Peroksit İçermeyen Diş Beyazlatma Sistemleri

Hafize Gamze Demirbaş

doi:10.37609/akya.4126

Yazarlar

Hafize Gamze Demirbaş

https://orcid.org/0000-0003-2871-2942

DOI: https://doi.org/10.37609/akya.4126.c6569

Özet

Diş beyazlatma, estetik diş hekimliğinde en sık uygulanan tedavilerden biridir. Ancak geleneksel hidrojen peroksit ve karbamid peroksit bazlı beyazlatma yöntemleri, diş hassasiyeti, mine demineralizasyonu ve potansiyel biyolojik etkiler gibi istenmeyen sonuçlarla ilişkilendirilebilmektedir. Bu nedenle son yıllarda, daha güvenli ve biyouyumlu alternatifler sunmayı amaçlayan peroksit içermeyen diş beyazlatma sistemlerine yönelik ilgi giderek artmaktadır. Bu bölümde, peroksit içermeyen beyazlatma yaklaşımlarının etki mekanizmaları, klinik potansiyelleri ve biyouyumluluk özellikleri güncel literatür ışığında ele alınmaktadır. Ftalimidoperoksikaproik asit bazlı sistemlerin selektif oksidasyon mekanizması, papain ve bromelain gibi enzimatik ajanların biyokatalitik etkileri ve mavi kovarin ile titanyum dioksit gibi optik ajanların sağladığı görsel beyazlatma etkileri incelenmektedir. Ayrıca aktif kömür ve silika gibi aşındırıcı bileşenlerin yüzeysel lekelerin uzaklaştırılmasındaki rolleri ile bu sistemlerin diş dokuları ve restoratif materyallerle etkileşimleri değerlendirilmektedir. Bu bağlamda, estetik beklentiler ile biyolojik güvenlik arasında dengeli yaklaşım sunan peroksit içermeyen beyazlatma sistemleri, daha biyouyumlu ve koruyucu estetik tedavi seçenekleri olarak dikkat çekmektedir. Mevcut bilimsel veriler bu sistemlerin klinik kullanım açısından umut verici olduğunu göstermekte olup, gelecekte yapılacak kapsamlı klinik çalışmaların bu yaklaşımların etkinliğini ve uzun dönem güvenliğini ortaya koyması beklenmektedir.

Tooth whitening is one of the most commonly performed procedures in aesthetic dentistry. However, conventional hydrogen peroxide and carbamide peroxide–based whitening methods may be associated with adverse effects such as tooth sensitivity, enamel demineralization, and potential biological concerns. In response to these limitations, increasing attention has been directed toward peroxide-free tooth whitening systems designed to provide safer and more biocompatible alternatives. This chapter reviews the mechanisms of action, clinical potential, and biocompatibility of peroxide-free whitening approaches based on current scientific evidence. Particular emphasis is placed on the selective oxidation mechanism of phthalimidoperoxycaproic acid- based systems, the biocatalytic activity of enzymatic agents such as papain and bromelain, and the visual whitening effects produced by optical agents including blue covarine and titanium dioxide. The role of abrasive components such as activated charcoal and silica in removal of extrinsic stains is also discussed, together with the interactions of these systems with dental tissues and restorative materials. In this context, peroxide-free whitening systems represent promising aesthetic approaches that aim to balance aesthetic expectations with biological safety. Current scientific evidence suggests these systems show promising potential for clinical use; however, further well-designed clinical studies are needed to establish their effectiveness and long-term safety.

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