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).
Similar content being viewed by others
References
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
Bernardon JK, Sartori N, Ballarin A, Perdigão J, Lopes GC, Baratieri LN (2010) Clinical performance of vital bleaching techniques. Oper Dent 35:3–10
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
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
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
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
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
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
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
Kihn PW (2007) Vital tooth whitening. Dent Clin North Am 51:319–331
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
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
Markowitz K (2010) Pretty painful: why does tooth bleaching hurt? Med Hypotheses 74:835–840
Swift EJ Jr (2005) Tooth sensitivity and whitening. Compend Contin Educ Dent 26:4–10
Haywood VB (2005) Treating sensitivity during tooth whitening. Compend Contin Educ Dent 26:11–20
Cooper JS, Bokmeyer TJ, Bowles WH (1992) Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod 18:315–317
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
Huynh MP, Yagiela JA (2003) Current concepts in acute pain management. J Calif Dent Assoc 31:419–427
Suleyman H, Demircan B, Karagoz Y (2007) Anti-inflammatory and side effects of cyclooxygenase inhibitor. Pharmacol Rep 59:247–258
Nakanishi T, Shimizu H, Hosokawa Y, Matsuo T (2001) An immunohistological study on cyclooxygenase-2 in human dental pulp. J Endod 27:385–388
Haywood VB (2005) Treating sensitivity during tooth whitening. Compend Contin Educ Dent 26:11–20
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
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
Jorgensen MG, Carroll WB (2002) Incidence of tooth sensitivity after home whitening treatment. J Am Dent Assoc 133:1076–1082
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
Schulz KF, Altman DG, Moher D (2010) CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials. Brit Med J 8:1–9
Jensen MP, Karoly P, Braver S (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain 27:117–126
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
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
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
Anusavice K (2001) Clinical decision-making for coronal caries management in the permanent dentition. J Dent Edu 65:1143–1146
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
Lepinski AM, Hargreaves KM, Goodis HE, Bowles WR (2000) Bradykinin levels in dental pulp by microdialysis. J Endod 26:744–747
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
Greaves MW (1976) Anti-inflammatory action of corticosteroids. Postgrad Med J 52:631–33
Barnes PJ (1998) Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci 94:557–572
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
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
Imlay JA, Linn S (1988) DNA damage and oxygen radical toxicity. Science 3:1302–1309
Bellomo G (1991) Cell damage by oxygen free radicals. Cytotechnology 5:71–73
Kim S (1986) Hypersensitive teeth: desensitization of pulpal sensory nerves. J Endod 12:482–485
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
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
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.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-013-0918-2