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Clinical Oral Investigations

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01.04.2014 | Original Article

Effectiveness of a desensitizing agent before in-office tooth bleaching in restored teeth

verfasst von: Elize Bonafé, Alessandro Dourado Loguercio, Alessandra Reis, Stella Kossatz

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2014

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Abstract

Objectives

The aim of this clinical trial was to evaluate the effectiveness and tooth sensitivity associated with bleaching in patients with composite restorations in anterior teeth after the application of a desensitizing agent.

Material and methods

Bleaching was performed with 35 % hydrogen peroxide gel in 30 patients with composite restorations in anterior teeth, divided according to the prior application of a desensitizing agent (De), or a placebo (Pl), on maxillary superior teeth. Color was recorded at baseline, 1 week after each session and 6 months after treatment. The experience of tooth sensitivity (TS) was recorded on an NRS (0–4) during bleaching and 24 h after each session. Bleaching effectiveness was evaluated by one-way ANOVA and Tukey's tests (α = 0.05). The percentage of TS was evaluated by Fisher's exact test. For each treatment, periods were compared using the Wilcoxon signed-rank test (α = 0.05), and at each period, treatments were compared using Mann–Whitney U test.

Results

Both groups showed similar tooth color enhancement and color stability after 6 months (p < 0.05). No significant difference in prevalence of sensitivity was detected between groups (p < 0.001). Higher TS intensity (median [first/third quartiles]) was observed for Pl (1.5 [1/1.75]) compared with De (0.5 [0/1]) during treatment (p < 0.05).

Conclusions

The use of a desensitizing gel (5 % potassium nitrate, 2 % sodium fluoride) before tooth bleaching in patients with composite restorations did not reduce the prevalence of tooth sensitivity, but reduced the intensity of TS during bleaching.

Clinical relevance

Although the use of a desensitizing agent before bleaching, in patients with composite resin restorations, did not reduce the prevalence of TS, a reduction of the TS intensity during the protocol was observed without jeopardizing the whitening outcome.

Haywood VB, Heymann HO (1989) Nightguard vital bleaching. Quintessence Int 20:173–176PubMed

Barghi N (1998) Making a clinical decision for vital tooth bleaching: at-home or in-office? Compend Contin Educ Dent 19:831–838PubMed

Marson FC, Sensi LG, Vieira LC, Araújo E (2008) Clinical evaluation of in-office dental bleaching treatments with and without the use of light-activation sources. Oper Dent 33:15–22. doi:10.2341/07-57 PubMedCrossRef

Kossatz S, Dalanhol AP, Cunha T, Loguercio A, Reis A (2011) Effect of light activation on tooth sensitivity after in-office bleaching. Oper Dent 36:251–257. doi:10.2341/10-289-C PubMedCrossRef

Reis A, Dalanhol AP, Cunha TS, Kossatz S, Loguercio AD (2011) Assessment of tooth sensitivity using a desensitizer before light-activated bleaching. Oper Dent 36:12–17. doi:10.2341/10-148-CR PubMedCrossRef

Almeida LC, Riehl H, Santos PH, Sundfeld ML, Briso AL (2012) Clinical evaluation of the effectiveness of different bleaching therapies in vital teeth. Int J Periodont Restor Dent 32:303–309

Jorgensen MG, Carroll WB (2002) Incidence of tooth sensitivity after home whitening treatment. J Am Dent Assoc 133:1076–1082PubMedCrossRef

Leonard RH Jr, Smith LR, Garland GE, Tiwana KK, Zaidel LA, Pugh G Jr, Lin NC (2007) Evaluation of side effects and patients' perceptions during tooth bleaching. J Esthet Restor Dent 19:355–364. doi:10.1111/j.1708-8240.2007.00136.x PubMedCrossRef

Goldberg M, Grootveld M, Lynch E (2010) Undesirable and adverse effects of tooth-whitening products: a review. Clin Oral Investig 14:1–10. doi:10.1007/s00784-009-0302-4 PubMedCrossRef

10.

Cooper JS, Bokmeyer TJ, Bowles WH (1992) Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod 18:315–317. doi:10.1016/S0099-2399(06)80479-6 PubMedCrossRef

11.

Thitinanthapan W, Satamanont P, Vongsavan N (1999) In vitro penetration of the pulp chamber by three brands of carbamide peroxide. J Esthet Dent 11:259–264PubMedCrossRef

12.

Markowitz K (2010) Pretty painful: why does tooth bleaching hurt? Med Hypotheses 74:835–840. doi:10.1016/j.mehy.2009.11.044 PubMedCrossRef

13.

Caviedes-Bucheli J, Ariza-García G, Restrepo-Méndez S, Ríos-Osorio N, Lombana N, Muñoz HR (2008) The effect of tooth bleaching on substance P expression in human dental pulp. J Endod 34:1462–1465. doi:10.1016/j.joen.2008.09.013 PubMedCrossRef

14.

Tay LY, Kose C, Loguercio AD, Reis A (2008) Assessing the effect of a desensitizing agent used before in-office tooth bleaching. J Am Dent Assoc 140:1245–1251CrossRef

15.

Gurgan S, Cakir FY, Yazici E (2010) Different light-activated in-office bleaching systems: a clinical evaluation. Lasers Med Sci 25:817–822. doi:10.1007/s10103-009-0688-x PubMedCrossRef

16.

Matis BA, Cochran MA, Franco M, Al-Ammar W, Eckert GJ, Stropes M (2007) Eight in-office tooth whitening systems evaluated in vivo: a pilot study. Oper Dent 32:322–327. doi:10.2341/06-135 PubMedCrossRef

17.

Kugel G, Ferreira S, Sharma S, Barker ML, Gerlach RW (2009) Clinical trial assessing light enhancement of in-office tooth whitening. J Esthet Restor Dent 21:336–347. doi:10.1111/j.1708-8240.2009.00287.x PubMedCrossRef

18.

Bernardon JK, Sartori N, Ballarin A, Perdigão J, Lopes GC, Baratieri LN (2010) Clinical performance of vital bleaching techniques. Oper Dent 35:3–10. doi:10.2341/09-008CR PubMedCrossRef

19.

Benetti AR, Valera MC, Mancini MN, Miranda CB, Balducci I (2004) In vitro penetration of bleaching agents into the pulp chamber. Int Endod J 37:120–124. doi:10.1111/j.0143-2885.2004.00761.x PubMedCrossRef

20.

Gökay O, Yilmaz F, Akin S, Tunçbìlek M, Ertan R (2000) Penetration of the pulp chamber by bleaching agents in teeth restored with various restorative materials. J Endod 26:92–94. doi:10.1097/00004770-200002000-00008 PubMedCrossRef

21.

Gökay O, Tunçbilek M, Ertan R (2000) Penetration of the pulp chamber by carbamide peroxide bleaching agents on teeth restored with a composite resin. J Oral Rehabil 27:428–431. doi:10.1097/00004770-200002000-00008 PubMedCrossRef

22.

Charakorn P, Cabanilla LL, Wagner WC, Foong WC, Shaheen J, Pregitzer R, Schneider D (2009) The effect of preoperative ibuprofen on tooth sensitivity caused by in-office bleaching. Oper Dent 34:131–135. doi:10.2341/08-33 PubMedCrossRef

23.

Haywood VB (2005) Treating sensitivity during tooth whitening. Compend Contin Educ Dent 26:11–20PubMed

24.

Armênio RV, Fitarelli F, Armênio MF, Demarco FF, Reis A, Loguercio AD (2008) The effect of fluoride gel use on bleaching sensitivity :a double-blind randomized controlled clinical trial. J Am Dent Assoc 139:592–597PubMedCrossRef

25.

Cardoso PC, Reis A, Loguercio A, Vieira LC, Baratieri LN (2010) Clinical effectiveness and tooth sensitivity associated with different bleaching times for a 10 percent carbamide peroxide gel. J Am Dent Assoc 141:1213–1220PubMedCrossRef

26.

Kose C, Reis A, Baratieri LN, Loguercio AD (2011) Clinical effects of at-home bleaching along with desensitizing agent application. Am J Dent 24:379–382PubMed

27.

Leonard RH Jr, Smith LR, Garland GE, Caplan DJ (2004) Desensitizing agent efficacy during whitening in an at-risk population. J Esthet Restor Dent 16(1):49–55, discussion 56PubMedCrossRef

28.

Haywood VB, Caughman WF, Frazier KB, Myers ML (2001) Tray delivery of potassium nitrate-fluoride to reduce bleaching sensitivity. Quintessence Int 32:105–109PubMed

29.

Hickel R, Roulet JF, Bayne S, Heintze SD, Mjör IA, Peters M, Rousson V, Randall R, Schmalz G, Tyas M, Vanherle G (2007) Recommendations for conducting controlled clinical studies of dental restorative materials. Clin Oral Investig 11:5–33. doi:10.1007/s00784-006-0095-7 PubMedCrossRef

30.

Browner WS, Newman TB, Hulley S (2001) Estimating sample size and power: applications and examples. In: Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB (eds) Designing clinical research. Lippincott Williams & Wilkins, Philadelphia, p 6594

31.

Berger SB, Cavalli V, Ambrosano GM, Giannini M (2010) Changes in surface morphology and mineralization level of human enamel following in-office bleaching with 35% hydrogen peroxide and light irradiation. Gen Dent 58:74–79

32.

Miller L (1987) Organizing color in dentistry. J Am Dent Assoc 5(26E-40E):143–143

33.

Ishikawa-Nagai S, Yoshida A, Da Silva JD, Miller L (2010) Spectrophotometric analysis of tooth color reproduction on anterior all-ceramic crowns: Part 1: analysis and interpretation of tooth color. J Esthet Restor Dent 22:42–52. doi:10.1111/j.1708-8240.2009.00313.x PubMedCrossRef

34.

Du RX, Li YM, Ma JF (2012) Effect of dehydration time on tooth colour measurement in vitro. Chin J Dent Res 15:37–39PubMed

35.

Mokhlis GR, Matis BA, Cochran MA, Eckert GJ (2000) A clinical evaluation of carbamide peroxide and hydrogen peroxide whitening agents during daytime use. J Am Dent Assoc 131:1269–1277PubMedCrossRef

36.

Schulz KF, Altman DG, Moher D (2010) CONSORT Group Statement: updated guidelines for reporting parallel group randomized trials. BMJ 23:340–1432. doi:10.1136/bmj.c332

37.

Giachetti L, Bertini F, Bambi C, Nieri M, Scaminaci Russo D (2010) A randomized clinical trial comparing at-home and in-office tooth whitening techniques: a nine-month follow-up. J Am Dent Assoc 141:1357–1364PubMedCrossRef

38.

Gottardi MS, Brackett MG, Haywood VB (2003) Number of in-office light-activated bleaching treatments needed to achieve patient satisfaction. Quintessence Int 37:115–120

39.

Wattanapayungkul P, Yap AU (2003) Effects of in-office bleaching products on surface finish of tooth-colored restorations. Oper Dent 28:15–19PubMed

40.

Klukowska MA, White DJ, Gibb RD, Garcia-Godoy F, Garcia-Godoy C, Duschner H (2008) The effects of high concentration tooth whitening bleaches on microleakage of Class V composite restorations. J Clin Dent 19:14–17PubMed

41.

Bowles WH, Thompson LR (1986) Vital bleaching: the effect of heat and hydrogen peroxide on pulpal enzymes. J Endod 12:108–112. doi:10.1016/S0099-2399(86)80300-4 PubMedCrossRef

42.

Haywood VB (1997) Current concepts: bleaching of vital teeth. Quintessence Int 28:424–425

43.

Costa CA, Riehl H, Kina JF, Sacono NT, Hebling J (2010) Human pulp responses to in-office tooth bleaching. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109:59–64. doi:10.1016/j.tripleo.2009.12.002 CrossRef

44.

Närhi M, Yamamoto H, Ngassapa D, Hirvonen T (1994) The neurophysiological basis and the role of inflammatory reactions in dentine hypersensitivity. Arch Oral Biol 39:23S–30SPubMedCrossRef

45.

Cook SP, McCleskey EW (2002) Cell damage excites nociceptors through release of cytosolic ATP. Pain 95:41–47. doi:10.1016/S0304-3959(01)00372-4 PubMedCrossRef

46.

Anderson DG, Chiego DJ Jr, Glickman GN, McCauley LK (1999) A clinical assessment of the effects of 10% carbamide peroxide gel on human pulp tissue. J Endod 25:247–250. doi:10.1016/S0099-2399(99)80152-6 PubMedCrossRef

47.

Arrais CA, Chan DC, Giannini M (2004) Effects of desensitizing agents on dentinal tubule occlusion. J Appl Oral Sci 12:144–148. doi:10.1590/S1678-77572004000200012 PubMedCrossRef

48.

Hodosh M (1974) A superior desensitizer–potassium nitrate. J Am Dent Assoc 88:831–832PubMed

49.

Orchardson R, Gillam DG (2000) The efficacy of potassium salts as agents for treating dentin hypersensitivity. J Orofac Pain 14:9–19PubMed

50.

Haywood VB, Caughman WF, Frazier KB, Myers ML (2001) Tray delivery of potassium nitrate-fluoride to reduce bleaching sensitivity. Quintessence Int 32:105–109PubMed

51.

Peacock JM, Orchardson R (1999) Action potential conduction block of nerves in vitro by potassium citrate, potassium tartrate and potassium oxalate. J Clin Periodontol 26:33–37PubMedCrossRef

52.

Fugaro JO, Nordahl I, Fugaro OJ, Matis BA, Mjör IA (2004) Pulp reaction to vital bleaching. Oper Dent 29:363–368. doi:10.1034/j.1600-051X.1999.260106.x PubMed

Titel: Effectiveness of a desensitizing agent before in-office tooth bleaching in restored teeth
verfasst von: Elize Bonafé
Alessandro Dourado Loguercio
Alessandra Reis
Stella Kossatz
Publikationsdatum: 01.04.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 3/2014
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-013-1055-7

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Effectiveness of a desensitizing agent before in-office tooth bleaching in restored teeth

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

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Springer Medizin

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

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