Dental Bleaching by Kelleher, Martin -- Read -- Imperial Library of Trantor

Index

Deckblatt Titelblatt Copyright-Seite Inhaltsverzeichnis Foreword Preface Chapter 1: Chemistry and Safety of Dental Bleaching

Aim Outcome Introduction Chemistry Chemistry of Hydrogen Peroxide How Hydrogen Peroxide Works How Teeth Become Discoloured Safety of Carbamide Peroxide

Sensitivity Soft Tissues Tooth Resorption Pulpal Considerations Effects on Hardness of Teeth Amalgam Restorations Tooth-coloured Restorative Materials

Adhesive Bonds and Rebound Chair-side Bleaching Unfounded Fears At-risk Groups Efficacy and Effectiveness Mouth Rinses References Further Reading

Chapter 2: Nightguard Vital Bleaching

Aim Outcome Introduction Development Patient Management

Pre-examination Questionnaire Protocol

Clinical Procedures Tray Design

Trays with Reservoirs Scalloped Trays Straight-line Trays Single-tooth Trays Combination Trays

Technical Procedures Fitting the Tray Evaluation of Colour Change Instructions for Patients for the Use of 10% Carbamide Peroxide

Notes

Sensitivity Rebleaching Bleaching dos and don’ts for the dentist Reference Further Reading

Chapter 3: Management of Discoloured Dead Anterior Teeth

Aim Outcome Discoloured Dead Teeth Assessment Aetiology Mechanisms of Discolouration Monitoring Inside/outside Bleaching Protocol for Inside/outside Bleaching

First Appointment Making the Tray Second Appointment Instructions for Patients

Problems and Troubleshooting

Poor Patient Compliance The Neck of the Tooth Does not Bleach Failure to Bleach Discolouration Difficult to Manage Restorative Options

Further Reading

Chapter 5: Chair-side Bleaching

Aim Outcome Chair-side Bleaching History Mechanism Technique

Patient Assessment Safety Isolation of the Teeth

Sensitivity The Bleaching Material

Storage Application of Bleaching Material

Acceleration Techniques

Increasing the Concentration of Hydrogen Peroxide Use of Light-activated Catalysts Use of Heat and Light

Concentration and Efficacy Effectiveness Light-assisted Chair-side Bleaching Lights and Heating Devices Proprietary Bleaching Systems Cost of Lights and Materials Further Reading

Chapter 6: Over-the-counter Bleaching Products

Aim Outcome Introduction Bleaching Strips Paint-on Gel Problems with Over-the-counter Products Whitening Toothpastes Further Reading

Chapter 7: Frequently Asked Questions

Aim Outcome What Causes Tooth Discolouration? Are There Any Other Causes of Discolouration? What Happens During Bleaching? Are There Any Contraindications to Bleaching Teeth? How Much will it Cost? Does the Patient Have to Sleep with the Bleaching Tray or Mouth-guard in Position? Are there any Side-effects? Can the Sensitivity be Reduced? Which Toothpaste Should be Used when Bleaching? How Long will Bleaching Take? Is Chair-side (also Known as “Power” or “In-surgery”) Bleaching Better than Nightguard Vital Bleaching? How Long does Bleaching Last? What is the Best Material to Use? Why Not Use Over-the-counter Products as Advertised on TV and in Magazines? Are Whitening Toothpastes Effective? How Much Carbamide Peroxide Gel is Swallowed During Bleaching with a Bleaching Tray? Is Swallowing Hydrogen Peroxide Harmful? Further Reading

Chapter 8: Information for Patients

Aim Outcome Nightguard Vital Bleaching

What Does Nightguard Vital Bleaching Involve? How Long Does it Take? Will I Have to Keep Bleaching? Is it Safe? Is it Effective? When Does it Work? Will There be Problems with Existing Restorations, Fillings or Crowns? What about Side-effects? What about Chair-side Bleaching?

Other Methods of Treating Tooth Discolouration

Microabrasion Composite Porcelain Veneers Crowns Extraction

Chapter 9: Complications and Contraindications

Aim Outcome Overbleaching Wrong Order of Bleaching Bleaching of Teeth Restored with Composite Inappropriate Timing of the Placement of Restorations Failure to Recognise Restorations Very Dark Teeth “Retchers” Body Dysmorphic Disorder Xerostomia Further Reading