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Effectiveness, side effects and long-term status

of nightguard vital bleaching

VB Haywood, RH Leonard, CF Nelson, and WD Brunson


Department of Dental Ecology, School of Dentistry, University of North
Carolina, Chapel Hill.

In this clinical trial of nightguard vital bleaching for six weeks, 92 percent of
the patients experienced some lightening of treated teeth. About 97 percent of
patients with teeth stained through aging, inherent discoloration, brown
fluorosis or trauma experienced lightening, as did 75 percent with tetracycline-
stained teeth. Sixty-six percent experienced side effects, which resolved in 24
to 48 hours. Earliest re-treatment was done after one year in less time.
Minimal color change occurred for 74 percent after 1 1/2 years and 62 percent
after three years.

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