tetracycline and Gingival-Diseases

Indications for using a 10% carbamide peroxide material in a custom-fitted tray to whiten teeth include teeth discolored from aging, chromogenic foods and drinks, and smoking, and also brown fluorosis-stained teeth, single dark teeth, and tetracycline-stained teeth. Tetracycline-stains may require 2 to 6 months of nightly treatment, whereas after discolorations generally resolve in 2 to 6 weeks. After an initial relapse in the first 2 weeks after the end of treatment, color tends to be stable for 1 to 3 years, with some treatments being permanent. The ADA has approved only six 10% carbamide peroxide materials, which have extensive research and publications on safety and efficacy. Considering the average cost of $196 per arch, and the noninvasive nature of this treatment, nightguard vital bleaching is probably the safest, most cost-effective, patient-pleasing method to improve the appearance of a smile. However, it should be supervised by a dentist for the proper examination, diagnosis of the cause of discoloration, treatment options, and fabrication and fitting of the carrier. Sensitivity during whitening may be treated with fluoride and potassium nitrate.

Topics: Anti-Bacterial Agents; Carbamide Peroxide; Consumer Product Safety; Dental Devices, Home Care; Dentin Sensitivity; Drug Combinations; Fees, Dental; Gingival Diseases; Humans; Nitrates; Oxidants; Peroxides; Potassium Compounds; Tetracycline; Tooth Bleaching; Tooth Discoloration; Urea

Since its introduction to dentistry in 1989, nightguard vital bleaching has proven to be a simple and safe procedure for lightening discolored teeth. Efficacy of the technique is 98% for non-tetracycline-stained teeth, and with extended treatment time, tetracycline-stained teeth can be expected to lighten in 86% of cases. Satisfactory retention of the shade change without additional treatment can be expected in 63% of patients 3 years post-treatment and in at least 42% of patients at 7 years. Side effects are usually mild and transient, disappearing within days of treatment completion. Patients report that they are glad they went through the procedure and 98% recommend the procedure to a friend.

Topics: Anti-Bacterial Agents; Carbamide Peroxide; Dental Pulp; Dentin Sensitivity; Drug Combinations; Gingival Diseases; Humans; Oxidants; Patient Satisfaction; Peroxides; Tetracycline; Time Factors; Tooth Bleaching; Tooth Discoloration; Treatment Outcome; Urea

The degree of color change and the dental sensitivity associated with the use of different concentrations (10%, 15%, and 20%) of carbamide peroxide every night for 6 months was evaluated in tetracycline-stained teeth.. Fifty-nine subjects were shown how to place two different concentrations of carbamide peroxide in the custom trays with reservoirs. For a period of 6 months, the patients were to insert the tray every evening before retiring. Patients returned in 1 and 2 weeks and at 1, 2, 3, 4, 5, 6, 7, 8, and 9 months for evaluation of the degree of color change by subjective shade matching and by photographic means. Sensitivity of hard or soft tissues was self-reported.. Fifty-two subjects attended more than 90% of the recalls. A colorimeter was used to convert shade guide tabs to Commission Internationale de l'Eclairage color spaces (CIELAB). The most rapid whitening occurred in the first month. At 3 and 9 months, 91% and 85% of the subjects, respectively, were at least "a little pleased" with the results of the bleaching. In the professional evaluation, 90% of the teeth were deemed to have an excellent or satisfactory esthetic result. The higher the concentration of carbamide peroxide, the more rapidly the lightness value and color difference changed. There was no difference among the three concentrations in resulting gingival sensitivity. Patients experienced less tooth sensitivity with 10% gel than they did with 15% and 20% gels.. Bleaching with 10%, 15%, and 20% carbamide peroxide is effective for removing tooth staining caused by tetracycline. The 10% concentration has the most advantages and the fewest disadvantages.

Topics: Adult; Analysis of Variance; Anti-Bacterial Agents; Carbamide Peroxide; Colorimetry; Dental Devices, Home Care; Dentin Sensitivity; Drug Combinations; Gingival Diseases; Humans; Oxidants; Patient Satisfaction; Peroxides; Surveys and Questionnaires; Tetracycline; Tooth Bleaching; Tooth Discoloration; Urea

Topics: Aspirin; Caffeine; Dental Pulp Diseases; Gingival Diseases; Humans; Hypnotics and Sedatives; Tetracycline; Tooth Extraction

Topics: Adult; Female; Fenestration, Labyrinth; Gingival Diseases; Humans; Labial Frenum; Mandible; Mouth Mucosa; Periosteum; Postoperative Care; Tetracycline; Transplantation, Autologous

Topics: Avitaminosis; Carcinoma, Squamous Cell; Denture, Complete; Gingival Diseases; Hematologic Diseases; Humans; Male; Middle Aged; Mouth Neoplasms; Poisoning; Stomatitis, Aphthous; Tetracycline; Ulcer

Topics: Adolescent; Adult; Diagnosis, Differential; Erythromycin; Female; Gingival Diseases; Humans; Male; Penicillin G Benzathine; Penicillin G Procaine; Syphilis; Syphilis Serodiagnosis; Tetracycline