Assessment of the Effect of Casein Phosphopeptide–amorphous Calcium Phosphate on Postoperative Sensitivity Associated With In-office Vital Tooth Whitening

Abstract

Tooth sensitivity is the most frequent adverse effect of in-office vital tooth whitening. The use of a desensitizing gel after tooth whitening may reduce the incidence and severity of inoffice vital tooth-whitening sensitivity. SUMMARYThe aim of this study was to evaluate the efficacy of tooth mousse containing 10% casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) in reducing tooth sensitivity associated with in-office vital tooth whitening. In-office tooth whitening was performed for 51 participants using 35% hydrogen peroxide gel in a single visit. After the procedure, each participant was randomly assigned to one of three groups: gel without desensitizing agent (n=17), gel with 2% sodium fluoride (n=17), gel with 10% CPP-ACP (n=17). A small amount of the desensitizing gel assigned for each participant was applied directly on the labial surfaces of teeth and left undisturbed for three minutes. The participants were asked to apply the gel assigned to them for three minutes twice daily after brushing their teeth, and to continue this for 14 days. The participants were asked to return for follow-up visits after 24 hours and on days 3, 7, and 14, at which time teeth shade changes were assessed by one evaluator using a value-oriented Vita classic shade guide. The incidence, duration, and intensity of tooth sensitivity experienced was

Combination of strontium chloride and photobiomodulation in the control of tooth sensitivity post-bleaching: A split-mouth randomized clinical trial

“…In the present study, it was also possible to observe that TS was no longer reported four days after the bleaching sessions. Many clinical studies show that bleaching induced TS only occurs in a few days [19][20][21][76][77][78][79]. This finding can be explained by the process of lymphatic drainage of the pulp tissue, which is able to disperse toxic products that reach this connective tissue.…”

Comparison of the effect of GC tooth mousse and fluoride varnish on dentin hypersensitivity reduction.

“…7 In another study the mean dentin hypersensitivity was found to be 3.23 + 0.6 with fluoride varnish and 3.68 + 1.33 with CPP-ACP paste. 8 Navya Puvvula et al conducted a study to compare the effect of fluoride Varnish, Fluoride releasing composite, and CPP-ACP fluoride on demineralization around bracket. The author demonstrated that in GC tooth mousse group, the lesion depth was reduced by 67.4%.…”

“…7 In another study the mean dentin hypersensitivity was found to be 3.23 + 0.6 with fluoride varnish and 3.68 + 1.33 with CPP-ACP paste. 8 There is continuous debate between the dentists that which method is best for relieving the patient from pain. There are two studies conducted so far and both have variable results.…”

The effect of gum chewing on sensitivity associated with in‐office whitening procedures

“…Casein phosphopeptide-amorphous calcium phosphate added to at-home whitening gels has shown a reduction in sensitivity (25). In a study comparing 10% CPP-ACP gel to a 2% sodium fluoride gel, a placebo found that the 10% CPP-ACP gel and the 2% sodium fluoride gel both reduced the sensitivity to a moderate level but were not different (26). Chewing gum is one of the most recent desensitizing treatments studied.…”