Effect of the Teeth Whitening Procedure on the Mineral Composition of Oral Fluid

Dentistry Journal. 2023. Vol. 12. No. 1. Article 9.

Elena A. Ryskina, Magsumova O., Postnikov M., Lobaeva T., Ahmedzhanov B., Shishparenok A., Zhdanov D.

The basis of modern tooth whitening systems is the use of a whitening gel, which usually
contains hydrogen peroxide or carbamide peroxide. The study included 81 patients aged 22 to
35 years with a tooth color A2 and a darker color on the Vita Classic scale. The purpose of our
research was to identify a new approach to whitening teeth to improve safety and gentleness. To
perform this, we assessed the effect of the tooth whitening procedure on the mineral composition of
the oral fluid. A new approach to the teeth whitening procedure was to use a mouth retractor and a
tool for aspirating the whitening gel, which we developed. Before the procedure, a protective filmforming
aerosol, which included sodium ascorbate, was applied. After the tooth whitening procedure,
the enamel was remineralized with a sealing liquid for 14 days. The concentrations of calcium and
phosphorus in the oral fluid were determined using a spectrophotometer with a set of reagents
(Human). The results obtained indicate that the new approach to the teeth whitening procedure
contributed to less pronounced changes in the concentrations of calcium (+29.07, p < 0.001) and
phosphorus (−14%, p < 0.001) in the oral fluid immediately after the procedure and in combination
with the standard procedure for teeth whitening; immediately after this procedure, the calcium
concentration increased by 74.4% (p < 0.001), and the phosphorus concentration decreased by 23.07%
(p < 0.001). The use of remineralizing agents led to a faster recovery of the initial levels of calcium
and phosphorus in the oral fluid.

Keywords: стоматология, dentistry, Biochemistry, биохимия