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Pregabalin gel reduces post-bleaching sensitivity without affecting whitening

Dental sensitivity Dental sensitivity
Dental sensitivity Dental sensitivity

What's new?

Topical pregabalin gel (10%) effectively minimizes post-bleaching sensitivity while preserving bleaching results.

According to the findings of a randomized clinical trial, a 10% pregabalin gel may successfully reduce dental sensitivity following teeth whitening procedures—without compromising the bleaching outcome. The goal was to explore topical pregabalin gel's efficiency in tackling post-bleaching sensitivity. A total of 75 healthy adult volunteers were randomly assigned to:

  • Pregabalin group: Received 10% pregabalin gel
  • Conventional desensitizer group: Received 5% potassium nitrate and 2% sodium fluoride gel
  • Placebo group: Received a gel with no active desensitizing ingredients

Before undergoing in-office dental bleaching with 35% hydrogen peroxide, each subject received a 10-minute application of the assigned gel. The bleaching process consisted of 3 sessions, spaced 1 week apart. To assess the impact of the gels, researchers used visual analog scale (VAS) to measure participants' perceived dental sensitivity over a 21-day follow-up. The assessments were recorded on days 1, 8, and 15 post-treatment. In addition to tracking sensitivity, the study also examined tooth color changes via multiple parameters:

  • ΔE00 and ΔEab: Indicators of color differences
  • ΔWID: Delta Whiteness Index Difference
  • L value: Represents luminosity

Color and brightness measurements were taken at the start of the study and again 7 days after the final bleaching session. The results demonstrated a clear benefit for those who received either the pregabalin gel or the conventional potassium nitrate/sodium fluoride gel.

  • On days 1, 8, and 15, dental sensitivity levels were markedly higher in the placebo group when compared to the other two groups.
  • No vital differences in sensitivity were noted between the pregabalin and potassium nitrate/fluoride groups at any time point, indicating comparable effectiveness.
  • Intragroup analysis revealed that the placebo group experienced a notable escalation in sensitivity on day 15, while those in the pregabalin group and conventional desensitizer group maintained relatively stable comfort levels.
  • Importantly, none of the desensitizing treatments interfered with the whitening outcomes—all groups attained similar levels of tooth color change and luminosity improvement.

Hence, 10% pregabalin gel is beneficial in diminishing dental sensitivity following whitening treatments involving high-concentration hydrogen peroxide. Moreover, it does so without diminishing the cosmetic results. The study supports its use as a promising alternative for patients seeking a more comfortable whitening experience.

Source:

Clinical Oral Investigations

Article:

Effect of an experimental pregabalin gel on dental sensitivity and color change after bleaching with 35% hydrogen peroxide: a randomized clinical trial

Authors:

Gabriela Monteiro Barbosa Xavier et al.

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