Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment

Ralph H Leonard Jr; V B Haywood; J C Eagle; G E Garland; D J Caplan; K P Matthews; N D Tart

doi:10.1111/j.1708-8240.1999.tb00408.x

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Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment

Journal article

Peer reviewed

Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment

Ralph H Leonard Jr, V B Haywood, J C Eagle, G E Garland, D J Caplan, K P Matthews and N D Tart

Journal of esthetic dentistry, Vol.11(5), pp.265-277

1999

DOI: 10.1111/j.1708-8240.1999.tb00408.x

PMID: 10825882

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Abstract

The purpose of this longitudinal whitening study was to determine the stability, post-treatment side effects, and patient satisfaction after 6 months of active treatment of tetracycline-stained teeth with 10% carbamide peroxide at 0 and 54 months post treatment. Twelve patients who completed the study (80%) were contacted and asked to participate in a survey concerning their whitening experience. Subjects 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 twelve patients underwent clinical examination. Ten patients (83%) reported no obvious shade change or only a slight darkening not noticed by others. Two (17%) reported a slight darkening that is probably noticeable by other people, but no one reported moderate darkening or significant darkening back to original shade. All respondents (n = 12) denied having to have a crown or root canal that they believed was treatment-related. Examiners who compared preoperative and post-treatment photographs and Vita shade values were in agreement with the patient's perceptions of shade change. The degree of improvement was significant for both the immediate (0 mo) and the 54-month post-treatment comparison with the pretreatment shade (p < .005 and p < .01 respectively). Results of this nightguard vital bleaching study indicate that tetracycline-stained teeth can be whitened successfully using extended treatment time, and that shade stability may last at least 54 months after treatment. Patients who participated in this study were overwhelmingly positive about the procedure in terms of shade retention and lack of post-treatment side effects.

Dose-Response Relationship, Drug

Follow-Up Studies

Tooth Discoloration - therapy

Humans

Urea - analogs & derivatives

Dental Devices, Home Care

Peroxides

Tetracyclines - adverse effects

Tooth Discoloration - chemically induced

Drug Combinations

Tooth Bleaching

Details

Title: Subtitle: Nightguard vital bleaching of tetracycline-stained teeth: 54 months post treatment
Creators: Ralph H Leonard Jr - Department of Diagnostic Sciences and General Dentistry, University of North Carolina School of Dentistry, Chapel Hill, USA. Ralph_Leonard@dentistry.unc.edu
V B Haywood
J C Eagle
G E Garland
D J Caplan
K P Matthews
N D Tart
Resource Type: Journal article
Publication Details: Journal of esthetic dentistry, Vol.11(5), pp.265-277
Publisher: Canada
DOI: 10.1111/j.1708-8240.1999.tb00408.x
PMID: 10825882
ISSN: 1040-1466
eISSN: 1708-8240
Language: English
Date published: 1999
Academic Unit: Preventive and Community Dentistry
Record Identifier: 9983917791802771

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