Teeth Whitening Nite White
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Nite White Excel 3 ACP Z 22% Teeth Whitening 6pk Kit (Latest Product) $21.99 -Nite White ACP is the first whitener to combine patented Calcium Phosphate technology with the proven effectiveness of Potassium Nitrate to naturally fill microscopic tooth surface defects, smooth the enamel and increase surface gloss. -Z-CP FORMULA (MAXIMUM SENSITIVITY RELIEF) -MANUFACTURED BY DISCUS DENTAL -Satisfaction Guaranteed… |
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D.I.Y(Do It Yourself) Moldable Thermofitting Teeth Whitening Trays- 3 trays $0.01 Directions-PREFITTING PROCEDURE: Place one tray in your mouth placing on your upper teeth. Practice sucking the air from the tray. This is the procedure you will use when you retrieve the trays from the boiling water to contour the tray to the inside surface of your teeth. Do the same procedure with the other tray with your lower teeth.BOILING WATER: Boil a pan of water. Remove the water from the … |
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NiteWhite ACP Bleaching Gel 22% 3 Pack $12.95 Nite White® ACP now comes with 3 syringes per refill pack. All percentages have a mild mint flavor to them NOTE: 22% Bleach should only be used for a maximum of 1 hour per day, NOT overnight. NEW – Nite White is now shipping with the ACP (amorphous calcium phosphate) for maximum sensitivity relief formula – Try it today! All bleaching gel is stored in a climate controlled environment to ensure ma… |
teeth whitening
Science
- Home – 10% or 16% carbmide peroxide, 20% for difficult cases or very dark single tooth
- Power – 9% hydrogen peroxide
- 1% hydrogen peroxide = 3% carbmide peroxide
- Gels work from incisal tips and then work down tooth from the inside, release oxygen to lighten teeth, no damage to enamel, or permanent sensitivity
Products – Home
- Nite white – ACP – phosphate makes it less sensitive
- Opalescence – has fluoride and potassium nitrate – less sensitive
Products – Power
- Day white – discuss dental
- Deep white – optident
Examination and assessment
- Pre consent forms signed, photos with current shade and predicted shade
- Some cases may need more than 2 weeks home care – grey shades (C1/C2/C3), sensitive teeth, dark gingival third (warn dentine never whitens to same extent as enamel), excessive white spots, bruxism or TMJ dysfunction (use thicker trays and extend to all molars), translucent teeth, exposed root surfaces, tetracycline staining
- Take rads of any dark teeth to check apical pathology
- Warn that restorations will not whitten
Impression technique
- Apply alginate with fingers to surfaces of teeth prior to tray insertion
- Border moulding – critical
- Tooth mousse purchased to reduce sensitivity (increase price of whitening and include in package)
- Trays need no reservoirs or scallops
Trays and gels picked up
- Show amount of gel on discuss dental card or extrude yourself on tray and where, trays and teeth need to be dry
- Insert trays and press against buccal surfaces
- Check that have used tooth mousse, if not warn of extra sensitivity
- Can use invisalign aligners as whitening trays
Side effects
- Sensitivity – see below
- Gingival irritation – gels too strong or trays overextended or too much gel placed
- Soft tissue irritation – too much gel
- Altered taste sensation – older products and only temporary
- Occlusal disharmony – poor fitting trays and not extended to all molars
- Incomplete whitening – splodge effect – need to do for longer
- Black star on trays from oxygenation of old amalgams
Sensitivity
- Is always temporary,67% will experience this
- Active – Tooth mousse used 2 weeks prior to starting home whitening – ACP – plugs tubes with calcium phosphate and also reduces fade back after 6/12
Fluoride in trays – blocks dentinal tubes
5% potassium nitrate – depolarises nerve
- Passive – Do not do all night – 2/3 hours
Use less gel
If severe miss 1 day, but need to make up prior to power whitening
Cut back trays from gingival margin
Power whitening
- On alone not as effective as home whitening, only 25% get better than A2
- Rehydrate between sessions, to reduce sensitivity
- Always have assistant in surgery
- 25% hydrogen peroxide
Post care
- Need to wait 2 weeks before restoring as bond strength is affected
Single dark vital tooth
- 10% CP for 2/52 on all teeth
- and then 20% CP for 4/52 on difficult teeth only
Internal whitening
- remove gutta percha 2/3mm below CEJ
- 20% CP in canal and cotton wool over and then GI
- Leave for 2/52, this method preferred to inside/outside technique
About the Author
Dr Singh is the owner of aesthetics, a centre of excellence offering Dentistry and Facial Rejuvenation. Visit www.aesthetics-dentistry.com or call on 01707 261367.
Who wants a million dollar smile?! TEETH WHITENING!