Complications from the Use of Peroxides

Although bleaching techniques are considered by many professionals and patients to be safe options for the treatment of tooth discolorations, the use of some bleaching products and techniques may have adverse effects on soft and hard dental tissues. This chapter will address the major complications related to the use of dentist-supervised at-home and in-office bleaching, as well as the use of over-the-counter products without professional supervision. In addition to the efficacy of different bleaching methods, the effects of bleaching agents on enamel, dentin, restorative materials, soft tissues, and tooth sensitivity will be objectively discussed based on the relevant peer-reviewed literature. Our goal is to discuss the rationale for adjusting the dosage recommended for different bleaching techniques according to each patient’s needs to make bleaching treatments safer. The side effects of peroxide-based bleaching treatments in the pulp tissue will be discussed in Chapter 5.