Introduction to tooth whitening by james goolnik
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Transcript of Introduction to tooth whitening by james goolnik
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Build your confidence in
professional whitening
James Goolnik
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What are we going to cover?
Managing your risk
What options for whitening
How to drive patients to your clinic
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Indications for whitening
Discolouration from diet or ageing
Non-vital tooth
Fluorosis
Tetracycline
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Stain
Age/Genetics/Smoking/Coffee
Yellow-fluorosis discolouration
Brown-fluorosis discolouration/nonvital
tooth
Grey/ tetracycline stains
White spots
Responsivene
ss
Fastest
Not
responsive
Responsiveness to
Bleaching
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Photography
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You don’t have the necessary training
Unrealistic expectations
No prescription (pre-op photo)
Sensitivity
Restorations
Bond strength reduced for 24hrs
White spots
Pregnant, breast feeding
Under 18 year olds
NO
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European Union Council Directive
(76/768/EEC)
1. OH products up to 0.1% H2O2 safe OTC
2.0.1- 6% H2O2 sold to Dentists only
3. No products over 6% H2O2
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Screening exam for disease and suitability of whitening
and course of treatment
First use by dental practitioners or direct supervision.
Consumer given rest to complete cycle.
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What do I use?
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Science of whitening
Carbamide
peroxide 10%
Hydrogen
peroxide 3%Urea
WaterOxyge
n
Rule of
thirds!
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Carbamide vs. Hydrogen
Peroxide
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Sensitive teeth Compliant patient Fast result wear time
CP ✔ 60 mins
HP ✔ ✔ 30 mins
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Twice daily for 30 mins
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How much gel?
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30-minute once-a-day wear time
Contains potassium nitrate and fluoride
Visibly whiter teeth in three days
No refrigeration
Neutral pH
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Ask
On new patient forms
Shade EVERY patient
Take photographs
Whitening offers
Increase uptake
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Top tips
If in doubt use 10% Carbamide Peroxide
Act in the best interest of your patients
No whitening permanent
Wait 7 days before other dentistry
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30% off at the Dentistry Show from
CTS, Colgate & Survival
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