Effect of ibuprofen before the teeth whitening session to reduce dentin sensitivity

Authors

Keywords:

dentin sensitivity, ibuprofen, tooth bleaching

Abstract

Introduction: In recent years, studies have been carried out in order to find alternatives to reduce the effects of sensitivity induced by dental whitening. Some studies have used oral medications, with systemic action, to inhibit the release of inflammatory mediators.

Objective: Identify the benefits of ibuprofen in relieving dentin sensitivity in patients undergoing dental whitening.

Method: Quasi-experimental study, through a repeated measures design (before/after), that included 61 patients ah the Dental Clinic of the Catholic University of Santiago de Guayaquil, who required dental whitening. A single group that underwent two appointments was formed, with a minimum of 14 days between them: first whitening session without taking ibuprofen, second dental whitening session with 600 mg ibuprofen intake half an hour before the whitening procedure. Subsequently, data were collected with the visual analog scale for dentin sensitivity and time.

Results: Females predominated (63.9%) and the age group was 18 to 23 years. There was a decrease in sensitivity in the second session, after ingestion of ibuprofen, specifically at 10 and 20 minutes and at 8 hours. With the Wilcoxon rank test, the differences in sensitivity at 10 and 20 minutes without and with ibuprofen were statistically significant.

Conclusion: The use of ibuprofen 600 mg, single dose, is beneficial for the relief of dental sensitivity caused by teeth whitening, without influencing its effectiveness.

Downloads

Download data is not yet available.

Author Biographies

María José Valdiviezo Gilces, Universidad Católica de Santiago de Guayaquil

Docente Titular de la Universidad Católica de Santiago de Guayaquil - Ecuador Odontóloga, especialista en Dentística Restauradora

Indira Gómez Capote, Universidad de Ciencias Médicas, Facultad de Estomatología. La Habana, Cuba

Especialista en segundo grado en Estomatología General Integral.

Isis Anastasia Rojas Herrera, Universidad de Ciencias Médicas, Facultad de Estomatología. La Habana, Cuba

Especialista en segundo grado en Estomatología General Integral.

Estefania Del Rocio Ocampo Poma, Universidad Católica de Santiago de Guayaquil

Docente de la Universidad Católica de Santiago de Guayaquil - Ecuador Odontóloga, especialista en Prótesis Dentaria

Fernando Marcelo Armijos Briones, Universidad Católica de Santiago de Guayaquil

Docente de la Universidad Católica de Santiago de Guayaquil - Ecuador. Doctor en salud pública.

Tony Luis Mosquera Chávez, Universidad Católica de Santiago de Guayaquil

Docente de la Universidad Católica de Santiago de Guayaquil - Ecuador Odontólogo, especialista en Rehabilitación Oral

References

1. Bengoa FJP, Portilla NAD, Arze MCM, Varas MV. Estabilidad del color en el blanqueamiento intracoronal [Internet]. Rev Cubana Estomatol. 2020 [acceso: 31/03/2024] ;57(4):3376. Disponible en: https://revestomatologia.sld.cu/index.php/est/article/view/3376

2. Chaple Gil AM, Fernández Godoy E, Quintana Muñoz L, Chaple Gil AM, Fernández Godoy E, Quintana Muñoz L. Técnica modificada de blanqueamiento de dientes vitales empleando DMC peróxido de hidrógeno al 35% [Internet]. Revista Habanera de Ciencias Médicas. 2019 [acceso: 12/04/2024];18(3):428-36. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1729-519X2019000300428&lng=es&nrm=iso&tlng=es

3. Epple M, Meyer F, Enax J. A Critical Review of Modern Concepts for Teeth Whitening. Dent J (Basel). 2019;7(3):79. DOI: 10.3390/dj7030079

4. Lopes ACDE, Mateo-Castillo JF, Neves LT das, Pinto L de C, Lopes ACDE, Mateo-Castillo JF, et al. Resultados de las técnicas blanqueadoras mixta e inmediata para el blanqueamiento de dientes tratados endodónticamente - reportes de casos. Odontoestomatología [Internet]. 2021 [acceso: 31/03/2024];23(37):[aprox. 10 p.]. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_abstract&pid=S1688-93392021000101402&lng=es&nrm=iso&tlng=es

5. Achachao Almerco K, Tay Chu Jon LY. Terapias para disminuir la sensibilidad por blanqueamiento dental. Revista Estomatológica Herediana. 2019;29(4):297-305. DOI: 10.20453/reh.v29i4.3639

6. Ahrari F, Akbari M, Mohammadipour HS, Fallahrastegar A, Sekandari S. The efficacy and complications of several bleaching techniques in patients after fixed orthodontic therapy. A randomized clinical trial. Swiss Dent J. 2020;130(6):493-501. DOI: 10.61872/sdj-2020-06-02

7. García LES, Chimbo EAG, Astudillo IAP. Comparación de la eficacia del color y sensibilidad entre el Peróxido de Hidrógeno y Peróxido de Carbamida: Revisión de la literatura. Research, Society and Development. 2021;10(5): e24210515110. DOI: 10.33448/rsd-v10i5.15110

8. Reis A, Dalanhol AP, Cunha TS, Kossatz S, Loguercio AD. Assessment of tooth sensitivity using a desensitizer before light-activated bleaching. Oper Dent. 2011;36(1):12-7. DOI: 10.2341/10-148-CR

9. Vochikovski L, Favoreto MW, Rezende M, Terra RMO, da Silva KL, Farago PV, et al. Effect of an experimental desensitizing gel on bleaching-induced tooth sensitivity after in-office bleaching-a double-blind, randomized controlled trial. Clin Oral Investig. 2023;27(4):1567-76. DOI: 10.1007/s00784-022-04778-2

10. Pompeu D da S, Paula BLF de, Barros APO, Nunes SC, Carneiro AMP, Araújo JLN, et al. Combination of strontium chloride and photobiomodulation in the control of tooth sensitivity post-bleaching: A split-mouth randomized clinical trial. PLOS ONE. 2021;16(4):e0250501. DOI: 10.1371/journal.pone.0250501

11. Kossatz S, Martins G, Loguercio AD, Reis A. Tooth sensitivity and bleaching effectiveness associated with use of a calcium-containing in-office bleaching gel. J Am Dent Assoc. 2012;143(12):e81-87. DOI: 10.14219/jada.archive.2012.0075

12. Kim SJ, Seo JT. Selection of analgesics for the management of acute and postoperative dental pain: a mini-review. J Periodontal Implant Sci. 2020;50(2):68-73. DOI: 10.5051/jpis.2020.50.2.68

13. Charakorn P, Cabanilla LL, Wagner WC, Foong WC, Shaheen J, Pregitzer R, et al. The effect of preoperative ibuprofen on tooth sensitivity caused by in-office bleaching. Oper Dent. 2009;34(2):131-5. DOI: 10.2341/08-33

14. Agencia Española de Medicamentos y Productos Sanitarios. Prospecto ibuprofeno aristogen 600 comprimidos recubiertos con pelicula EFG [Internet]. CIMA; 2024. [acceso: 21/09/2024]. Disponible en: https://cima.aemps.es/cima/dochtml/p/85029/P_85029.html

15. Sykes LM. Dentine hypersensitivity: a review of its aetiology, pathogenesis and management [Internet]. SADJ. 2007 [acceso: 21/09/2024]; 62(2):066-71. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17624176/

16. Morales C. Escala del dolor [Internet]. Instituto CAMP Anestesia; 2024. [acceso: 21/09/2024]. Disponible en: https://doctorcarlosmorales.com/blog/escala-del-dolor/

17. FGM Dental Group. Blanqueador dental Whitness HP Maxx [Internet]. . FGM Dental Group; 2024. [acceso: 21/09/2024]. Disponible en: https://fgmdentalgroup.com/latam/productos-blanqueadores/whiteness-hp-maxx/

18. WMA - The World Medical Association-Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos [Internet]. [acceso: 14/04/2024]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/

19. da Silva LMAV, Cintra LTA, Gallinari M de O, Benetti F, Rahal V, Ervolino E, et al. Influence of pain-relieving therapies on inflammation and the expression of proinflammatory neuropeptides after dental bleaching treatment. Restor Dent Endod. 2020;45(2):e20. DOI: 10.5395/rde.2020.45.e20

20. de Oliveira SN, de Assunção IV, Borges BCD. Efficacy of ibuprofen and codeine + paracetamol to reduce immediate bleaching sensitivity caused by in-office tooth bleaching: A randomized, controlled, double-blind clinical trial [Internet]. Am J Dent. 2018 [acceso: 01/04/2024] ;31(4):195-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30106535/

21. Mounika A, Mandava J, Roopesh B, Karri G. Clinical evaluation of color change and tooth sensitivity with in-office and home bleaching treatments. Indian Journal of Dental Research. 2018;29(4):423. DOI: 10.4103/ijdr.IJDR_688_16

22. Larios AD, Rivero JGD, Prado MIR, Ortiz GR, Martínez M del CR, Barreto ALV. Aplicación del blanqueamiento dental Whiteness Hp Maxx® con peróxido de hidrógeno (H2O2) al 35% y los cambios que genera con respecto a la sensibilidad y acidez en la cavidad oral. Revista mexicana de medicina forense y ciencias de la salud [Internet]. 2022 [acceso: 1/042024];7(2):82-93. Disponible en: https://revmedforense.uv.mx/index.php/RevINMEFO/article/view/2973

Published

2025-02-27

How to Cite

1.
Valdiviezo Gilces MJ, Gómez Capote I, Rojas Herrera IA, Ocampo Poma EDR, Armijos Briones FM, Mosquera Chávez TL. Effect of ibuprofen before the teeth whitening session to reduce dentin sensitivity. Rev Cubana Med Milit [Internet]. 2025 Feb. 27 [cited 2025 Jul. 30];54(1):e025074403. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/74403

Issue

Section

Clinical Practice Article