CLINICAL RATIONALE OF CHOOSING A TOOTH-BLEACHING AGENT.

Area of Science:

• Dentistry
• Cosmetic Dentistry
• Oral Hygiene

Background:

• Tooth discoloration affects a significant portion of the population.
• Various whitening toothpastes exist, but their comparative efficacy varies.
• Assessing the effectiveness of different toothpaste formulations is crucial for patient care.

Purpose of the Study:

• To evaluate the efficacy of different types of whitening toothpastes in correcting hard tooth tissue discoloration.
• To compare the bleaching effects of abrasive, peroxide-containing, and enzyme-containing toothpastes.
• To determine the most effective toothpaste for long-term dental whitening and oral health.

Main Methods:

• A clinical study involving 135 patients with tooth discoloration.
• Assessment of hard tooth tissue color using the Vita scale.
• Measurement of oral hygiene indexes and gum inflammation.
• Statistical analysis to determine the significance of observed differences.

Main Results:

• Patients using abrasive toothpastes initially presented with poor oral hygiene.
• Peroxide-containing toothpastes showed discoloration in 44.53% of teeth examined.
• Enzyme-containing toothpastes, while initially showing discoloration in 47.14% of teeth, yielded the most pronounced long-term bleaching effect.
• The proposed algorithms for whitening using oral hygiene products were effective.

Conclusions:

• Enzyme-containing whitening toothpaste demonstrated superior efficacy in correcting hard tooth tissue discoloration compared to abrasive and peroxide-based options.
• The long-term observation confirmed the pronounced bleaching effect of enzyme-containing toothpaste.
• Enzyme-containing toothpaste is recommended for complex treatment and prevention of tooth discoloration.