Tooth Whitening For Patients With Brackets

Transcription

1 Tooth Whitening For Patients With Brackets Opalescence Ultradent is No.1 in EVERY whitening category! HOME 1. Remove package. 2. Center tray on arch. 3. Gently suck down or swallow. 4. Remove outer tray. Opalescence/ Opalescence PF No.1 Opalescence Trèswhite Ortho whitens teeth under and around brackets while keeping teeth and gums healthy. Patients can have a brighter, healthier smile before and after their orthodontic appliances are removed. The Opalescence whitening gel (8% hydrogen peroxide) is pre-loaded onto a thin membrane inside a blue plastic tray. The soft, thin, adaptable tray material comfortably fits around brackets. The patient places this tray in their mouth, sucks down, and then removes the outer blue tray, leaving the membrane with the gel on the teeth for minutes once a day. Patients should see results in 5-10 days. No impressions. No models. No lab time. We ve given our patients what they want: a beautiful, healthy smile with bright, white teeth they can t wait to show off to their family and friends. Stephen Tracey, DDS, MS, Upland, California 6-PACK $ POWER No.1 Opalescence Boost PF 5. Suck down or swallow again. Lightly tap tray if necessary. P.O. Box 28040, London, ON, N6H 5E1 6. Wear 30 to 60 minutes. ASSISTED Opalescence Quick No.1 Regular $ patient packs. Each patient pack contains 20 pre-loaded trays (10 upper and 10 lower). Mint flavour. Code: Less than $47 per patient!

2 Okay, So What Is The Deal About Bleaching Lights? 45% Reception / Waiting Room Whitener I have heard a lot about teeth whitening lights. Are they necessary? No. Bleaching lights look high-tech but in reality they function as little more than an expensive marketing tool. Studies 1 show that it is the concentration of the whitening agent used and the length of application not the light that are responsible for the whitening result. When using a bleaching light, the teeth will appear to be whiter initially, but this is due to the fact that the heat of the light has dried out the teeth and the whitening effect will relapse as the teeth begin to fully rehydrate, which may take several days. In addition, studies 2 have shown that UV light not only doesn t enhance tooth whitening, but it can also damage skin and eyes up to 4 times more than sunbathing (Dr. Bicuspid). Lamps and lasers also cause injury to the pulpodentin complex. Is there a safer option? Opalescence Boost Ultradent is the Number 1-Rated Power Bleaching System. A 38% hydrogen peroxide in-office whitening gel, Boost works without a light, and with minimal sensitivity because it contains potassium nitrate with fluoride. Boost s high water content (35%) also prevents the teeth drying out. Easy 2-part mixing system keeps the material fresh and ensures a uniform mix Neutral ph, high water content, and PF formulation minimizes sensitivity The no-light-is-necessary bleach and the strongest one. RATED #1 In-Office BY REALITY RATED #1 IN ASSISTED WHITENING BY REALITY Opalescence Quick Load the tray by expressing one continuous bead of gel approximately half way up the incisal edge on the facial side of the tray molar to molar. This should use about 1/3 to 1/2 of a syringe. Air dry enamel and gingiva. Apply a barrier of OpalDam on gingiva. Seal interproximal spaces. Lap resin about 0.5mm onto dry enamel to seal. Light cure seconds per light guide width to polymerize. The No. 1-rated Assisted Whitening System, Opalescence Quick is ideal for touch-ups or a jump-start. This 45% carbamide peroxide viscous gel is applied using a custom-fitted scalloped tray and delivers great whitening results in just 30 minutes while the patient relaxes in the reception area or a waiting room. With Opalescence Quick, there is no need to protect the gingiva as the sticky viscous gel will not migrate to soft tissues, but stays securely in place against the teeth for optimum whitening. Opalescence Quick is uniquely formulated to prevent teeth dehydration and shade relapse. KIT $ ml Boost and activator syringes, 2-1.2ml OpalDam syringes, 2 IsoBlocks, and 20 delivery tips. Ask about our free marketing help Opalescence Boost mini brochures Code: Get a Take-Home Kit FREE! (Opalescence or Trèswhite Supreme) $ PACK REFILL $ ml Boost and activator syringes, 5 delivery tips. Code: Apply Opalescence Boost (1mm layer). For optimum effectiveness stir/agitate every five minutes minutes, remove gel using suction ONLY. Use the Surgi-Tip with Luer Vacuum adapter for controlled suction without dislodging the resin barrier. Evaluate and repeat until desired whitening result is achieved. 1 Ref. Photochemical & Photobiological Sciences (January 16, 2009) Dr. Bicuspid.com 2 A Clinical Evaluation of Two In-Office Bleaching Products. S Al Shethri, BA Matis, MA Cochran, R. Zekonis, M. Stropes J Oper Dent 2003, 28-5, pack $44.95 Regular $ ml syringes with tips Code: SAVE $10.00 Have you seen our NEW shopping cart at clinicalresearchdental.com 20-pack $ ml syringes with tips Code: Get 4 more syringes FREE! $55.95 Insert the tray. Adapt tray side to teeth. Wear for 30 minutes or at dentist s discretion. Gently wipe off excess gel with tooth brush or clean finger.

3 Pretty Painful: Why Can Tooth Bleaching Hurt? It is hypothesized that direct activation of intradental nerve activity is the mechanism of bleaching sensitivity (not just the fluid flow due to anhydrous formulations) Markowitz K. Pretty Painful: why does tooth bleaching hurt? Medical hypotheses, May 2010: 74 (5): However, it is also known that sensitivity is also due to dehydration of the teeth and by leakage of the whitening agent the tray onto the soft tissues. The good news is that Opalescence products include potassium nitrate with fluoride. Research has shown that just as hydrogen peroxide penetrates through the enamel and dentin and to the pulp, so does potassium nitrate. Fluoride acts primarily as a tubular blocker, plugging the holes and slowing down the fluid flow that causes sensitivity. Potassium nitrate acts more like an analgesic or anesthetic by keeping the nerve repolarizing after it has depolarized in the pain cycle. 1. Likewise, Markowitz K. states that if his hypotheses (above) are correct, tooth sensitivity treatments that reduce the excitability of the intradental nerves, such as potassium salts, would be the treatment of choice for bleaching sensitivity. In addition, Opalescence PF has high water content (20%) to prevent dehydration of the teeth (significantly more than other bleaching agents), further lowering the risk of sensitivity, and its sticky, viscous gel formula ensures the gel will not seep the tray onto the surrounding tissue unlike other bleaching systems. And, since the gel adheres closely to the teeth, the whitening efficacy is fully optimized. RATED #1 IN TAKE-HOME WHITENING BY REALITY Opalescence Has Choices for Everyone With 4 strength options, you can customize the whitening procedure for each patient to match their lifestyle. Patients should see beautiful results in 1 to 2 days, but optimum results usually take 7-10 days. Recommended Wear Times: 35% PF wear for 30 minutes 20% PF wear for 1-2 hours 15% PF wear for 2 hours, once or twice a day 10% PF wear overnight or for 3-4 hours once or twice a day 1 Haywood VB. A comparison of at-home and in-office bleaching. Dentistry Today, (4) Markowitz K. Pretty Painful: why does tooth bleaching hurt? Medical hypotheses, May 2010: 74 (5): M O N T H SHELF LIFE Refrigerate if not used on a daily basis. Ask about our free marketing help Put a free Hanging Mobile in your waiting room 4-PACK REFILLS Buy 30 for $17.95 each Buy 10 for $19.95 each Buy 3 for $22.95 each Code: FREE Scalloping Scissors OR pack of Sof-Tray Sheets when you order 30 or more 4-packs! 20 or 25 sheets per pack Up to $48 savings! save $5 a syringe! Opening a new office? Call us for special support! DOCTOR KITS Buy 3 for $49.95 each Buy 10 or more, pay just $44.50 each Regular $ ml syringes, tray case, 1-1oz Opalescence toothpaste, 1-1.2ml LC Block-Out, Sof-Tray Sheets. Code: SAVE $45 SAVE $200

4 The Flexible Whitening Tray For Every Lifestyle Ultradent! On-The-Go Whitening. No Models. No Lab Time. Perfect for patients with tight budgets or a busy lifestyle. The Opalescence PF gel is pre-loaded onto a thin membrane inside a green plastic tray. Place this tray into your mouth, suck down, and then remove the green tray, leaving the membrane with the gel on the teeth. No impressions. No models. No lab time. Trèswhite Supreme is comfortable to wear, barely noticeable, and whitens 1st molar to 1st molar in minutes. Trèswhite Supreme is available as a 15% or a 10% hydrogen peroxide gel. The 15% can be worn for minutes a day; the 10% for minutes once a day. Patients should start seeing beautiful results in 7-10 days. See technique instructions on back page For invisalign and bracket wearers Opalescence Trèswhite Supreme is perfect for Invisalign users since they can t use custom whitening trays while in treatment because their arch is continually changing. Now, they can straighten and whiten in tandem! And NEW Trèswhite Ortho 8% is specially-designed to fit comfortably over ortho brackets. See Back Page For Details Following In-Office Whitening Use Opalescence Trèswhite Supreme after light or non-light activated power bleaching procedures. Give the patient the number of trays you think are needed to complete the whitening effect. They can even use one on the way home. NEW Fresh-Seal Packaging! Trèswhite Supreme trays are now vacuum-packed in tighter fresh-seal packaging to provide even longer shelf-life and superior product stability. Another advantage Potassium Nitrate with Fluoride Opalescence PF gel technology is clinically proven to provide superior whitening while helping to prevent caries, reduce sensitivity, and rebuild enamel. 10% or 15% Hydrogen Peroxide PF gel NEW 15% Hydrogen Peroxide Soft, thin adaptable tray material Trèswhite Supreme Single Patient Kits Buy 3, pay just $49.95 each Regular $64.95 Buy 6 patient kits for $ Get 2 other whitening kits FREE! (Choose 2 free Trèswhite or Opalescence PF kits) Code: $130 value that s just $42.49 per kit! Each Opalescence Trèswhite Supreme kit contains 20 pre-loaded whitening trays (10 upper and 10 lower) in individually-sealed blister packaging to ensure optimal freshness and effectiveness. New tight seal packaging keeps product fresher longer! invisalign is a registered trademark of Align Technologies, Inc.

5 Whiten Non-Vital Teeth the inside out in 3-5 days Take 1 (or 2) to eliminate all types of sensitivity! Opalescence Endo NON-VITAL TOOTH WHITENING Whitening endodontically-treated, discoloured teeth no longer has to be a long, drawn-out procedure. With Opalescence Endo a 35% hydrogen peroxide gel the walking bleach technique requires very little preparation or chair time, making it both easy and cost-effective. The Opalescence gel is sealed in the coronal portion of the pulp chamber, whitening the tooth the inside out. Prior to placing Opalescence Endo, you MUST place a glass ionomer plug to the level of the CEJ to prevent the peroxide entering the pulp canal. Studies have shown that peroxides can pass through canal walls, causing bone resorption. Then backfill Opalescence Endo in the chamber, leaving mm for the placement of UltraTemp Regular. This temporary filling/luting material seals the Opalescence gel in the chamber while allowing moisture to pass through to rehydrate the tooth, but keeping bacteria out. Opalescence Endo is activated by body temperature and is left in the tooth for 3-5 days. Repeat if necessary until desired shade is achieved. On-Line Ordering Now Available clinicalresearchdental.com Photos courtesy of Dr. Tim Sellner Buy an Opalescence Endo Bleach Kit $84.95 Get a 5ml syringe of UltraTemp Regular FREE! Bleach kit contains 2 syringes & 20 delivery tips Code: pack refill $69.95 $53 1. Place Opalescence Endo into canal. 2. Deliver mixed UltraTemp directly to site through the Skini Syringe. 3. Wipe excess easily with wet gauze or cotton swab before setting. 4. Finished. 5. Easily removed. NOTE: Prior to placing OPALESCENCE ENDO, a glass ionomer must be placed to the level of the CEJ to prevent the peroxide entering the pulp canals. UltraEZ Desensitizing Gel Sensitivity bleaching, scaling and periodontal procedures is a very common experience for many patients. But now you can alleviate it almost immediately. As soon as treatment is finished, have the patient insert a pre-loaded UltraEZ gel tray which they can wear for 30 minutes on their way home. UltraEZ is a viscous potassium nitrate gel with fluoride that quickly soothes and alleviates patient discomfort after periodontal treatment. It is also perfect for arresting sensitivity after in-office teeth whitening. Keep a box of these pre-loaded trays in the hygiene operatory, and give 1 or 2 upper and lower trays to patients who are prone to post op sensitivity. Each box contains 10 pre-filled upper or lower trays. UltraEZ is also available in easy-dispense syringes for patients who already have their own custom whitening trays or retainers. UltraEZ is also indicated for treating toothbrush abrasion, chronic cold sensitivity, Class V lesions, and abfraction lesions. Taste is pleasant and gel is thick, keeping patients swallowing it. Reality Ratings Pre-filled desensitizer gel 20-syringe pack $64.95 Code: Easy-grip delivery tray 1. Centre tray on arch. 2. Lightly press into place (on occlusal and incisal surfaces only). 3. Remove outer tray. TRAY PACKS Buy 3, get 1 FREE! $46.95 each (10 Code: SAVE $15 trays in each pack) Women s 3 rd ANNUAL WEEKEND DENTAL Conference Whitening Oral Medicine, Oral Radiology, Oral Pathology Temporary Restorations for Dental Assistants Finance Healthy Team Management Bonding Composite Restorations June 10-11, 2011 BLUE MOUNTAIN, COLLINGWOOD, ON 4. Lightly adjust inner tray. Wear for 30 minutes/day. 10 CE CREDITS

6 Opalustre Every day, you probably see patients with visible tooth discolourations caused by enamel mottling fluorosis or decalcification spots related to orthodontic treatment. Some of these stains will respond to teeth whitening treatment, but others may not. For superficial white and brown demineralization cases and unsightly decalcification defects that are less than 0.2mm deep, Opalustre and OpalCups deliver one-appointment results. Opalustre is a 6.6% hydrochloric acid slurry that contains silicon carbide microparticles. This formulation works by combining chemical stain removal with gentle mechanical abrasion. syringing the Opalustre paste onto the discoloured enamel, use an autoclavable OpalCup in a reduction-gear handpiece to achieve optimal chemical/mechanical action for enhanced micro abrasion and finishing. Opalustre s distinct purple colour ensures accurate placement. OpalDam Tough On Spots. Gentle On Enamel. Important: Proper tooth isolation is required 24 M O N T H SHELF LIFE Buy an Opalustre Kit $ Get a Treswhite Supreme Kit FREE! Opalustre Kit contains: 4 syringes, 20 White Mac tips, 20 OpalCups (10 bristle / 10 finishing) Code: Protect Adjacent Tissue When Bleaching Buy an Opalustre 4-pack of syringes $84.95 Get a 20-pack of OpalCups FREE! Code: $65 $ the original... and it s still the best. Reality Ratings Bristle cup compresses Opalustre on tooth surface. Intermittent rinsing and observation is recommended rubber dam (or OpalDam) placement, apply Opalustre directly on the discoloured enamel The result after enamel microabrasion and a 21-day course of home bleaching with Opalescence LC Block-Out Resin Dentistry and photography courtesy of Dr. Ted Croll WHITEN YOUR SMILE Questions Behind Tooth Whitening There are many causes of tooth staining. Certain medicines, tooth trauma, root fillings, and certain foods and beverages can cause tooth discolouration over time. Some discolourations are superficial while others are internal. Both can be effectively treated by a dentist; professional whitening is the best option to safely lighten discoloured teeth. How Does Bleaching Work? The whitening proces is possible due to the ability of the carbamide peroxide and hydrogen peroxide to freely pass through enamel and dentin and to permeate to all parts of the tooth. 1 These peroxide molecules break down into oxygen radicals, which migrate between the enamel prisms, breaking down any coloured molecules that result in tooth discolouration. The structure of the tooth is not altered; the internal tooth colour is simply made lighter. Bleaching agents break down into tiny molecules and move in all directions so even if the entire tooth is not covered with bleach, the entire tooth is whitened 2 Numerous studies have proven the effectiveness of peroxides in whitening teeth. Enamel, dentin, existing fillings, and bonding materials are not affected by the whitening agents, nor are they harmed by the whitening materials. Will Bleaching Affect Bond Strength? Even though bleaching agents releases a great amount of oxygen into the tooth, existing bonds are not weakened. 3 If bleaching before bonding, allow a period of 7-10 days after bleaching. The high concentration of oxygen in the tooth could significantly and adversely affect polymerization of the resins. 3 How Long Does Bleaching Last? Bleaching results are very stable, but depending on the patient s nutrition and lifestyle habits, the procedure may need to be redone periodically. Due to the safety of the bleaching agents, this should not concern the dentist or patient. Will Bleaching Cause Tooth Sensitivity? Tooth sensitivity is a relatively common side effect of bleaching. If sensitivity occurs, it is transient and disappears after the completion of bleaching. However, most Opalescence products include PF (potassium nitrate and fluoride) desensitizing agents for additional comfort. Research has shown that just as hydrogen peroxide penetrates through the enamel and dentin and to the pulp, so does potassium nitrate. Fluoride acts primarily as a tubular blocker, plugging the holes and slowing down the fluid flow that causes the sensitivity. Potassium nitrate acts more like an analgesic or anesthetic by keeping the nerve repolarizing after it has depolarized the pain cycle. 4 Will Bleaching Weaken The Tooth s Enamel? Findings on the Opalescence PF product line presented at the American Association of Dental Research confirm that whitening with Opalescence PF will actually minimize sensitivity, provide anti-caries benefits, increase enamel microhardness, and improve overall enamel health. 5,6,7,8 References available on request To get a free laminated copy for your office, call us! 14th Annual Cosmetic Dental Conference OpalDam is a passively adhesive methacrylate-based resin barrier used for isolating tissue adjacent to teeth being whitened. The silica particles in OpalDam deflects heat better to minimize heat and tissue sensitivity during curing. OpalDam removes quickly and cleanly. OpalDam is syringe delivered for convenient and precise placement. 20-pack $ Regular $ x 1.2ml syringes Code: SAVE $40 4-pack Kit $78.95 Contains 4 x 1.2ml syringes, 10 Micro tips, 10 Black Mini tips Code: OpalDam is easy to apply and easy to remove. OpalDam is weak by design to easily break undercuts. A truly versatile material, LC Block-Out Resin can be used for creating reservoir space for whitening trays, for covering and protecting adjacent teeth and restorations, and for filling in voids and chips on models and dies. Its deep blue pigment provides outstanding contrast with tooth structure and restorations, and being syringe-delivered, gives you precise control during application. LC Block-Out Kit $ x 1.2ml syringes & 20 Black Mini Tips Code: pack SAVE $ syringes and 20 Black Micro Tips Code: For reservoir spaces, apply LC Block-Out Resin approximately 0.5 thick onto the labial surface. Stay about 1.5mm gingival line. DO not extend onto incisal edges and occlusal surfaces. Instant, hard, strong no-mix material for blocking out undercuts on dies and filling voids. Dr. Buddy Mopper GUEST SPEAKERS: Dr. Jeff Brucia Dr. Elliot Mechanic NOVEMBER 3-5, 2011 FAIRMONT SOUTHAMPTON, BERMUDA