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Extrinsic stain removal with a toothpowder: A randomized controlled trial
Muhammad Khalil Khan1, Syed Akhtar Hussain Bokhari2, Abdul Haleem3
1Department of Periodontology & Oral Medicine, College of Dentistry, Qassim University, KSA ; Department of Periodontology & Oral Medicine, College of Dentistry, Qassim University, KSA.
A toothpowder demonstrated superior efficacy in removing extrinsic dental stains compared to toothpaste. This study found toothpowder significantly reduced stain area, intensity, and composite measures, offering a potential benefit for stain control.
Area of Science:
- Dental hygiene
- Preventive dentistry
- Cosmetic dentistry
Background:
- Extrinsic dental stains can negatively impact aesthetics.
- Toothpaste is commonly used for oral hygiene and stain removal.
- The efficacy of toothpowders for stain removal requires further investigation.
Purpose of the Study:
- To compare the efficacy of a commercially available toothpowder with toothpaste in removing extrinsic dental stains.
- To evaluate the effectiveness of toothpowder in reducing stain area, intensity, and composite measures.
Main Methods:
- A single-blind, randomized controlled trial involving 77 volunteers.
- Participants were randomized into a test (toothpowder) group (n=36) and a control (toothpaste) group (n=36).
- The Lobene Stain Index (SI) was used to measure extrinsic dental stains on the labial surfaces of anterior teeth over two weeks.
Main Results:
- The experimental toothpowder showed significantly superior stain removal compared to toothpaste.
- Toothpowder significantly reduced stain area (p<.001), stain intensity (p<.001), and composite/product (p<.001).
Conclusions:
- Toothpowder exhibited significantly higher stain-removing efficacy than toothpaste.
- Toothpowder may be beneficial for controlling and removing extrinsic dental stains.

