HRU INTERNATIONAL JOURNAL OF DENTISTRY AND ORAL RESEARCH, cilt.5, sa.2, ss.59-65, 2025 (Hakemli Dergi)
Background: This research seeks to assess alterations in tooth color throughout fixed orthodontic treatment and make comparisons between individuals using various types of toothpaste. Materials and Methods: This study involved 24 patients with complete permanent dentition, skeletal and dental Class I malocclusion. The patients were categorized into three groups of 8 individuals, with each group using a distinct type of toothpaste. Records were taken from all patients using an intraoral scanning device (3Shape Trios) before bonding and at the first and third months of treatment. These records were transferred to Adobe Photoshop for further analysis. The CIE (Commission Internationale de l'Eclairage) color system was employed to assess tooth color, and the L, a, and b values were recorded for all teeth, excluding the molars. To ensure standardization during measurements taken from bracketed teeth, samples were collected from three areas of each tooth: mesial, distal, and occlusal. The average of these values was accepted for evaluation. To determine the color differences of measurements taken at different times from the same patient, the ΔE formula was applied to compute the color differences. Results: In the group using Colgate, statistically significant changes were observed between time points for L and B values in all regions (p=0.000), as well as A values in the left mandible(p=0.004). In the group using Curaprox, significant changes were found between time points for L and B values in all regions (p=0.000). In the group using Rocs, significant changes in L values were observed in all groups (p=0.000), in B values in the left maxilla and right mandible (p=0.000), in B values in the left mandible (p=0.005), and B values in the right maxilla (p=0.012). Betweengroup comparisons revealed a statistically significant difference in ΔE1 values in the right maxilla (p=0.048). Conclusions: All patients undergoing fixed orthodontic treatment had a change in tooth color. When the groups using different toothpaste were compared, a difference in color change was observed in the right maxilla between the first month and baseline measurements. However, there was no difference between the groups in the third month.