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ePaper created 2015-03-06, 09:14:48 | version 1.33.01
26 I I industry report _ professional home bleaching this special bleaching substance (Fig. 1). This special bleaching toothbrush has been designed with a smallerheadifcomparedtothemostcommontooth- brushesinordertoreducethecontactwithoralmucosa. Softbluntedbristlesactivatetheaccelerator(XS151) contained in the gel while brushing and guarantee a fasterabsorptionofthebleachinggel;italsoimproves theprocedurebydrasticallyreducingtheapplication time:from6–8hourstotwominutesperday!Thead- vantagesareamazing,becausereducingthecontact period means reducing enormously the undesirable effects8:inflammationofsofttissues,hypersensitiv- ity, risk of swallowing the gel and so on. There is also an improvement of some psychological aspects, due to the need of wearing the tray for hours or all night long5 with interferences with normal interpersonal relationships both in private life and at work. Thenewmethod,assaidbefore,considersreduced application times of about two minutes per day; it is easy to understand how this can encourage the user to apply tooth bleaching. The average total contact period of the whole treatment is less than one hour (two minutes for 20 days). This corresponds to less than one-fifth of the time that a single application with the tray technique takes, which is currently the most common mode. Furthermore, this special toothbrush with dispenser is extremely easy to carry thanks to its pocket-size and can be used for one minuteinthemorningandoneminuteintheevening anywhere,afterone’susualoralhygieneroutine.The treatment lasts about 15–20 days on average, and thisdurationissufficienttoobtainanexcellentresult, achieving a reduction of 1–2 chromes of the VITA shade guide depending on the subject with a mini- mum commitment. Wherever you want, whenever you want: you can choose the place and time of application, which makes it different from other methods. The here-analysed method respects all the recent UE laws about the use of hydrogen peroxide as a cosmetic bleaching treatment, accepting a maximum percentage of 6 %, specifying that the bleaching kits must be delivered to the user only by the dentist as a professional treatment, after an accurate visit and the evaluation of each single case. It is also important to underline that advice and protocols are the fundamentals of what has been stated so far. First of all, the dentist must undertake thorough plaque removal, advise the patient about correctoralhygieneuse,whichmeansbrushingthe teeth with adequate toothpastes with special char- acteristics,forexample,theEnamelPlustoothpaste, whichhasalowabrasionformulaanddesensitising action: this enhances and maintains the bleaching effect reached with this system. It is also important tolimittheconsumptionoffoodwithahighacidpH, suchascitrusfruit,tomatoes,tea,tobaccoetc,inor- der to preserve the achieved result. We also recom- mendto:scheduleregularvisitswithyourdentistin ordertomonitortheconditionofteethandmucosa andpointoutanyirritationorinflammationofmu- cosa10; repeat the bleaching treatment regularly to maintaintheresults,consideringthattherepetition of this method decreases the undesirable effects thanks to the limited contact period of 1 hour max- imum for the whole complete treatment of about 15–20days,incomparisontothe120–150hoursor moreofthetraditionalbleachingwithtraymethod. cosmeticdentistry 1_2015 GROUP 1 Age Hours of treatment Patient 1 25–35 120 Patient 2 25–35 160 Patient 3 25–35 240 Patient 4 25–35 24 Patient 5 25–35 160 Patient 6 36–45 160 Patient 7 36–45 24 Patient 8 46–55 120 Patient 9 46–55 160 Patient 10 46–55 160 total 1,328 hours GROUP 2 Minutes of treatment Patient 11 25–35 40 Patient 12 25–35 60 Patient 13 25–35 60 Patient 14 25–35 40 Patient 15 25–35 40 Patient 16 36–45 60 Patient 17 36–45 40 Patient 18 46–55 40 Patient 19 46–55 40 Patient 20 46–55 40 total 460 minutes 8 hours Table II 0 h Patients: numeration indicated in tables 1 and 2 11 12 13 14 15 16 17 18 19 20 1 h 5 h 10 h 20 h 50 h 100 h 150 h 200 h 250 h 6/8 ore 1st GROUP PATIENTS TRADITIONAL TRAYS 2nd GROUP PATIENTS ENA WHITE 2.0 Total time of whitening treatment: first group treated with tray and 6% hydrogen peroxide, second group with ENA WHITE 2.0. N.B. The Patients 4 and 7 have not been inserted into the graph because they have interrupted the treatment. 1 2 3 5 6 8 9 10 Table II_Total time of treatment: Group 1 treated with tray and 6 % hydrogen peroxide, Group 2 treated with ENA White 2.0. Graphic I CDE0115_24-29_Leonardi 26.02.15 11:09 Seite 3 Patient 125–35120 Patient 225–35160 Patient 325–35240 Patient 425–3524 Patient 525–35160 Patient 636–45160 Patient 736–4524 Patient 846–55120 Patient 946–55160 Patient 1046–55160 Patient 1125–3540 Patient 1225–3560 Patient 1325–3560 Patient 1425–3540 Patient 1525–3540 Patient 1636–4560 Patient 1736–4540 Patient 1846–5540 Patient 1946–5540 Patient 2046–5540 1213 1415 17181920 56 910 CDE0115_24-29_Leonardi 26.02.1511:09 Seite 3