Versatility: It can be mixed with hydrogen peroxide (that comes with the product), with distilled water, or with saline.
Excellent consistency: Ideal viscosity after handling. It can be mixed in the proportion of 1 part of powder for 1 part of liquid or 2 parts of powder for 1 part of liquid.
Alkaline ph: Minimizes side effects.
For whitening of non-vital teeth via application and maintenance inside the pulp chamber (walking bleach technique).
Step by step
Before starting treatment, read carefully the warnings, precautions, contraindications and possible side effects.
Make sure (both clinically and by X-Ray) that the endodontic treatment is adequate. Record the shade of the tooth to be whitened using a shade guide and/or photograph prior to beginning whitening.
Make the access to the pulp chamber, removing all restoration materials and exposing the canals inlet with gutta percha.
Having cleaned the pulp chamber, deepen the canal’s entry by removing approximately 3mm of filling to make the cervical sealing aiming at avoiding the whitener to go into the root canal and spreading towards the periodontal. We recommend cervical sealing to be made using glass ionomers or fluid composite.
Prepare the paste of Whiteness Perborate. The proper rate to obtain enough quantity to fill one cavity is 1 powder spoon to 1 drop of liquid. Alternatively, you may mix 2:1 (powder/liquid) to obtain a more viscous mixture. Also, the powder may be mixed with distilled water or saline instead of hydrogen peroxide, which provides an even higher pH to the mixture.
Apply the contents into the pulp chamber. Prepare a small flat ball (or mesh) with cotton and position it into the cavity over the whitener. Next, perform provisory sealing with CIV or similar.
Assess the case after 3 to 4 days. If required, repeat the applications reassessing always every 3 to 4 days. The number of applications may reach 8 times, depending on the progress.
1 – Always observe the results after each application. If from one application to the next the results do not progress, there will be evidence that whitening has reached its limit. 2 – If no results are attained, or if whitening progress is very slow, check if the restoration material from the pulp chamber has been effectively removed. Incomplete removal of restoring materials from
Upon completion of the whitening, we recommend waiting at least 7 days to perform the final restoration.
1 – Instruct the patient about the weakness of the non-vital tooth treated and avoid accidental fracturing. 2 – For cases where non-vital teeth are severely weakened by removal of the dental structure, we recommend implanting an intra radicular reinforcement post Whitepost (FGM).