Evaluation of the color change and tooth sensitivity in treatments that associate violet LED with carbamide peroxide 10 %: A randomized clinical trial of a split-mouth design

Abstract

Background: To evaluate the bleaching efficacy and post-operative sensitivity of 10 % carbamide peroxide (PC) with or without violet LED (VL). Methods: Thirty patients were selected and were instructed to perform home bleaching treatment using PC 10 %, for 8 h daily, for 21 days. All patients underwent in-office irradiation of only one hemiarch with VL for 30 min, twice per week for three weeks, totaling six clinical sessions of irradiation. The treatment used for each hemiarch was determined randomly. The analyses were performed at the initial time and 7, 14, and 21 days after the start of treatment and 7 and 14 days after the end of the bleaching treatment. For color analysis, digital spectrophotometry was done using the Visual Analog Scale and cold detection was performed using the thermo-sensory analysis II (TSA II) equipment. The ANOVA-two way with repeated measures and the Tukey test (α = 0.05) were used for the color and cold sensitivity analysis. Results: On analyzing the color change, it was observed that the hemiarch that was irradiated with VL presented the highest values compared with the side that did not receive irradiation. Regarding tooth sensitivity, there was no report of any patient experiencing discomfort during the bleaching protocol. Analysis of the dental thermal sensation threshold showed that the use of VL made the teeth more sensitive. Conclusions: It can be concluded that the VL provided a positive effect on color alteration when used in conjunction with 10 % PC. However, the use of this new protocol made the teeth more sensitive.