A clinical, randomized, controlled study on the use of desensitizing agents during tooth bleaching

Karen Pintado-Palomino, Oscar Peitl Filho, Edgar Dutra Zanotto, Camila Tirapelli

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Objectives To evaluate the efficacy of experimental proposals of desensitizing agents during tooth bleaching. Methods 140 participants without tooth sensitivity (TS) received 16% carbamide peroxide (14 days-04 h each) (T1) or 35% hydrogen peroxide (single session-45 min) (T2). Participants used concomitantly (10 per group): desensitizing dentifrices (D1-experimental bioactive glass-ceramic; D2-commercial potassium nitrate; D3-commercial calcium and sodium phosphosilicate) in-home, daily and, desensitizing pastes (D4-experimental bioactive glass-ceramic; D5-experimental Bioglass type 45S5; D6-commercial calcium phosphate), in-office, immediately after the treatment and more 4 times. Participants in the control group did not use any desensitizing agent. We assessed TS with Visual Analogue Scale. Assessment point 1 was immediately after the first participant's exposure to the treatments; and points 2, 3, 4, and 5 were every 72 h along the period of the study. Two-way ANOVA (considering time and desensitizing as factors) and post-hoc Tukey test (α = 0.05) analyzed the data. Results In the control group treated with 35% hydrogen peroxide, TS increased significantly on assessment points 1 and 2. The participants who used a 5% potassium nitrate dentifrice and in-office experimental pastes did not experience TS because of the 35% in-office bleaching treatment. Conclusions TS caused by 35% hydrogen peroxide in-office tooth bleaching was controlled by experimental products prepared as pastes D4-experimental bioactive glass-ceramic and D5-experimental Bioglass type 45S5, but not by D1-experimental dentifrice containing bioactive glass-ceramic. Clinical significance There is no a gold standard protocol for TS caused by tooth bleaching. The study of novel desensitizing agents that can obliterate the dentinal tubules in a faster-acting and long-lasting way may help meet this clinical need.

Original languageEnglish
Pages (from-to)1099-1105
Number of pages7
JournalJournal of Dentistry
Volume43
Issue number9
DOIs
StatePublished - 1 Sep 2015
Externally publishedYes

Bibliographical note

Funding Information:
The authors are grateful to FAPESP (São Paulo Research Foundation # 2013/07793-6, # 2011/07039-4, #12/08312-9 and #2010/12032-6) for the financial support of this study.

Publisher Copyright:
© 2015 Elsevier Ltd. All rights reserved.

Keywords

  • Esthetic dentistry
  • Tooth bleaching
  • Tooth sensitivity

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