Vital tooth bleaching: sensitivity and pulpal considerations.
For some patients, sensitivity and discomfort follow vital tooth bleaching. Clinical observations, however, suggest these are reversible episodes with no irreversible long-term effects. Using milder peroxide formulations or gels diminishes postoperative discomfort. The author recommends careful treatment when patients have large restorations, cervical erosion or enamel cracks. Fluoride treatment, sealing restorations and premedication may lessen discomfort.
Nathanson
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Department of Biomaterials, Boston-University, Goldman School of Dental Medicine, Mass. 02118, USA.
D000818:Animals; D003782:Dental Pulp / Q000187:drug effects*; D003807:Dentin Sensitivity / Q000209:etiology* / Q000517:prevention & control; D019234:Dentinal Fluid / Q000502:physiology; D006358:Hot Temperature / Q000009:adverse effects; D006801:Humans; D006861:Hydrogen Peroxide / Q000008:administration & dosage; D006874:Hydrostatic Pressure; D016877:Oxidants / Q000008:administration & dosage; D014073:Tooth Bleaching / Q000009:adverse effects*
D016877:Oxidants; D006861:Hydrogen Peroxide