Dental
bleaching with 16% carbamide peroxide improves dental color aesthetics,
although it may temporarily increase enamel susceptibility to pigmentation.
Beverages such as coffee, red wine, and dark soft drinks contain compounds that
promote staining. This study evaluated their effect on dental color stability
after bleaching.
This
was an in vitro experimental study that assessed the degree of pigmentation in 60
extracted human teeth subjected to dental bleaching with 16% carbamide
peroxide. The samples were divided into a control group and three experimental
groups exposed to coffee, dark soft drink, and red wine. Color measurements
were taken before bleaching, after bleaching, and after immersion in the
beverages using digital spectrophotometry (VITA Easyshade® V). Color change was
analyzed using the ΔE_BLEACH and ΔE_STAIN parameters. Data were tested for
normality and compared using ANOVA or non‑parametric tests. This design allowed
evaluation of post‑bleaching susceptibility to pigmentation under controlled
conditions.
The
statistical analysis showed that all four groups began with similar chromatic
conditions, which allowed subsequent changes to be attributed to bleaching and
beverage staining. The bleaching protocol was effective in all samples, with ΔE
values close to 12 and no statistically significant differences among groups.
Subsequently, exposure to chromogenic beverages produced clear changes in the
L, a, and b coordinates, confirmed by descriptive analyses, plots, and ANOVA.
These variations demonstrated that each beverage affects enamel brightness and
hue differently.
When
directly comparing pigmentation between Measurement 2 and Measurement 3,
Coca‑Cola showed the highest ΔE_STAIN, followed by red wine and coffee, while
the control group remained stable. Results indicated that Coca‑Cola produces
stronger darkening and yellowing, red wine increases the red component, and
coffee produces moderate changes. ANOVA confirmed highly significant
differences among beverages. Overall, the data established a clear chromatic
trajectory and concluded that Coca‑Cola has the greatest post‑bleaching
staining potential.
The analysis confirmed that all groups started with similar dental colors, ensuring comparability. After bleaching, the chromatic change was uniform and showed no significant differences among groups. The staining stage did show marked differences, with Coca‑Cola producing the greatest pigmentation, followed by red wine and coffee. The L*, a*, and b* parameters showed distinct behaviors depending on the beverage, with more abrupt changes in the experimental groups. Overall, time and chromogenic beverages were determining factors in the final variability of dental color.
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