Professional Documents
Culture Documents
7/29/12
History
ROMANS
MIDDLE AGES
Barbaric bleaching
Filed teeth with an iron grater Used Aqua fortis (contains nitric acid)
7/29/12
WESTLAKE (1895)
Bleached teeth with high concentrations of hydrogen peroxide (H202) mixed with ether Treatment method was first published in the American Journal of Dental Science
ABBOT (1918)
Used Superoxol (30% (H202) to bleach 7/29/12 teeth discolored by fluorosis
AMES (1937)
Bleached teeth with 30% hydrogen peroxide (H202) and ether along with a source heat Treatment lasted approximately 30 minutes and sessions were repeated up to 25 times.
ARENS (1972)
Tried to bleach tetracycline discolorations with 35% Superoxol at 10c below the pain threshold
7/29/12
Orthodontist from Fort Smith, Arkansas Examined the effect of Gly-Oxid (Marion) used by his young patients for removable appliances Discovered teeth became brighter and lighter tetracycline stain disappeared
WAGNER
7/29/12
MUNRO (1968)
HAYWOOD (1988)
HAYWOOD (1990)
Bleached teeth with high concentrations of hydrogen peroxide (H202) mixed with ether Treatment method was first published in the American Journal of Dental Science
ABBOT (1918)
Used Superoxol (30% (H202) to bleach 7/29/12 teeth discolored by fluorosis
Based on Munros findings First commercial bleaching agent for vital teeth Contains 10% carbamide peroxide
1994Platinum 7/29/12
7/29/12
Scientific Studies
HAYWOOD (1990)
Studied on extracted teeth which were bleached for 5 weeks Scanning electron microscope showed no changes Bleaching materials used did not affect the topography of the enamel
YARBOROUGH (1991)
7/29/12
MURCHISON (1992)
Examined the effect of carbamide peroxide on enamel Conclusion: short term application did not cause any significant change to enamel
Generally, majority show that it is safe to bleach 7/29/12 teeth with 10% carbamide peroxide
CONTAINS PEROXIDES
Enhances effects of other chemicals (ex. Cigarette smoke) Tendency to change oral flora If done over a long time, C. Albicans can accumulate and hypertrophy the papilla
2.
POWER BLEACHING
Changes the hard structure of the hard tooth structures Resulted in Pulpitis (on animals)
7/29/12
3.
TEMPORARY HYPERSENSITIVITY
Disappears in almost every case when bleaching is interrupted Remineralize using toothpaste with fluoride
4.
ETCHED GINGIVA
7/29/12
5.
TOOTH HYPERSENSITIVITY
Patients should not have their teeth bleached Higher risk for post-operative sensitivity
6.
ROOT RESORPTION
7. REDUCED 7/29/12
BONDING ABILITY
8.
Bleaching will decrease in time due and resulting to color changes (coffee, red wine, fruit juices, soda, etc) Done approximately 1 year after 1st bleaching
7/29/12
Chemicals are placed on enamel Also called External Bleaching Can only change enamel discoloraiton
Coronal
IN OFFICE BLEACHING
Power Bleaching 33% H2O2 with light and heat Stronger chemicals used Enamel damage could occur For patients who want to achieve results very quickly Mostly, 3 bleaching treatments required
7/29/12
Patients must collaborate actively Little time spent (dentist must have an assistant orno effect - Not worn, hygienist with necessary qualifications) Usually more affordable
- Too much, hypersensitivity Higher cost and longer treatment time (if patients prefer to have their bleaching by the Patients can bleach whenever they wish dentist) to Longer time
7/29/12