Hybrid light applied with 37% carbamide peroxide bleaching agent with or without titanium dioxide potentializes color change effectiveness

Background: The effectiveness of dental color change was assessed by incorporating titanium dioxide (TiO2) into 37% carbamide peroxide bleaching agent associated with hybrid light. Methodology: Fifty bovine incisors were selected to receive the bleaching treatment, and separated into five groups (n = 10): 35% hydrogen peroxide (HP) (Whiteness HP, FGM/HP); 37% carbamide peroxide (CP) (Whiteness SuperEndo, FGM/CP); CP + hybrid light (HL) (CP HL); CP + 1% TiO2 (CP TiO2); CP TiO2 + hybrid light (CP TiO2 HL). The bleaching gels were applied to the dental surface for 30 min. Hybrid light (Whitening Plus, DMC/infrared laser diodes + blue LEDs +violet LEDs) was applied with 1 min of active light, alternating with 1 min of pause. A spectrophotometer (VITA Easyshade (R) Advance, Vita) was used to determine the color of the dental elements at baseline and time points after the 1st, 2nd and 3rd bleaching sessions. Color change effectiveness was evaluated using Vita Classical, CIEL*a*b*, WID and Delta Eab, Delta E00 and Delta WID parameters. Results: Generalized mixed linear models for repeated measures (alpha = 5%) showed significant decrease in Vita Classical scores and a* and b* values, as well as an increase in L* and Delta WID values for all the groups. Higher color change values for Delta Eab were observed for CP HL and CP TiO2 HL, while those of Delta E00 and Delta WID were higher for CP TiO2 HL at the end of the bleaching treatment.Conclusion: Hybrid light applied with TiO2 incorporated into CP potentiated the effectiveness of the color change in the tooth structure.