<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2019000300428</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Técnica modificada de blanqueamiento de dientes vitales empleando DMC peróxido de hidrógeno al 35%]]></article-title>
<article-title xml:lang="en"><![CDATA[Modified technique for vital teeth whitening using DMC 35% hydrogen peroxide]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaple Gil]]></surname>
<given-names><![CDATA[Alain Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Godoy]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintana Muñoz]]></surname>
<given-names><![CDATA[Lisandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Victoria de Girón&#8221; Centro Internacional de Salud &#8220;La Pradera&#8221;]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Chile Facultad de Odontología Departamento de Odontología Restauradora]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Chile Instituto de Ciencias Biomédicas ]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Policlínico Docente de Playa  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>18</volume>
<numero>3</numero>
<fpage>428</fpage>
<lpage>436</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2019000300428&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2019000300428&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2019000300428&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los fabricantes de DMC peróxido de hidrógeno al 35% proponen una técnica de blanqueamiento de dientes vitales que malgasta el producto y el tiempo de tratamiento, por lo que una técnica modificada traería beneficios materiales y económicos para operadores y pacientes.  Objetivo: Describir la aplicación de una técnica modificada de blanqueamiento dental en dientes vitales utilizando DMC peróxido de hidrógeno al 35%.  Presentación del caso:  Paciente femenina de 44 años a quien se le realiza un tratamiento de blanqueamiento dental con una modificación de la técnica propuesta por el fabricante del producto. La modificación consistió en el empleo de una sola aplicación del gel blanqueador, en lugar de tres aplicaciones, y aumento del tiempo de exposición a 40 min, en lugar de los 10-15 min recomendados por el fabricante. Las variables empleadas para evaluar el tratamiento y sus resultados fueron definidas por el registro del color inicial y posterior al tratamiento, y por la satisfacción de la paciente con el resultado del mismo. Los dientes expuestos al tratamiento se encontraban con tejidos de esmalte sanos sin exposición de la dentina en ninguna de las superficies.  Conclusiones:  La modificación descrita de la técnica de blanqueamiento propuesta por el fabricante con DMC Lase Peroxide Sensy (peróxido de hidrógeno al 35%) consistente fundamentalmente en el empleo de una sola aplicación y aumento del tiempo de exposición en una sola sesión de tratamiento, aportó un ahorro del producto sustancial y condujo al cambio de la coloración final de los dientes, con la plena satisfacción de la paciente y protegido el esmalte superficial de sus dientes tratados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The manufacturers of DMC 35% hydrogen peroxide propose a whitening technique of vital teeth that waste the product and the time of treatment, so a modified technique would bring material and economic benefits for operators and patients.  Objective:  To describe the application of a modified technique in vital teeth whitening using DMC 35% hydrogen peroxide.  Case presentation:  A 44-year-old female patient undergoing a whitening treatment with a modification of the technique proposed by the product manufacturer. The modification consisted in the use of a single application of the bleaching gel instead of three applications, and an increase in the exposure time to 40 min instead of the 10-15 min recommended by the manufacturer. The variables used to evaluate the treatment and its results were defined by the registration of the color before and after treatment and also by the satisfaction of the patient with the result. The teeth exposed to treatment were found with healthy enamel tissues without dentine exposure on any of the surfaces.  Conclusions:  The described modification of the whitening technique proposed by the manufacturer with DMC Lase Peroxide Sensy (35% hydrogen peroxide) consisting mainly on the use of a single application and the increase of the exposure time in a single treatment session contributed to a considerable saving of the product and led to the change of the final coloring of the teeth, which resulted in the full satisfaction of the patient and the protection of her exposed teeth and tissues.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Blanqueamiento de dientes]]></kwd>
<kwd lng="es"><![CDATA[estética dental]]></kwd>
<kwd lng="es"><![CDATA[industria cosmética]]></kwd>
<kwd lng="es"><![CDATA[peróxido de hidrógeno al 35%]]></kwd>
<kwd lng="es"><![CDATA[sola aplicación del gel blanqueador]]></kwd>
<kwd lng="es"><![CDATA[cambio de la coloración final de los dientes]]></kwd>
<kwd lng="en"><![CDATA[Teeth whitening]]></kwd>
<kwd lng="en"><![CDATA[dental aesthetics]]></kwd>
<kwd lng="en"><![CDATA[cosmetic industry]]></kwd>
<kwd lng="en"><![CDATA[35% hydrogen peroxide]]></kwd>
<kwd lng="en"><![CDATA[single application of the bleaching gel]]></kwd>
<kwd lng="en"><![CDATA[change of the final coloring of the teeth.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chu]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Paravina]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Sailer]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Mielezko]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Color in dentistry: a clinical guide to predictable esthetics]]></source>
<year>2017</year>
<edition>1</edition>
<publisher-loc><![CDATA[Hanover Park, IL ]]></publisher-loc>
<publisher-name><![CDATA[Quintessence Publishing Co, Inc]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bersezio]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bottner]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Avalos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Godoy]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Inda]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Longevity, esthetic perception, and psychosocial impact of teeth bleaching by low (6%) hydrogen peroxide concentration for in-office treatment: a randomized clinical trial]]></article-title>
<source><![CDATA[Oper Dent]]></source>
<year>2017</year>
<volume>42</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>41-52</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grazioli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Valente]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Isolan]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
<name>
<surname><![CDATA[Münchow]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bleaching and enamel surface interactions resulting from the use of highly-concentrated bleaching gels]]></article-title>
<source><![CDATA[Arch Oral Biol]]></source>
<year>2018</year>
<volume>87</volume>
<page-range>157-62</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herrera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Perez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bonafe]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Dourado]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Is personality relevant in the choice of bleaching?]]></article-title>
<source><![CDATA[Clin Oral Investig]]></source>
<year>2016</year>
<volume>20</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>2105-11</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rivas]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Vildosola]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Moncada]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira Junior]]></surname>
<given-names><![CDATA[OB]]></given-names>
</name>
<name>
<surname><![CDATA[Saad]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Personality style in patients looking for tooth bleaching and its correlation with treatment satisfaction]]></article-title>
<source><![CDATA[Braz Dent J]]></source>
<year>2016</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>60-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vildosola]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bersezio]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bortolatto]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Saad]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effectiveness of 6% hydrogen peroxide concentration for tooth bleaching-A double-blind, randomized clinical trial]]></article-title>
<source><![CDATA[J Dent]]></source>
<year>2015</year>
<volume>43</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>965-72</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moncada]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sepúlveda]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Elphick]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Contente]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Estay]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bahamondes]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of light activation, agent concentration, and tooth thickness on dental sensitivity after bleaching]]></article-title>
<source><![CDATA[Oper Dent]]></source>
<year>2013</year>
<volume>38</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>467-76</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pimentel]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Valente]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Isolan]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Münchow]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Piva]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[de Moraes]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of waiting time for placing resin composite restorations after bleaching on enamel bond strength]]></article-title>
<source><![CDATA[Appl Adhesion Sci]]></source>
<year>2015</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swift EJ]]></surname>
<given-names><![CDATA[Jr]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Critical appraisal. Reversal of compromised bonding after bleaching]]></article-title>
<source><![CDATA[Journal of esthetic and restorative dentistry: official publication of the American Academy of Esthetic Dentistry]]></source>
<year>2012</year>
<volume>24</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>357-61</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vildósola]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bottner]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Avalos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Godoy]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Teeth bleaching with low concentrations of hydrogen peroxide (6%) and catalyzed by LED blue (450 ± 10 nm) and laser infrared (808 ± 10 nm) light for in-office treatment: Randomized clinical trial 1-year follow-up]]></article-title>
<source><![CDATA[Journal of esthetic and restorative dentistry: official publication of the American Academy of Esthetic Dentistry]]></source>
<year>2017</year>
<volume>29</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>339-45</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vildosola]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Vera]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ramirez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rencoret]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pretel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[OB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of effectiveness and sensitivity using two in-office bleaching protocols for a 6% hydrogen peroxide gel in a randomized clinical trial]]></article-title>
<source><![CDATA[Oper Dent]]></source>
<year>2017</year>
<volume>42</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>244-52</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
