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    Bleaching: BY: Dr. Zawara Mariam

    Uploaded by

    Zawara Mariam
    This document summarizes different bleaching techniques. It defines bleaching as lightening tooth color through a chemical agent to oxidize organic pigments. There are vital and non-vital techniques. Non-vital bleaching involves placing a sodium perborate mixture in the pulp chamber of a non-vital tooth to bleach from within. In-office vital bleaching applies hydrogen peroxide gel to the teeth, which is activated with light to accelerate oxidation and lighten teeth over weekly sessions. Night guard bleaching uses a custom fitted mouth guard containing carbamide peroxide gel, which the patient wears nightly to slowly diffuse and bleach teeth while sleeping.

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    Download as PPTX, PDF, TXT or read online from Scribd

    Bleaching: BY: Dr. Zawara Mariam

    Uploaded by

    Zawara Mariam
    56 views10 pages
    This document summarizes different bleaching techniques. It defines bleaching as lightening tooth color through a chemical agent to oxidize organic pigments. There are vital and non-vital techniques. Non-vital bleaching involves placing a sodium perborate mixture in the pulp chamber of a non-vital tooth to bleach from within. In-office vital bleaching applies hydrogen peroxide gel to the teeth, which is activated with light to accelerate oxidation and lighten teeth over weekly sessions. Night guard bleaching uses a custom fitted mouth guard containing carbamide peroxide gel, which the patient wears nightly to slowly diffuse and bleach teeth while sleeping.

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    by Dr zawara mariam

    Original Title

    Bleaching

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    This document summarizes different bleaching techniques. It defines bleaching as lightening tooth color through a chemical agent to oxidize organic pigments. There are vital and non-vital techniques. Non-vital bleaching involves placing a sodium perborate mixture in the pulp chamber of a non-vital tooth to bleach from within. In-office vital bleaching applies hydrogen peroxide gel to the teeth, which is activated with light to accelerate oxidation and lighten teeth over weekly sessions. Night guard bleaching uses a custom fitted mouth guard containing carbamide peroxide gel, which the patient wears nightly to slowly diffuse and bleach teeth while sleeping.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    56 views10 pages

    Bleaching: BY: Dr. Zawara Mariam

    Uploaded by

    Zawara Mariam
    This document summarizes different bleaching techniques. It defines bleaching as lightening tooth color through a chemical agent to oxidize organic pigments. There are vital and non-vital techniques. Non-vital bleaching involves placing a sodium perborate mixture in the pulp chamber of a non-vital tooth to bleach from within. In-office vital bleaching applies hydrogen peroxide gel to the teeth, which is activated with light to accelerate oxidation and lighten teeth over weekly sessions. Night guard bleaching uses a custom fitted mouth guard containing carbamide peroxide gel, which the patient wears nightly to slowly diffuse and bleach teeth while sleeping.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 10

    BLEACHING

    BY:
    DR. ZAWARA MARIAM

    BLEACHING
    DEFINTION:The

    lightening of the color of the tooth through the


    application of a chemical agent to oxidize the organic
    pigmentation in the tooth is referred to as bleaching.

    CLASSIFICATION:VITAL

    IN-OFFICE

    NON-VITAL

    NIGHT GAURD IN-OFFICE WALKING BLEACH


    TECHNIQUE

    NON- VITAL BLEACHING


    This technique describes the bleaching of teeth that

    have become discolored by the diffusion into the


    dentinal tubules of hemoglobin breakdown products
    from necrotic pulp tissues
    INDICATIONS:1)
    Discolored non-vital teeth
    2) Well condensed GP root filling
    3)
    No clinical or radio graphical signs of periapical disease
    CONTRA INDICATIONS:1.
    Heavily restored tooth
    2.
    Staining due to amalgam

    PROCEDURE
    Place rubber dam to isolate

    the teeth
    Clean the teeth with
    pumice
    Remove coronal
    restoration and pulp
    chamber restoration
    Remove root filling
    12mm apical of the clinical
    crown
    Place RMGIC liner to seal
    the GP

    Blend sterile saline with

    sodium perborate and fill


    the pulp chamber within
    2mm of cavosurface margin
    Blot the mixture with
    cotton pellet
    Place temporary sealing
    material
    Area must remain isolated
    to evaluate the adequacy of
    the seal for 5 min
    Remove rubber dam

    Replace the sodium

    perborate dressing
    weekly
    After successful
    bleaching place 2mm of
    Ca(OH)2 and cavit
    2 weeks later remove
    cavit and Ca(OH)2
    Restore the tooth with
    composite

    VITAL BLEACHING:- In-Office


    This technique involves the external application of

    hydrogen peroxide to the surface of tooth followed by


    its activation with a heat source.
    Indications:

    very mild tetracycline staining without obvious banding


    Mild flourosis
    Yellowing due to ageing
    Single teeth with sclerosed pulp chamber and canals

    PROCEDURE: IN-OFFICE
    Place Vaseline on lips and gingival tissues
    Isolate the teeth with rubber dam
    Maintain adequate seal by ligation of dam

    with waxed dental tape.


    Apply the H2O2 containing paste/gel on
    the teeth
    Halogen light to generate heat to
    accelerate the oxidation
    Rinse the teeth and remove the rubber
    dam
    Treatment done weekly for 2-6 weeks

    VITAL BLEACHING:-Night gaurd


    This technique involves the daily placement of carbamide

    peroxide gel into a custom fitted tray of either the upper


    or lower jaw
    Indications:

    Mild flourosis
    Moderate flourosis as adjunct to hydrochloric acid
    Yellowing due to ageing

    Reaction:

    Carbamide peroxide(10%) breaks down to form H2O2 (3%) and


    urea(7%)
    Urea and H2O2 due to their low MW diffuse through enamel and
    dentine

    TECHNIQUE
    Take an alginate impression and make

    working model
    Make a splint and instruct patient on
    how to apply gel into the mouth guard
    and after insertion wiping out of excess
    material
    Worn at night and remove in the
    morning
    Clean the splint with brush and store it
    in container
    After 2 weeks check that the patient is
    comfortable.

    THANKYOU FOR YOUR PATIENCE

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