Transcript DENT

Dental MAterials
Bleaching- VITAL
1. Describe the process of bleaching
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3 techniques
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In office
(heat/light)
At Home (trays)
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Over the counter
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Remove Extrinsic
stain by applying
carbamide
PEROXIDE (10,16,
22%) topically
Oxygen enters
tooth and lightens
In Office bleaching
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Teeth are isolated (RD, Resin stops)
Higher % peroxide applied
Heat, Light or laser enhanced
2. At home bleaching in TRAY
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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
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Sensitive teeth
gingiva
Do not swallow
Cost to patient $300 and
up per arch
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Shade
6. Post op instructions
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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
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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
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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
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In office bleaching
Nightguard
bleaching
Non vital bleaching
Optimum results
Carbamide
peroxide
Hydrogen peroxide
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Vacuum former
CONSENTwritten
Caustic
Dental dam
Before and After Pictures
ADA on In Office Bleaching
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The
end
www.ada.org/public/media/videos/
minute/cosmetic_inoffice_broadban
d.wmv
The End