Whiteness Simple is a take-home carbamide peroxide whitening system at 10%, 16% and 22%.
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Description

Whiteness Simple is a carbamide peroxide-based whitening system for vital teeth at 10%, 16%, and 22% for take home and use under the supervision of a professional.

Presentation

• 4 syringes with 3g of gel each
• 4 applicator tips
• 2 soft-tray sheets of 1 mm thick for preparation of the trays;
• 1 tray case
• Instructions for Use

• 3 syringes with 3g of gel each
• 3 application tips

• 50 syringes with 3 g of gel each, individually packaged.

Characteristics and Advantages

• Has desensitizing agents: potassium ions and sodium fluoride.
• pH close to neutral: prevents decalcification of the enamel and the dentin.
• High yield: each syringe lasts an average of 7 to 9 applications.
• Great consistency: does not run off the tray.
• Efficiency: Its formula combines the high viscosity of the carbopol gel with the whitening effect of carbamide peroxide to obtain effective tooth whitening.

Indications

• Gel clareador à base de Peróxido de Carbamida para uso caseiro, sob supervisão do dentista.

• Disponível nas concentrações: 10%, 16% e 22%.

• O tratamento dura em média 14 dias sob protocolo convencional.

• O produto deverá ser aplicado em moldeira individual durante um período de 3 a 4h para versões 10% e 16%, e 1h para a versão 22%.

• pH neutro para evitar descalcificação do esmalte e da dentina.

• Fluoreto de sódio incorporado tem o objetivo de atuar como agente dessensibilizante.

• Sua formulação combina a alta viscosidade do gel de carbopol com o efeito clareador do peróxido de carbamida para obtenção da eficácia no clareamento dental.

Step by Step

Step 1

Take the color of the teeth so that the dentist and the patient have clear point of comparison of the whitening. The shade of the teeth can be taken by using a shade guide or photography.

Step 2

Impression: get the impression of the upper and lower arches with alginate.

Step 3

The mold is made from stone plaster in order to avoid the formation of bubbles.

Step 4

Preparation of the individual dental tray: in a vacuum-forming device, position the models in the tray and attach the 1 mm tray plate (Whiteness Plates for Custom Dental trays – FGM). A dynamic bubble will form, showing its plastification. At this point, bring the plastified bubble toward the model, providing for a perfect fit. The removal of the tray should be done after it is fully cooled.

Step 5

Trimming the dental tray: start the rough trimming of the tray, and then start trimming closer to the teeth. It is important for there to be no burrs so as not to cause discomfort to the patient. The trimming should be done by following the contour of the cervical region of the teeth or extending out 1 to 2 mm for the cervical region, e.g., covering part of the gingival tissue.

Step 6

Testing the tray: check the fit of the tray, the pressure on the gingival tissue and discomfort during the movements of the lips, cheeks and tongue.

Step 7

Amount of gel on the tray: it is very important to demonstrate to the patient the amount of gel that must be dispensed on the tray. One drop of gel on each tooth of the impression tray is sufficient. The gel should be placed in the regions corresponding to the vestibular faces of the teeth to be whitened.

Time of use: 3 to 4 hours daily for concentrations of 10% and 16% and 1 hour daily for the 22% concentration.

Step 8

Check the final appearance after treatment. Compare the initial and final photos.

FAQ

Can anyone whiten their teeth?

Anyone can whiten their teeth starting at the age of 15. However, this procedure is not recommended for patients who present carious lesions, extensive and/or deficient restorations, gingivitis, or periodontal problem, patients who have undergone gingival/periodontal surgery recently, or patients who present other problems which may provoke hypersensitivity during whitening. The product is also contraindicated for people who have allergic reactions to the product. We also do not recommend against its use by pregnant and breastfeeding women. The dentist should perform a good assessment of the patient’s dental condition prior to the indication of the whitening treatment.

Why is dental whitening not recommended before the age of 15?

We do not recommend performing dental whitening on children and adolescents under 15, because at that stage, the pulp chamber is very wide and the enamel is more permeable, which may result in more intense sensitivity.

How does dental whitening work?

Dental whitening can be done due to the permeability of the teeth, which allows the molecules of the whitening gel to penetrate inside the enamel and dentin. The hydrogen peroxide in the whitening gel “breaks” the molecules of the pigments that cause stains, which are removed by diffusion. The same principle is valid for carbamide peroxide, since it reacts by generating hydrogen peroxide as an intermediate product.

Can pregnant or breastfeeding patients undergo dental whitening?

Although there is no data in the scientific literature that describes damages to the fetus or to the baby due to performing dental whitening, we do not recommend its use on pregnant or breastfeeding patients.

What kind of care should the patient take with food during whitening?

During whitening, some care must be taken with food. Consumption of citrus- and cola-based beverages should also be avoided because they can increase sensitivity.

Is it necessary to make reservoirs in the plaster models before preparing the trays?

The making of reservoirs in the plaster models prior to the preparation of the trays is not mandatory, but some authors advocate making reservoirs because they aid in the full settlement of the plate, enable a greater quantity of gel, and reduce the pressure on the teeth. The reservoirs can be made with Top dam (FGM).

When is dental whitening contraindicated?

Whitening is contraindicated in cases of patients who have carious lesions, extensive and/or deficient restorations, gingivitis, or periodontal problems, patients who have undergone gingival/periodontal surgery recently, or patients who have allergic reactions to the components of the product. It is also not recommended for pregnant or breastfeeding women or children under 15 years old.

Can I combine in-office whitening with take-home whitening?

Of course. In-office and take-home whitening can indeed be combined, which is an excellent option in various cases, such as very darkened teeth, presence of difficult-to-remove pigments, tetracycline stains, etc.

How long does a dental whitening last?

The longevity of a whitening is variable from one patient to another. In a study conducted by Leonard, 1998, the author describes that 63% of patients are satisfied with the retention of the color obtained 3 years after undergoing whitening, and that at least 35% of patients are satisfied 7 years after undergoing the treatment. Reference: Leonard RH Jr. Efficacy, longevity, side effects, and patient perceptions of nightguard vital bleaching. Compend Contin Educ Dent. 1998;19(8):766-70, 772, 774.
Referência: Leonard RH Jr. Efficacy, longevity, side effects, and patient perceptions of nightguard vital bleaching. Compend Contin Educ Dent. 1998;19(8):766-70, 772, 774.

If a touch-up is needed, how should it be done?

As with conventional whitening, whitening touch-ups can be done with the take-home or in-office technique. The difference lies in the fact that, in general, this “rewhitening” requires a shorter treatment time.

What are the cases with the best indications for whitening?

The cases that best respond to whitening are those done on young patients (at least 15 years old) with naturally dark teeth, cases of darkening with age, yellow tones. We do not recommend performing whitening on patient under 15, because the pulp chamber is very wide, and hypersensitivity may occur.

How long does a syringe for take-home whitening last?

If it is used appropriately, one syringe of take-home whitening yields 7 to 9 applications. Since the applications are performed once a day, it lasts 7 to 9 days. It is very important for the professional to instruct the patient well with regard to the amount of gel that should be applied, preventing waste of the material and contributing to the effectiveness of the treatment.

When should I choose take-home whitening, in-office whitening, or a mixed technique?

There is no rule for choosing take-home whitening, in-office whitening, or a mixed technique. The essential point for success in the treatment is suitable planning and careful execution of the clinical protocol, which depend on a properly performed and documented clinical diagnosis (correct diagnosis of the etiology of the stains) and on knowledge of the active mechanism of the whitening agents. The selection of the technique should take various factors into consideration, such as the history of the patient, age, degree of coloring of the tooth, patient’s lifestyle, their discipline, sensitivity to the treatment, desired whitening speed, as well as clinical and X-ray exams.

How long after whitening can restorations be done with composite resin?

You should wait 7 to 14 days after performing whitening before adhesive restorations can be done, because there is a reduction of the adhesive force of restorations when done immediately after tooth whitening.

During whitening, some white stains may appear. What should be done?

It is necessary to clarify that tooth whitening does not cause stains. However, hypoplastic areas (white stains, areas of hypocalcification) previously present on the enamel surface and often imperceptible, may be highlighted during whitening. In some cases, these stains disappear due to the rehydration of the enamel surface after the whitening is concluded. Treatment of these areas with fluoride (topical application) can also help these white stains to disappear (remineralization).

Can patients with tetracycline staining undergo dental whitening?

Yes, patients with tetracycline stains can receive whitening. However, in these cases, the success of the treatment depends on the intensity of the stain. Milder cases present better chances of offering more satisfactory results, and longer treatment times are generally needed. The best procedure is to assess the degree of staining caused by tetracycline and talk with the patient about the possible results. We have reports in the dental whitening literature of tetracycline cases with the take-home technique up to six months in duration with satisfactory results. A good option is to combine the clinical and take-home technique. You can also use Whiteness HP or Whiteness HP Maxx, which have the advantage that they can be used on areas where there is staining.

Information for the Professional

Treatment time

• Generally, the treatment time is 21 days. For the 10% and 16% concentration, it is recommended that the gel remain in contact with the teeth for a period of 3 to 4 hours per day. For the 22% concentration, one hour per day is recommended. Longer or shorter times may be indicated in special cases, for example, the frequency or time of use of the gel may be reduced to minimizes the effects of sensitivity. In general, the results of the whitening become visible 3 to 5 days after the start of the treatment.

Selection of the concentration

Whiteness Simple is available in the following concentrations: 10%, 16% and 22%:
• In cases of normal pigmentation due to age, tobacco-use, caffeine, or in cases of intense dental sensitivity, it is recommended to use the 10% gel.
• In cases of accentuated, difficult-to-remove pigmentation, or when you want to obtain visible results in a short time period, it s recommended to use the 22% gel.
• In cases of tetracycline stains, the success of the treatment depends on the intensity of the stain. Milder cases present better chances of offering more satisfactory results. Generally, longer treatment times are necessary.

Precautions and contraindications

• This product has contraindications. Consult the Instructions for Use.
• The product is not recommended for whitening of teeth with imperfect amelogenesis and/or dentinogenesis, severe fluorosis, intense tetracycline stains, and other enamel and dentin anomalies that put the vitality of the tooth at risk.
• The product is not recommended for whitening for pregnant or breastfeeding women or children under 15.
• The product is not recommended for people who present carious lesions, extensive and/or deficient restorations, gingivitis, or periodontal problem, patients who have undergone gingival/periodontal surgery recently, or patients who present other problems which may cause hypersensitivity during whitening. The product is also contraindicated for people who have allergic reactions to the product.
• Teeth darkened by antibiotics (tetracycline) may not whiten with the same intensity as normal teeth. Teeth with gray colorations, even if not originating from tetracycline use, also may not respond well to whitening.
• The use of the product should always be indicated and performed with monitoring by a dentist.

Collateral effects

• It is normal for tooth sensitivity to occur during whitening. If sensitivity becomes uncomfortable, desensitize the teeth by applying Desensibilize KF 0.2% gel (moderate to low sensitivity) or Desensibilize 2% (moderate to high sensitivity), for in-office use. The higher the concentration of carbamide peroxide, the greater the possibility of developing dental sensitivity.
• Whitening can highlight white stains (areas of hypocalcification) previous present on the enamel surface, due to the differentiated (more intense) whitening of these areas. In some cases, these stains disappear due to the rehydration of the enamel surface after the whitening is concluded. Treatment of these areas with fluoride ions (topical application) can also help the white stains to disappear (remineralization).
• Some patients may feel slight irritation to the gums, tongue or lips, generally due to use of excessive gel in the tray.

Preservation and storage

• Keep out of reach of children.
Store the product at temperatures of 5 to 20° C.
• Do not freeze the product.
Protect from direct sun light.
• The validity period of Whiteness Simple is 2 years from the date of manufacture.
• Do not use the product after its expiration date.
• For disposal of the product, follow the laws of your country.