O desafio do clareamento dental sem sensibilidade: Qual a melhor estratégia dessensibilizante?
Resumo
Resumo
Introdução: A SD é a complicação mais comum causada pelo clareamento dental. Os peróxidos encontrados nos agentes clareadores, por terem baixo peso molecular, conseguem difundir-se com facilidade pelos substratos dentais atingindo a polpa. Este contato gera um quadro de pulpite reversível, que resulta em sensibilidade. Todavia, existem estratégias dessensibilizantes que reduzem esse efeito adverso. Objetivo: Conhecer principais estratégias dessensibilizantes usadas antes, durante e após o clareamento dental para redução da SD. Metodologia: Artigos científicos, disponíveis nas bases de dados Pubmed, Google acadêmico, Scielo, portal Capes, entre outros, foram consultados. Livros e websites também foram pesquisados. Resultados: Verificou-se na literatura pesquisada que o uso de flúor, dentifrícios dessensibilizantes, laserterapia, agentes dessensibilizantes, medicamentos e gomas de mascar podem ser utilizados antes e após o clareamento dental. Analgésicos e anti-inflamatórios são indicados apenas para pacientes que possuem um menor limiar de dor. Géis com cálcio na composição devem sempre ser usados durante o tratamento clareador. Promover a recuperação do paciente após o clareamento dental é primordial para não ocasionar a exacerbação da SD. Conclusão: Uma única estratégia dessensibilizante não parece ser capaz de impedir a ocorrência da SD no clareamento dental. A combinação de estratégias para reduzir a SD até o momento representa a melhor opção.
Palavras-Chaves: CLAREAMENTO DENTAL, SENSIBILIDADE DA DENTINA, CLAREADORES
Palavras-chave
Texto completo:
PDFReferências
Abidia RR, Azam A, El- Hejazi AA, et al. Female Dental Student’s Perception of Their Dental Aesthetics and Desired Dental Treatment.European Scientific Journal.2017;13(3): 171-181.
Almeida CM, Mondeli RFL, Toledo FL. Sensibilidade pós-clareamento: por que ocorre e como preveni-la. Revista Dental Press de Estética. 2011; 8 (4): 108-115.
Armênio RV, Fitarelli F, Armênio MF et al. The effect of fluoride gel use on bleaching sensitivity: a double-blind randomized controlled clinical trial. J Am Dent Assoc 2008; 139(5):592-7;
Ayad F, Ayad N, Delgado E, et al. Comparing the efficacy in providing instant relief of dentin hypersensitivity of a new toothpaste containing 8.0% arginine, calcium carbonate, and 1450 ppm fluoride to a benchmark desensitizing toothpaste containing 2% potassium ion and 1450 ppm fluoride, and to a control toothpaste with 1450 ppm fluoride a three-day clinical study in Mississauga. J Clin Dent. 2009; 20(4):115-22.
Barcellos DC, Batista GR, da Silva MA, et al. Clinical performance of topical sodium fluoride when supplementing carbamide peroxide at-home bleaching gel. Gen Dent. 2015 May-Jun;63(3):47-50.
Bonafe E, Loguercio AD, Reis A Kossatz S. Effectiveness of a Desensitizing Agent before in-Office Tooth Bleaching in Restored Teeth. Clin Oral Investig. 2014; 18(3): 839-45.
Brugnera Júnior A, Santos ALC, Bologna ED, et al. Atlas de laserterapia aplicada à clínica odontológica 1ed. São Paulo: Santos; 2004.
Carlos NR, Bridi EC, Amaral F, et al. Efficacy of home-use bleaching agents delivered in customizer or prefilled disposable trays: a randomized clinical trial. Oper Dent. 2016 Oct 10.
Castro SS, Leal CL, Argolo S, et al. Clareamento dental em pacientes com hipersensibilidade – série de casos. Revista Bahiana de Odontologia. 2015;6(1): 58-69.
Cerqueira RR, HofstaetterL, Rezende, M et al. Assessing the effect of a desensitizing agent on dental sensitivity and effectiveness of bleaching. Revista da Associação Paulista de Cirugiões Dentistas. 2012; 66 (3): 200-205.
Charakorn P, Cabanilla L, Wagner, et al. The effect of preoperative ibuprofeno n tooth sensitivity caused by in -office bleaching. Oper Dent. 2009;34(2):131-135.
Crescente CL, Pinto CF. Análise da sensibilidade após o uso prévio de dessensibilizantes em clareamento dental. Rev. Bras. Odontol. 2016;73 (1): 34-38.
Da Costa Poubel LA, de Gouvea CVD, Calazans FS, et al.: Pre-operative use of dexamethasone does not reduce incidence or intensity of bleaching-induced tooth sensitivity. A triple-blind, parallel-design, randomized clinical trial. Clin Oral Investig. 2019; 23(1): 435–444.
De Geus JL, Wambier LM, Kossatz S, et al. At-home vs in-office bleaching: A systematic review and meta-analysis. Oper Dent. 2016; 41:341-356.
Divyapriya GK, Yavagal PC, Veeresh DJ. Casein phosphopeptide-amorphous calcium phosphate in dentistry: An update. International Journal of Oral Health Sciences.2016; 6(1):18-25.
Faria ESAL, Nahsan FP, Fernandes MT, et al. Effect of preventive use of nonsteroidal anti-inflammatory drugs on sensitivity after dental bleaching: a systematic review and meta-analysis. J Am Dent Assoc. 2015 146(2):87-93.
Gomes CS, Filho JDR, Penelas AG, et al. Avaliação de hipersensibilidade dentinária em função do procedimento clareador: revisão de literatura. Revista Brasileira de Odontologia. 2014;71(2):194-197.
Hass V, Carvalhal ST, Linares SNL, et al. Clinical, Cosmetic and Investigational Dentistry. 2019:11 383–392.
Kielbassa AM, Maier M, Gieren AK, Eliav E. Tooth sensitivity during and after vital tooth bleaching: a systematic review on an unsolved problem. Quintessence International. 2015; 46:881–897
Kina M, Borghi APS, Fabre AF, et al. Clareamento dental em dentes vitais: protocolo clínico em consultório. Arch Health Invest. 2015; 4 (4):7-12.
Kossatz S, Martins G, Loguercio AD, Reis A. Tooth Sensitivity and Bleaching Effectiveness Associated with Use of a Calcium-Containing in-Office Bleaching Gel. The Journal of the American Dental Association. 2012; 143(12): 81-87.
Kwon SR, Dawson DV, Wertz PW: Time Course of Potassium Nitrate Penetration into the Pulp Cavity and the Effect of Penetration Levels on Tooth Whitening Efficacy. J Esthet Restor Dent. 2016; 28 (1):14–22.
Luque-Martinez I, Reis A, Schroeder M, Muñoz MA, Loguercio AD, Masterson D, et al. Comparison of efficacy of tray-delivered carbamide and hydrogen peroxide for ar-home bleaching: a systematic review and meta-analysis. Clin Oral Investig. 2016;20(7):1419-1433.
Martin J, Rivas V, Vildósola P, Moncada L, et al. Personality style in patients looking for tooth bleaching and its correlation with treatment satisfaction. Braz Dent J. 2016;27(1):60-5.
Matis BA, Cochran MA, Eckert G. In vivo study of two carbamide peroxide gels with different desensitizing agents. Operative Dentistry. 2007;32(6):549-55.
Mehta D, Venkata S, Naganath M, et al. Clinical Trial of Tooth Desensitization Prior to in-Office Bleaching. Eur J Oral Sci. 2013;121(5): 477-81.
Mena-Serrano AP, Garcia E, Luque-Martinez I, et al. A single-blind randomized trial about the effect of hydrogen peroxide concentration on light-activated bleaching. Oper Dent. 2016;41;455-464.
Moosavi H, Arjmand N, Ahrari F, et al. Effect of low-level laser therapy on tooth sensitivity induced by in-office bleaching. Lasers Med Sci. 2016;31(4): 713-719.
Nanjundasetty JK, Ashrafulla M. Efficacy of desensitizing agents on postoperative sensitivity following an in-office vital tooth bleaching: A randomized controlled clinical trial. J Conserv Dent.2016;19:207-211.
Navarra CO, Reda B, Diolosà M, et al. The effects of two 10% carbamide peroxide nightguard bleaching agents, with and without desensitizer, on enamel and sensitivity: an in vivo study. Int J Dent Hyg. 2014 May;12(2):115-20.
O’Toole S, Bartlett D. The relationship between dentine hypersensitivity, dietary acid intake and erosive tooth wear. J Dent. 2017; 67:84–87.
Parreiras SO, Szesz AL, Farago PV. Effect of an experimental desensitizing agent on reduction of bleaching-induced tooth sensitivity: A triple-blind randomized clinical trial. J Am Dent Assoc. 2018; 149(4): 281–290.
Paula EA, Kossatz S, Fernandes D, Loguercio A, Reis A. The effect of perioperative Ibuprofen use on tooth sensitivity caused by in-office bleaching. Operative dentistry.2013b; 38 (6): 601-608.
Paula EA, Louguercio AD, Fernandes D, et al. Perioperative use of na anti-inflammatory drug on tooth sensitivity caused by in-office bleaching: a randomized, triple- blind clinical trial. Clin Oral Investig. 2013a;17(9):2091-2097.
Paula EA, Nava JA, Rosso C. In-office bleaching with a two-and seven-day intervals between clinical sessions: a randomized clinical trial on tooth sensitivity. J of dentistry.2015;43(4):424-429.
Pintado-Palomino K, Peitl Filho O, Zanotto ED, et al. A clinical, randomized, controlled study on the use of desensitizing agents during tooth bleaching. J Dent. 2015
Possamai CF, Ceretta LB, Ceretta RA, et al. Estudo do uso e eficácia de substâncias para redução de sensibilidade durante o tratamento clareador caseiro. Rev Odont Univ. 2016; 28(1): 30-36.
Rahal V, de Azevedo FA, Gallinari MO,et al. Avaliação sensorial quantitativa da sensibilidade dentária com o uso de um dessensibilizante. Revista Dental Press de Estética. 2014;11 (2):108-117.
Reynolds, E.C. Casein Phosphopeptide-Amorphous Calcium Phosphate: The Science Evidence. Advances in Dental Research. 2009;21(1):25-29.
Rezazadeh F, Dehghanian P, Jafarpour D. Laser effects on the prevention and treatment of dentinal hypersensitivity: a systematic review. J Lasers Med Sci. 2019;10(1):1-11.
Rezende M, Chemin K, Vaez SC, et al. Effect of topical application of dipyrone on dental sensitivity reduction after in-office dental bleaching: A randomized, triple-blind multicenter clinical trial. Elsevier: American Dental Association.2018;149(5),363-371.
Rezende M, Loguercio AD, Kossatz S,et al. Predictive Factors on the Efficacy and Risk/Intensity of Tooth Sensitivity of Dental Bleaching: A Multi Regression and Logistic Analysis. J Dent. 2016; 45:1-6.
Rezende M, Siqueira SH, Kossatz S. Clareamento dental - efeito da técnica sobre a sensibilidade dental e efetividade. Rev Assoc Paul Cir Dent. 2014;68(3):208-12
Riehl H.Uma metodologia para avaliação comparativa entre as técnicas de clareamento de consultório.Scientific. 2008; 1:47-54.
Rocha RG, et al. O controle da dor em Odontologia da terapêutica medicamentosa. Anais 15 Conclave Internacional de Campinas, n.104, mar./abr. 2003.
Samuel SR, Khatri SG, Acharya S. Clinical Evaluation of self and professionally applied desensitizing agents in relieving dentin hypersensitivity after a single topical application: A Randomized Controlled Trial. J Clin Exp Dent.2014;6(4):339-343.
Santiago SR, Almeida AG, Dietrich L, et al. Effects of using a topic flúor and low-level laser therapy after sensitivity in -office bleaching. Revista de Odontologia Contemporânea. 2020; 4 (1):56-63.
Santos LF, Torres CL, Canapele TM, et al. Effect of home-bleaching gels modified by calcium and/or fluoride and the application of nano-hydroxyapatite paste on in vitro enamel erosion susceptibility. Acta Odontol Scand. 2016;74(2):121-6.
Shiau H.J. Dentin Hypersensitivity. J Evid Base Dent Pract. 2012;12(3):220-228.
Shintome LK, Nagayassu MP, Umetsubo LS,et al. Avaliação clínica da laserterapia no tratamento da hipersensibilidade dentinária. Cienc Odontol Bras. 2007;10(1):26-33.
Silva CF, Xavier SR, Mateus A et al. Restabelecimento da estética dentária por meio da combinação de clareamento de consultório e caseiro. Rev Assoc Paul Cir Dent. 2015; 69 (4): 364-368.
Soares FF, Sousa JA, Maia CC, et al. Clareamento em dentes vitais: uma revisão literária. Rev.Saude.Com.2008;4(1):72-84.
Soares ML, Porciúncula GB, Lucena MI, Gueiros LA, Leao JC, Carvalho AA. Efficacy of Nd:YAG and GaAlAs lasers in comparison to 2% fluoride gel for the treatment of dentinal hypersensitivity. Gen Dent. 2016;64(6):66-70.
Sobral MAP. Lesões cervicais não cariosas e hipersensibilidade dentinária cervical. In: Garone Netto N et al. Introdução à Dentística Restauradora. São Paulo: Santos. 2003. p. 265-283.
Sundfeld RH, Sundfeld Neto D, Machado LS, et al. Dental Bleaching with a 10% Hydrogen Peroxide Product: A Six Month Clinical Observation. Indian J Dent Res. 2014; 25(1): 4-8.
Tang, B, Millar BJ. Effect of chewing gum on tooth sensitivity following whitening. British Dental Journal. 2010; 208(12);571- 577.
Tawfik SS, Khairy MAE, Elbaz MAE, et al. Evaluation of post-bleaching hypersensitivity using desensitizing agent before and /or after in-office bleaching: A randomized clinical trial. [version 1; peer review: awaiting peer review. 2019; 8:1-12.
Tay LY, Kose C, Loguercio AD. Assessing the effect of a desensitizing agent used before in-office tooth bleaching. J Am Dent Assoc. 2009; 140(10): 1245–1251
Tschoppe P, Neumann K, Mueller J, et al.: Effect of fluoridated bleaching gels on the remineralizaion of predemineralized bovine enamel in vitro. J Dent. 2009; 37(2): 156–62.
Vaez SC, André Luís Faria e Silva AL, Loguercio AD, et al. Preemptive use of etodolac on tooth sensitivity after in-office bleaching: a randomized clinical trial .J Appl Oral Sci. 2018;26:e2016047.
Wang Y, Gao J, Jiang T. Evaluation of the efficacy of potassium nitrate and sodium fluoride as desensitizing agents during tooth bleaching treatment — A systematic review and meta-analysis. J Dent. 2015; 43(8): 913–23.
Zhao J, Liu Y, Sun WB, et al.: Amorphous calcium phosphate and its application in dentistry. ChemCent J. 2011; 5: 40.
Apontamentos
- Não há apontamentos.
Direitos autorais 2020 Revista Journal of Health - ISSN 2178-3594
