Introduction to tooth whitening by james goolnik

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Colgate sponsored lecture at the Dentistry Show in 2014. Build your confidence in professional whitening.

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Introduction to tooth whitening by james goolnik

  1. 1. Build your confidence in professional whitening James Goolnik
  2. 2. What are we going to cover? Managing your risk What options for whitening How to drive patients to your clinic
  3. 3. Indications for whitening Discolouration from diet or ageing Non-vital tooth Fluorosis Tetracycline
  4. 4. Stain Age/Genetics/Smoking/Coffee Yellow-fluorosis discolouration Brown-fluorosis discolouration/nonvital tooth Grey/ tetracycline stains White spots Responsivene ss Fastest Not responsive Responsiveness to Bleaching
  5. 5. Photography
  6. 6. You don’t have the necessary training Unrealistic expectations No prescription (pre-op photo) Sensitivity Restorations Bond strength reduced for 24hrs White spots Pregnant, breast feeding Under 18 year olds NO
  7. 7. European Union Council Directive (76/768/EEC) 1. OH products up to 0.1% H2O2 safe OTC 2.0.1- 6% H2O2 sold to Dentists only 3.No products over 6% H2O2
  8. 8. Screening exam for disease and suitability of whitening and course of treatment First use by dental practitioners or direct supervision. Consumer given rest to complete cycle.
  9. 9. What do I use?
  10. 10. Science of whitening Carbamide peroxide 10% Hydrogen peroxide 3% Urea Water Oxyge n Rule of thirds!
  11. 11. Carbamide vs. Hydrogen Peroxide
  12. 12. Sensitive teeth Compliant patient Fast result wear time CP ✔ 60 mins HP ✔ ✔ 30 mins
  13. 13. Twice daily for 30 mins
  14. 14. How much gel?
  15. 15. 30-minute once-a-day wear time Contains potassium nitrate and fluoride Visibly whiter teeth in three days No refrigeration Neutral pH
  16. 16. Ask On new patient forms Shade EVERY patient Take photographs Whitening offers Increase uptake
  17. 17. Top tips If in doubt use 10% Carbamide Peroxide Act in the best interest of your patients No whitening permanent Wait 7 days before other dentistry james@jamesgoolnik.com
  18. 18. 30% off at the Dentistry Show from CTS, Colgate & Survival

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