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Medical Forum / General / Dentistry / June 2005

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whitestrips unhealthy?

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Emil - 23 Jun 2005 16:36 GMT
Hi,

   Can anyone shed some light on Crest Whitestrips, where the
active ingredient is Hydrogen Peroxide; Is it harmful/unhealthy on
the teeth?

Thanks.
The Real Paul - 23 Jun 2005 16:45 GMT
Peroxide has been used on teeth for a long time. No ill effects have been
reported except some transient sensitivity.

> Hi,
>
[quoted text clipped - 3 lines]
>
> Thanks.
BiG Orange - 25 Jun 2005 04:42 GMT
If you overuse them it can screw up your teeth pretty bad and it is
irreverasable! Use as directed.
Matt - 27 Jun 2005 00:26 GMT
>     Can anyone shed some light on Crest Whitestrips, where the
> active ingredient is Hydrogen Peroxide; Is it harmful/unhealthy on
> the teeth?

I believe that hydrogen peroxide corrodes amalgam fillings.
Dr Steve - 27 Jun 2005 16:45 GMT
I have never noticed that effect.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>     Can anyone shed some light on Crest Whitestrips, where the
>> active ingredient is Hydrogen Peroxide; Is it harmful/unhealthy on
>> the teeth?
>
> I believe that hydrogen peroxide corrodes amalgam fillings.
Matt - 27 Jun 2005 18:57 GMT
> I have never noticed that effect.

You have never seen a purple reaction product when peroxide touches
fillings?

Maybe there isn't much of an effect from whitestrips since they are OTC
and used only in the front anyway.
Dr Steve - 27 Jun 2005 19:33 GMT
I have done lots of bleaching in my day.  I still have the old Almore
Monarch II bleaching instrument from the days of using superoxol heated with
this device.  [Want to buy it?  :-) ]   Many vital and non-vital bleaching
cases.  Even more cases done with custom fitted trays and take home
chemistry.  I have never seen amalgam discolor from it.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> I have never noticed that effect.
>
[quoted text clipped - 3 lines]
> Maybe there isn't much of an effect from whitestrips since they are OTC
> and used only in the front anyway.
W_B - 27 Jun 2005 20:24 GMT
>I have done lots of bleaching in my day.  I still have the old Almore
>Monarch II bleaching instrument from the days of using superoxol heated with
>this device.  [Want to buy it?  :-) ]   Many vital and non-vital bleaching
>cases.  Even more cases done with custom fitted trays and take home
>chemistry.  I have never seen amalgam discolor from it.

SuperOxol = 60% H2O2
Will eat the skin from your fingers in minutes
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Dr Steve - 27 Jun 2005 20:39 GMT
It stings skin and turns it bright white for a day.  After that, the skin is
normal again.  Experienced it plenty of times.  Same thing for gingiva.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>I have done lots of bleaching in my day.  I still have the old Almore
[quoted text clipped - 11 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
Matt - 27 Jun 2005 20:37 GMT
> I have done lots of bleaching in my day.  I still have the old Almore
> Monarch II bleaching instrument from the days of using superoxol heated with
> this device.  [Want to buy it?  :-) ]   Many vital and non-vital bleaching
> cases.  Even more cases done with custom fitted trays and take home
> chemistry.  I have never seen amalgam discolor from it.

Hmmm ... I thought it was common knowledge ...

Maybe I erred---maybe it only happens with carbamide peroxide and older
amalgam:

http://www.ultradent.com/products/products.php?act=faq&fid=1&pid=4#45

Why does OPALESCENCE change to a dark purple/black color when it comes
in contact with amalgam?
The dark purple coloration that may appear in the tray following
bleaching adjacent to older amalgams is normal and has proven
inconsequential, based on years of clinical use. No adverse/detrimental
effect on the amalgam restorations has been experienced. It has been
theorized that the zinc in old amalgams may be the cause of the
discoloration.

http://www1.umn.edu/dental/courses/dent_6806fall02/paper9/paper9.html

Occasionally a slight purple coloration may appear in the tray following
bleaching adjacent to amalgam fillings.
Dr Steve - 27 Jun 2005 21:27 GMT
I am trying to think of what oxidation reaction will result in a purple
color.  I need help from someone more recent on chemical reactions.  Cu
would turn green (with a slight bluish tint),  What would add red to create
purple?  Mg?  Cannot remember for the life of me.

Anyway, any reaction on the surface of amalgam from a oxidizer like H2O2
should vary by the degree of polish/oxidation on the amalgam and by the
mineral content of the particular alloy.

Could the purple color simply be a gelling agent of flavoring agent in the
bleaching product?

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> I have done lots of bleaching in my day.  I still have the old Almore
>> Monarch II bleaching instrument from the days of using superoxol heated
[quoted text clipped - 21 lines]
> Occasionally a slight purple coloration may appear in the tray following
> bleaching adjacent to amalgam fillings.
Matt - 27 Jun 2005 23:03 GMT
> I am trying to think of what oxidation reaction will result in a purple
> color.  I need help from someone more recent on chemical reactions.  Cu
> would turn green (with a slight bluish tint),  What would add red to create
> purple?  Mg?  Cannot remember for the life of me.

I was thinking it was probably a manganese compound.  I don't know
whether there is/was Mn in amalgam.  The bleach makers seem remarkably
incurious: "It has been theorized that the zinc in old amalgams may be
the cause of the discoloration."  How hard is it to get some old
fillings together with an analytical chemist and an atomic absorption
machine?  So I doubt the claim that the Opalescence is harmless to fillings.
Dr Steve - 27 Jun 2005 23:32 GMT
I have never tried the specific product "Opalescence".  I have used a lot of
Nupro bleaching chemistry and Patterson brand.  Neither one has ever caused
any amalgam discoloration that I have seen or been told of.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> I am trying to think of what oxidation reaction will result in a purple
>> color.  I need help from someone more recent on chemical reactions.  Cu
[quoted text clipped - 7 lines]
> an analytical chemist and an atomic absorption machine?  So I doubt the
> claim that the Opalescence is harmless to fillings.

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