Impact of using nano-hydroxyapatite on postoperative hypersensitivity of two bleaching techniques – randomized controlled clinical trial

To evaluate the impact of using Nano-hydroxyapatite on post-bleaching hypersensitivity after using two different bleaching techniques. Twenty-eight patients were enrolled in this study according to inclusion and exclusion criteria. The patients were randomly assigned into four groups (n=7). G1; bleaching was performed using photo-catalyzed bleaching technique (Philips, zoom), followed by application of Amorphous Calcium phosphate based desensitizing agent (ACP, Relief ACP). G2; bleaching was performed using chemo-catalyzed bleaching technique (Philips, Dash), followed by application of ACP. G3: bleaching was performed using zoom, followed by application of nano-hydroxyapatite based desensitizing agent (Nano p), G4: bleaching was performed using Dash, followed by application of Nano-hydroxyapatite. Post bleaching hypersensitivity was assessed using "Visual analogue scale". Hypersensitivity was evaluated after: bleaching immediately, application of the desensitizing agent immediately, 24 hours, 48 hours and after one week. Cases with severe hypersensitivity were relieved immediately after Nano p application, meanwhile in case of ACP, cases with severe pain were relieved after 24 hours after its application. Statistically significant difference was evident with the photo catalyzed group immediately after Nano p application than before its application. Reduction in hypersensitivity by time was evident in both the chemo and photo catalyzed groups. In addition, it was found that after one week, all pain scores disappeared with all tested groups. Nano hydroxyapatite particles have an immediate (just post application) relief effect of severe pain with both used bleaching systems. However, the post bleaching hypersensitivity diminished completely after 1 week, irrespective of the desensitizing agent used. The application of Nano hydroxyapatite paste after bleaching is a valid method for diminishing severe post bleaching hypersensitivity when applied with either a photo or chemo catalyzed bleaching agents.