Supervised dental whitening


Before

After

Female patient, 22. COMPLAINT Yellowish teeth. INITIAL APPEARANCE Shade A3 for canines and A2 for the other teeth, according to the VITAPAN® Classical shade guide. CLINICAL/X-RAY EXAM Good oral health, healthy teeth and gums. It was concluded that the teeth were vital and naturally darke ned. TREATMENT Supervised take-home whitening with carbamide peroxide at 16%
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The importance of proper removal of residues of cement for brackets after orthodontic treatment


Before

After

Male patient, 34. COMPLAINT Yellowish stains on the central incisors originated from a “non-satisfactory whitening procedure” performed 19 years ago. INITIAL APPEARANCE The teeth had A1 shade and the yellowish stains were residual orthodontic cement, which was only partially removed interfering in aesthetics.   CLINICAL/X-RAY EXAM General healthy oral conditions and clear teeth (A1 shade).
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Minimally invasive techniques for dental fluorosis: microabrasion and whitening


Before

After

Female patient, 20. COMPLAINT Teeth with brown stains and many white stains. INITIAL APPEARANCE Initial appearance of fluorosis stains. The brownish stains on the anterior teeth were causing embarrassment to the patient and were her main complaint.   CLINICAL/X-RAY EXAM Stains on teeth were classified as grade 5 fluorosis in accordance with the TF index
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Whitening of endodontically treated tooth


Before

After

   Clinical case carried out in Peru.   Female patient, 45. COMPLAINT Darkened central incisor. INITIAL APPEARANCE Tooth 11 darkened and without alterations of adjacent tissues.   CLINICAL/X-RAY EXAM Non-vital tooth, with clinical and radiographic aspect apparently normal. The dyschromia was evident, causing an important aesthetic issue.   TREATMENT Internal whitening was carried out for
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Supervised take-home dental whitening with hydrogen peroxide


Before

After

Female patient, 23. COMPLAINT Yellowish teeth. INITIAL APPEARANCE Harmonious smile showing the possibility of whitening, which would improve aesthetics for the patient.   CLINICAL/X-RAY EXAM Healthy oral condition, teeth showing shade A3.5 (canines) and A3 (other teeth).   TREATMENT The technique of supervised take-home whitening was carried out, with 7.5% hydrogen peroxide, used for an
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Whitening of vital teeth by the mixed technique


Before

After

Female patient, 24. COMPLAINT Yellowish color of the teeth. INITIAL APPEARANCE Teeth with moderately saturated yellow color.   CLINICAL/X-RAY EXAM Teeth and gums were healthy and there was no need for clinical intervention prior to whitening.   TREATMENT The proposed treatment was whitening by using the mixed technique, with two sessions performed for application of
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Seeking a natural smile – whitening by using the mixed technique


Before

After

Female patient, 24. COMPLAINT Slightly yellowish teeth, especially the canines. INITIAL APPEARANCE Teeth showing relatively light shade, except for canines with shade A3.   CLINICAL/X-RAY EXAM Healthy oral condition, without need for intervention prior to whitening. Teeth 13 and 23 showed a more saturated yellow coloring than the other teeth, with a significant difference in
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