Objectives: To evaluate the tooth whitening efficacy of non-hydrogen peroxide containing mouthrinses. Methods: Forty incisors were randomly assigned into four groups. Four whitening mouthrinses, Oral-B 3D White Luxe/Procter & Gamble (WL), Listerine Advanced White/Johnson & Johnson (AW), Colgate Max White/Colgate (MW), and iWhite Whitening Mouthwash/Sylphar (iW), were used over a four-week period. Color changes of L*, a*, b*, ΔE* ab , and ΔE 00 , were recorded by a digital spectrophotometer (Spectroshade Micro/Mht), at baseline and intermediate week-intervals. Data were statistically analyzed using repeated measures ANOVA at α = 0.05.
Results:The first-week mean change of L* was 0.76 and significantly different from the baseline for all solutions, without any further changes. Correspondingly, a* decreased by À0.36, while b* increased by 0.48, contributing to a color change of 1.15 ΔE* ab or 0.91 ΔE 00 . No differences were found among the solutions in respect to color-parameter changes (p > 0.05). Differences among time intervals were significant (p < 0.05) and mainly observed between the baseline and the following week-measurements. There was no statistically significant time-solution interaction (p > 0.05).Conclusions: Non-hydrogen peroxide whitening mouthrinses, slightly contribute to tooth whitening, by removing superficial staining, without any further tooth bleaching effect.Clinical significance: Non-hydrogen peroxide containing whitening mouthrinses, despite having a quick initial action, reach their ceiling relatively soon. Their effectiveness is barely perceptible and definitely inferior to other professional tooth bleaching methods. Thus, they can only be considered as a supplementary way of keeping teeth whiter, mainly by preventing recurrent tooth discoloration.
K E Y W O R D Sover the counter whitening products, phthalimido-peroxy-caproic acid, sodium hexametaphosphate, tetrasodium pyrophosphate, tooth bleaching, whitening mouthrinses
| INTRODUCTIONTooth discoloration is the result of the combined action of extrinsic and intrinsic factors. Extrinsic is the superficial discoloration caused mainly by smoke, food, and beverage stains, while intrinsic is the subsurface discoloration often related to enamel and dentin properties. 1 Dental bleaching has been recognized as one of the most important cosmetic treatments. 2 Under the proper supervision, bleaching has been proven a safe and effective procedure. The wide formulation