<?xml version="1.0"?>
<Articles JournalTitle="Journal of Craniomaxillofacial Research">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Craniomaxillofacial Research</JournalTitle>
      <Issn>2345-5489</Issn>
      <Volume>12</Volume>
      <Issue>4</Issue>
      <PubDate PubStatus="epublish">
        <Year>2026</Year>
        <Month>02</Month>
        <Day>09</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">The Effect of Mouthwash Containing Chitosan/Zinc Oxide Nanoparticles on Surface Hardness and Color Change of Bleached Enamel</title>
    <FirstPage>246</FirstPage>
    <LastPage>253</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Maryam</FirstName>
        <LastName>Samareh Khammar</LastName>
        <affiliation locale="en_US">Department of Restorative and Cosmetic Dentistry, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ali</FirstName>
        <LastName>Kazemian</LastName>
        <affiliation locale="en_US">Department of Community Oral Health, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Niloofar</FirstName>
        <LastName>Ebrahimzade</LastName>
        <affiliation locale="en_US">Student Research Committee, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2025</Year>
        <Month>11</Month>
        <Day>17</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2026</Year>
        <Month>01</Month>
        <Day>06</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Introduction: This study compared the effects of mouthwashes containing chitosan/zinc oxide nanoparticles, 0.2% chlorhexidine, 1.5% hydrogen peroxide (Colgate), and distilled water on the color and microhardness of bleached enamel.&#xA0;
Materials and Methods: Sixty bovine incisors were randomly divided into four groups (n = 15). After polishing and tea staining for six days, baseline color and microhardness were recorded using the CIELAB system and Vickers test. The enamel surfaces were bleached three times with 40% hydrogen peroxide. After ten days, measurements were repeated. The bleached samples were then immersed in 5 ml of each mouthwash twice daily for 14 days. The synthetic mouthwash contained 1% chitosan and 500 &#xB5;g/ml zinc oxide nanoparticles. Color and microhardness were re-evaluated, and data were analyzed using the Kruskal&#x2013;Wallis and post-hoc tests (&#x3B1; = 0.05).&#xA0;
Results: Significant color differences were observed between the mouthwash groups and water (p &lt; 0.05), with no significant difference between chlorhexidine and the nanoparticle mouthwash. Both the nanoparticle and Colgate mouthwashes similarly increased enamel microhardness, while chlorhexidine caused a slight decrease.
Conclusion: Mouthwash containing chitosan and zinc oxide nanoparticles improved bleached enamel microhardness without affecting color stability compared to 0.2% chlorhexidine.&#xA0;
Keywords: Chitosan; Mouthwashes; Nanoparticles; Tooth bleaching; Zinc oxide; Enamel; Remineralization.</abstract>
    <web_url>https://jcr.tums.ac.ir/index.php/jcr/article/view/581</web_url>
    <pdf_url>https://jcr.tums.ac.ir/index.php/jcr/article/download/581/468</pdf_url>
  </Article>
</Articles>
