Evidence map›Paper›PMID 31104111›Full record

Trial reportClinical oral investigations2020

Bleaching-induced tooth sensitivity with application of a desensitizing gel before and after in-office bleaching: a triple-blind randomized clinical trial.

E C Martini, S O Parreiras, A L Szesz, F M Coppla, A D Loguercio, Alessandra Reis

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  3. One-Year Color Stability of a Reduced 37.5% Hydrogen Peroxide In-Office Bleaching Protocol: A Randomized Clinical Trial.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

E C MartiniDepartment of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Parana, Brazil.
S O ParreirasDepartment of Restorative Dentistry, State University of Northen Parana, Jacarezinho, Parana, Brazil.
A L SzeszDepartment of Restorative Dentistry, University of Uberaba, Uberaba, Minas Gerais, Brazil.
F M CopplaDepartment of Restorative Dentistry, CESCAGE, Ponta Grossa, Parana, Brazil.
A D LoguercioDepartment of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Parana, Brazil.
Alessandra ReisDepartment of Restorative Dentistry, Ponta Grossa State University, Ponta Grossa, Parana, Brazil. reis_ale@hotmail.com.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 301891/2010-9Conselho Nacional de Desenvolvimento Científico e Tecnológico 303332/2017-4
6 · The paper itself

Abstract

objectivesThis randomized triple-blind clinical trial, split-mouth design, evaluated the application effect of the desensitizing gel before and after in-office bleaching on tooth sensitivity. MATERIALS AND

methodsIn one group, the desensitizing gel was applied for 10 min before the bleaching with 35% hydrogen peroxide, and then application of placebo gel after (n = 90). In the other group, the desensitizing gel was applied before and after the bleaching procedure for 10 min (n = 90). The primary outcome was pain intensity assessed with a numeric rating scale and a visual analog scale. Color was evaluated by means of a digital spectrophotometer and a shade guides.

resultsThe proportion of patients that experienced pain in the side of before application was 90% (95% CI 82 to 94.6%), while the side of before and after was 93% (95% CI 86.2 to 96.9%), without significant difference between groups (OR = 0.25; 95% CI 0.005 to 2.52; p = 0.37). Pain was correlated in both groups, for the NRS scale (p < 0.0001) and the VAS scale (p < 0.0001) in all assessment periods. Significant whitening was detected, and no significant difference of color change was observed between groups (p > 0.45).

conclusionsThe application of the desensitizing agent did not influence the effectiveness of bleaching, but it was not efficient in reducing the sensitivity, when applied before the procedure, or before and after. CLINICAL RELEVANCE: The use of a desensitizing gel before or after in-office bleaching does not reduce incidence or intensity of tooth sensitivity.

Indexed as

Dentin SensitivityTooth BleachingTooth Bleaching AgentsTooth DiscolorationFemaleHumansHydrogen PeroxideTreatment OutcomeHydrogen PeroxideTooth Bleaching AgentsDentin sensitivityHydrogen peroxidePotassium nitrateRandomized controlled clinical trialTooth bleaching

Identifiers

PMID31104111

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.