Impact of teeth whitening on dental sensitivity in patients with diabetes
Keywords:
BLANQUEAMIENTO DE DIENTES; DIABETES MELLITUS; ODONTOLOGÍA; SENSIBILIDAD DE LA DENTINA., TOOTH BLEACHING; DIABETES MELLITUS; DENTISTRY; DENTIN SENSITIVITY., CLAREAMENTO DENTAL; DIABETES MELLITUS; ODONTOLOGÍA; SENSIBILIDADE DA DENTINA.Abstract
Introduction: diabetes alters the body’s response to dental procedures, increasing susceptibility to complications such as tooth sensitivity after bleaching.
Objective: to analyze how dental bleaching influences tooth sensitivity in young patients with diabetes.
Methods: a bibliographic search was conducted across different databases, for which a search algorithm was developed, taking into account various descriptors related to the topic. After identifying the available sources, those meeting the inclusion and exclusion criteria were selected, and the literature was analyzed to address the subject matter.
Development: findings show that sustained hyperglycemia affects pulp homeostasis and increases predisposition to inflammation and caries. Dental bleaching, by exposing dentin and opening dentinal tubules, intensifies sensitivity in diabetic patients. A higher incidence of postoperative pain, xerostomia, and risk of infections has been reported. Comparative studies indicate that up to 40 % of diabetic patients experience sensitivity after the procedure, compared to 20 % of non-diabetic patients. The literature highlights the need for adapted protocols, including the use of desensitizing agents, strict glycemic control, and specialized dental follow-up.
Conclusions: dental bleaching in patients with diabetes may exacerbate tooth sensitivity and lead to additional complications. An interdisciplinary approach is recommended, combining metabolic control, rigorous oral hygiene, and safe dental techniques to ensure aesthetic results without compromising pulp health.
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