2. Dental MAterials Bleaching- VITAL

3. 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

4. In Office bleaching  Teeth are isolated (RD, Resin stops)  Higher % peroxide applied  Heat, Light or laser enhanced

5. 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 + 1 st premolar

6. 3. How procedure completed Shade doc Impression-models Construct tray ($35) Deliver tray and gel (office $40) Instruct- hrs/day Weekly checks/shade, ging

7. 5. Precautions and Progress  Sensitive teeth  gingiva  Do not swallow  Shade Cost to patient $300 and up per arch

8. 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.

9. 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.

10. 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

11. VOCAB  In office bleaching  Nightguard bleaching  Non vital bleaching  Optimum results  Carbamide peroxide  Hydrogen peroxide  Vacuum former  CONSENT- written  Caustic  Dental dam

12. Before and After Pictures

13. ADA on In Office Bleaching  www.ada.org/public/media/videos/ minute/cosmetic_inoffice_broadban d.wmv www.ada.org/public/media/videos/ minute/cosmetic_inoffice_broadban d.wmv The end

14. The End