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The effect of photobiomodulation therapy associated with casein phosphopeptide-amorphous calcium phosphate fluoride paste on the treatment of posthome whitening tooth sensitivity and color change: A randomized clinical trial.
Cardoso, Maria E de O P; Takeuchi, Elma V; Alencar, Cristiane de M; de Mesquita, Raissa A; Alves, Eliane B; Silva, Cecy M.
Afiliação
  • Cardoso MEOP; Department of Restorative Dentistry, Dental School, Federal University of Pará, Belém, Pará, Brazil.
  • Takeuchi EV; Department of Restorative Dentistry, Dental School, Federal University of Pará, Belém, Pará, Brazil.
  • Alencar CM; Department of Restorative Dentistry, Dental School, Federal University of Pará, Belém, Pará, Brazil.
  • de Mesquita RA; Department of Restorative Dentistry, Dental School, Federal University of Pará, Belém, Pará, Brazil.
  • Alves EB; Department of Restorative Dentistry, Dental School, Federal University of Pará, Belém, Pará, Brazil.
  • Silva CM; Department of Restorative Dentistry, Dental School, Federal University of Pará, Belém, Pará, Brazil.
Clin Exp Dent Res ; 10(1): e817, 2024 02.
Article em En | MEDLINE | ID: mdl-38345511
ABSTRACT

OBJECTIVE:

This study assessed whether combining photobiomodulation therapy (PBMT) with casein phosphopeptide-amorphous calcium phosphate fluoride (CPP-ACPF) paste can effectively reduce post-home whitening tooth sensitivity (TS) without compromising shade change.

METHODS:

Fifty participants were selected and assigned to one of four groups (1) PLACEBO group-received a placebo paste and PBMT simulation; (2) PBMT group-received a placebo paste + PBMT; (3) CPP-ACPF group-received CPP-ACPF paste and PBMT simulation; (4) CPP-ACPF + PBMT group-received both CPP-ACPF paste and PBMT. The participants used whitening trays containing 22% carbamide peroxide for 2 h a day for 21 days. TS was measured daily using a visual analog scale, while shade change was assessed using a spectrophotometer before bleaching treatment (T0), after the first (T1), second (T2), and third (T3) weeks of treatment, and 30 days (T4) after completing the whitening treatment.

RESULTS:

Intragroup analysis revealed that the PLACEBO group had the highest increase in sensitivity during the whitening treatment. The CPP-ACPF and PBMT groups showed no significant difference tooth whitening (TW) between weeks regarding aesthetic change. The CPP-ACPF and PBMT group exhibited a significant reduction in TS between the first and third and between the second and third weeks TW, but not between the first and second. Conversely, the PLACEBO group showed a higher sensitivity than the other groups (p < .05). The CPP-ACPF and PBMT groups did not differ from each other. Furthermore, the CPP-ACPF and PBMT group showed a greater decrease in sensitivity than the PLACEBO group at T1, T2, and T3 (p < .01), and was significantly differed from CPP-ACPF and PBMT groups only at T2 and T3. All groups confirmed TW effectiveness. Student's and paired t-test did not reveal any significant difference between groups (p > .05).

CONCLUSION:

Therefore, PBMT associated with CPP-ACPF paste can reduce TS without compromising the efficacy of TW.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fosfatos de Cálcio / Terapia com Luz de Baixa Intensidade / Sensibilidade da Dentina Tipo de estudo: Clinical_trials / Diagnostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Clin Exp Dent Res Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fosfatos de Cálcio / Terapia com Luz de Baixa Intensidade / Sensibilidade da Dentina Tipo de estudo: Clinical_trials / Diagnostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Clin Exp Dent Res Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos