Dental MAterials

Bleaching- VITAL

1. Describe the process of bleaching

3 techniques

In office (heat/light)

At Home (trays)

Over the counter

Remove Extrinsic stain by applying carbamide PEROXIDE (10,16, 22%) topically

Oxygen enters tooth and lightens

In Office bleaching

Teeth are isolated (RD, Resin stops) Higher % peroxide applied Heat, Light or laser enhanced

2. At home bleaching in TRAY

At home bleaching is done in a custom vinyl bleaching tray

Thin line of gel applied to facial surfaces anterior + 1st premolar

3. How procedure completed

Shade doc

Impression-models

Construct tray ($35)

Deliver tray and gel (office $40)

Instruct- hrs/day

Weekly checks/shade, ging

5. Precautions and Progress

Sensitive teeth gingiva Do not swallow

Shade

Cost to patient $300 and up per arch

6. Post op instructions

Removal of the Trays Remove bleaching trays and rinse your

mouth with warm water to remove the gel.

To remove gel from trays, rinse with warm water and clean with a toothbrush.

Wait one hour after bleaching before eating or drinking, as teeth are most susceptible to re-staining immediately after tray removal.

Store your wet trays in the box provided.

MICS INFO

Discoloration of the Teeth What causes discoloration of the

teeth? Teeth enamel discoloration can be caused

by staining, aging, or chemical damage to teeth. Some of the more common causes of teeth discoloration are medications, coffee, tea or cigarettes.  People who drink significant amounts of soda drinks can experience similar staining.

MICS INFO

Do not begin soon after a prophy- wait for enamel to remineralize.

Bleaching will improve but not remove intrinsic stains from tetracycline, fluoride

Treatment is usually several weeks Contraindication- pregnancy, breast feeding,

diabetes

VOCAB

In office bleaching Nightguard

bleaching Non vital

bleaching Optimum results Carbamide

peroxide Hydrogen peroxide

Vacuum former CONSENT-

written Caustic Dental dam

Before and After Pictures

ADA on In Office Bleaching

www.ada.org/public/media/videos/minute/cosmetic_inoffice_broadband.wmv

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