Department of Pediatric Dentistry
Lutheran Medical Center
Date: 11/20/2009
Article title: Bleaching primary teeth with 10% carbamide peroxide
Author(s): Brantley, Barnes, Haywood
Journal: Pediatric Dentistry
Volume (number): 23:6
Month, Year: 2001
Major topic: Bleaching
Minor topics: Primary tooth trauma
Type of Article: case report
Main Purpose: Review of a case in which primary teeth were bleached.
Overview of method of research: case report
Findings:
Primary teeth can be safely bleached
Key points/Summary :
Parents requested treatment to lighten anterior teeth in their 4 year old daughter after a trauma caused darkening of the teeth.
A custom suckdown beaching tray was fabricated.
10% carbamide peroxide was used
10% carbamide peroxide is also used in infants for throat infections and is thought to be safe for ingestion.
There were no radiographic abnormalities in the injured teeth.
The teach were bleached for 1 hour a day for 2 weeks and produced some whitening, but not significantly.
After the 2 week period, the parents began having the child sleep with the tray in every 3rd night. for 2 more weeks . (total wear time 47 hours)
The teeth brightened to a satisfactory level after the 4 week period.
The teeth exfoliated normally and there were no noted side effects.
Assessment of article: I’m definitely going to try this in the clinic. I’ve had parents complain about dark teeth post trauma and this seems harmless. I’ve also had parents request bleaching for their kids with naturally ugly teeth. I think some people will find this ridiculous.
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