INTERNAL DENTAL BLEACHING WITH OZONIZED SUNFLOWER OIL ASSOCIATED WITH SODIUM PERBORATE: A CLINICAL CASE REPORT
DOI:
https://doi.org/10.66104/htvavv98Keywords:
Tooth Bleaching, Esthetics, Dental, Ozone Therapy, EndodonticsAbstract
Objective: To describe the therapeutic protocol and clinical outcomes of internal dental bleaching using sodium perborate associated with ozonized sunflower oil in an endodontically treated anterior tooth. Case report: A female patient presented with discoloration of the maxillary right central incisor previously treated endodontically, associated with an esthetic complaint. Clinical and radiographic examinations revealed coronal discoloration without periapical alterations or external cervical resorption. Internal dental bleaching was performed using the walking bleach technique with sodium perborate associated with ozonized sunflower oil in a 2:1 ratio. The bleaching agent was replaced after seven days, and the desired shade was achieved after two sessions. Subsequently, calcium hydroxide paste was applied for 14 days before definitive restoration. Visual evaluation using the Vita Classical shade guide indicated a color change from C3 to C2, with improved chromatic integration in relation to adjacent teeth. The therapeutic association showed promising clinical potential, with a reduction in the number of clinical sessions and no evidence of adverse effects during the follow-up period. Conclusion: The association between sodium perborate and ozonized sunflower oil showed potential for internal dental bleaching of endodontically treated teeth in esthetic areas and may represent an alternative therapeutic approach. However, controlled clinical studies are necessary to investigate color stability, biological safety, and protocol standardization.
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AMER, M. Intracoronal tooth bleaching - A review and treatment guidelines. Australian dental journal, v. 68 Suppl 1, n. S1, p. S141–S152, 1 jun. 2023. DOI: https://doi.org/10.1111/adj.13000
ANUGRAHATI, Dewi Fitria et al. Management of Non-Vital Teeth Discoloration with the Internal Bleaching : A Case Report. Indian Journal of Forensic Medicine & Toxicology, v. 15, n. 1, p. 1072–1076, 1 jan. 2021.
ANZOLIN, Ana; DA SILVEIRA-KAROSS, Níncia; BERTOL, Charise. Ozonated oil in wound healing: what has already been proven? Medical gas research, v. 10, n. 1, p. 54–59, 1 mar. 2020. DOI: https://doi.org/10.4103/2045-9912.279985
CARDOSO, Poliana Maria Faveri et al. Utilization of ozonated oil for internal dental whitening: a clinical, blind, and randomized study. CONTRIBUCIONES A LAS CIENCIAS SOCIALES, v. 17, n. 7, p. e8368–e8368, 11 jul. 2024. DOI: https://doi.org/10.55905/revconv.17n.7-196
COELHO, Ana Sofia et al. Non-Vital Tooth Bleaching Techniques: A Systematic Review. Coatings 2020, Vol. 10, Page 61, v. 10, n. 1, p. 61, 9 jan. 2020. DOI: https://doi.org/10.3390/coatings10010061
D’AMARIO, Maurizio et al. Application of Ozone Therapy in Paediatric Dentistry. Applied Sciences 2022, Vol. 12, Page 11100, v. 12, n. 21, p. 11100, 2 nov. 2022. DOI: https://doi.org/10.3390/app122111100
MARTÍNEZ-SANCHEZ, Gregorio. Scientific rational for the medical application of ozonized oils, an up-date. Official Journal of Aepromo (Spanish Association of Medical Professionals in Ozone Therapy), v. 11, n. 1, p. 239–272, 2021.
PRISINDA, Mrs Diani; MALINDA, Mrs Yuti. Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching. International Dental Journal, v. 73, p. S44, 1 set. 2023. DOI: https://doi.org/10.1016/j.identj.2023.07.670
RILEY, David S. et al. CARE guidelines for case reports: explanation and elaboration document. Journal of Clinical Epidemiology, v. 89, p. 218–235, 1 set. 2017. DOI: https://doi.org/10.1016/j.jclinepi.2017.04.026
SCHNEIDER, Luiza Maria et al. Efficacy of Ozonized Sunflower Oil with Tea Tree Oil as Desensitizing Agents in Dental Bleaching: Randomized and Double-Blind Clinical Trial. Journal of Advances in Medicine and Medical Research, v. 35, n. 21, p. 18–27, 8 set. 2023. DOI: https://doi.org/10.9734/jammr/2023/v35i215206
SELENA, Thalia et al. Estudio in vitro de la efectividad del oleozón (ozono) al 5% utilizado como agente de aclaramiento intracoronal en dientes extraídos. Loja, , 2019. Disponível em: <http://dspace.unl.edu.ec/handle/123456789/22012>. Acesso em: 25 maio. 2026
UGAZIO, Elena et al. Ozonated Oils as Antimicrobial Systems in Topical Applications. Their Characterization, Current Applications, and Advances in Improved Delivery Techniques. Molecules 2020, Vol. 25, Page 334, v. 25, n. 2, p. 334, 14 jan. 2020. DOI: https://doi.org/10.3390/molecules25020334
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Copyright (c) 2026 Maria Ritha Veiga Colognese, Vitoria Bortolon Jassniker, Alana Zenilda Thomaz Sacht, Mateus Pacer de Lima, Poliana Maria de Faveri Cardoso, Julio Katuhide Ueda, Patricia Oehlmeyer Nassar, Veridiana Camilotti
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