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Cosmetic/Whitening

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RESTORATIVE<br />

<strong>Cosmetic</strong>/<strong>Whitening</strong><br />

Carbamide Peroxide<br />

Take-Home Tooth <strong>Whitening</strong><br />

Avoid Dehydration<br />

Perfecta® carbamide peroxide gels are formulated<br />

with a predominantly glycol base<br />

for minimal dehydration and sensitivity.<br />

Other gels use glycerin as a base. Glycerin<br />

tends to dehydrate the tooth, thought to be<br />

a leading cause of thermal hypersensitivity.<br />

Avoid Thermal Hypersensitivity<br />

A small percentage of patients may<br />

experience thermal sensitivity associated<br />

with whitening. By following a few simple<br />

guidelines, you can minimize or eliminate<br />

this side effect.<br />

Start Slowly<br />

Patients should wear the tray for<br />

only one hour the first day, then one hour<br />

twice daily for the first week. Overnight<br />

wear is not recommended due to a greater<br />

incidence of thermal sensitivity and tissue<br />

irritation; however, it is a convenience option.<br />

Lower Gel Strength<br />

Patients with a history of thermal sensitivity<br />

should use 11% gel for at least a week before<br />

moving on to a stronger gel.<br />

Reduce Wear Time<br />

If thermal hypersensitivity occurs, as a rule of<br />

thumb, reduce the wear time by 50%.<br />

Select The Right Gel Strength<br />

Perfecta 11%: Mild to moderate stains.<br />

Young patients, patients with yellow extrinsic<br />

stains, or patients with a history of thermal<br />

sensitivity. 11% is also used as the starter gel<br />

in the Perfecta Trio® system.<br />

Perfecta 16%: Severe stains, heavy tobacco,<br />

tetracycline. Patients with no history of<br />

thermal sensitivity. 16% is also used for<br />

maximum whitening in the Trio System.<br />

Perfecta 21%: Tetracycline stains, fluorosis.<br />

Dispense only to compliant patients with no<br />

history of thermal sensitivity. Give good<br />

instructions and frequently monitor<br />

treatment progress.<br />

Perfecta® Trio®<br />

Carbamide Peroxide<br />

Three gel strengths (11%, 13% & 16%) for<br />

minimal sensitivity and maximum results.<br />

Trio Patient Pak Contains:<br />

6 - 3cc syringes (two 11%, two 13%, and two<br />

16%), 6 dispensing tips, tray case, 2 sheets<br />

0.040” soft EVA tray material, Step-by-Step<br />

patient instructions with shade guide,<br />

doctor’s instructions, informed consent form<br />

and cosmetic patient pouch with mirror.<br />

Perfecta Trio Patient Pak<br />

4000031 Unflavored<br />

4000032 Mint<br />

Another option is to purchase Perfecta® 50<br />

Paks in different strengths. Begin a treatment<br />

with Perfecta® 11% and dispense higher<br />

strengths at weekly recall visits.<br />

Trio ® step-whitening technique<br />

For maximum whitening with minimal thermal hypersensitivity,<br />

Premier recommends the Perfecta Trio Step-whitening System.<br />

Guidelines for a typical 2-arch treatment:<br />

Week 1: Initiate treatment with 11% Starter Gel. Excellent whitening<br />

results with minimal potential for sensitivity.<br />

Week 2:<br />

Week 3:<br />

Transition to 13% gel to gradually increase whitening activity.<br />

This allows your patient to develop a tolerance to the higher<br />

concentration of carbamide peroxide.<br />

Finish with 16% gel for maximum whitening effects at the<br />

optimum point during treatment.<br />

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