The study indicates that the use of a simple toothpicking technique can affect chlorhexidine stain. When analyzed across time, teeth and surfaces, there was a statistically significant difference in stain between the control and experimental sides for stain amount, intensity, and for a composite of amount/intensity. Subjects kept calendars to encourage and document compliance. The amount and intensity of stain was photographed and graded by a blinded examiner after 2 weeks, 1, 2 and 3 months.
The rubbing action was similar to the use of an eraser to remove a pencil mark from paper. Where stain was visible, a toothpick was used to 'rub it away' on the distolabial, labial and mesiolabial surfaces of the experimental side only. Subjects self-examined daily for the appearance of stain. The rinsing regimen was 1/2 oz of 0.12% CHX mouthrinse 2x a day for 3 months.
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1 part Black color or 1 part Royal Blue, 1 part Christmas Red, 1 part Orange & 1 part Lemon Yellow. 25 subjects received a prophylaxis to establish a stain-free baseline and were then randomly assigned a control and experimental side of the mouth. 1 part Royal Blue, 1 part Violet & 4 parts Black. The top portions of these 3.5 inch Colored Toothpicks are beautifully coated in vibrant colors making them some of our most simple and elegant picks. The purpose of this study was to determine if the extrinsic dental staining associated with the use of chlorhexidine gluconate (CHX) mouthrinse could be prevented or controlled by the patient with the use of toothpicks.
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