Can an LED-laser hybrid light help to decrease hydrogen peroxide concentration while maintaining effectiveness in teeth bleaching?

The aim of this study was to compare the bleaching efficacy of 35% hydrogen peroxide and 15% hydrogen peroxide with nitrogen-doped titanium dioxide catalysed by an LED-laser hybrid light. We studied 70 patients randomized to two groups. Tooth shade and pulpal sensitivity were registered. Group 1: 15% hydrogen peroxide with nitrogen-doped titanium dioxide. Group 2: 35% hydrogen peroxide. Both groups were activated by an LED-laser light. No significant differences were seen in shade change immediately, one week or one month after treatment (p>0.05). Differences were seen in pulpal sensitivity (p<0.05). The use of an LED-laser hybrid light to activate 15% hydrogen peroxide gel with NTiO₂ permits decreasing the peroxide concentration with similar aesthetic results and less pulpal sensitivity than using 35% hydrogen peroxide for bleaching teeth.