This document provides information on professional tooth whitening for dentists, including: 1. It discusses indications for whitening like discoloration from age, diet, fluorosis, or tetracycline and recommends screening patients for suitability. 2. It explains the science behind carbamide peroxide and hydrogen peroxide whitening gels and recommends using 10% carbamide peroxide for patient safety. 3. It provides tips for dentists on assessing patients' shade, taking photographs, offering whitening, and increasing uptake in their practice.

1. Build your confidence in
professional whitening
James Goolnik

2. What are we going to cover?
Managing your risk
What options for whitening
How to drive patients to your clinic

3. Indications for whitening
Discolouration from diet or ageing
Non-vital tooth
Fluorosis
Tetracycline

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. Photography

8. 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

9. 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

10. 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.

11. What do I use?

12. Science of whitening
Carbamide
peroxide 10%
Hydrogen
peroxide 3%
Urea
Water
Oxyge
n
Rule of
thirds!

13. Carbamide vs. Hydrogen
Peroxide

14. Sensitive teeth Compliant patient Fast result wear time
CP ✔ 60 mins
HP ✔ ✔ 30 mins

15. Twice daily for 30 mins

16. How much gel?

18. 30-minute once-a-day wear time
Contains potassium nitrate and fluoride
Visibly whiter teeth in three days
No refrigeration
Neutral pH

19. Ask
On new patient forms
Shade EVERY patient
Take photographs
Whitening offers
Increase uptake

20. 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

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