Tooth bleaching is widely used to improve dental esthetics, but maintaining the achieved whiteness over time remains a challenge. External staining from food, beverages, and daily habits can compromise bleaching outcomes. Against this backdrop, the investigators aimed to assess how pigments with white or blue optical properties behave when applied to bleached enamel surfaces and whether they can contribute to improved color stability.
The researchers used bovine teeth, which closely mimic human enamel, and subjected all samples to in-office bleaching with 35% hydrogen peroxide. Tooth color was measured using a digital spectrophotometer before and after bleaching.
Post-bleaching, enamel surfaces were treated with blue covarine, white food dye, titanium dioxide, indigo extract, or nano-hydroxyapatite. Granulated coffee served as the positive staining control, while distilled water was the negative control. Color changes were then reassessed using spectrophotometric analysis.
The results showed clear differences among the tested materials:
- Teeth treated with blue covarine and titanium dioxide showed significantly lighter color values after bleaching compared with other pigment groups.
- Pigments with light-reflecting or optical whitening properties were found to enhance the visual appearance of bleached enamel.
- Nano-hydroxyapatite produced only a modest improvement in tooth whiteness.
- Samples exposed to coffee demonstrated clear darkening, underscoring the vulnerability of bleached enamel to staining agents.
The study’s findings suggest that certain pigments do more than simply coat the tooth surface; they may enhance the optical perception of whiteness and help stabilize color after bleaching. Blue covarine, for example, is known to alter light reflection by depositing a thin bluish layer on the enamel, counteracting yellow tones. Titanium dioxide, widely used as a whitening agent in various industries, appears to offer similar benefits in a dental context.
From a clinical perspective, the authors note that incorporating light-colored pigments into post-bleaching products or formulations could help prolong esthetic results and improve patient satisfaction. Although the study was conducted under laboratory conditions, it provides valuable insight into how adjunctive materials may support bleaching outcomes.
The researchers emphasize that further clinical studies are needed to confirm these effects in real-world settings. Nevertheless, the findings point toward promising strategies for enhancing and maintaining tooth whitening results through the use of carefully selected pigments.
Reference:
Baytok Kavci, Tutku, et al. "The Effect of Pigment Solutions On Enhancing Tooth Bleaching Efficacy: a Laboratory Study." American Journal of Dentistry, vol. 38, no. 4, 2025, pp. 283-287.
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