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Whitening efficacy of activated charcoal-based products: A single-blind randomized controlled clinical trial.
Ribeiro, Edgar Pedreiro; Zanin, Gabriela Torres; Gonçalves, Andrey Emídio; Kury, Matheus; Cavalli, Vanessa; Guiraldo, Ricardo Danil; Lopes, Murilo Baena; Berger, Sandrine Bittencourt.
Afiliación
  • Ribeiro EP; Department of Restorative Dentistry, University Anhanguera/Uniderp, Campo Grande, MS, Brazil.
  • Zanin GT; Department of Restorative Dentistry, University Anhanguera/Uniderp, Campo Grande, MS, Brazil.
  • Gonçalves AE; Department of Restorative Dentistry, University of North Parana, Londrina, PR, Brazil.
  • Kury M; Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba, SP, Brazil.
  • Cavalli V; Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas, Piracicaba, SP, Brazil.
  • Guiraldo RD; Department of Restorative Dentistry, University Anhanguera/Uniderp, Campo Grande, MS, Brazil; Department of Restorative Dentistry, University of North Parana, Londrina, PR, Brazil.
  • Lopes MB; Department of Restorative Dentistry, University Anhanguera/Uniderp, Campo Grande, MS, Brazil; Department of Restorative Dentistry, University of North Parana, Londrina, PR, Brazil.
  • Berger SB; Department of Restorative Dentistry, University Anhanguera/Uniderp, Campo Grande, MS, Brazil; Department of Restorative Dentistry, University of North Parana, Londrina, PR, Brazil. Electronic address: berger.sandrine@gmail.com.
J Dent ; 143: 104877, 2024 04.
Article en En | MEDLINE | ID: mdl-38316199
ABSTRACT

OBJECTIVE:

This randomized controlled clinical trial evaluated the whitening efficacy, tooth sensitivity (TS), and volunteers' satisfaction following the use of activated charcoal powder and toothpaste.

METHODS:

Fifty-six volunteers were randomly allocated into 4 groups (n = 14) according to a 14-day toothbrushing or whitening treatment with activated charcoal powder (ACPW), activated charcoal toothpaste (ACT), regular fluoridated toothpaste (RT), and 10 % carbamide peroxide (CP). Objective (ΔE00) and subjective (ΔSGU) color and whiteness index (ΔWID) changes were calculated. Patients self-reported the risk and intensity of TS using a visual analogue scale and the volunteer's satisfaction was determined by a questionnaire. Color assessments were analyzed by Kruskal-Wallis followed by Dwas-Steel-Crithlow-Fligner, and absolute TS risk and volunteer's satisfaction by Fisher exact test (p < 0.05).

RESULTS:

ACPW and ACT promoted similar effects in ΔE00, ΔSGU, and ΔWID to that observed for RT. No significant difference was found in terms of TS risk intensity. TS risk became high after 7 and 14 days, with higher TS prevalence in CP. Volunteers reported that ACPW exhibited the lowest ease-of-use, comfort, and whitening satisfaction among groups (p < 0.05).

CONCLUSION:

Activated charcoal-based products presented a minor and unsatisfactory whitening effect while CP resulted in optimal tooth whitening and the highest level of satisfaction among volunteers. Risk was higher from 7 days onwards and was more pronounced in the CP. CLINICAL RELEVANCE Based on the whitening effect and patient satisfaction, this controlled-randomized clinical evidence supports that the use of activated charcoal-based products should be discouraged.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Blanqueamiento de Dientes / Sensibilidad de la Dentina Tipo de estudio: Clinical_trials / Risk_factors_studies Límite: Humans Idioma: En Revista: J Dent Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Blanqueamiento de Dientes / Sensibilidad de la Dentina Tipo de estudio: Clinical_trials / Risk_factors_studies Límite: Humans Idioma: En Revista: J Dent Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido