A1 Refereed original research article in a scientific journal

In Vitro Effects of Combining Resin Infiltration and At‐Home Bleaching on Hydrogen Peroxide Penetration, Color Change and Enamel Morphology;




AuthorsBaracco, Bruno; Carneiro, Taynara S.; Wendlinger, Michel; Favoreto, Michael W.; Ceballos, Laura; Loguercio, Alessandro D.

PublisherWiley

Publication year2026

Journal: Journal of Esthetic and Restorative Dentistry

Article numberjerd.70190

ISSN1496-4155

eISSN1708-8240

DOIhttps://doi.org/10.1111/jerd.70190

Publication's open availability at the time of reportingOpen Access

Publication channel's open availability Partially Open Access publication channel

Web address https://doi.org/10.1111/jerd.70190

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/526564061

Self-archived copy's licenceCC BY

Self-archived copy's versionPublisher`s PDF


Abstract

Objective: To evaluate the effect of resin infiltration (RI) prior to at-home bleaching on hydrogen peroxide (HP) penetration into the pulp chamber, color change, and enamel morphology in human teeth with sound enamel or white spot lesions (WSLs), using different RI protocols.

Materials and methods: Sixty human premolars were randomly allocated into six groups (n = 10), according to enamel substrate (sound/WSLs) and treatment: at-home bleaching with 16% carbamide peroxide only (CP); RI with one prior acid-etching application followed by at-home bleaching (RI1/CP); and RI with three prior acid-etching applications followed by at-home bleaching (RI3/CP). HP penetration was quantified by UV-Vis spectroscopy. Color change was evaluated using a digital spectrophotometer (ΔE₀₀; WID). Enamel surface morphology was analyzed by SEM (α = 0.05).

Results: RI significantly reduced HP penetration into the pulp chamber compared with CP alone, with reductions of over 90%, regardless of enamel substrate or RI protocol. Without RI, artificially induced WSLs showed greater HP diffusion than sound enamel (p < 0.05). Color outcomes (WID) were comparable between RI-treated and sound teeth. SEM showed more homogeneous surfaces after RI.

Conclusions: RI prior to at-home bleaching with 16% CP reduced HP penetration into the pulp chamber without compromising bleaching efficacy. Comparable color outcomes were achieved in teeth with WSLs, irrespective of prior acid-etching applications.

Clinical significance: When combined with at-home bleaching, RI may reduce HP diffusion into the pulp chamber and improve esthetic integration of artificially induced WSLs through optical masking. However, these findings are based on an in vitro model and should be interpreted with caution regarding clinical outcomes.


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Funding information in the publication
The authors would like to thank the Bleaching&Bond research group (Brazil) and IDIBO Research Group (Spain) for their valuable support. This study received partial financial support from the National Council for Scientific and Technological Development (CNPq), under grant 304444/2025-1 and 151823/2025-1, as well as from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES), Finance Code 001. The Article Processing Charge for the publication of this research was funded by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) (ROR identifier: 00x0ma614).


Last updated on 16/06/2026 12:37:13 PM