Use of a Whitening Dentifrice for Control of Chlorhexidine Stain

Abstract

A major drawback to clinicians prescribing and patients using chlorhexidine rinse is the development of extrinsic staining. In order to assess the effectiveness of a whitening dentifrice in controlling chlorhexidine stain, fifty-seven subjects rinsed with chlorhexidine twice daily while brushing twice daily with either fluoridated whitening or a fluoridated regular dentifrice. Stain was assessed at 1, 2, and 3 month intervals using a stain index with two components; one with parameters for color intensity and one for tooth percentage covered with stain. Facial surfaces accumulated less stain than lingual surfaces. For many, although not all surfaces, and at many, although not all time periods, the group utilizing the whitening dentifrice exhibited less staining.It is advantageous to recommend a whitening dentifrice that has demonstrated stain suppression when prescribing a chlorhexidine rinse. Improved patient satisfaction leading to increased compliance with the antimicrobial regimen is a desired outcome.

In Vitro Assessment of a Gel Base Containing 2% Chlorhexidine as a Sodium Perborate’s Vehicle for Intracoronal Bleaching of Discolored Teeth

“…Despite the known undesirable staining effect of CHX, samples in this study did not show a reduction in bleaching efficacy when this antimicrobial agent was added (34,35). It appeared that the staining properties of CHX are insignificant in comparison to the potency of the bleaching agents.…”

Whitening toothpastes: A review of the literature

“…For stain prevention, subjects are initially given a prophylaxis treatment at baseline to remove any extrinsic stain present on their teeth. Subjects then use the allocated test toothpaste and natural 32,36,[43][44][45] or chlorhexidine [46][47][48] induced extrinsic stain formation is measured over time.…”

Prediction of clinical outcomes in primary biliary cirrhosis by serum enhanced liver fibrosis assay

“…Introduced in therapeutics more than 50 years ago, chlorhexidine (CHX) is still widely used for the treatment of gingivitis and supragingival plaque with no evidence of bacterial resistance 1–4. However, its side effects, such as staining of teeth and extremely bitter taste, limit the long‐term usage of CHX in dentistry and make difficult the patient compliance 5,6…”