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Perioperative use of an anti-inflammatory drug on tooth sensitivity caused by in-office bleaching: a randomized, triple-blind clinical trial

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Abstract

Objectives

The aim of this study was to determine the effect of etoricoxib 60 mg on tooth sensitivity (TS) caused by in-office bleaching.

Materials and methods

A triple-blind, parallel design, randomized clinical trial was conducted on 30 healthy, young adults who received either a placebo or etoricoxib. The drugs were administered 1 h before the bleaching process and after 24 h. Treatment was performed with 35 % hydrogen peroxide gel. The TS was recorded on three scales: VAS, 0–4, and 0–100. Shade evaluations were performed before and 30 days after bleaching with a visual shade guide and a spectrophotometer. The percentage of patients who reported TS at least once during treatment and the TS intensity were evaluated by Fisher’s exact and Mann–Whitney U tests, respectively. Tooth color changes were evaluated by repeated measures ANOVA.

Results

There were no significant differences in the percentage of patients with TS, intensity of TS, and color between the groups.

Conclusions and clinical significance

The anti-inflammatory medication etoricoxib 60 mg was unable to reduce the presence and intensity of TS. NCT01300780 (protocol No. 17838/2010).

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References

  1. Giniger M, MacDonald J, Felix H (2005) The clinical performance of professionally dispensed bleaching with added amorphous calcium phosphate. J Am Dent Assoc 136:383–392

    PubMed  Google Scholar 

  2. Bernardon JK, Sartori N, Ballarin A, Perdigão J, Lopes GC, Baratieri LN (2010) Clinical performance of vital bleaching techniques. Oper Dent 35:3–10

    Article  PubMed  Google Scholar 

  3. Tay LY, Kose C, Loguercio AD, Reis A (2009) Assessing the effect of a desensitizing agent used before in-office tooth bleaching. J Am Dent Assoc 140:1245–1251

    PubMed  Google Scholar 

  4. Strobl A, Gutknecht N, Franzen R, Hilgers RD, Lampert F, Meister J (2010) Laser-assisted in-office bleaching using a neodymium:yttrium-aluminum-garnet laser: an in vivo study. Lasers Med Sci 25:503–509

    Article  PubMed  Google Scholar 

  5. 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

    Article  PubMed  Google Scholar 

  6. Kossatz S, Martins G, Loguercio AD, Reis A (2012) Tooth sensitivity and bleaching effectiveness associated with use of a calcium-containing in-office bleaching gel. J Am Dent Assoc 143:e81–e87

    PubMed  Google Scholar 

  7. Tay LY, Kose C, Herrera DR, Reis A, Loguercio AD (2012) Long-term efficacy of in-office and at-home bleaching: a 2-year double-blind randomized clinical trial. Am J Dent 25:199–204

    PubMed  Google Scholar 

  8. Basting R, Amaral F, França F, Flório F (2012) Clinical comparative study of the effectiveness of and tooth sensitivity to 10 % and 20 % carbamide peroxide home-use and 35 % and 38 % hydrogen peroxide in-office bleaching materials containing desensitizing agents. Oper Dent 37:464–473

    Article  PubMed  Google Scholar 

  9. 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 Periodontics Restorative Dent 32:303–309

    PubMed  Google Scholar 

  10. Kihn PW (2007) Vital tooth whitening. Dent Clin North Am 51:319–331

    Article  PubMed  Google Scholar 

  11. 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

    Article  PubMed  Google Scholar 

  12. Schulte JR, Morrissete DB, Gasior EJ, Czajewski MV (1994) The effect of bleaching application time on the dental pulp. J Am Dent Assoc 125:1330–1335

    PubMed  Google Scholar 

  13. Markowitz K (2010) Pretty painful: why does tooth bleaching hurt? Med Hypotheses 74:835–840

    Article  PubMed  Google Scholar 

  14. Swift EJ Jr (2005) Tooth sensitivity and whitening. Compend Contin Educ Dent 26:4–10

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  16. Cooper JS, Bokmeyer TJ, Bowles WH (1992) Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod 18:315–317

    Article  PubMed  Google Scholar 

  17. Caviedes-Bucheli J, Ariza-Garcia G, Restrepo-Mendez 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

    Article  PubMed  Google Scholar 

  18. Huynh MP, Yagiela JA (2003) Current concepts in acute pain management. J Calif Dent Assoc 31:419–427

    PubMed  Google Scholar 

  19. Suleyman H, Demircan B, Karagoz Y (2007) Anti-inflammatory and side effects of cyclooxygenase inhibitor. Pharmacol Rep 59:247–258

    PubMed  Google Scholar 

  20. Nakanishi T, Shimizu H, Hosokawa Y, Matsuo T (2001) An immunohistological study on cyclooxygenase-2 in human dental pulp. J Endod 27:385–388

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  23. Armenio RV, Fitarelli F, Armenio 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 139:592–597

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  25. 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

    Article  PubMed  Google Scholar 

  26. Schulz KF, Altman DG, Moher D (2010) CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials. Brit Med J 8:1–9

    Google Scholar 

  27. Jensen MP, Karoly P, Braver S (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain 27:117–126

    Article  PubMed  Google Scholar 

  28. Caraceni A, Cherny N, Fainsinger R, Kaasa S, Poulain P, Radbruch L, De Conno F (2002) Pain measurement tools and methods in clinical research in palliative care: recommendations of an expert working group of the European association of palliative care. J Pain Sym Man 23:239–255

    Article  Google Scholar 

  29. Noble B, Clark D, Meldrum M, ten Have H, Seymour J, Winslow M, Paz S (2005) The measurement of pain. J Pain Sym Man 29:1945–2000

    Google Scholar 

  30. Costa CAS, 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:e59–e64

    Article  PubMed  Google Scholar 

  31. Anusavice K (2001) Clinical decision-making for coronal caries management in the permanent dentition. J Dent Edu 65:1143–1146

    Google Scholar 

  32. Holt CI, Hutchins MO, Pileggi R (2005) A real time quantitative PCR analysis and correlation of COX-1 and COX-2 enzymes in inflamed dental pulps following administration of three different NSAIDs. J Endod 31:799–804

    Article  PubMed  Google Scholar 

  33. Lepinski AM, Hargreaves KM, Goodis HE, Bowles WR (2000) Bradykinin levels in dental pulp by microdialysis. J Endod 26:744–747

    Article  PubMed  Google Scholar 

  34. Rodd H, Boissonnade F (2000) Substance P expression in human tooth pulp in relation to caries and pain experience. Eur J Oral Sci 108:467–474

    Article  PubMed  Google Scholar 

  35. Greaves MW (1976) Anti-inflammatory action of corticosteroids. Postgrad Med J 52:631–33

    Article  PubMed  Google Scholar 

  36. Barnes PJ (1998) Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci 94:557–572

    PubMed  Google Scholar 

  37. Närhi M, Jyväsjärvi E, Virtanen A, Huopaniemi T, Ngassapa D, Hirvonen T (1992) Role of intradental A- and C-type nerve fibres in dental pain mechanisms. Proc Finn Dent Soc 88:507–516

    PubMed  Google Scholar 

  38. Anderson DG, Chiego DJ, 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

    Article  PubMed  Google Scholar 

  39. Imlay JA, Linn S (1988) DNA damage and oxygen radical toxicity. Science 3:1302–1309

    Article  Google Scholar 

  40. Bellomo G (1991) Cell damage by oxygen free radicals. Cytotechnology 5:71–73

    Article  PubMed  Google Scholar 

  41. Kim S (1986) Hypersensitive teeth: desensitization of pulpal sensory nerves. J Endod 12:482–485

    Article  PubMed  Google Scholar 

  42. Markowitz K, Bilotto G, Kim S (1991) Decreasing intradental nerve activity in the cat with potassium and divalent cations. Arch Oral Biol 36:1–7

    Article  PubMed  Google Scholar 

  43. Malmstron K, Sapre A, Coughlin H, Agrawal NG, Mazenko RS, Fricke JR Jr (2004) Etoricoxib in acute pain associated with dental surgery: a randomized, double-blind, placebo- and active comparator-controlled dose-ranging study. Clin Ther 26:667–679

    Article  Google Scholar 

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Acknowledgments

This study was performed by Eloisa Andrade de Paula as partial fulfillment of his Ph.D.’s degree at the State University of Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil. The authors would like to thanks FGM Dental Products for the generous donation of the bleaching products employed in this study. This study was partially supported by the National Council for Scientific and Technological Development (CNPq) under grants 301937/2009-5 and 301891/2010-9 as well as Araucária Foundation.

Conflict of interest

The authors declare that they have no conflict of interest.

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Correspondence to Alessandra Reis.

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de Paula, E.A., Loguercio, A.D., Fernandes, D. et al. Perioperative use of an anti-inflammatory drug on tooth sensitivity caused by in-office bleaching: a randomized, triple-blind clinical trial. Clin Oral Invest 17, 2091–2097 (2013). https://doi.org/10.1007/s00784-013-0918-2

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  • DOI: https://doi.org/10.1007/s00784-013-0918-2

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