Clinical, Cosmetic and Investigational Dentistry (Dec 2019)
Effects of Exposure to Cola-Based Soft Drink on Bleaching Effectiveness and Tooth Sensitivity of In-Office Bleaching: A Blind Clinical Trial
Abstract
Viviane Hass,1 Stephanye Tavares Carvalhal,2 Suellen Nogueira Linares Lima,2 Andrés Alejandro Viteri-Garcia,3 Etevaldo Matos Maia Filho,2 Matheus Coelho Bandeca,2 Alessandra Reis,4 Alessandro Dourado Loguercio,4 Rudys Rodolfo De Jesus Tavarez2 1Postgraduate Program in Dentistry, UNOPAR-University Northern Parana, Londrina, PR, Brazil; 2Postgraduate Program in Dentistry, University Ceuma, São Luis, Brazil; 3Escuela de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador; 4Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, BrazilCorrespondence: Alessandro Dourado LoguercioUniversidade Estadual de Ponta Grossa. Departamento de Odontologia Restauradora, Avenida Carlos Cavalcanti 4748 – Uvaranas, Ponta Grossa 84030-900, PR, BrazilEmail [email protected]: The purpose of this single-blind (evaluators) and parallel design study was to evaluate whether exposure to a cola-based soft drink during bleaching treatment with 35% hydrogen peroxide (HP) affects color change and bleaching-induced tooth sensitivity.Material and methods: Forty-four patients with central incisors darker than A2 were selected. Participants who did not drink cola-based soft drinks were assigned to the control group (CG), while participants who drank a cola-based soft drink at least twice a day were assigned to the experimental group (EG). For the CG, foods with staining dyes were restricted. For the EG, there was no restriction on food and patients were asked to rinse their mouths with a cola-based soft drink for 30 s, 4 times daily. For both groups, 2 sessions with three 15 min applications of 35% HP were performed. Shade evaluation was assessed via subjective (VITA classical and VITA bleacheguide shade guides) and objective methods (Easyshade spectrophotometer) at baseline, during bleaching (first, second, and third weeks), and post bleaching (1 week and 1 month). Patients recorded their sensitivity perceptions using a numerical rating scale and 0–10 visual analog scales. Variation in shade guide units and the 2 colors (DE) were evaluated with a Student’s t-test (α = 0.05) and Mann–Whitney test (α = 0.05). Absolute risk of tooth sensitivity and intensity of tooth sensitivity were evaluated by a Chi-square test (α=0.05).Results: Effective bleaching was observed for both groups after 30 days, without statistical difference (p > 0.08). There was no significant difference in absolute risk of bleaching-induced tooth sensitivity between the 2 groups (p = 0.74). Higher and significant scores in pain scales were detected for the EG in comparison to the CG (p < 0.05).Conclusion: Even that the cola-based soft drink exposure during in-office bleaching treatments did not affect the bleaching’s effectiveness; patients reported a higher intensity in bleaching-induced tooth sensitivity.Keywords: dentin sensitivity, dental bleaching, hydrogen peroxide, cola-based soft drink, carbonated beverages, cola, soda
