Tempo de exposição da substância clareadora sobre a estrutura dental e a ocorrência da sensibilidade dentária: revisão integrativa
DOI:
https://doi.org/10.34119/bjhrv6n3-417Keywords:
clareamento dental, sensibilidade dentária, peróxido de hidrogênio, peróxido de carbamidaAbstract
A crescente demanda por clareamento dental vem acompanhada de queixas em relação a seus efeitos adversos. Sendo a sensibilidade dentária um desses principais efeitos, o objetivo dessa revisão foi avaliar a relação entre o tempo de exposição ao agente clareador, a presença e a intensidade da sensibilidade dentária, independente do protocolo clareador ser o caseiro ou de consultório. Trata-se de uma revisão integrativa realizada nas bases de dados PubMed, SciELO, LILACS e BBO, utilizando as palavras chaves extraídas do Descritores em Ciências da Saúde (DeCS) e do Medical Subject Headings (MeSH): “Dentin sensitivity”; “Tooth bleaching”; “Hydrogen peroxide”; “Carbamide peroxide”, o operador booleano “AND” e o operador booleano “OR”, resultando em: “Dentin sensitivity AND Tooth bleaching AND (Hydrogen peroxide OR Carbamide peroxide)”. A seleção dos artigos iniciou-se por duas pesquisadoras utilizando a plataforma Rayyan com cegamento da seleção individual. As escolhas divergentes foram encaminhadas para um terceiro revisor, também utilizando o cegamento, a fim de se obter uma decisão final. Todos os pesquisadores passaram por um processo de calibração quanto ao uso do programa e aos critérios de inclusão e de exclusão dos artigos. Foram apuradas as publicações entre os anos 2011 e 2022, nos idiomas inglês, português e espanhol, com delineamento de estudo ensaio clínico randomizado. Sete artigos foram elegíveis para essa revisão. A maior parte desses estudos foi realizada no Brasil, sendo mais comum os ensaios clínicos randomizados cego, com abordagem de clareamento caseiro e amostragem menor que 50 pacientes. As divergências nos resultados dos artigos sugerem que o maior tempo de exposição ao agente clareador não é um fator determinante no surgimento da sensibilidade, apesar de poder influenciar nela e na sua intensidade.
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