinical and laboratory parameters when using remineralizing agents for teeth whitening

[Stomatology]
Olga Aleksandrovna Uspenskaya; Elena Aleksandrovna Shevchenko; Alexandr Dolgalev; Victor Mazharov; Alexandra Viktorovna Em; Leila Yagub kyzy Nikulicheva;

A comparative evaluation of clinical-laboratory indicators was done using different teeth whitening methods. Eighty employees of the aviation plant of Ryazan, working under harmful conditions aged 25–40 (40 women and 40 men), were examined. The control group consisted of 30 practically healthy people without harm. After teeth whitening, 20 % of patients were divided into two groups (40 people each): Group 1 used remineralizing APF thixotropic gel, and Group 2 – remineralizing gel based on hydroxyapatite. The content of trace elements (calcium, potassium, iron, zinc, copper, and selenium) in the oral fluid was determined at different observation periods and increased oral fluid after bleaching levels K, Ca, Fe, Zn, Cu, and Se. In Group 1, there was a multi-directional dynamic after bleaching and remineralizing therapy, which provided stabilization of microelements with their normalization to 14 days. After remineralizing therapy in 2 groups, K, Ca, and Fe have increased (p<0.001), as 14 days are approaching the norm (p<0.001). As a result of 20 % peroxide treatment, the sensitivity of all groups of patients on all criteria has increased reliably. Remineralizing therapy effectively reduced hypersensitivity. The most effective was the use of thixotropic gel APF.

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Keywords: teeth whitening, remineralizing therapy, chemical elements, results