Postgraduate Program in Pharmaceutical Sciences, Department of Pharmaceutical Sciences, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
School of Dentistry, School Paulo Picanço, Fortaleza, Ceará, Brazil.
J Esthet Restor Dent. 2021 Jun;33(4):660-667. doi: 10.1111/jerd.12728. Epub 2021 Mar 11.
This randomized, split-mouth, triple-blind clinical study evaluated the effect of application of nanoencapsulated eugenol (NE) on the absolute risk and intensity of tooth sensitivity (TS) resulting from in-office bleaching.
Fifty-six patients received a NE in one hemiarch and a placebo gel in the other hemiarch, determined by random sequence, before in-office bleaching. A visual analogue scale (VAS) (0-10) and a numeric rating scale (NRS) (0-4) were used to record TS during bleaching and 1 and 48 h after bleaching. The tooth color was performed from baseline to 2 weeks after bleaching with shade guides (ΔSGU) and a spectrophotometer (∆E , ∆E and WI ). The TS was assessed through the McNemar test (α = 0.05) and by the Wilcoxon signed-rank test (NRS) and paired t-test (VAS). The paired test-t was employed to compare the color changes (ΔSGU and ΔE , ∆E and WI ). The significance level was 5%.
No statistically significant difference was found in the absolute risk or intensity of TS between both groups (p > 0.05). A significant color change was observed in both groups (p > 0.05).
Administration of the gel containing NE before the in-office dental bleaching did not reduce the TS and did not interfere in the bleaching effect.
The use of desensitizing gel containing NE did not reduce in-office bleaching-induced tooth sensitivity.
本随机、分半、三盲的临床研究评估了纳米封装丁香酚(NE)在诊室漂白引起的牙齿敏感(TS)的绝对风险和强度中的应用效果。
56 名患者在诊室漂白前,通过随机序列,分别在一侧半口牙齿上使用 NE 凝胶,另一侧使用安慰剂凝胶。使用视觉模拟评分(VAS)(0-10)和数字评分(NRS)(0-4)在漂白过程中和漂白后 1 小时和 48 小时记录 TS。从基线到漂白后 2 周,使用比色板(ΔSGU)和分光光度计(∆E、∆E 和 WI)进行牙齿颜色评估。采用 McNemar 检验(α=0.05)和 Wilcoxon 符号秩检验(NRS)和配对 t 检验(VAS)评估 TS。配对 t 检验用于比较颜色变化(ΔSGU 和 ΔE、∆E 和 WI)。显著水平为 5%。
两组之间的绝对风险或 TS 强度均无统计学差异(p>0.05)。两组均观察到显著的颜色变化(p>0.05)。
在诊室牙漂白前使用含有 NE 的凝胶不会降低 TS,也不会干扰漂白效果。
使用含有 NE 的脱敏凝胶不能减轻诊室漂白引起的牙齿敏感。