introduction to tooth whitening by james goolnik

Build your confidence in

professional whitening

James Goolnik

What are we going to cover?

Managing your risk

What options for whitening

How to drive patients to your clinic

Indications for whitening

Discolouration from diet or ageing

Non-vital tooth

Fluorosis

Tetracycline

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

Photography

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

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

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.

What do I use?

Science of whitening

Carbamide

peroxide 10%

Hydrogen

peroxide 3%Urea

WaterOxyge

n

Rule of

thirds!

Carbamide vs. Hydrogen

Peroxide

Sensitive teeth Compliant patient Fast result wear time

CP ✔ 60 mins

HP ✔ ✔ 30 mins

Twice daily for 30 mins

How much gel?

30-minute once-a-day wear time

Contains potassium nitrate and fluoride

Visibly whiter teeth in three days

No refrigeration

Neutral pH

Ask

On new patient forms

Shade EVERY patient

Take photographs

Whitening offers

Increase uptake

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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