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Background: This study aimed to evaluate the effects of several mouthwashes containing nanoparticles on discoloration of dental enamel, and compare the results with that of 0.2% chlorhexidine (CHX).
Material and Methods: Sixty intact premolars were randomly assigned to six groups. A spectrophotometer was
used to measure the color of the teeth (T1) according to the CIELAB system. The specimens in groups 1 to 4 were
then immersed in colloidal solutions containing nanoTiO2 (Group 1), nanoZnO (Group 2), nanoAg (Group 3) and
nanoCuO (Group 4). In groups 5 and 6, a 0.2% CHX mouthwash and distilled water were used as positive and negative controls, respectively. After 24 hours of immersion, color determination was repeated (T2). The third color
assessment was accomplished after brushing (T3). The L, a, and b values were recorded and the color change (∆E)
between different stages was calculated.
Results: ANOVA revealed significant between-group differences in the color change between T1 and T2 stages,
as well as between T1 and T3 time points (
p
<0.05), whereas the color change between T2 and T3 was not signifi
-
cantly different among the study groups (
p
=0.09). ∆ET1-T3 was significantly lower in the specimens immersed in
distilled water or CHX as compared to the nanoparticle-containing mouthwashes (
p
<0.05). The highest ∆E value
pertained to the specimens immersed in nanoZnO-containing solution. The TiO2 nanoparticles caused the lowest
staining among the tested nanoparticles.
Conclusions: The mouthwashes containing nanoparticles produced comparable or even greater enamel discoloration compared to CHX. Brushing had little effect on removal of induced stains
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