An in vivo study was carried out to investigate the role of tea, coffe and cigarette smoking upon the staining of teeth associated with the use of chlorhexidine gluconate. Three groups of volunteers, one of which consisted of cigarette smokers, rinsed with a 0.2% chlorhexidine gluconate mouthwash three times a day throughout two 10 day periods. The two non smoking groups were allocated tea and coffe respectively for consumptionduring on 10 day period. The smoking group were allocated coffee during one 10 day period. During the other 10 day periods the volunteers refrained from all hot beverages. A fourth group refrained from all hot bevrages during a 21 day period. The staining which developed on the previously cleaned teeth and tongues of the volnteers at the end of the respective rinsing periods was scored. All volunteers kept a diet record throughout the whole study. The drinking of tea and coffe significantly increased staining of teeth and tongue when compared with not drinking. Staining by tea was significantly worse than staining by coffee. Cigarette smoking appeard to have an additive effect on the staining. Dietary analysis indicated that other factors ar important to development of chlorhexidine staining and some apeared particularly chromogenic in this respect.
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