Nightguard vital bleaching of tetracycline-stained teeth: 90 months post treatment

Ralph H Leonard Jr; B Van Haywood; Daniel J Caplan; Natile D Tart

doi:10.1111/j.1708-8240.2003.tb00184.x

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Nightguard vital bleaching of tetracycline-stained teeth: 90 months post treatment

Journal article

Peer reviewed

Nightguard vital bleaching of tetracycline-stained teeth: 90 months post treatment

Ralph H Leonard Jr, B Van Haywood, Daniel J Caplan and Natile D Tart

Journal of esthetic and restorative dentistry, Vol.15(3), pp.142-153

2003

DOI: 10.1111/j.1708-8240.2003.tb00184.x

PMID: 12859112

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Abstract

The purpose of this longitudinal whitening study was to determine the stability, post-treatment side effects, and patient satisfaction at 90 months post treatment after 6 months of active treatment of tetracycline-stained teeth with 10% carbamide peroxide. Fifteen of 21 participants enrolled in the study (71%) were contacted and asked to participate in a survey concerning their whitening experience. Participants were asked whether there had been any change in the shade of their teeth after treatment and if they had experienced any side effects that they believed were treatment related. Eight of the 15 participated in a clinical examination. Nine participants (60%) reported no obvious shade change or only a slight darkening not noticed by others. None reported darkening back to the original shade; however, four had re-treated their teeth. Examiners were in agreement with the participants' perception of shade change upon comparing pretreatment and post-treatment photographs and Vita shade (Vita Zahnfabrik D-79713, Bad Sackingen, Germany) values. The degree of improvement over the pretreatment shade was significant for the 90-month post-treatment shade (p < .01). All respondents (n = 15) denied having to have a crown or root canal or tooth sensitivity that they believed was treatment related. The results of this study of nightguard vital bleaching indicate that tetracycline-stained teeth can be whitened successfully using extended treatment time and that shade stability may last at least 90 months post treatment (range 84-100 mo). Patients participating in this study were over-whelmingly positive about the procedure in terms of shade retention and lack of post-treatment side effects.

Tooth Bleaching - methods

Humans

Dental Devices, Home Care

Male

Peroxides - therapeutic use

Tetracycline - adverse effects

Oxidants - therapeutic use

Patient Satisfaction

Urea - therapeutic use

Urea - analogs & derivatives

Tooth Discoloration - drug therapy

Adult

Female

Anti-Bacterial Agents - adverse effects

Tooth Discoloration - chemically induced

Longitudinal Studies

Drug Combinations

Details

Title: Subtitle: Nightguard vital bleaching of tetracycline-stained teeth: 90 months post treatment
Creators: Ralph H Leonard Jr - Department of Diagnostic Sciences and General Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC 27599-7450, USA. Ralph_Leonard@dentistry.unc.edu
B Van Haywood
Daniel J Caplan
Natile D Tart
Resource Type: Journal article
Publication Details: Journal of esthetic and restorative dentistry, Vol.15(3), pp.142-153
Publisher: England
DOI: 10.1111/j.1708-8240.2003.tb00184.x
PMID: 12859112
ISSN: 1496-4155
eISSN: 1708-8240
Language: English
Date published: 2003
Academic Unit: Preventive and Community Dentistry
Record Identifier: 9983917661902771

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