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Nightguard Vital Bleaching of Tetracycline‐Stained Teeth: 54 Months Post Treatment
Author(s) -
LEONARD RALPH H.,
HAYWOOD VAN B.,
EAGLE JAMES C.,
GARLAND GLENN E.,
CAPLAN DANIEL J.,
MATTHEWS KEVIN P.,
TART NATILE D.
Publication year - 1999
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/j.1708-8240.1999.tb00408.x
Subject(s) - carbamide peroxide , dentistry , medicine , crown (dentistry) , tooth whitening , tooth discoloration , orthodontics , enamel paint
Purpose: 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. Materials and Methods: 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. Results: 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 patients' 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).