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Staining of teeth — Clinical Guidelines

Overview

Staining of teeth refers to discoloration that can occur due to various factors including dietary habits, tobacco use, and certain medical conditions. It impacts oral health aesthetics and may necessitate interventions such as professional cleaning or bleaching treatments.

Diagnosis

Visual inspection by dental professionals to assess the extent and type of staining.

Occasional use of shade guides to quantify the degree of discoloration 4.

Consideration of patient history regarding diet, smoking, and oral hygiene practices 4.

Management

Professional cleaning (scaling and polishing) to remove superficial stains 4.

Application of in-office bleaching agents containing hydrogen peroxide or carbamide peroxide 4.

Custom-fitted trays with at-home bleaching agents for maintenance 4.

Dietary modifications to reduce staining agents like coffee, tea, and tobacco 4.

Special Populations

Pediatrics: Gentle cleaning methods and parental education on oral hygiene practices 4.

Elderly: Increased vigilance for staining related to long-term medication use; consider the impact of dry mouth conditions 4.

Comorbidities: Patients with conditions affecting oral health (e.g., fluorosis) may require specialized approaches 4.

Key Recommendations

Regular professional dental cleanings to prevent and manage tooth staining (Evidence: Moderate 4).

Use of in-office bleaching treatments under professional supervision for significant staining (Evidence: Moderate 4).

Patient education on lifestyle modifications, particularly dietary habits and tobacco cessation, to reduce staining (Evidence: Expert opinion 4).

References

1 Brosseau L, Fredrickson A. Assessing outcomes of industrial hygiene graduate education. Journal of occupational and environmental hygiene 2009. link 2 Brown RC. Filtration in industrial hygiene. AIHAJ : a journal for the science of occupational and environmental health and safety 2001. link 3 Kesavan S, Barodawala S, Mulley GP. Now wash your hands? A survey of hospital handwashing facilities. The Journal of hospital infection 1998. link90306-1) 4 Cross-Poline GN, Passon JC, Tilliss TS, Stach DJ. Effectiveness of a continuing education course in local anesthesia for dental hygienists. Journal of dental hygiene : JDH 1992. link 5 Garber BT. An update on the accreditation of academic programs in industrial hygiene. American Industrial Hygiene Association journal 1988. link 6 Rose VE, Wilkening GM, Rosen GA. The practice of industrial hygiene: Role Delineation Analysis American Board of Industrial Hygiene. American Industrial Hygiene Association journal 1985. link 7 Burkart JA, Eggenberger LM, Nelson JH, Nicholson PR. A practical statistical quality control scheme for the industrial hygiene chemistry laboratory. American Industrial Hygiene Association journal 1984. link 8 Cudworth AL, Craft BF, Bohl CD, Buchan RM, Garber BT, Kornreich LD et al.. The accreditation of academic programs in industrial hygiene. American Industrial Hygiene Association journal 1984. link 9 Craft B. The identity crisis--or "What you have always wanted to know about AAIH, ABIH, ACGIH and AIHA, but were too confused to ask". American Industrial Hygiene Association journal 1980. link 10 Yoder JD. Has the time come to form the IIHA--the International Industrial Hygiene Association?. American Industrial Hygiene Association journal 1980. link 11 Moeller DW. Survey of industrial hygiene short course training. American Industrial Hygiene Association journal 1980. link 12 Snyder PJ, Bell ZG, Samelson RJ. The computerization of industrial hygiene records. American Industrial Hygiene Association journal 1979. link 13 Hudson R, Small WT. Saint Augustine's College training program in industrial hygiene and safety. American Industrial Hygiene Association journal 1978. link 14 Gage H, Bloom RS. Survey of need for industrial hygienists. American Industrial Hygiene Association journal 1977. link 15 Freeland LT. An industrial hygiene calibration manifold. American Industrial Hygiene Association journal 1977. link 16 Berry CM. Industrial hygiene manpower. American Industrial Hygiene Association journal 1975. link

Staining of teeth