The effect of photobiomodulation therapy associated with casein phosphopeptide‐amorphous calcium phosphate fluoride paste on the treatment of posthome whitening tooth sensitivity and color change: A randomized clinical trial

Abstract

ObjectiveThis study assessed whether combining photobiomodulation therapy (PBMT) with casein phosphopeptide‐amorphous calcium phosphate fluoride (CPP‐ACPF) paste can effectively reduce post‐home whitening tooth sensitivity (TS) without compromising shade change.MethodsFifty participants were selected and assigned to one of four groups: (1) PLACEBO group—received a placebo paste and PBMT simulation; (2) PBMT group—received a placebo paste + PBMT; (3) CPP‐ACPF group—received CPP‐ACPF paste and PBMT simulation; (4) CPP‐ACPF + PBMT group—received both CPP‐ACPF paste and PBMT. The participants used whitening trays containing 22% carbamide peroxide for 2 h a day for 21 days. TS was measured daily using a visual analog scale, while shade change was assessed using a spectrophotometer: before bleaching treatment (T0), after the first (T1), second (T2), and third (T3) weeks of treatment, and 30 days (T4) after completing the whitening treatment.ResultsIntragroup analysis revealed that the PLACEBO group had the highest increase in sensitivity during the whitening treatment. The CPP‐ACPF and PBMT groups showed no significant difference tooth whitening (TW) between weeks regarding aesthetic change. The CPP‐ACPF and PBMT group exhibited a significant reduction in TS between the first and third and between the second and third weeks TW, but not between the first and second. Conversely, the PLACEBO group showed a higher sensitivity than the other groups (p < .05). The CPP‐ACPF and PBMT groups did not differ from each other. Furthermore, the CPP‐ACPF and PBMT group showed a greater decrease in sensitivity than the PLACEBO group at T1, T2, and T3 (p < .01), and was significantly differed from CPP‐ACPF and PBMT groups only at T2 and T3. All groups confirmed TW effectiveness. Student's and paired t‐test did not reveal any significant difference between groups (p > .05).ConclusionTherefore, PBMT associated with CPP‐ACPF paste can reduce TS without compromising the efficacy of TW.

Major clinical approaches to tooth whitening techniques and differences in terms of sensitivity and protection: a systematic review

“…This type of pigmentation is generally removed after prophylaxis, however, extrinsic pigments that remain in contact with the enamel and dentin for a long time can become intrinsic due to their penetration through enamel defects (cracks) and exposed permeable dentin. Intrinsic pigmentation can involve the enamel and/or dentin, being of congenital origin (dentinogenesis or amelogenesis imperfecta) or acquired (fluorosis, tetracycline stains, pulp necrosis, metal impregnation, aging) [13].…”