Periodontics · single question

A patient develops brown extrinsic tooth staining over two weeks; a mouthrinse used daily is found to be chlorhexidine. The cause of the staining is:

  1. Chlorhexidine
  2. Sodium fluoride
  3. Hydrogen peroxide
  4. Cetylpyridinium-free rinse
Show answer and explanation

Correct answer: A. Chlorhexidine

  • A. Correct. Chlorhexidine gluconate causes characteristic brown extrinsic staining of teeth, restorations, and the tongue, plus altered taste, with prolonged use.
  • B. Sodium fluoride rinses do not cause brown staining.
  • C. Hydrogen peroxide bleaches rather than stains.
  • D. This is not the cause of the staining described.

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