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Uso de pastas dentífricas branqueadoras de ação abrasiva: revisão narrativa
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| 37584 | 686.33 KB | Adobe PDF |
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Abstract(s)
Introdução: Hoje em dia, a alteração da cor dentária é um dos problemas estéticos mais comuns. O branqueamento dentário é um procedimento conservador, eficaz no tratamento de manchas dentárias, mas não é isento de efeitos secundários tais como, hipersensibilidade dentária e inflamação gengival.
Existem diferentes tipos de branqueamento, branqueamento em consultório realizado pelo médico dentista, o branqueamento em ambulatório realizado pelo paciente sob orientação do médico dentista e os produtos branqueadores de venda livre que são chamados over the counter.
As pastas dentífricas branqueadoras têm como finalidade prevenir a formação de manchas extrínsecas graças à sua composição com agentes abrasivos e químicos.
Objetivos: Para responder à questão, se os agentes abrasivos contidos nas pastas dentífricas branqueadoras disponíveis no mercado em venda livre têm efeitos nas estruturas dentárias e tecidos moles adjacentes, o objetivo desta revisão narrativa foi analisar informações científicas sobre os diferentes agentes abrasivos, seu grau de abrasividade, os seus efeitos e eficácia.
Materiais e métodos: Para elaboração deste trabalho, foi realizada uma pesquisa bibliográfica nas bases de dados Pubmed e Science Direct no período compreendido entre Setembro de 2022 a Março de 2023, recorrendo às seguintes palavras-chave: Whitening toothpaste; toothpaste abrasivity; abrasives agents; RDA; hydrated sílica. Foi utilizado o operador booleano AND, fazendo diferentes combinações com as palavras. Foram estabelecidos critérios de inclusão e de exclusão para a seleção dos artigos.
Conclusão: Podemos concluir que os dentifrícios analisados, através da ação intensiva de substâncias abrasivas suspensas, são eficazes na diminuição da pigmentação dentária e alteram a cor das manchas, no entanto, com o uso contínuo e excessivo podem criar diversos problemas, tais como recessão gengival e abrasão do tecido dentário. Pois o esmalte apesar de ser uma camada de proteção resistente, não é inquebrável.
Introduction: Nowadays, tooth discoloration is one of the most common aesthetic problems. Dental whitening is a conservative procedure, effective in the treatment of dental stains, but it is not free of side effects such as tooth hypersensitivity and gum inflammation. There are different types of whitening, in-office whitening performed by the dentist, outpatient whitening performed by the patient under the guidance of the dentist and over-the-counter whitening products that are called over the counter. Whitening toothpastes are intended to prevent the formation of extrinsic stains thanks to their composition with abrasive and chemical agents. Objectives: In order to answer the question, whether the abrasive agents contained in whitening toothpastes available in the over-the-counter market have effects on tooth structures and adjacent soft tissues, the objective of this narrative review was to analyze scientific information about the different abrasive agents, their degree of abrasiveness, its effects and effectiveness. Methodology: To prepare this work, bibliographical research was carried out in the Pubmed and Science Direct databases in the period between September 2022 and March 2023, using the following keywords: Whitening toothpaste; toothpaste abrasivity; abrasive agents; RDA; hydrated silica. The Boolean AND operator was used, making different combinations with the words. Inclusion and exclusion criteria were established for the selection of articles. Conclusion: We can conclude that the dentifrices analyzed, through the intensive action of suspended abrasive substances, are effective in reducing dental pigmentation and changing the color of stains, however, with continuous and excessive use they can create several problems, such as gingival recession and abrasion of dental tissue. Because enamel despite being a resistant layer of protection, isn’t unbreakable.
Introduction: Nowadays, tooth discoloration is one of the most common aesthetic problems. Dental whitening is a conservative procedure, effective in the treatment of dental stains, but it is not free of side effects such as tooth hypersensitivity and gum inflammation. There are different types of whitening, in-office whitening performed by the dentist, outpatient whitening performed by the patient under the guidance of the dentist and over-the-counter whitening products that are called over the counter. Whitening toothpastes are intended to prevent the formation of extrinsic stains thanks to their composition with abrasive and chemical agents. Objectives: In order to answer the question, whether the abrasive agents contained in whitening toothpastes available in the over-the-counter market have effects on tooth structures and adjacent soft tissues, the objective of this narrative review was to analyze scientific information about the different abrasive agents, their degree of abrasiveness, its effects and effectiveness. Methodology: To prepare this work, bibliographical research was carried out in the Pubmed and Science Direct databases in the period between September 2022 and March 2023, using the following keywords: Whitening toothpaste; toothpaste abrasivity; abrasive agents; RDA; hydrated silica. The Boolean AND operator was used, making different combinations with the words. Inclusion and exclusion criteria were established for the selection of articles. Conclusion: We can conclude that the dentifrices analyzed, through the intensive action of suspended abrasive substances, are effective in reducing dental pigmentation and changing the color of stains, however, with continuous and excessive use they can create several problems, such as gingival recession and abrasion of dental tissue. Because enamel despite being a resistant layer of protection, isn’t unbreakable.
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Keywords
Whitening toothpaste Toothpaste abrasivity Abrasives agents RDA Hydrated sílica