Evaluation of the ozonated sunflower oil application on reducing sensitivity after at-home bleaching

Abstract

Objectives Due to controversial results in relation to the influence of desensitizing agents on sensitivity during bleaching, the present study evaluated the degree of tooth bleaching sensitivity, color change, and patient acceptability of desensitizing agents containing potassium nitrate/sodium fluoride (PNF) or ozonized sunflower oil associated with in-office bleaching with 35% hydrogen peroxide (HP). Materials and Methods A clinical trial was conducted with a split-mouth design. The sample consisted of 30 volunteers randomized into 2 experimental groups according to the desensitization protocol. Potassium nitrate and sodium fluoride was applied to the hemiarch corresponding to the control group for 10 minutes, while in the hemiarch of the test group, ozonized sunflower oil was applied for 2 minutes with a rubber cup in low rotation, followed by a potassium nitrate and sodium fluoride application for 10 minutes. In sequence, both arcades were bleached with 35% hydrogen peroxide for 50 minutes. Results Previous application of ozonated sunflower oil resulted in a significant reduction in sensitivity in the first 24 hours after removal of the bleaching gel, as well as the test group showed lower tooth sensitivity in times measured up to 1 hours after removal of the bleaching gel. Conclusions Both experimental groups presented satisfactorily lighter shades, but no statistically significant differences were observed regardless of the desensitization protocol employed. Clinical relevance The combined use of ozonated sunflower oil followed by a potassium nitrate and sodium fluoride-based desensitizing agent results in reduced sensitivity compared to the desensitizing agent alone.