2014 Journal of esthetic and resto…

Critical appraisal. In-office tooth whitening: pulpal effects and tooth sensitivity issues.

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Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] Vol. 26 (5) : 353-8 • Sep 2014

In-office bleaching is an effective method for whitening teeth.Tooth sensitivity associated with in-office whitening is reversible and may range from mild to considerable. The incidence and severity of tooth sensitivity can be reduced by pretreatment with a desensitizer such as potassium nitrate. Histologic studies and clinical studies on long-term pulpal effects are lacking to definitively support the safety of in-office tooth whitening. Future studies on the etiology of tooth sensitivity related to whitening might greatly improve the means of preventing and managing this side effect.

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