journal article·2022-11-07Open access

The Effectiveness of Dental Bleaching during Orthodontic Treatment with Clear Aligners: A Systematic Review

Majd Khashashneh, Jithendra Ratnayake, Joanne Jung Eun Choi, Li Mei, Karl Lyons, Paul A. Brunton

Applied Sciences· Volume 12· Issue 21

Abstract

The objective of this article was to systematically review the literature to determine how effective tooth whitening procedures are when carried out in tandem with orthodontic clear aligners. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Online searches of PubMed, Medline via Ovid, Science Direct, the Cochrane database of systematic reviews via Ovid, Scopus, and Google Scholar as well as manual searches of the references of the selected articles were conducted. Clinical studies which assessed the efficacy of dental bleaching using orthodontic clear aligners were included in the present study. Data from the included studies were extracted and assessed for risk of bias using the Cochrane risk of bias tool. Three studies met the inclusion and exclusion criteria and were included in this study. One study compared the efficiency of tooth bleaching between clear aligners and conventional bleaching trays. One study evaluated the effectiveness of dental bleaching using clear aligners by comparing the tooth shade of those patients to a control group of patients who did not receive dental bleaching during orthodontic clear aligner treatment. One study evaluated the effectiveness of different concentrations of different bleaching agents using clear aligners. All the included studies showed an improved tooth shade when using clear aligners as bleaching trays.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Erosion and Treatment · Orthodontics and Dentofacial Orthopedics · Dental Anxiety and Anesthesia Techniques

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand

Curtin University, Bentley, WA 6102, Australia

References (47)

Show source-provided references
1. Orthodontic treatment of a mildly crowded malocclusion using the Invisalign System
2. Orthodontic clear aligner treatment10.1053/j.sodo.2016.10.009 ↗
3. Clear aligners in orthodontic treatment10.1111/adj.12480 ↗
4. Efficacy of clear aligners in controlling orthodontic tooth movement: A systematic review10.2319/061614-436.1 ↗
5. Putrino, A., Barbato, E., and Galluccio, G. (2021). Clear Aligners: Between evolution and efficiency-A scoping review. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph18062870 ↗
6. Tartaglia, G.M., Mapelli, A., Maspero, C., Santaniello, T., Serafin, M., Farronato, M., and Caprioglio, A. (2021). Direct 3D printing of clear orthodontic aligners: Current state and future possibilities. Materials, 14.10.3390/ma14071799 ↗
7. Clear aligners generations and orthodontic tooth movement10.1179/1465313315Y.0000000004 ↗
8. Patient survey on Invisalign® treatment comparing [corrected] the SmartTrack® material to the previously used [corrected] aligner material10.1007/s00056-016-0051-3 ↗
9. The treatment effects of Invisalign orthodontic aligners: A systematic review10.14219/jada.archive.2005.0117 ↗
10. Clinical limitations of Invisalign
11. Effects of Invisalign® treatment on speech articulation10.1016/j.ortho.2019.06.011 ↗
12. Comparison of short-term oral impacts xperienced by patients treated with Invisalign or conventional fixed orthodontic appliances10.1159/000505459 ↗
13. Outcome assessment of orthodontic clear aligner vs fixed appliance treatment in a teenage population with mild malocclusions10.2319/122919-844.1 ↗
14. The efficacy of orthodontic treatments for anterior crowding with Invisalign compared with fixed appliances using the Peer Assessment Rating Index
15. Technological advances in nontraditional orthodontics10.1016/j.cden.2011.02.012 ↗
16. Invisalign: Current guidelines for effective treatment
17. Invisalign: The invisible braces
18. Teeth bleaching efficacy during clear aligner orthodontic treatment
19. Psychological effects of aesthetic dental treatment10.1016/S0300-5712(97)00031-6 ↗
20. Enamel colour changes following whitening with 10 per cent carbamide peroxide: A comparison of orthodontically-bonded/debonded and untreated teeth10.1093/ejo/23.4.411 ↗
21. Changes in patient evaluation of completed orthodontic esthetics after dental bleaching10.1111/j.1708-8240.2008.00200.x ↗
22. Nightguard vital bleaching
23. Bleaching teeth: History, chemicals, and methods used for common tooth discolorations10.1111/j.1708-8240.1992.tb00666.x ↗
24. History, safety, and effectiveness of current bleaching techniques and applications of the nightguard vital bleaching technique
25. Tooth sensitivity with a desensitizing-containing at-home bleaching gel-a randomized triple-blind clinical trial10.1016/j.jdent.2018.03.006 ↗
26. Clinical evaluation of color change and tooth sensitivity with in-office and home bleaching treatments10.4103/ijdr.IJDR_688_16 ↗
27. Clinical evaluation of 10% hydrogen peroxide on tooth sensitivity and effectiveness in at home dental bleaching10.5005/jp-journals-10024-2435 ↗
28. Tooth-bleaching procedures and their controversial effects: A literature review10.1016/j.sdentj.2014.02.002 ↗
29. Clarifications, guidelines and questions about the dental bleaching” associated” with orthodontic treatment
30. Use of tray-applied 10 percent carbamide peroxide gels for improving oral health in patients with special-care needs10.14219/jada.archive.2010.0251 ↗
31. Efficacy of foam liner in 10% carbamide peroxide bleaching technique
32. The efficacy of reservoirs in bleaching trays
33. Efficacy of home bleaching systems with and without tray reservoirs
34. The bottom line on bleaching 2008
35. Dental bleaching during orthodontic treatment with aligners
36. Seleem, D., Dadjoo, S., Ha, A., Santos, C., Mirfarsi, S., Matsumura-Lem, K., and Lazarchik, D. (2021). Effect of 10% carbamide peroxide on tooth shade, plaque index and gingival index during invisalign treatment. Dent. J., 9.10.3390/dj9050048 ↗
37. Tooth whitening in association with clear aligner treatment
38. Does the use of reservoirs have any impact on the efficacy of at-home bleaching? A systematic review10.1590/0103-6440201902422 ↗
39. Evaluation of reservoirs in bleaching trays for at-home bleaching: A split-mouth single-blind randomized controlled equivalence trial10.1590/1678-7757-2020-0332 ↗
40. One-year follow-up evaluation of reservoirs in bleaching trays for at-home bleaching10.1111/jerd.12797 ↗
41. Dental bleaching efficacy and impact on demineralization susceptibility of simulated stained-remineralized caries lesions10.1016/j.jdent.2018.12.008 ↗
42. Effects of experimental bleaching agents on the mineral content of sound and demineralized enamels10.1590/1678-7757-2017-0589 ↗
43. Acid demineralization susceptibility of dental enamel submitted to different bleaching techniques and fluoridation regimens10.2341/13-140 ↗
44. Influence of tooth bleaching on dental enamel microhardness: A systematic review and meta-analysis10.1111/adj.12494 ↗
45. The effect of Remin Pro® on bleached enamel hardness: An in-vitro study10.4103/0970-9290.127612 ↗
46. Influence of remineralizing gels on bleached enamel microhardness in different time intervals10.2341/09-117-L ↗
47. Comparative evaluation of two different remineralizing agents on the microhardness of bleached enamel surface: Results of an in vitro study10.4103/0970-9290.159154 ↗