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DENTAL WHITENING IN OFFICE- AND HOME-BASED TECHNIQUE
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TREATMENT PERFORMED:
The combined technique (office and home whitening) was used. After the first whitening session with Power Bleaching Office
37%, desensitizer was used, as the patient reported mild sensitivity. During the treatment there was no need for a new
desensitizing procedure and the treatment was completed with the use of Power Bleaching Home 16%.
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METHODOLOGY USED
TECHNIQUE:
Prophylaxis was performed with pumice stone (Maquira) and water on all the patient's teeth, photograph of the initial color
(2.5M2) and choice of the desired color (BL3).
Right after that, Maxdam light-curing gingival barrier was inserted and Power Bleaching Office 37% was used for one (1) hour,
without a break. The composition of BM4 bleaching gel presents in its formula carbamide peroxide and potassium oxalate,
substances capable of reducing sensitivity during tooth whitening.
At the end of the office session, the patient reported mild sensitivity in the upper and lower anterior teeth.
Painless 5% was applied for 10 min, and after that period time, the product was removed with a cotton ball.
The patient reported that the sensitivity ceased.
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The patient was instructed to continue using Power Bleaching Home 10% (home whitening) for
seven (7) days, in sessions of one (1) to two (2) hours daily, and never sleep with the acetate trays,
so that their pressure due to the gel containment was not a causal factor of dental sensitivity. We
also recommend immediate brushing after eating strongly colored foods such as: wine, açaí, soft
drinks, using a super soft brush, preferably without the use of abrasive paste.
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The patient returned to the office after seven (7) days.
The second session with Power Bleaching Office 37% was
performed for one (1) hour, and as there was no sensitivity
report, it was possible to increase the concentration of the
home gel to Power Bleaching Home 16%. In her third and
fourth returns for whitening in the office, the same form of
application was followed.
TREATMENT PERIOD:
Power Bleaching Office 37% (4 sessions),
Power Bleaching Home 10% – 2 hours a day for seven (7) days,
Power Bleaching Home 16% – 2 hours a day for twenty-one (21)
days.
NUMBER OF SESSIONS:
Four (4) sessions in the office.
Four (4) weeks of home-based treatment.
MATERIALS USED
MAXDAM
LIGHTCURING GINGIVAL
BARRIER.
POWER
BLEACHING
OFFICE 37%
POWER
BLEACHING
HOME 10%
PAINLESS
DESENSITIZER 5%
CONCLUSION FROM MY
EXPERIENCE
Significant and satisfactory improvement was observed in the
patient's aesthetic aspect and tooth whitening. The treatment was
concluded with the evolution of final color to: central and canine bl3,
according to the patient’s expectation.