Whitening instructions - Dr.Boban Fidanoski, RDT, RDH, DMD

Whitening
instructions

Canadian College
of Dental Health

Author: Student Dental Hygienist:
Boban Fidanoski
November, 2006

Program Coordinator:

Lesley Knapp CDA, RDH

Canadian College of Dental Health

760 Brant Street, Burlington ON L7R 4B7

www.ccdh.ca

E-mail: info@canadiantherapeuticcollege.com

Phone No. 905-333-1153

Toll free No. 1-877-278-8888

Fax No. : 905-632-2895

Directions for use

	Floss and brush your teeth before you start with the whitening session.
	In a counterclockwise motion, twist and pull off plastic cap from the end of the syringe. Place the mixing nozzle on the end of the syringe and secure by twisting the mixing nozzle in a clockwise motion.
	Place a small drop of whitening gel on a inner surface of the tray, in each tooth compartment, half way up. Important: Overloading the trays with gel may cause tooth sensitivity and/or gum irritation.
	Place the tray with the gel in your mouth. Seat the tray firmly against the teeth. Recap the syringe for next treatment until empty
	Remove excess gel with your finger, cotton swab or a dry toothbrush
	Keep the whitening tray in the mouth .Time length will depend of the main component of the gel (please see time guidelines below)
	After whitening, rinse the trays with cold water. If necessary, use a toothbrush to remove any residual gel from the trays. Place the trays in the storage case, and store them in a cool, dry place.
	Rinse and brush your teeth to remove excess gel

Time guidelines
Please check the main component of the whitening gel; treatment time will depend of it.

Component of the whitening gel

Time length of the treatment

Hydrogen Peroxide

One hour per day or twice for 30 minutes per day. Do not exceed 1 hour per day.

Carbamide

Peroxide

From 2 up to 5 hours during the day or overnight

As an average, optimum results are achieved after 20-30 cumulative sessions of wear time. Longer wear time during a session creates faster whitening results. You should not use the product for more than 14 days without supervision by a dental professional. For more specific requirements and instructions, please refer to the manufacturer’s manual.

Indications for use:

¨ Whitening of discoloured vital teeth

¨ Whitening of discoloured non-vital teeth

¨ Removal of Intrinsic stains

¨ Removal of tetracycline stains

Contraindications and Considerations:

Pre-existing sensitivity	You may chose to use desensitizing gel prior to whitening treatment or any tooth paste that contains Potassium Nitrate ( like Sensodyne tooth paste)
Pregnancy or lactating.	No know adverse effects but avoid use as a precautionary measure.
Extensive composite (white) & porcelain restorations	This gel will whiten natural teeth only. It doesn’t have effect on existing cosmetic restoration (bonding, crowns, bridges, veneers, inlays, onlays, fillings),their shade (colour) will not change.If darker they may need to be replaced to match the colors to your newly whitened color shade.
Severe gray/blue banded tetracycline staining	These grayish/blue stains can be harder to remove, if not impossible. These stains can take up to six months or longer to whiten. Whitening may only reduce amounts of 'masking'.
Translucent (clear, transparent) teeth	May appear darker after bleaching.
Temporomandibular Joint Disorders	Keeping Your mouth open because of the tray during the treatment could cause discomfort or pain if You have TMD.
Peroxide allergy	You will develop allergic reaction because gel contains peroxide
Severe loss of enamel	May cause sensitivity
Large pulps	May cause sensitivity
Exposed root portion due to a gum recession	This portion of a tooth will not whiten.
Children under 18 years of age	Whitening causes pulp damage

If You experience tooth sensitivity
or gum irritation during the treatment …
…please discontinue the treatment for day or two, shorten the the treatment time, start using Sensodyne paste (or any paste that contains Potasium Nitrate) or start using Desensitizing gel-please ask us about this product). Mild sensitivity to cold is a normal side effect during this treatment. If you experience continuous tooth pain or any other symptoms which are more than mild and/or persistant, please discontinue the treatment and call our office for further instructions. If you have any other questions or concerns, don't hesitate to call us and ask.

Additional information

DO:
Avoid citrus foods and juices because they can cause tooth sensitivity. These items change the acidity of your saliva and may cause irritation or slow down the whitening process. Try to Avoid any tobacco and dark liquids (coffee, tea, dark colas, dark juices and red wines) for at least 2 hrs after removing your trays and as much as possible while whitening because these substances may restain your teeth. Continue good oral hygiene throughout the treatment.
DON'T:
Eat, drink, or smoke while wearing your custom trays.

Storage of materials and trays

Storage at temperature between 2 and 8 Degrees Celsius (35-45 F) in a cool, dry place for later use once the whitening process is complete You may refrigerate remaining gel to lengthen the shelf life ( up to 2 years) but don't freeze.cDo not use after expiration date.

Keep it away from direct light . Keep whitening kit out of reach of children

Maintaining Your smile (Touch ups)

Depending on your teeth and your habits, these whitening procedures can last for up to five years. Deeply pigmented drinks like colas, tea, coffee, and red wine will tend to re-darken teeth more quickly. But, You can always do a “touch up” at a later date, using your trays for a couple of sessions to brighten your teeth again.The area of the tooth closest to the gums may take longer to lighten than the biting edge. It will also remain the darkest part of the tooth.

Whitened teeth will always be lighter than they were prior to the treatment and some clients will never need to repeat the process. If you notice that you are acquiring some stain, you may do a touch-up for a night or two every year.

author: Boban Fidanoski