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Vital tooth bleaching: sensitivity and pulpal considerations

D Nathanson1

  • 1Department of Biomaterials, Boston-University, Goldman School of Dental Medicine, Mass. 02118, USA.

Journal of the American Dental Association (1939)
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

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Tooth bleaching can cause temporary sensitivity and discomfort, but these effects are reversible. Using milder peroxide agents and careful treatment for specific dental conditions can minimize patient discomfort.

Area of Science:

  • Dentistry
  • Dental Aesthetics
  • Biomaterials

Background:

  • Vital tooth bleaching is a common cosmetic dental procedure.
  • Some patients experience temporary tooth sensitivity and discomfort post-bleaching.
  • Clinical evidence suggests these side effects are transient.

Purpose of the Study:

  • To review the causes and management of tooth sensitivity following vital tooth bleaching.
  • To provide recommendations for minimizing postoperative discomfort.

Main Methods:

  • Review of clinical observations and existing literature on tooth bleaching side effects.
  • Analysis of factors contributing to patient discomfort.
  • Evaluation of preventive and management strategies.

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Main Results:

  • Post-bleaching sensitivity and discomfort are generally reversible with no long-term adverse effects.
  • Milder peroxide formulations and gels can reduce postoperative discomfort.
  • Specific patient conditions like large restorations, cervical erosion, or enamel cracks require careful treatment considerations.

Conclusions:

  • Tooth sensitivity after vital bleaching is a manageable side effect.
  • Adjusting peroxide concentration and employing specific dental techniques can enhance patient comfort.
  • Preventive measures such as fluoride treatment and restoration sealing are recommended for susceptible patients.