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A comparison of two chlorhexidine gel brushing regimens and a conventional toothpaste brushing regimen for the development of tooth staining over a 6‐week period
Author(s) -
Claydon NCA,
Addy M,
Adams G,
Smith SR,
Bosma ML,
North M,
Moran J
Publication year - 2006
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/j.1601-5037.2006.00211.x
Subject(s) - chlorhexidine , medicine , dentifrice , dentistry , stain , evening , toothbrush , morning , staining , fluoride , pathology , inorganic chemistry , chemistry , physics , brush , astronomy , electrical engineering , engineering
Abstract: Aims: A single‐centre, randomized single‐blind parallel study was undertaken to compare staining seen with three brushing regimens and to determine subject perception of side effects such as staining and effects on taste. Methods: This 6‐week parallel study used 157 volunteers who were randomized into one of three treatment groups: (i) brushing in the morning and evening with a normal dose of a 1% chlorhexidine gel, (ii) brushing with a low dose of chlorhexidine gel in the evening and a whitening dentifrice in the morning, and (iii) brushing with a standard fluoride paste in the morning and evening. Following home usage of their allocated products, the study volunteers returned after 3 and 6 weeks to record the amount of stain present. After the 6‐week period, subject perception of taste and stain acceptability was determined using a questionnaire. Results: After 6 weeks of use of the low‐dose chlorhexidine gel and whitening dentifrice, significantly more stain was seen compared with the use of a standard dentifrice ( P < 0.0001). Similarly, significantly more stain was seen with use of the normal‐dose chlorhexidine gel compared with the low‐dose gel and whitening dentifrice ( P = 0.0007). Approximately 30% of individuals on the low‐dose chlorhexidine gel regimen found the amount of stain unacceptable and 10% noted an effect on their taste perception. Conclusions: The use of low dose of chlorhexidine gel at night and a whitening paste in the morning produced a significant amount of stain that 30% of subjects considered unacceptable.