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Prevention of tea‐induced extrinsic tooth stain
Author(s) -
Lee RJ,
Bayne A,
Tiangco M,
Garen G,
Chow AK
Publication year - 2014
Publication title -
international journal of dental hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 38
eISSN - 1601-5037
pISSN - 1601-5029
DOI - 10.1111/idh.12096
Subject(s) - stain , lactose , casein , food science , black tea , staining , medicine , dentistry , chemistry , pathology
Objectives The objectives of this study were to determine whether the addition of milk to tea reduces the ability of tea to stain extracted human teeth and, if so, to ascertain the component of milk that is responsible for milk's stain reducing properties. Methods Extracted human teeth were immersed in a tea solution, with the addition of 2% milk, 5.26% lactose, 2.7% casein or 10% fat‐free milk for 24 h at 37°C. A dental spectrophotometer ( VITA Easyshade Compact) was used to evaluate the colour of the teeth both before and after immersion in the tea solutions. Commission internationale de l’éclairage ( CIE ) L * a * b * colour space values were recorded, and the change in colour (Δ E *) was calculated. A two‐tailed t ‐test or one‐way analysis of variance ( anova ) was used to determine whether there were statistical differences between groups. Results Milk significantly reduces the ability of tea to stain teeth ( P = 0.0225), specifically in the L * and a * dimensions ( P = 0.0182 and P = 0.0124, respectively) of the colour sphere. Casein, which makes up 80% of the protein content in bovine milk, is the component of milk that is responsible for significantly reducing tea's ability to stain teeth ( P < 0.0001). Conclusions The addition of milk to tea significantly reduces the tea's ability to stain teeth. Casein was determined to be the component of milk that is responsible for preventing tea‐induced staining of teeth to a similar order of magnitude that can be obtained by vital bleaching treatments.