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Opalescence PF 10%
Lowest sensitivity whitening
product on the market
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Gel base:
Thickening agent:
Carbopol
Additives:
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Composition cont.
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2 H2O2
2 H2O + O2
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Mode of Action
O2
O2
O2
O2
O2
Oxygen enters the enamel and dentin and diffuses to areas containing
the discolored substances.
The structure of the tooth is not altered; only the tooth is made lighter
and whiter.
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Mode of Action
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Why do we whiten?
Natural factors
Congenital factors
Systemic factors
Pharmalogical factors
Look younger
Improve confidence
Smile more
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External:
Trauma
Systemic conditions
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Dental caries
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1 of 4
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Cooperative/compliant patient
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Home Whitening
BEFORE
AFTER
Moderate to advanced
tetracycline stains
Before
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Intrinsic/Extrinsic Staining
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Color chart
After completion
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(From Roberson T, et al: Sturdevants art and science of operative dentistry, ed 4, St Louis,
2002, Mosby.)
Before
After
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Composite Restoration
After completion
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Tetracycline Staining
After completion
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Moderate to advanced
tetracycline stains
Before
After
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WHITE SPOTS
Possible causes:
Decalcification
Contraindications to Tooth
Whitening
Restorations / Replacement
- Tooth colored
- Porcelain
-
Contraindications cont.
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Yellow/Brown
1-2 weeks
Blue/Grey
twice as long
Tetracycline
several months
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Assessing Sensitivity:
SOLUTION
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Trim the tray away from the gingival for a better fit
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Reservoirs or No Reservoirs
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Opalescence
Opalescence PF 10%
Lowest sensitivity whitening product on the market
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Patient Preparation
AXIUM CASE NOTES
Patient Preparation
Patient Assessment:
Review current oral hygiene routine, note the surface of the tongue
Occlusal evaluation
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Patient Preparation
Patient Instructions
- Review Instructions for Use
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Clinical Protocol
Deplaque tongue
Documentation in AxiUM
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PATIENT
INSTRUCTIONS
Restorative Considerations
Patients should be told beforehand:
Existing composites will not lighten
Limit intake of foods,beverages, and smoking that will stain the
teeth during treatment
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PATIENT INSTRUCTIONS
Nighttime schedule
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PATIENT INSTRUCTIONS
Daytime schedule
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Only place a small bead of gel in each tooth impression towards the labial
surface of the patients tray
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Delivery
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Delivery
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Primarily the indication for caries control for ageing patients, those with
physical handicaps or patients in nursing homes for which conventional
brushing and flossing is not proving effective.
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Chemotherapeutic Approach
Root Caries may be minimized by:
Remove plaque
Elevate pH
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Decline in Health
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Fabrication of a
Custom Whitening
Tray
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Trimming
Remove gross tray material with Utility Vinyl Cutters
For detailed trimming, use the Ultra-Trim scissors
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Flame Burnishing
Flame polish edges of tray and
adapt with wet finger to smooth
rough edges that could irritate
gingiva
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