Manual The Ultimate Guide to Teeth Whitening

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The Ultimate Guide to Teeth Whitening. Without a doubt, teeth whitening procedures are here to stay. With articles like “6 Reasons to Be.
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This has been proven to be very effective when worn in a custom tray overnight, or for up to 8 hours at a time.

The ultimate guide to teeth whitening

The length of the treatment will vary, depending on the specific case, but will not usually exceed three weeks. The first week to treat the upper arch, the second week to treat the lower arch, and the third week in which both arches are treated to reinforce and stabilise the final result. Gregory Camaleote — Tooth Whitening Case. The patient visited the practice hoping to improve the colour of their teeth. This started with treating the upper arch, followed by the lower arch. Download the full version of this tooth whitening case. This can be discussed with your patients in order to manage expectations prior to treatment.

The Importance of Tray Design. The design of the tray is just as important as the gel itself. If the tray is not finished correctly, it can also irritate the gums and be very uncomfortable. It is generally recognised that the most efficient and effective methods of applying whitening products to natural teeth is via a custom made whitening tray. To be as effective as possible, this tray must be professionally made.

An accurate impression is important. A whitening tray can only be effective when certain criteria are met. Ideally, impressions should only be taken in a rigid impression tray. This prevents any risk of distortion, which can lead to a poor fit. When the laboratory receives an impression, it can accurately cast models in a highly permeable model stone. The dentist chooses to go with or without reservoirs, and the tray must be scalloped correctly followed by flaming and smoothing of the trimmed margins.

This will help to ensure that an accurate sealing at the gingival margins is achieved. The laboratory recommends a finished tray thickness of 1mm. This allows sufficient flexibility of the tray when the patient is inserting and removing it from their mouth. Digital Impressions through 3D imaging are becoming more widely used, and this is particularly effective in ensuring accurate tray design. Most good laboratories will have this service available.

In the case of 3D dental imaging, the advantages are clear, offering practitioners and patients alike a better clinical experience.


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A 3D dental image can also be used multiple times, offering a fast, accurate approach that is consistent and reliable. The following times are a guideline:. The following figures detail the amount of Hydrogen Peroxide released by a set amount of Carbamide Peroxide:. Tooth whitening works because Hydrogen Peroxide breaks down into water and an oxygen free radical.

There are four key steps in the process:. In other words, the bleaching action of Hydrogen Peroxide is influenced by its surrounding conditions. The pH scale is a measure of acidity or alkalinity:. In acidic conditions Hydrogen Peroxide is stable, therefore ineffective as a bleaching agent. But it is unstable in alkaline conditions, prompting the release of Perhydroxyl ion. Perhydroxyl ion is responsible for bleaching by breaking down large staining molecules into smaller colourless molecules.

Costs of teeth whitening

Choosing the Right Gels And Safety. In the growing field of dental aesthetics, there are numerous companies marketing and advertising products to the industry. But as with any other dental product, seeing evidence of efficacy is a leading requirement. Dental professionals will rightly expect a high standard from all their materials, including their whitening gels. Some companies struggle to stabilise the product and, therefore, reduce the pH level to compensate this.

This makes it more acidic and increases the chance of sensitivity and possible damage to the enamel. Make sure you choose a gel with a near neutral pH that has as an increased alkalinity once applied. Tray design — Tray design is important in any bleaching procedure. There must be a good seal around the gingival margin, regardless of reservoirs on the labial surface. The gel will not run out of the trays if it is the right viscosity.

Water content — It is important for gels to be water based, as peroxide dehydrates the teeth. Desensitiser — Some gels contain desensitisers such as Potassium Nitrate and Fluoride, which are very effective at reducing sensitivity during the treatment. It is advisable to bear this in mind when making a decision. Flavour — Many products contain glycerine to prolong the shelf life of their products. This can negatively impact the taste of the gel and can be hard to mask. Choose something that has a fresh flavour and will make the treatment more pleasant for your patients.

This can be worn overnight. The NGVB gel gives predictable and long lasting results. Choosing a brand that has flexibility ensures greater patient choice. Learn more about the science of tooth whitening with our blog. The effect of a total bleaching treatment on enamel is equivalent to one carbonated drink — McCracken MS, et al.

J Dent Res The British Dental Association BDA says whitening is perfectly safe if carried out by a registered dental professional. Clinical Cases. The dental industry is continually working to develop new techniques in aesthetics and restorative dentistry, and help dentists offer an unbeatable patient experience.

Ultimate Guide On How To Whiten Your Teeth | Tooth Whitening and Dental Bleaching

Anna Salat — Tooth Whitening Case. The patient wanted to improve the appearance of their smile, particularly the shape of their teeth. Ahead of the restorative treatment, Dr Anna Salat recommended bleaching the teeth to achieve the best aesthetic results. To provide the fast acting and stable results the patient required, Dr Salat used a whitening gel with Hydrogen Peroxide as this breaks down quicker than Carbamide Peroxide. The teeth were now successfully prepared for the next step of the treatment — direct composites.

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Stefan Koubi — Tooth Whitening Case. Due to the patented chemistry in the bleaching system NOVON , the results were just as effective as alternative solutions with higher percentages of CP — and with less sensitivity. Following the whitening treatment, a combination of composite bonding and porcelain cementation facilitated the end result. Patient Communication and Marketing.

Without knowing the range of aesthetic options on offer, patients will be unable to consider how their teeth — and their smile — could be enhanced. There are eight steps to effective communication and marketing of tooth whitening:. Because of the enormous appeal of tooth whitening, the treatment can be used to attract new patients as well as retaining existing ones. It can be used to reward patients for completed treatments, motivating them and enhancing their natural teeth shades alongside or prior to restorative work. The hygienist appointment presents the perfect environment to discuss and perform such aesthetic treatments.

Brochures and marketing materials are designed to stimulate questions.

They can answer all patient concerns, start discussions and help to generate interest. It is also a good idea to give your practice team the opportunity to whiten their teeth. They are a powerful walking advert for the treatment and can speak from experience. Practices who have engaged in learning about tooth whitening in depth have more successful treatment conversions. There are many ways of gathering and sharing best practice within the dental community, both online and in person. Once dental practices consider themselves to be experts in tooth whitening, confidence in the practice grows.

In addition, once people have successfully engaged in tooth whitening treatments they are much more likely to consider other cosmetic dental work, and are often more engaged in maintaining their oral health.