{rfName}
Re

Altmetrics

Analysis of institutional authors

Baracco, BrunoAuthorCeballos, LauraAuthor

Share

October 14, 2025
Publications
>
Article
No

Resin infiltration and in-office dental bleaching on different substrates: hydrogen peroxide penetration, color change, and enamel morphology- an in vitro study

Publicated to: Clinical Oral Investigations. 29 (10): 465- - 2025-09-19 29(10), DOI: 10.1007/s00784-025-06569-x

Authors:

Carneiro, TS; Baracco, B; Wendlinger, M; Favoreto, MW; Cochinski, G; Centenaro, G; Ceballos, L; Loguercio, AD
[+]

Affiliations

Rey Juan Carlos Univ, Hlth Sci Fac, IDIBO Res Grp, Madrid, Spain - Author
Rua Carlos Cavalcanti,4748 Bloco M,Sala 64-A,Uvara, BR-84030900 Ponta Grossa, PR, Brazil - Author
Univ Estadual Ponta Grossa, Sch Dent, Dept Restorat Dent, Ponta Grossa, PR, Brazil - Author
Univ Tuiuti Parana, Sch Dent, Curitiba, PR, Brazil - Author
Univ Turku, Turku Univ Hosp, Dept Restorat Dent & Cariol, Adhes Dent Res Grp,Inst Dent,TYKS, Turku, Finland - Author
See more

Abstract

ObjectivesTo evaluate the penetration of hydrogen peroxide into the pulp chamber, color change, and enamel morphology of human teeth with different substrates (sound and white spot), subjected to the application of a resin infiltration (RI) and in-office bleaching at different time intervals (immediately and 7 days after RI application). Materials and methodsFifty-four sound human premolars were randomly distributed into six groups (n = 9), all subdivided according to substrate (sound and white spot): bleaching with 35% hydrogen peroxide only (HP); RI followed by immediate bleaching (RI/HPi); and RI followed by bleaching after 7 days (RI/HP7d). The concentration of hydrogen peroxide (mu g/mL) was measured by UV-Vis spectrophotometry, color change was evaluated using a digital spectrophotometer (Delta E00 and WID), and enamel surface morphology was analyzed by scanning electron microscopy (SEM) (alpha = 0.05). ResultsIn the groups without RI (HP), teeth with white spot lesions showed approximately 40% greater hydrogen peroxide penetration than sound teeth (p = 0.15). RI significantly reduced this penetration, regardless of the substrate or bleaching time (p > 0.02). According to WID values, the groups treated with RI (RI/HPi and RI/HP7d) achieved a final color similar to that of sound enamel treated with 35% HP. Enamel morphology was more homogeneous in the groups that received resin infiltration. ConclusionsThe application of RI prior to in-office bleaching significantly reduced hydrogen peroxide penetration into the pulp chamber without compromising bleaching efficacy. In teeth with white spot lesions, it led to a final shade comparable to that of sound teeth and resulted in a more uniform enamel morphology. Clinical relevanceResin infiltration is an effective, minimally invasive approach for treating white spot lesions, improving bleaching outcomes and limiting hydrogen peroxide penetration.
[+]

Keywords

BicuspidColorColor changeDental bleachingDental enamelDental enamel permeabilityDental procedureDrug effectEnamelHomeHumanHumansHydrogen peroxideIn vitro studyIn vitro techniquesMicroscopy, electron, scanningPremolar toothProceduresResinResins, syntheticScanning electron microscopySpectrophotometrySpectrophotometry, ultravioletSurface propertiesSurface propertyTooth bleachingTooth bleaching agentTooth bleaching agentsUltraviolet spectrophotometryWhite spot lesionWhite spot lesions

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Clinical Oral Investigations due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position 30/163, thus managing to position itself as a Q1 (Primer Cuartil), in the category Dentistry, Oral Surgery & Medicine.

[+]

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-09:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 2 (PlumX).
[+]

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Brazil; Finland.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author () .

[+]

Awards linked to the item

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, as well as from the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior-Brasil (CAPES), Finance Code 001.
[+]