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25.04.2018 | Original Article

Pre-operative use of dexamethasone does not reduce incidence or intensity of bleaching-induced tooth sensitivity. A triple-blind, parallel-design, randomized clinical trial

verfasst von: Luiz Augusto da Costa Poubel, Cresus Vinicius Deppes de Gouvea, Fernanda Signorelli Calazans, Etyene Castro Dip, Wesley Veltri Alves, Stella Soares Marins, Roberta Barcelos, Marcos Oliveira Barceleiro

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2019

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Abstract

Objectives

This study evaluated the effect of the administration of pre-operative dexamethasone on tooth sensitivity stemming from in-office bleaching.

Materials and methods

A triple-blind, parallel-design, randomized clinical trial was conducted on 70 volunteers who received dexamethasone or placebo capsules. The drugs were administered in a protocol of three daily 8-mg doses of the drug, starting 48 h before the in-office bleaching treatment. Two bleaching sessions with 37.5% hydrogen peroxide gel were performed with a 1-week interval. Tooth sensitivity (TS) was recorded on visual analog scales (VAS) and numeric rating scales (NRS) in different periods up to 48 h after bleaching. The color evaluations were also performed. The absolute risk of TS and its intensity were evaluated by using Fisher’s exact test. Comparisons of the TS intensity (NRS and VAS data) were performed by using the Mann-Whitney U test and a two-way repeated measures ANOVA and Tukey’s test, respectively.

Results

In both groups, a high risk of TS (Dexa 80% x Placebo 94%) was detected. No significant difference was observed in terms of TS intensity. A whitening of approximately 3 shade guide units of the VITA Classical was detected in both groups, which were statistically similar.

Conclusions

It was concluded that the administration pre-operatively of dexamethasone, in the proposed protocol, does not reduce the incidence or intensity of bleaching-induced tooth sensitivity.

Clinical relevance

The use of dexamethasone drug before in-office bleaching treatment does not reduce incidence or intensity of tooth sensitivity.

Clinical trial registration number

NCT02956070

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Titel: Pre-operative use of dexamethasone does not reduce incidence or intensity of bleaching-induced tooth sensitivity. A triple-blind, parallel-design, randomized clinical trial
verfasst von: Luiz Augusto da Costa Poubel
Cresus Vinicius Deppes de Gouvea
Fernanda Signorelli Calazans
Etyene Castro Dip
Wesley Veltri Alves
Stella Soares Marins
Roberta Barcelos
Marcos Oliveira Barceleiro
Publikationsdatum: 25.04.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2452-8

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Pre-operative use of dexamethasone does not reduce incidence or intensity of bleaching-induced tooth sensitivity. A triple-blind, parallel-design, randomized clinical trial

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Clinical trial registration number

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Clinical trial registration number

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