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Tooth Whitening - Clinical and Legal Considerations PowerPoint Presentation

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Description : Check out this medical presentation on Microabrasion, which is titled "Tooth Whitening - Clinical & Legal Considerations", to know about the clinical and legal Considerations in tooth whitening.

Tags : Microabrasion, Tooth Whitening, Clinical, Legal Considerations

Published on : Jul 01, 2021 | Views : 2363 | Downloads : 2

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Slide 1-

Tooth Whitening Clinical & Legal Considerations Aidan Hannah
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Contents Introduction Legal Aspects Clinical Aspects Vital Bleaching Non-Vital Bleaching Alternatives References
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Introduction Increased prevalence – celebrities etc. Staining Extrinsic – Dietary, Smoking, Chlorhexidine Intrinsic – Developmental (Fluorosis, Tetracycline, Amelogenesis Imperfecta) Loss of Vitality
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Legal Aspects GDC Defined as ‘the practice of dentistry’ Dentists, Therapists, Hygienists & Clinical Dental Technicians Ethical obligations as per any treatment i.e. Act in patient’s best interest, obtain fully informed consent, have valid medical history Indemnity/Insurance Check with your provider – registration at risk if practicing without appropriate cover
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EU Governance on tooth whitening products EU Council Directive 2011/84/EU in effect from Oct 2012 18+ years old 0.1-6% Hydrogen Peroxide (present or released by other compounds) To be sold only to dental practitioners, first use limited to them; can then provide access for patients thereafter Effect of Brexit?
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Clinical Aspects Case Selection Thorough exam first Anterior restorations? Predictable outcome? - acquired/mild developmental stains Vital vs Non-Vital Informed Consent - contemporaneous notes Wait ~1 week after finishing before commencing any restorative work involving bonding
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Treatment Options Vital Bleaching At home using vacuum-formed splint Indicate extensions eg. to distal of 6s Worn for 2-3 hours/8 hours depending on product Demonstration by dentist first Matchstick-head size amount on labial aspect of tray (Most commonly carbamide peroxide) Usually results within 2 weeks, although could take longer - review Take shade at start/finish
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Patient Information: Brush teeth first Wear 2-3hours/8hours (overnight) depending on product Apply matchstick-head amount to labial aspect No eating/drinking during wear Rinse with water after Use sensitive toothpaste – if sensitivity occurs, use on alternate nights Minimal contact with red wine/coffee/tobacco to prolong effects
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Non-Vital Bleaching Good option if only 1 tooth discoloured/tooth minimally restored – avoids use of more destructive restoration GP removed to below gingival margin, sealed Bleaching agent (most commonly sodium perborate) packed against labial wall, sealed in with temporary restoration for 2 weeks Repeat until desired shade reached Some etch pulp chamber first, however no evidence to support efficacy
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Alternative Treatment Options Micro-abrasion (superficial only) Scale & Polish (surface stains) Permanent restoration Leave alone...
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References Advanced Operative Dentistry. D.Ricketts & D.Bartlett www.gdc-uk.org www.dentalprotection.org