Evidence map›Paper›PMID 29230545›Full record

SynthesisClinical oral investigations2018

Influence of different types of light on the response of the pulp tissue in dental bleaching: a systematic review.

Francine Benetti, Cleidiel Aparecido Araújo Lemos, Marjorie de Oliveira Gallinari, Amanda Miyuki Terayama, André Luiz Fraga Briso, Rogério de Castilho Jacinto, Gustavo Sivieri-Araújo, Luciano Tavares Angelo Cintra

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Do Laser and Light Activation Improve In-Office Dental Bleaching Outcomes? An Umbrella Review of Efficacy, Tooth Sensitivity, and Biological Safety.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Francine BenettiDepartment of Endodontics, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0002-5459-353X
Cleidiel Aparecido Araújo LemosDepartment of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, São Paulo, Brazil.
Marjorie de Oliveira GallinariDepartment of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Amanda Miyuki TerayamaDepartment of Endodontics, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
André Luiz Fraga BrisoDepartment of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Rogério de Castilho JacintoDepartment of Endodontics, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Gustavo Sivieri-AraújoDepartment of Endodontics, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil.
Luciano Tavares Angelo CintraDepartment of Endodontics, School of Dentistry, São Paulo State University - UNESP, R: José Bonifácio, 1193. Vila Mendonça, Araçatuba, SP, Brazil. lucianocintra@foa.unesp.br.
Universidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review (PROSPERO register: CRD42016053140) investigated the influence of different types of light on the pulp tissue during dental bleaching. MATERIALS AND

methodsTwo independent authors conducted a systematic search and risk of bias evaluations. An electronic search was undertaken (PubMed/Medline, Embase, The Cochrane Library, and other databases) until May 2017. The population, intervention, comparison, outcomes (PICO) question was: "Does the light in dental bleaching change the response of the pulp to the bleaching procedure?" The intervention involved pulp tissue/cells after bleaching with light, while the comparison involved pulp tissue/cells after bleaching without light. The primary outcome was the inflammation/cytotoxicity observed in pulp after bleaching.

resultsOut of 2210 articles found, 12 articles were included in the review; four were in vivo studies (one study in dogs/others in human), and eight were in vitro studies (cell culture/with artificial pulp chamber or not). The light source used was halogen, light-emitting diode (LED), and laser. Only one in vivo study that used heat to simulate light effects showed significant pulp inflammation. Only two in vitro studies demonstrated that light influenced cell metabolism; one using halogen light indicated negative effects, and the other using laser therapy indicated positive effects. Given that animal and in vitro studies have been identified, there remain some limitations for extrapolation to the human situation. Furthermore, different light parameters were used.

conclusionsThe effects of dental bleaching on the pulp are not influenced by different types of light, but different light parameters can influence these properties. CLINICAL RELEVANCE: There is insufficient evidence about the influence of different types of light on inflammation/cytotoxicity of the pulp.

Indexed as

Curing Lights, DentalLow-Level Light TherapyAnimalsDental PulpDogsHalogensHumansTooth BleachingTooth Bleaching AgentsHalogensTooth Bleaching AgentsDental bleachingLight activationLow-level laser therapyPulp inflammationSystematic review

Identifiers

PMID29230545
OpenAlexW2771478425

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.