Evidence map›Paper›PMID 39709239›Full record

ArticleInternational dental journal2025

Colour Changes and Surface Roughness After Air-Polishing for Tobacco Stain Removal.

Lukas Sigwart, Vera Wiesmüller, Ines Kapferer-Seebacher

Abstract read
In one paragraph

Article in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lukas SigwartDepartment of Dental and Oral Medicine and Cranio-maxillofacial and Oral Surgery, University Hospital for Conservative Dentistry and Periodontology, Medical University of Innsbruck, Innsbruck, Austria.
Vera WiesmüllerDepartment of Dental and Oral Medicine and Cranio-maxillofacial and Oral Surgery, University Hospital for Conservative Dentistry and Periodontology, Medical University of Innsbruck, Innsbruck, Austria. Electronic address: vera.wiesmueller@i-med.ac.at.
Ines Kapferer-SeebacherDepartment of Dental and Oral Medicine and Cranio-maxillofacial and Oral Surgery, University Hospital for Conservative Dentistry and Periodontology, Medical University of Innsbruck, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

aimsWe aimed to investigate the efficacy of air-polishing in restoring the original tooth colour of standardised tobacco-stained tooth specimens.

methodsSeventy-two specimens consisting of half dentine and half enamel were daily exposed to the smoke of five cigarettes in an automated smoking chamber. Four repetitions of a 14-day smoking cycle were performed. Specimens were cleaned after each cycle, either by air-polishing with erythritol or sodium bicarbonate powder, or with a rubber cup and pumice stone as control. Spectral photometric colour changes (ΔE) and profilometric surface roughness were measured before and after each cycle. All samples were stored for the entirety of the study period in artificial saliva to mimic oral conditions and to establish a pellicle layer on the samples.

resultsThe tested cleaning procedures effectively removed tobacco staining from dentine and enamel samples, however, none of the treatments could restore the original colour. Mean [SD] tooth colour of enamel specimens after four cycles was not statistically significantly different between erythritol (E = 77.6 [6.6]) and sodium bicarbonate air-polishing (E = 79.8 [7.0]) (P > .05). ΔE showed no significant differences between the air-polishing groups after four cycles (P > .05) but with the control group (P < .001). On dentine there was no statistically significant difference of ΔE between all three groups (P > .05). No significant differences in enamel and dentine roughness compared to baseline were observed after repeated air-polishing with erythritol (P > .05).

conclusionsErythritol air-polishing removed smoker's discolourations just as effectively as air-polishing with sodium bicarbonate and polishing with pumice, without altering the roughness of the tooth structures. Tobacco stains do not reoccur faster or stronger after the use of air-polishing devices than after polishing with rubber cup and paste. CLINICAL RELEVANCE: Air-polishing with erythritol emerged as a safe and efficient option for removing extrinsic tooth discolourations with the least abrasive character. These findings support the clinical relevance of incorporating air-polishing devices, particularly with erythritol powder, in dental practice for managing tobacco-induced tooth discolourations.

Indexed as

Dental PolishingTooth DiscolorationColorDental EnamelDentinErythritolHumansSodium BicarbonateSurface PropertiesErythritolSodium BicarbonateProfessional tooth cleaningProfilometrySmokingSpectrophotometryTooth discolourations

Identifiers

PMID39709239
PMCPMC11976585

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.