teeth whitening
Science Home 10% or 16% carbmide peroxide, 20% for difficult cases or very dark
single tooth Power 9% hydrogen peroxide 1% hydrogen peroxide = 3% carbmide peroxide Gels work from incisal tips and then work down tooth from the inside, release oxygen to lighten teeth, no damage to enamel, or permanent sensitivity Products - Home Nite white ACP phosphate makes it less sensitive Opalescence has fluoride and potassium nitrate less sensitive Products Power Day white discuss dental Deep white - optident Examination and assessment Pre consent forms signed, photos with current shade and predicted shade Some cases may need more than 2 weeks home care grey shades (C1/C2/C3), sensitive teeth, dark gingival third (warn dentine never whitens to same extent as enamel), excessive white spots, bruxism or TMJ dysfunction (use thicker trays and extend to all molars), translucent teeth, exposed root surfaces, tetracycline staining Take rads of any dark teeth to check apical pathology Warn that restorations will not whitten Impression technique Apply alginate with fingers to surfaces of teeth prior to tray insertion Border moulding - critical Tooth mousse purchased to reduce sensitivity (increase price of whitening and include in package) Trays need no reservoirs or scallops Trays and gels picked up Show amount of gel on discuss dental card or extrude yourself on tray and where, trays and teeth need to be dry Insert trays and press against buccal surfaces Check that have used tooth mousse, if not warn of extra sensitivity Can use invisalign aligners as whitening trays Side effects Sensitivity see below Gingival irritation gels too strong or trays overextended or too much gel placed Soft tissue irritation too much gel Altered taste sensation older products and only temporary Occlusal disharmony poor fitting trays and not extended to all molars Incomplete whitening splodge effect need to do for longer Black star on trays from oxygenation of old amalgams Sensitivity Is always temporary,67% will experience this Active - Tooth mousse used 2 weeks prior to starting home whitening ACP plugs tubes with calcium phosphate and also reduces fade back after 6/12 Fluoride in trays blocks dentinal tubes 5% potassium nitrate depolarises nerve Passive - Do not do all night 2/3 hours Use less gel If severe miss 1 day, but need to make up prior to power whitening Cut back trays from gingival margin Power whitening On alone not as effective as home whitening, only 25% get better than A2 Rehydrate between sessions, to reduce sensitivity Always have assistant in surgery 25% hydrogen peroxide Post care Need to wait 2 weeks before restoring as bond strength is affected Single dark vital tooth 10% CP for 2/52 on all teeth and then 20% CP for 4/52 on difficult teeth only Internal whitening remove gutta percha 2/3mm below CEJ 20% CP in canal and cotton wool over and then GI Leave for 2/52, this method preferred to inside/outside technique
teeth whitening
By: HARMINDER SINGH
Where To Find Low Cost Dental Implants The Use Of Veneers In Cosmetic Dentistry Modern Cosmetic Dentistry for Houston Hopefuls Smile Makeover Dentists Recreate Smile For Ultimate Success An Understanding to The Risks Of Teeth Whitening? The Problems Of The Teeth And Toothache Dental Treatment - Your Trip To A New Smile Cosmetic dental treatment Your Guide To Sleep Dentistry In San Diego Teeth whitening: 7 secrets to Whiter Teeth Make Them Smile: Becoming A Dental Assistant All You Need To Know About Removing Dental Braces UTC Dentist - Finding A San Diego 92121 Dentist