Post on 22-Aug-2020
Samantha Meltzer-Wendell, RDH, MDH Manager Professional Education-Midwest samantha.wendell@philips.com
Notes: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Resources: American Academy of Cosmetic Dentistry www.aacd.com
Dental Trends: www.dmdtoday.com/news/projected-2017-marketing-trends-for-your-dental-practice
Botox: https://www.facialesthetics.org/blog/dentists-botox-time/
Cosmetic Dental Simulation: https://www.dentalaegis.com/id/2008/12/focus-on-cosmetic-dental-simulation-technology-creating-integrated-desire
CBCT: www.oralhealthgroup.com/features/cone-beam-volumetric-tomography/
Orthodontics: Haywood, Van B. "Orthodontic car-ies control and bleaching." Inside Dentistry 6.4 (2010): 36-50.
American Association of Orthodontists www.mylifemysmile.org
© 2018 Philips Oral Healthcare
Spa Dentistry Relaxation Room Aromatherapy Custom Rooms Herbal Neck Wraps
Hot Face Towels Healthy Beverages TV/DVD’s Soothing Music Soft Lighting
Designing Healthy Smiles: Evaluate, Communicate, Formulate
Trends in Dentistry: Botox Interdisciplinary care Patients want an experience Services through mobile dentistry Social media/online reach Cosmetic dental simulation
PATIENT FOCUSED TRENDS:
Botox® TMD Bruxism Facial Pain Cosmetic
Cosmetic Dental Simulation Ability to see potential results before treatment Motivate patient to begin treatment
Cone-Beam Computed Tomography 3 dimensional image Great tool for treatment planning and diagnosis Minimal radiation
Orthodontics 58% increase in adults My Life. My Smile. My Orthodontist™ Average treatment duration: 22 months Average cost of treatment: $5,000 to $6,500 10% CP whitening gel
Increase oral pH Kills cariogenic bacteria Reduce white spot lesions
Notes:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________ Resources:
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Imako Cosmetic Teeth®
www.imako.net
Secure Smile www.securesmileteeth.com
Snap on Smile www.snaponsmile.com
Instant Hollywood Smiles Imako Cosmetic Teeth®
Available in 2 sizes
Approximately $40.00
No dental appointment necessary
Secure Smile One size fits all
Approximately $48.00/arch
No dental appointment necessary
Snap on Smile Requires two dental appointments
Made from dental resin
Alternative Oral Hygiene Activated Charcoal for teeth whitening
Very abrasive
Staining, subgingival particles
No evidence, not FDA approved
Oil Pulling Ancient remedy
Coconut oil commonly used
Claim=eliminate bacteria/whiten teeth-no evidence
Halitosis Affects 50% of adults in the morning 90% oral cavity 10% systemic Philips BreathRx system eliminates 99% of
oral malodor bacteria Tongue Care+ combines Sonicare technology
with BreathRx chemistry Dental Implants Bone friendly Improves facial structure Prevents teeth shifting Better treatment option
Silver Diamine Fluoride Antimicrobial, desensitizer liquid Off-Label use by US Dentists for caries arrest and prevention Pros: Low cost, no drill Cons: Black stains, Irritates soft tissue, silver allergy
Oral-Systemic Interdisciplinary care Educate medical profession DP’s Research
Activated Charcoal Whitening: www.dentistryiq.com/articles/2017/03/black-toothpaste-and-white-teeth-when-opposites-collide.html
Oil Pulling: www.dentistryiq.com/articles/2014/03/how-dental-professionals-can-respond-to-oil-pulling-patients.html
Halitosis: 1.Soares, L. G., and E. M. B. Tinoco. "Prevalence and relat-ed parameters of halitosis in general population and perio-dontal patients." OA Dent 2 (2014): 1-7. 2. .J Nat Sci Biol Med. 2013 Jan-Jun; 4(1): 14–23. www.philipsoralhealthcare.com/en_us/oral_hygiene/breathrx.php Dental Implants: *see resource page at end of handout Silver Diamine Fluoride: * see resource page at end of handout
1st Call to Action:
Identify/Use Viable Trends
Patient Barriers Time Money Don’t See Need Lack of Knowledge Physical Limitations No Pain ≠ No Problem Fear Life Gets in the Way Past Negative Experience
Co-Diagnosis Approach Patient owns their disease Involve Patient as Part of Exam Intraoral Camera Hand Mirror
Professional Barriers Hinder patients’ success Pre-Judgments Miscommunication Perceptions
Effective Communication Interpreting patient wants Body Language Education
Notes:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3 Steps for Successful Whitening:
1. Know the difference between HP and CP 2. Identify etiology of stain 3. Select best whitening option for the patient’s needs/wants
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WHITENING: Kiosk Whitening
Franchise 15 minute procedure Unregulated Non dental professionals
Whitening Hydrogen Peroxide (HP)
Active 30-60 min 50% released 1st 30 minutes
Carbamide Peroxide (CP) Active 2-8 hours 50% released in 2 hours CP breaks down to HP and urea
Teeth are semi-permeable mem-brane
Color change occurs when peroxide
2nd Call to Action: Enhance communication skills
Notes:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Resources:
During the Shade Assessment, use the verbiage: “In addition to your cleaning, Dr. has asked me to establish your base-line shade. We know as clinicians, teeth darken with age. So I will assess your shade for your chart.”
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Diagnose Etiology of Stain Yellow Brown White Grey Tetracycline
Tetracycline Stains What are the best treatment options?
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Shade Assessment BEFORE Whitening AFTER Whitening POST 2 Weeks Set your Vita shade guide up in the following fashion:
Arranged from the lightest to darkest shades, the progression is: B1 A1 B2 D2 A2 C1 C2 D4 A3 D3 B3 A3.5 B4 C3 A4 C4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Have the patient agree on the number, 1 through 16.
A3 means very little to a patient, “A” actually sounds good Document the shade in the chart.
*remember that everyone has a whitening end point which can vary be-tween patients *manage your patient’s whitening expectations, do not make shade promises-everyone whitens differently
Notes:_________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ Resources: Haywood VB, Berry TG. Natural tooth bleach-ing. In: Summit JB, Robbins JW, Schwartz RS, eds. Fundamentals of Operative Dentistry: A Contemporary Approach. 2nd ed. Chicago: Quintessence Publishing Company, 2001;401-426.
McCaslin AJ, Haywood VB, Potter BJ, Dicken-son GL, Russell CM. Assessing dentin color changes from night guard vital bleaching: Jour-nal of the American Dental Association 1999: 130: 1485-90.
Joiner A. The Bleaching of teeth: a review of the literature. Journal of Dentistry 2006; 34: 412-9. Albers H. Lightening natural teeth. ADEPT Report. 1991;2(1):1-24.
Haywood VB, Heymann HO. Nightguard vital bleaching. Quintessence Int. 1989; 20:173-176. In: Howe-Grant M, editor. Encyclopedia of chemical technology, 4th ed, vol 4. New York: John Wiley and Sons: 1992 p. 290-1.
© 2018 Philips Oral Healthcare
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Whitening Best Options: Ask Patients What They Prefer?
Over the Counter Whitening Products Over a billion dollars spent annually
Vary in concentrations
Different delivery methods
Common Disadvantages of OTC Products Patients lack access to sensitivity protocol
Results take extended periods of time due to low concentrations
May take multiple purchases to achieve results—can become costly
Patients may simply be “whitening their disease”
Whitening Options In Office
Light activated
Non light activate
Whitening varnish
Take Home Custom trays
Non-custom trays Over the Counter:
Strips
Pens
In-Office Whitening Chairside Application
25-40% Hydrogen Peroxide
30-90 Minutes
Benefits for the Patient Faster whitening results
No hassle with take home trays
Applied by a dental professional
Take Home Whitening Philips Zoom DayWhite
6% HP 30-90 minutes daily
9.5% HP 30-60 minutes daily
14% HP 30 minutes daily
Philips Zoom NiteWhite
10% CP 2-4 hours daily or overnight
16% CP 2-4 hours daily or overnight
22% CP 2-4 hours daily or overnight
Notes:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ Resources: P. Charakom,et al. The effect of preoperative ibuprofen on tooth sensitivity caused by in-office bleaching. Operative Dentistry Mar-Apr 2009. Watts A, Addy M. Tooth Discolouration and staining; a review of the literature. British Dental Journal 2001; 190:309-16 Wattanapayungkul P, Matis BA, Cochran MA, Moore BK. A clinical study of the effect of pel-licle on the degradation of 10% Carbamide perioxide within the first hour. Quintessence International 1999; 30: 737-41. Gillam DG, Aris A, Bulman JS, Newman HN, Ley F. Dentin hypersensitivity in subjects re-cruited for clinical trials: clinical evaluation, prevalence and intra-oral distribution. J Oral Rehabil. 2002;29:226-231. Making It Easy for Patients to Say “Yes” by Dr. Paul Homoly, CSP www.paulhomoly.com
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Amorphous Calcium Phosphate
Relief® ACP Oral Care Gel is the only FDA-cleared, dual-action formula created to comprehensively treat patients suffering from tooth
sensitivity.
Sensitivity Protocol Toothpaste containing potassium nitrate 2x daily for 10-14 days prior 1 hour prior: 600mg ibuprofen 10-30 min prior: Wear Relief® ACP in take home trays
Post Whitening Instruct patient to avoid chromogenic foods and beverages two hours
following in-office whitening, and thirty minutes following take home whitening
Foods and liquids such as blueberries, blackberries, red wine, coffee, tea & tobacco contribute to staining
Allow two weeks following whitening treatment to ensure the stability of color and bonding adhesion
3rd Call to Action Complete a shade assessment on every patient and integrate whitening when appropriate
Definition of NO
90% Not in a Position to Decide
Today
10% Truly Don’t Want It
Notes:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ____________________________________________________________________________ ____________________________________________________________________________
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Philips Whitening Success Guide Best Whitening Practices Treatment Marketing Guidance to: Increase Satisfaction Attract New Patients Help with Product Usage
http://zoomsuccessguide.com/en_us
Practice Building Strategies: Website
Newsletter: Esthetic procedure of the month
Patient testimonials
Feature practice volunteering or community event
Before/After photos also can be displayed in digital frame or tablet in reception area
Treatment Completion Gifts Professional photo
Charitable donation in honor of patient
Gift card to restaurant or shopping mall
Whitening touch-up kit
Flowers
Social Media Facebook
YouTube
Last Call to Action: Implement marketing strategies and partner with Philips Oral Healthcare!