WHITENING
OPALESCENCE THE LEADER IN WHITENING ®
The first and only patented sticky, viscous gel with an optimum combination of potassium nitrate and fluoride.
OPALESCENCE STORY ®
THE LEADER IN WHITENING FOR MORE THAN 25 YEARS From one smile to millions “Dad, I need my teeth whiter. Dad, I need my teeth whiter.” Jaleena was persistent. She would cut tooth whitening advertisements out of dental journals and leave hand-written reminders on her dad’s nightstand. As Dr. Fischer’s 14-yearold daughter, Jaleena was determined to keep her dad‘s attention focused on developing what would later be known as Opalescence. “Be patient, love. I’m working on something,” Dr. Fischer would say. In Ultradent’s R&D department, Dr. Fischer worked tirelessly to get his whitening product just the way he wanted it. He knew it needed to have a sticky, viscous composition to keep the gel in place and to prevent it from leaching out of the tray onto the soft tissue. It needed to provide sustained peroxide release for superior whitening results. And it needed to be delivered via a soft, thin scalloped tray with reservoirs to ensure the maximum amount of gel stays in contact with the teeth during the entire treatment. One night in 1991, after Dr. Fischer was finally satisfied with the whitening gel he and his team had come up with, he took it home to Jaleena. He had her load the new Opalescence® gel in the tray before bed and asked her to wear it throughout the night. “When you wake up in the morning,” he said, “don’t take the tray out. Come find me, and we’ll take it out together.” The next morning, Jaleena and her dad took the tray out. After just one night, she had gone from an A3 to an A1. 2
It’s been more than 25 years since that eventful morning for Jaleena and her dad. In that time, Opalescence® has gone from one sticky, viscous 10% carbamide peroxide formula to a full menu of whitening products. Now the world leader in whitening, Opalescence® has helped millions of people brighten their smiles, giving them more confidence and improving their quality of life. And it can do the same for your patients!
OPALESCENCE REFERENCE GUIDE ®
Opalescence® PF 10%
Opalescence® PF 16%
Cosmetic Take-Home whitening with custom trays
Wear time: 8–10 hours/day
Opalescence Go® 6%
Cosmetic Take-Home whitening with custom trays
Cosmetic Take-Home whitening with prefilled trays
Active Ingredient:
Active Ingredient:
Active Ingredient:
10% carbamide peroxide
16% carbamide peroxide
6% hydrogen peroxide
Contains:
Contains:
Contains:
Potassium nitrate and fluoride
Potassium nitrate and fluoride
Indications: For patients with existing sensitivity; can be worn day or night
Wear time: 4–6 hours/day
Indications: For faster whitening; can be worn during the day
Potassium nitrate and fluoride Wear time: 60–90 min/day
Indications: For fast whitening ready-to-go
Flavors:
Flavors:
Flavors:
Mint, Melon and Regular
Mint, Melon and Regular
Mint and Melon
Opalescence® Boost PF 40%
Opalescence® Endo 35%
Medical In-office chairside whitening, direct application Active Ingredient: 40% hydrogen peroxide
Contains:
Medical technique for non-vital teeth, ”Walking Bleach”
Any Indication. Always Opalescence.
Active Ingredient: 35% hydrogen peroxide
Potassium nitrate and fluoride Wear time: Two 20-minute treatments per visit
Wear time: 3-5 days
Indications: Dentist-administered, method for treating dark, internally discolored teeth caused by disease, injury, or medical treatment
Indications: Dentist administered; for internal whitening of non-vital teeth
Opalescence® PF helps maintain the health of enamel throughout the whitening process.1
Opalescence® Quick 45% Medical In-office waiting room whitening with custom trays Active Ingredient: 45% carbamide peroxide
Contains: Potassium nitrate and fluoride Wear time: 30 minutes supervised
Indications: Office supervised; method for treating dark, internally discolored teeth caused by disease, injury, or medical treatment
In an in vitro study researchers looked at whether treatment with tooth whitening products with different concentrations of carbamide peroxide or hydrogen peroxide would increase the susceptibility for caries. A tooth whitening product with a neutral pH and 10% carbamide peroxide did not lead to a higher caries risk. In addition, Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride), which helps maintain the health of enamel throughout the whitening process.
Opalustre® Microabrasion Slurry Active Ingredient: 6.6% hydrochloric acid, silicon carbide microparticles Office visit
Indications: Dentist-administered chairside treatment; removes superficial white and brown stains
1. Al-Qunaian TA. The effect of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70.
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TAKE-HOME WHITENING WITH OPALESCENCE PF ®
COSMETIC CUSTOM TRAYS 10% & 16% Carbamide Peroxide with Potassium Nitrate and Fluoride
Opalescence® PF whitening gel offers your patients professional whitening power in the comfort of their own homes. Available in Mint, Melon, and Regular flavors, Opalescence® PF is delivered via custom-made trays, further tailoring the treatment to your patients’ smiles. Opalescence® tooth whitening gel contains PF (potassium nitrate and fluoride), which helps maintain the health of enamel throughout the whitening process. It is available in formulations of 10%
and 16% carbamide peroxide. Help patients select the best method, depending on their level of sensitivity, how fast they want to see results, and how long they want to wear their trays (4-6 hours or overnight). After the first application in the dental office the Opalescence whitening trays can conveniently be worn at home.
Instructions
Express one continuous bead of gel (1/3 Clean your teeth, then insert tray in your Use a finger or soft toothbrush to clean At the end of treatment, brush teeth and to 1/2 of a syringe) halfway up from the mouth and lightly tap it to adapt the sides any excess gel. Rinse your mouth with use soft toothbrush and cold water to incisal edge to the facial side of the tray. to your teeth. water twice and wear 10% overnight or clean tray. 16% for 4 to 6 hours.
Clinical Applications
Before whitening.
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After 8 days of treatment with Opalescence Before whitening. PF 16%, every day for 3 hours.
Upper teeth after 5 nights of treatment, approximately 40 hours.
TAKE-HOME WHITENING WITH OPALESCENCE GO ®
COSMETIC PRE-FILLED TRAYS 6% Hydrogen Peroxide with Potassium Nitrate and Fluoride
Opalescence® Go features ready-to-go convenience with an enhanced tray design for an even more adaptable and more comfortable whitening experience. After just 10 minutes in the mouth, the new UltraFit™ tray softens and molds to the arch to create a custom-like fit that is remarkably comfortable and effective. And its molar-to-molar coverage ensures the gel comes in contact with more posterior teeth. Opalescence®
Go is available in 6% H2O2 (60-90 minutes wear time) and delicious Mint and Melon flavors. Opalescence® tooth whitening gel contains PF (potassium nitrate and fluoride), which helps maintain the health of enamel throughout the whitening process. After the first application in the dental office the Opalescence whitening trays can conveniently be worn at home.
Instructions
Remove a UltraFit tray from the blister Clean your teeth, then place the tray over pack (U = Upper = maxilla; L = Lower = the row of teeth by aligning it according to mandible). the tooth arch. Gently suck down on the tray to bring the inner foil with whitening gel into contact with the teeth.
Remove the outer tray, the inner foil with gel remains on the row of teeth. Gently suck down or swallow again. Lightly tap tray if necessary.
Wear 6% for 60 to 90 minutes. Then remove tray and brush your teeth, being careful not to swallow the remaining gel. The foil can now be disposed of.
Before whitening.
UltraFit tray before.
UltraFit tray after 10 minutes in the mouth.
Clinical Applications
After 6 days of treatment with Opalescence Go for 90 minutes.
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IN-OFFICE WHITENING WITH OPALESCENCE
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BOOST
MEDICAL CHAIRSIDE WHITENING 40% Hydrogen Peroxide with Potassium Nitrate and Fluoride
Opalescence® Boost is a power whitening gel for medical in-office use. It is applied by the dentist for whitening one or more teeth, parts of a tooth, and/or for accelerated chairside whitening techniques. Opalescence® Boost is also used on nonvital teeth, including in-office intracoronal bleaching. And unlike other in-office whiteners, Opalescence® Boost doesn‘t require an expensive, hot, and uncomfortable light to work. Best of all, Opalescence® Boost includes potassium nitrate and fluoride. It is an alternative, conservative method for treating dark, internally discolored teeth (compared to crowns,
veneers, etc.) caused by disease, injury, or medical treatment such as congenital, systemic, metabolic, pharmacological, traumatic, or iatrogenic factors such as dental fluorosis, jaundice, tetracycline, adult minocycline stains, porphyria, trauma, and erythroblastosis fetalis. Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.
Clinical Applications
Before whitening.
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After whitening.
Before whitening.
After 4 applications à 20 minutes with Opalescence Boost.
IN-OFFICE WHITENING WITH OPALESCENCE
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BOOST
Mixing Instructions A B
C
A B 2a
A/B
C
C
50 times
1. Ensure both syringes are securely attached before proceeding. Depress the plunger of red syringe (C), pushing all contents into the clear syringe (B).
2. Forcefully press the small clear stem (A) completely into the larger clear stem (B). See completed step in figure 2a. Then press the clear plunger (A/B) completely into the red syringe (C).
3. To activate, continually press the sy- 4. Remove clear syringe and dispose. ringes back and forth rapidly with thumbs a minimum of 50 times (25 times each direction/side), Press entire chemical into the red syringe. IMPORTANT NOTE: After mixing, Opalescence Boost bleach is good for 10 days refrigerated. After 10 days, discard using proper disposal techniques as syringe may develop pressure. Materials should be diluted with water and disposed down a drain or toilet followed by a few liters/quarts of additional water. DO NOT discard to garbage cans containing burnable material such as paper, cardboard, rubber, leather, cotton, etc., as spontaneous combustion can occur. Additionally do not bring this strong peroxide into contact with such flammable materials during application as combustion may occur.
5. Twist Micro 20 ga FX Tip onto red syringe. Check material flow on a cotton gauze or mixing pad to ensure even flow before using intraorally.
Instructions
DO NOT proceed if there is any resistance. Attach a new Tip and test again before application.
Warning: Shield patients’ and clinicians’ eyes with protective eyewear with wide side shields during mixing, application, and removal. Hydrogen peroxide can cause burns to soft tissues (skin, gingiva, lips). Keep isolated to area of treatment.
Clinical step-by-step instruction from the international Ultradent Products catalog showing the whitening procedure of an upper and lower arch.
Press all mixed gel into the RED syringe. Separate the two syringes and attach the Micro 20ga FX Tip onto the red syringe. Check the flow on a cotton gauze or mixing pad prior to applying it intraorally. If you encounter resistance, replace the tip and recheck the flow.
Place Ultradent IsoBlock and self-supporting plastic cheek retractors. Completely rinse and air dry teeth. Securely attach a Micro 20ga Tip to OpalDam Green and check flow.
Express a continuous bead along the gingival margin, overlapping approx. 0,5mm onto the enamel. Begin and finish the bead one tooth beyond the most distal tooth that is being bleached, building the barrier 4-6mm high and 1,5-2,0mm thick.
Express the resin through any open embrasures. Light cure the OpalDam resin barrier with VALO® using a scanning motion for 10 seconds and 20 seconds for other curing lights. Carefully check the resin cure with an instrument.
Apply a 0,5-1,0mm thick layer of Opalescence Boost to the labial surface of the tooth and slightly onto the incisal/occlusal surfaces. Allow the gel to remain on the teeth for 20 minutes.
Suction gel from teeth using the Luer Vacuum Adapter and SST™ Tip. Do not use water. Repeat application two times or until desired results are achieved. Do not exceed 3 applications per visit.
After the final application is complete and all visible gel is removed, thoroughly rinse the teeth. Gently slide the tip of a dental instrument beneath the OpalDam and lift it off. Check for and remove any interproximal remnants.
Evaluate the shade change. If additional whitening is desired and no significant sensitivity is noted, reschedule the patient in 3–5 days for repeat treatment or to dispense take-home whitening trays.
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IN-OFFICE WHITENING WITH OPALESCENCE
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ENDO
MEDICAL, NON-VITAL „WALKING BLEACH“ 35% Hydrogen Peroxide
Opalescence® Endo is a specially formulated gel to whiten endodontically treated, internal discolored teeth caused by disease, injury, or medical treatment using the “walking bleach” technique. Once Opalescence® Endo is delivered to the pulp chamber, it should be sealed with a temporary cement, and left in the
tooth for three to five days. Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.
Instructions
Place Opalescence Endo into canal.
Deliver mixed UltraTemp Regular directly Wipe excess easily with wet gauze or Finished. to site through the Skini Syringe. cotton swab before setting.
Clinical Applications
Before whitening.
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After whitening.
Before whitening.
After whitening.
Remove easily.
IN-OFFICE WHITENING WITH OPALESCENCE
®
QUICK
MEDICAL CUSTOM TRAYS 45% Carbamide Peroxide with Potassium Nitrate and Fluoride
Opalescence® Quick is a whitening gel for treatments administered under a dentist’s supervision in the controlled setting of the reception/waiting room. It is applied using a custom-fitted, scalloped tray. Treatment times range from 30 minutes to the dentist’s discretion. Opalescence® Quick PF is for medical in-office use only. It provides an alternative, more conservative modality of treating dark, internally discolored teeth (compared to crowns, veneers, etc.) caused by disease,
injury, or medical treatments such as congenital, systemic, metabolic, pharmacological, traumatic, or iatrogenic factors such as dental fluorosis, tetracycline, and adult minocycline stains, trauma, erythroblastosis fetalis, jaundice, and porphyria. Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.
Instructions
Express one continuous bead of gel (1/3 Clean your teeth, then insert tray in your Use a finger or soft toothbrush to clean Wear the tray for 30 minutes in the waiting to 1/2 of a syringe) halfway up from the mouth and lightly tap it to adapt the sides any excess gel. Rinse your mouth with room. incisal edge to the facial side of the tray. to your teeth. water twice.
Clinical Applications
Before: the teeth with dentinogenesis imperfect have a grey appearance.
After 4 sessions with Opalescence Quick, Before: this severe tetracycline case needs After half a year and about 18 sessions. the teeth are remarkably lighter. a longer treatment.
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SPECIALTY WHITENING WITH OPALUSTRE
®
CHEMICAL AND MECHANICAL ABRASION SLURRY 6.6% Hydrochloric Acid
Opalustre® is ideal for removing superficial white and brown decalcification stains due to enamel mottling from fluorosis. Its viscous 6,6% hydrochloric acid slurry contains silicon carbide microparticles. This combination provides chemical stain removal along with gentle mechanical abrasion. OpalCups™
latch-type bristle polishing cups are used with the Opalustre® for micropolishing the newly treated enamel surface. Both types of OpalCups are autoclavable through a limited number of cycles. TM
Instructions
Before.
After rubber dam placement, apply Opal- Use bristle cup to compress Opalustre After enamel microabrasion and 21 days ustre from syringe to discolored enamel. on tooth surface. Intermittent rinsing and of whitening with Opalescence. inspection is recommended.
Clinical Applications
Remove or significantly reduce mild to moderate decalcification related to orthodontic Enamel decalcification corrected after one application of Opalustre using OpalCup treatment with a few applications of Opalustre. Apply with stiff bristle cups and 10:1 Bristles and 10:1 gear reduction handpiece with firm pressure. gear reduction handpiece with firm pressure.
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AFTER CARE WITH ULTRAEZ
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DESENSITIZING TREATMENTS 3% Potassium Nitrate with Fluoride (0,25% neutral NaF)
®
U ltraEZ is a sustained-release 3% potassium nitrate desensitizing gel with fluoride (0.25% neutral NaF). The sticky, viscous gel stays in the trays and on the teeth and provides an immediate desensitizing effect. The formula quickly eliminates sensitivity from toothbrush abrasion, thermal and chemical changes, tooth whitening, and root exposure. ® UltraEZ provides a filmlike barrier for sensitive teeth, sealing
dentinal tubules of exposed dentin and other areas where sensitivity is a concern. It features the revolutionary UltraFit™ tray. The product is used either by a dental professional in the office or provided to the patient for home treatment of dentin sensitivity. For “long term” desensitizing results, Flor-Opal® is recommended.
Instructions with pre-filled trays
Center tray on arch.
Gently suck down or swallow.
Remove outer tray and suck down or swallow again.
Wear for 15 minutes to 1 hour per day.
Instructions with syringes
Express one continuous bead of gel (1/3 Clean your teeth, then insert tray in your Wear for 15 minutes to 1 hour per day. to 1/2 of a syringe) halfway up from the mouth and lightly tap it to adapt the sides incisal edge to the facial side of the tray. to your teeth.
At the end of treatment, brush teeth and use soft toothbrush and cold water to clean tray.
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AFTER CARE WITH OPALESCENCE WHITENING TOOTHPASTE ®
TOOTHPASTE The Original The Sensitivity Formula
®
Opalescence Whitening Toothpastes1 are an easy and effective way to maintain a bright, white smile. These professional whitening toothpastes not only remove surface stains, but also strengthen the teeth with its unique formula. It is specifically formulated for high levels of fluoride uptake while remaining gentle enough to use every day — with relative dentin abrasion comparable to, or lower than, most other leading “whitening” toothpastes.2 It also provides
excellent antimicrobial activity for cleaner, healthier mouths. These toothpastes are a great way for your patients to maintain their results following a whitening treatment. The sensitivity formula has all the whitening benefits of the original formula, but includes potassium nitrate to relieve sensitivity. Both toothpastes come in a Cool Mint flavor.
Remove surface stains to lighten teeth two shades in just one month!1 RELATIVE DENTIN ABRASION (RDA)2 300 197
250 183
200 150 90
100 50 0
Opalescence Whitening Toothpastes
Colgate Total Advanced Whitening*
Crest Pro Health Whitening*
®
Opalescence Whitening Toothpastes have lower abrasiveness than other leading whitening toothpastes.2,3
*Registered trademarks of a company other than Ultradent. 1. Gultz J, Kaim J, Scherer W. Whitening efficacy of a whitening toothpaste creme [IADR abstract 2747]. J Dent Res. 1998;77(suppl 2):975. 2. Schemehorn BR. Relative dentin
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abrasion test on dentifrices. Study #111. 2011. Data on file. 3. This toothpaste does not contain peroxide.
COMPLEMENTARY PRODUCTS FOR WHITENING TREATMENTS Ultradent LC Block-Out Resin Sof-Tray Classic Sheets Ultra-Trim Scalloping Scissors Opalescence Pocket Tray Cases OpalDam and OpalDam Green KleerView ®
®
®
®
®
™
Ultradent® LC Block-Out Resin Light cured block-out resin
Opalescence® Pocket Tray Cases Storage of trays
• Low viscosity allows for proper application • Blue pigment for visibility during application • Great utility resin with multiple uses
• Protect trays when they are not in use • Flat, pocket-sized design • Inside dimensions: 7,5 x 7 x 1,5 cm
Sof-Tray® Classic Sheets Sheet material for vacuum-forming of trays
OpalDam® and OpalDam® Green Light-cured resin barriers
• 0,9 mm Sof-Tray for most bleaching trays • 1,5 mm Sof-Tray for bleaching patients who are bruxers • 2,0 mm Sof-Tray for severe bruxers or as a TMJ appliance
• Applies directly • Offers effective coverage of oral tissues with impervious seal, making in-office whitening easier than ever before • Light reflecting to minimize heat and tissue sensitivity during curing • Removes easily
Ultra-Trim Scalloping Scissors For trimming trays
KleerView Cheek / Lip retractors
• Use for precise trimming of border around interdental papilla • Spring loaded to minimize finger fatigue • Grips tray material easily • Made of durable stainless steel
• Perfect for in-office tooth whitening, bonding, composites and clinical photography
TM
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WHITENING QUESTIONS BEHIND TOOTH WHITENING There are many causes of tooth staining. Some affect the full arch – these discolorations are mostly caused by food, beverages and tobacco – stains and colors migrating into the enamel. Aging also leads to darker teeth. Such discolorations are generic and can affect everybody. Lightening of these discolorations is cosmetic and can be achieved with proven cosmetic whitening products formulated for superior results in our Opalescence PF whitening gels that are used with custom trays or in our pre-filled disposable trays offered in Opalescence Go® with the new UltraFit tray. A brighter, whiter smile is the result. In cases of re-darkening, a short touch-up restores the perfect smile. TM
Other types of stains can penetrate into enamel and dentin from the inside, as a consequence of diseases, injury or medical treatment, e.g. congenital, systemic, metabolic, pharmacological, traumatic, or iatrogenic factors such as dental fluorosis, jaundice, tetracycline, adult minocy-cline stains, porphyria, trauma, and erythroblastosis fetalis. To treat staining from these causes, a medical, in-office whitening system is needed. In many cases such focused whitening may make restorations, veneers or crowns unnecessary or postpone them for a long time. Professional whitening is the best and most minimally invasive option to safely lighten discolored teeth. How does whitening work? The whitening process is possible due to the ability of the carbamide peroxide and hydrogen peroxide to freely pass through enamel and dentin and to permeate to all parts of the tooth.1 For cosmetic whitening concentrations up to max 6% hydrogen peroxide are sufficient to pass the outer area of the teeth, removing stains caused by food, beverages, and tobacco. For teeth discolored by disease, injury or medical treatment, higher concentrations may be required to pass deep into the discolored area of the teeth. These peroxides break down into oxygen radicals, which migrate between the enamel prisms,
breaking down any colored molecules that result in tooth discoloration. The structure of the tooth is not altered; the internal tooth color is simply made lighter. Whitening agents break down into tiny molecules and move in all directions so even if the entire tooth is not covered with bleach, the entire tooth is whitened.2 Existing restorations will not be whitened. Numerous studies have proven the effectiveness of peroxides in whitening teeth. Enamel, dentin, existing fillings, and bonding materials are not affected by the whitening agents, nor are they harmed by the whitening materials. Will whitening affect bond strength? Even though whitening agents release oxygen into the tooth, existing bonds are not weakened.3,4 If whitening before bonding, allow a period of 7–10 days after whitening. The high concentration of oxygen in the tooth could significantly and adversely affect polymerization of the resins.5,6 How long does the whitening last? Whitening results are very stable, but depending on the patient’s nutrition and lifestyle habits, the procedure may need to be redone periodically. Due to the safety of the whitening agents, this should not concern the dentist or patient. Will whitening cause tooth sensitivity? Tooth sensitivity is a relatively common side effect of whitening. If sensitivity occurs, it is transient and disappears after the completion of whitening. However, most Opalescence® products include PF (potassium nitrate and fluoride) desensitizing agents for additional comfort. Research has shown that just as hydrogen peroxide penetrates through the enamel and dentin and to the pulp, so does potassium nitrate. Potassium nitrate acts more like an analgesic or anesthetic by keeping the nerve from repolarizing after it has depolarized in the pain cycle.7 Fluoride acts primarily as a tubule blocker, plugging the holes and slowing down the fluid flow that causes the sensitivity. Will whitening weaken the tooth’s enamel? Opalescence® tooth whitening gel contains PF (potassium nitrate and fluoride), which helps maintain the health of enamel throughout the whitening process.8-12
1. Haywood VB. History, safety and effectiveness of current bleaching techniques and applications of the nightguard vital bleaching technique. Quintessence Int. 1992;23(7):471-88. 2. Jadad E, Montoya J, Arana G, Gordillo LA, Palo RM, Loguercio AD. Spectrophotometric evaluation of color alterations with a new dental bleaching product in patients wearing orthodontic appliances. Am J Orthod Dentofacial Orthop. 2011;140(1):e43-7. 3. Klukowska M, White DJ, Kozak KM, et al. Effect of bleach on microleakage of Class V composite restorations. J Dent Res. 85(Spec Iss B):0035, 2006 (www.dentalresearch.org). 4. Angerame D, Garaffa S, Maglione M, Di Lenarda R, De Stefano Dorigo E. Effect of in-office bleaching on Class V composite restorations seal. J Dent Res. 84(Spec Iss A):3013, 2005 (www.dentalresearch.org). 5. Wilson D, Xu C, Hong L, Wang Y. Effects of clinical factors during tooth whitening on enamel. J Dent Res. 86(Spec Iss A):2632, 2007 (www.dentalreasearch.org). 6. Lim B-S, Ryu I, Lee Y-K, et al. Effect of bleaching agent on shear bond strength to dentin. J Dent Res. 85(Spec Iss B):0036, 2006 (www.dentalresearch.org). 7. Haywood VB. A comparison of at-home and in-office bleaching. Dentistry Today. 2000; 19(4):44-53. 8. Basting RT, Rodrigues AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-42. 9. Al-Qunaian TA. The effect of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70. 10. Clark LM, Barghi N, Summitt JB, Amaechi BT. Influence of fluoridated carbamide peroxide bleaching gel on enamel demineralization. J Dent Res. 85(Spec Iss A):0497, 2006 (www.dentalresearch.org). 11. Amaechi BT, Clark LM, Barghi N, Summitt JB. Enamel fluoride uptake from fluoridated carbamide peroxide bleaching gel. J Dent Res. 85(Spec Iss A):0498, 2006 (www.dentalresearch.org). 12. Browning WD, Myers M, Downey M, Pohjola RM, Brackett WW. Report on low sensitivity whiteners. J Dent Res. 85(Spec Iss A):1650, 2006 (www.dentalresearch.org).
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WHITENING OPALESCENCE MARKETING GUIDE ®
In-Office Marketing Tips
The popularity of tooth whitening procedures — in office and at home — is at an alltime high. Your patients are most likely asking about whitening options; this guide offers a few of creative resources for you to share with them.
• Make sure that members of your staff are whitening their teeth, if appropriate. Their bright, white smiles will serve as walking billboards for your whitening services. Plus, when asked, they will be able to speak authentically about their whitening experiences.
Here are some ideas to help you promote whitening to your current patients:
• Opalescence® Posters
• Identify one staff member to be your “whitening specialist.” This person can handle all whitening inquiries and help utilize the tooth whitening marketing materials in your office.
Hang attractive posters in your waiting room and around ® your office to pique your patients’ interest in Opalescence tooth whitening treatments.
• Take your patients’ tooth shades at appointments. Show them the shade guide to educate them on how white their smiles could be.
• Opalescence® Appointment Cards
• Before anterior restorations, ask your patients if they want their current shade or if they would like to whiten their teeth. Show them the shade guide to help them understand the range of possibilities.
In-Office Marketing Tools
Remind your patients about appointments while enticing them to whiten their smiles! • Opalescence® Patient Waiting Room Brochure
• Hand out smile evaluations when patients check in. These are effective tools because people may provide more information in a written survey than if asked directly.
This brochure educates patients on the many whitening options available in your office and answers most frequently asked questions about tooth whitening. • Opalescence® Customizable Office Flyer
Questions for smile evaluations:
Customize these flyers with your own message and logo announcing your whitening service or special offers.
• • • • •
Are you happy with your smile? Do you like the way your crowns and fillings look? Are you satisfied with the shade of your teeth? Do you feel comfortable smiling? Are there things you would like to change about your teeth? • Do your teeth hurt? • Are you interested in whitening your teeth? • If you could change something about your smile, what would it be?
• Opalescence® Patient Home-Whitening Brochure Use these instructions to quickly and easily explain the takehome whitening process and to give useful information on how to behave during and after the whitening treatment. All Marketing Materials are available from your dental dealer!
Get a brighter,
whiter smile today Your smile says more about you than any other physical feature. Often, it’s the first thing people notice about you. Help your smile be as bright as can be with Opalescence Tooth Whitening Systems.
About Tooth Whitening
Opalescence Tooth Whitening
What causes tooth discoloration? Many factors make teeth lose their luster. Genetics is one factor; some people just have whiter teeth than others. Other factors include cigarettes, dark foods and beverages (including coffee, soda, tea, and red wine), age, medications (such as tetracycline), and tooth trauma.
Opalescence features professional, affordable tooth whitening for every lifestyle, budget, and smile.
BEFORE USING OPALESCENCE
AFTER USING OPALESCENCE
Before Opalescence® PF
After Opalescence® PF
Before Opalescence Go®
After Opalescence Go®
How does teeth whitening work? Teeth whitening is a chemical process. The peroxide in the whitening agent breaks down into tiny molecules that move inside the tooth structure, where they break down any molecules that cause discoloration.1 Because of this process, the entire tooth is lightened, even if the entire tooth is not covered with whitening gel.2
Whiten Your Smile Today!
Cosmetic Tooth Whitening
Will whitening cause tooth sensitivity?
Don’t wait any longer to get the smile you’ve always wanted. Ask your dentist about Opalescence whitening treatments today, and join the thousands of others who’ve successfully whitened their smiles and brightened their lives.
Some people experience sensitivity while whitening, but many do not. Sensitivity does not mean damage has been caused to your teeth. It is temporary and typically disappears within a few days. Opalescence whitening gel also contains unique ingredients designed to decrease sensitivity and make your whitening experience as comfortable as possible. Your dentist can provide you with additional desensitizing treatments if you experience lingering discomfort.
Your dental practice team
Will whitening weaken my teeth? No! Whitening will not weaken your teeth. Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride), which helps maintain the health of enamel throughout the whitening process.3–7
How long do whitening results last? Teeth whitening results are very stable. However, depending on your nutrition, lifestyle habits and oral hygiene, whitening may need to be redone periodically. Due to the safety of the whitening agents, this should not cause any concerns.
UPP 213-EU 02-2016
© 2016 Ultradent Products, Inc. All Rights Reserved.
Options to fit any lifestyle With a complete line of professional products that deliver professional results, Opalescence fits to your lifestyle. Whether you prefer to whiten overnight in the comfort of a custom tray or brighten your smile with a ready-to-go prefilled tray, Opalescence can help! Depending on your discolorations your dentist and you will choose the product that fits best for your needs. All cosmetic whitening treatments need a first application in the dental office.
Opalescence Go cosmetic whitening trays are prefilled and disposable, and ready-to-go they comfortably adapt to any smile for professional ready-to-go whitening. Available in Mint or Melon flavors, Opalescence Go whitening trays are effective and easy to use. The unique UltraFit™ tray easily conforms to your individual smile and provides molarto-molar coverage, ensuring that the gel comes in contact with posterior teeth. Opalescence PF whitening gel offers professional cosmetic whitening in the customized comfort of your own home. Available in Mint, Melon, and Regular flavors, Opalescence PF whitening gel is delivered via custom-made trays that are tailored to your smile.
1 Haywood VB. History, safety, and effectiveness of current bleaching techniques and applications of the nightguard vital bleaching technique. Quintessence Int. 1992;23(7):471-88.
Medical Tooth Whitening
2 Jadad E, Montoya J, Arana G, Gordillo LA, Palo RM, Loguercio AD. Spectrophotometric evaluation of color alterations with a new dental bleaching product in patients wearing orthodontic appliances. Am J Orthod Dentofacial Orthop. 2011;140(1):e43-7. doi: 10.1016/j.ajodo.2010.11.021.
Discolorations can have many causes. If the stains have been caused by disease, injury or in-office medical treatment and have migrated from the inside of the tooth into the dentin and enamel, you need special medical strategies to whiten such tooth or teeth – and special medical products, that are used in-office. Please talk to your dentist if you are affected by such discolorations to find the most effective way with Opalescence to whiten your tooth or teeth.
3 Basting RT, Rodrigues AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-42. 4 Al-Qunaian TA. The effect of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70. 5 Clark LM, Barghi N, Summitt JB, Amaechi BT. Influence of fluoridated carbamide peroxide bleaching gel on enamel demineralization. J Dent Res 85(Spec Iss A): 0497, 2006 (www.dentalresarch.org). 6 Amaechi BT, Clark LM, Barghi N, Summitt JB. Enamel fluoride uptake from fluoridated carbamide peroxide bleaching gel. J Dent Res 85(Spec Iss A): 0498, 2006 (www.dentalresarch.org). 7 Browning WD, Myers M, Downey M, Pohjola RM, Brackett WW. Report on low sensitivity whiteners. J Dent Res 85(Spec Iss A): 1650, 2006 (www.dentalresearch.org).
Get a Brighter, Whiter Smile To Go! Your teeth have been whitened - what happens next? Tips on what to do „afterwards“ Dear patient,
Your tooth whitening with Opalescence
your teeth have now been whitened and no doubt you want to keep them bright for as long as possible.
• During whitening treatment, your teeth become slightly „dried“. This is now compensated by increased moisture uptake from the oral cavity. Thus you should avoid the intake of staining substances, such as coffee, black tea, coke, red wine, red fruits, red beetroots etc., as well as smoking during the treatment breaks and the first few days after whitening of the teeth. During the following period, avoiding or limiting these foods, drinks and tobacco is beneficial for keeping the bright color of your teeth. • It is also very important to keep your teeth free of deposits. We therefore recommend thorough personal oral hygiene. We would be pleased to inform you about suitable aids and techniques for keeping these „problem areas“ clean. You should also visit us for a „professional dental cleaning“ at regular intervals. • However, should your teeth darken slightly over the course of the next few years, which cannot always be avoided, – a short refreshment treatment by us can restore the brightness of your teeth. This also presents no risk to your teeth. However, it is better not to use agents offered for „self-treatment“, as there is always a risk of damaging the teeth and/or gums.
Get a Brighter, Whiter Smile Mon Tue Wed Thu
Fri
Date
Time
Treatment
Please call, if you are unable to make your appointment to cancel or rearrange.
To Go!
Tooth whitening with UltraFit Trays
o Opalescence PF 10%
o Opalescence Go 6%
wear time:
Dear patient,
You have decided to whiten your teeth with custom trays, which is mainly done at home. Please observe the following points during application:
You have decided to whiten your teeth with Opalescence Go, which is mainly done at home. Please observe the following points during application:
Fill the whitening gel into the tray. Use approximately 1/3 to 1/2 of a syringe. To fill the tray, please only use the gel you received from us for this purpose.
Clean your teeth, then insert tray in your mouth and lightly tap it to adapt the sides to your teeth.
Use a finger or soft toothbrush to clean any excess gel. Rinse your mouth with water twice.
Remove a new Go-UltraFit Tray from the blister pack (U = Upper = maxilla; L = Lower = mandible). You can wear the foils for the upper and lower jaws at different times.
Clean your teeth, then place the UltraFit Tray over the row of teeth by aligning it according to the tooth arch.
Gently suck down on the tray to bring the inner foil with whitening gel into contact with the teeth.
Mon Tue Wed Thu
Practice stamp
Fri
Date
Time
Please follow our instructions on wear time and duration.
Remove tray and use a finger or soft toothbrush to clean any excess gel off your teeth. Rinse your mouth twice being sure not to swallow rinsed gel. Clean tray with soft brush and cool tap water.
Store the tray in case provided after use and cleaning.
Remove the outer tray – it only serves as insertion purposes and can now be disposed of. The inner foil with gel remains on the row of teeth.
Now adjust the flexible inner foil to your row of teeth with your tongue and pouting your lips, if necessary, lightly adjust with a finger.
Please follow our instructions on wear time and duration. Then remove tray and brush your teeth, being careful not to swallow the remaining gel. The foil can now be disposed of.
Treatment
Please call, if you are unable to make your appointment to cancel or rearrange.
General notes: UPP 227-EN 07-2015
UPP 252-EU 10-2015
wear time:
Dear patient,
We thank you for placing your trust in us. We would be pleased to be your competent partner in the future with regard to beautiful and healthy teeth.
Your dental practice team Practice stamp
Tooth whitening with custom trays
o Opalescence PF 16%
You can make a major contribution by the things that you do. We would like to give you some tips to keep your teeth beautiful.
Opalescence is the leading product line in many countries for the professional dental whitening of teeth. Opalescence is only supplied to dental practices.
Instructions for home use
• Foods and drinks with a high acid content can lead to sensitivities.
• Protect gel and trays against heat and sunlight. Store the gel in the refrigerator, but please do not freeze.
• Interrupt treatment and inform us if major sensitivities of the teeth occur or in case of gum irritation.
• When wearing the trays, you should not smoke, eat or drink.
• Avoiding staining foods, drinks and tobacco during the entire treatment period has a positive effect on the result.
Please make sure that you attend the check-up appointments we have arranged for you. If you have further questions, please contact us, we will be happy to advise you.
• Cosmetic tooth whitening is not permitted legally for minors under the age of 18.
UPP 252-EU-Go 10-2015
15
WHITENING
UPP 293-EU 02-2016
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