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The Gentle Dentist

Whitening


TOOTH WHITENING Whitening of teeth has become a very effective treatment modality for discolored teeth, where the esthetic is our main concern. In the gentle dentist 2 treatment modalities are available for whitening of teeth. 1. In Office Whitening for In-office procedure, it usually takes an hour at The Gentle Dentist’s treatment room , a highly concentrated hydrogen peroxide (35%-50%) bleaching agent is used, coupled with a light source to activate or enhance the peroxide release for the whitening of your teeth. This bleaching technique guarantees you an instant result in an hour, but it must be followed by home bleaching to mantain its effect. Advantages and Disadvantages This treatment modality is usually more expensive but the instant result that you get is very gratifying The possible side effects of in office whitening is tooth sensitivity due to the high concentration of peroxide used but this tooth sensitivity is harmelss, the bleaching did not cause any damage to the tooth, the tooth sensitivity comes from the cleansing and unblocking of stain containing in the dentinal tubule by the bubbling effect of the hydrogen peroxide . The tooth sensitivity usually go away within a week, it can also be minimized by the application of GC Tooth mousse (a paste containing calcium and phosphate derived from milk casein). Other desensitizing agents also work for eg, Sensodyne tooth.


paste (containing potassium nitrate and sodium fluoride and triclosan), Clinpro White varnish (containing Sodium fluoride 5%) and Clin pro XT varnish (containing resin modified glass ionomer with calcium Glycerophosphate) In order to maintain the effect of bleaching, you have to maintain it with a take home kit and some people find it tiresome. 2. Take home whitening In this treatment, a lower concen-tration and a different kind of peroxide (carbamide peroxide 10-20%), is usually used. This bleaching technique is more common because it is easy to perform and is generally less expensive for the patients. it involves a custom-made vacuum formed plastic bleaching tray, you load the tray with the carbamide peroxide gel daily and wear it for about 30 minutes to an hour for a day for 2 weeks. There are some brand of bleaching advocate wearing it at night, however the gentle dentist own clinical study found that, it is unneccesary, because the action of peroxide carbamide, only last for no more than 3 hour for the effect.


Combined

In office and take-home whitening protocol

This technique is used in the Gentle dentist for a better and less side effect whitening , however it is advisable to inform the patient that the succes rate may vary and some whitening procedures may show different results For this technique the dentist will use a shade guide to determine the color in office-whitening porcedure is performed first (35% hydrogen peroxide) after that and prior to insert the whitening tray (walking home technique). The tray is then loaded with the gel and placed into the mouth (teeth) this modalilty takes 3 days for the (10% carbamide peroxide). The patient should be instructed to remove the trays immediately if any descomfort occurs and load a desenzitizing agent.


( eg, Sensodyne ) paste (containing potassium nitrate and sodium fluoride and triclosan), Clinpro White varnish (containing Sodium fluoride 5%) and Clin pro XT varnish (containing resin modified glass ionomer with calcium Glycerophosphate) According to the last research there is no contraindication of whitening on mature tooth, however the age of 16 could be considered a safe age to commence tooth whitening.

Tooth Whitening  

Tooth Whitening

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