Bleaching tetracycline-stained teeth is the most challenging form of tooth lightening. This article reports on 44 subjects who bleached their tetracycline-stained teeth for 6 months using trays with reservoirs overnight in a half-mouth designed study and 2 of 3 different concentrations of carbamide peroxide (10%, 15% or 20%). The subjects were followed for 5 years. The area evaluated was the middle third of the teeth. More than 55% of tooth lightening occurred within 1 month; after 5 years, more than 65% of the maximum tooth whitening remained for all 3 gel concentrations. Tooth whitening can be accomplished with any of the 3 concentrations used.
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http://dx.doi.org/10.2341/06-6 | DOI Listing |
Cureus
January 2022
Prosthodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, MYS.
Patient dissatisfaction with tooth discoloration as a result of tetracycline therapy is not uncommon. To address patients' aesthetic demands, conservative bleaching treatments were considered before more invasive, irreversible treatments such as dental veneers or crowns. Bleaching is a relatively non-invasive, safe, and cost-effective method of achieving a desirable result.
View Article and Find Full Text PDFSevere tetracycline staining may affect the esthetics of teeth and the self-esteem of patients. This case report describes minimally invasive treatment with dental bleaching and direct restorations to improve the esthetics of tetracycline-stained teeth in a 44-year-old woman. All of the patient's teeth were affected by grayish brown staining, and the maxillary central incisors demonstrated incisal wear.
View Article and Find Full Text PDFBr Dent J
June 2021
Professor, Department of Restorative Sciences, The Dental College of Georgia, Augusta University, Augusta, GA, 30912, USA.
Tray tooth bleaching involves the use of carbamide peroxide in a custom-fitted tray to bleach teeth. One of the most difficult stains to bleach is tetracycline. This paper will present several different patient situations of tetracycline-stained teeth being bleached and will discuss the benefits and limitations of bleaching tetracycline-stained teeth.
View Article and Find Full Text PDFHua Xi Kou Qiang Yi Xue Za Zhi
June 2021
College of Stomatology, Kunming Medical University, Kunming 650500, China.
Objectives: To analyze the chromatic properties and translucency of porcelain veneers made from different ceramic materials against the background of tetracycline-stained teeth.
Methods: Porcelain specimens (A1, A3, B2, B4) measuring 0.50 mm in thickness were prepared by heat-press casting and layering.
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