Butera Andrea, Pascadopoli Maurizio, Gallo Simone, Pardo Alessia, Stablum Giulia, Lelli Marco, Pandolfi Anna, Scribante Andrea
Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.
Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.
Dent J (Basel). 2023 Mar 16;11(3):82. doi: 10.3390/dj11030082.
Stain-removing domiciliary protocols are focused on the elimination of dental extrinsic pigmentations by the application of abrasive toothpastes, extensively available in commerce. The goal of the present study is to evaluate the efficacy of two different stain removal molecule-formulated toothpastes by the reduction of clinical parameters: the micro-cleaning crystals and activated charcoal. A total of 40 participants with extrinsic dental pigmentations were enrolled and divided into two groups: a Control group, assigned to a toothpaste with micro-cleaning crystals (Colgate Sensation White); and a Trial group, with microparticle-activated charcoal toothpaste (Coswell Blanx Black). At T0 (baseline), T1 (10 days), T2 (1 month), and T3 (3 months), clinical parameters, including Lobene stain index calculated for intensity and extension, plaque control record, and bleeding on probing, were measured. Statistically significant differences were found in both groups ( < 0.05): a reduction of extrinsic pigmentation, both in intensity and extension, was obtained in the Control group, but their total elimination could be achieved only in the Trial group with the activated charcoal molecule, though without significant difference between the groups ( > 0.05). No intergroup differences were found for each timeframe for PCR, BoP, LSI-I, and LSI-E. Both tested toothpastes can be recommended for domiciliary oral hygiene of patients with extrinsic pigmentations.
家庭除渍方案主要通过使用市面上广泛可得的磨砂牙膏来消除牙齿外源性色素沉着。本研究的目的是通过降低临床参数来评估两种不同除渍分子配方牙膏的功效：微清洁晶体牙膏和活性炭牙膏。共有40名有牙齿外源性色素沉着的参与者入组并分为两组：对照组，使用含微清洁晶体的牙膏（高露洁美白动感牙膏）；试验组，使用含微粒活性炭的牙膏（皓齿健炭丝净白牙膏）。在T0（基线）、T1（10天）、T2（1个月）和T3（3个月）时，测量临床参数，包括计算强度和范围的洛贝内染色指数、菌斑控制记录和探诊出血情况。两组均发现有统计学显著差异（<0.05）：对照组的外源性色素沉着在强度和范围上均有所降低，但只有试验组使用活性炭分子配方的牙膏才能完全消除色素沉着，不过两组之间无显著差异（>0.05）。在每个时间点的PCR、BoP、LSI-I和LSI-E方面，未发现组间差异。两种受试牙膏均可推荐用于有外源性色素沉着患者的家庭口腔卫生护理。
