The lightening of the color of a tooth
through the application of a chemical agent
to oxidize the organic pigmentation in the
tooth is referred to as bleaching.
Degradation of high molecular weight
complex organic molecules that reflect
specific wave length of light responsible for
the color of the stain into lower molecular
weight and less complex molecules that
reflect less light is called lightning.
Bleaching is used as sole treatment of choice
or in conjunction with other treatment
modalities to brighten a whole smile.
Bleaching was unsuccessfully used in the
Modern bleaching technique began in
1918.Abbot used the combination of
superoxol and heat.
1958—Prarson—intra pulpal bleach
1967--Nutting and Por—walking bleach
1978—superoxol +heat + light
1989—Haywood .& Hayman (night guard
vital bleaching,10% carbimide peroxide)
1996—laser tooth whitening officially
started with the approval of ion laser
technology Argon and CO2 lasers to be
used with a potential system of chemicals
Hydrogen peroxide bleaching solution and gels.
Ph : highly acidic
Carbamide peroxide based bleaching agents
Urea hydrogen peroxide,
Conc : 3-45%
HOW WOULD YOUR PATIENTS LIKE THEIR SMILE ?
A SMILE CONNECTS
More and more people would like lighter teeth. Not
surprising –as nothing can improve a smile like
bright white teeth
IN OFFICE VITAL TOOTH
Vital tooth bleaching
is one of the least
appearance of patient
smile and selfconfidence.
Light enamel discolorations
Mild tetracycline discolorations
Endemic fluorosis discolorations
Age related discolorations
Severe dark discoloration
Severe enamel loss
Presence of caries
Large/poor coronal restoration
Familiarize the patient with
– Probable cause of discoloration
– Procedure to be followed
– Expected out come
– Possibility of future re-discoloration
– Detect all carious lesions
– Defective restorations and proximity of pulp
Evaluate tooth color
– With shade guide
– Take clinical
and through out
Apply a protective
cream to the
tissues and isolate
the tooth with a
rubber dam and
waxed dental floss
Do not inject local
APPLICATION OF 30%
CARBAMIDE PEROXIDE ON
THE TOOTH SURFACE
MATERIAL IS ALLOWED TO
STAY FOR 15-20 MINUTES
PRE AND POST OPERATIVE
NIGHT GUARD BLEACHING/ HOME
Haymann in 1989
Bleaching tray ,/
material prepared and
dispensed along with
follow up appointment
for check up.
Tray :step by step
of the arch to be
Block resin applied
on the labial surface
of the teeth to be
bleached to form a
small reservoir for the
MODEL AND TRAY
MATERIAL IN POSITION
BLEACHING TRAY MATRIX
APPLICATION OF BLEACHING
Familiarize the patient
with the use of bleaching
agent and wearing the
guard, instruct the patient
that this procedure should
be performed 3-4 hours
per day or over night.
Recall the patient every 2
weeks to monitor stain
carbamide peroxide is
used for this technique
,this can be later
increased to 16%,or up to
20% as per the case
Vivastyle paint on
THE PROFESSIONAL VARNISH SYSTEM
FOR WHITENING TEETH
Why use a varnish system ?
Vivastyle paint on is insoluable in water. Consequently,
the varnish is not prematurely washed off the teeth by
Vivastyle paint on contains 6% carbamide peroxide
when applied. This component releases oxygen , which
gently lightens stains. Once it has dried, its
concentration is about five times higher.
STEPS OF APPLICATION
Available as standing tube with brush and
dispensing dish for single use
Brushing and flossing of teeth before application of
DRYING WITH BLOTTING
Vivastyle paint on is applied directly to the teeth
with a brush and allowed to dry for 30 seconds
The dried varnish remains on the teeth for 20
minutes and is subsequently removed with a
Once daily for 20 min. over a period of 14 days.
Twice daily for 20 min. over a period of 7 days
-Noticeable whitening of teeth after just a few days
Significant whitening of teeth after treatment with Vivastyle Paint on
professional tooth whitening without a tray, as
– Patients find tray application uncomfortable
– Patients are looking for a more cost-effective
smooth integration into daily schedule
touching up of previously whitened teeth
NON VITAL BLEACHING
Intra coronal bleaching of Endodontically
Radiographically assess the status of the
periapical tissues and the quality of
endodontic obturation.Endodontic failures
or questionable obturation ,should always
be retreated prior to bleaching.
Evaluate tooth color with a shade guide and
take a clinical photograph
Isolate the tooth
All restorative material from the
access cavity removed to expose
dentin and refine the access.
Cavit and GIC
base at least 2
mm thick to
Pack the pulp
chamber with 30%
Seal the access with
IRM at least 3mm for
a good seal.
Recall after 2 weeks.
Instruct the patient
Diamonds are forever, Skyce
is just for cosmetics.
MEDICAL EXPERTISE ON COSMETIC
Dentists of today are finding that more and more
people who consult them are no longer really patients.
They are individuals who desire perfectly aligned,
sparking white teeth, and who may even ask for tooth
jewellery. These cosmetic procedures have to be
accomplished by professionals with professionals
Vivadent has developed the skyce system of tooth
jewellery, which enables dentists to satisfy this cosmetic
demand according to dental requirements.
STUNNING JEWELLERY ON HEALTHY
Patients want a sparking smile and dentists
want teeth to be healthy. Dentists are committed to
maintaining the health of teeth at all costs.
The dental jewellery is bonded onto the tooth in
the same way as an orthodontic bracket.
SLIGHT ETCHING; STRONG BOND
Retentive pattern is produced on the enamel using
37% phosphoric acid.
Placement of flowable composite, the right consistency
Lifting the skyce using a probe tip with bonding agent
Skyce bonded to the tooth with flowable composite
Skyce is bonded to the tooth with the transparent Flowable
Skyce must be encircled by a little Flowable composite to
ensure micromechanical retention.
TWO COLOURS; TWO SIZES
Skyce is made of crystal glass.
It is available in two different colours and sizes: “crystal” and
sapphire blue”, 1.8 mm or 2.5 mm in diameter.