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cosmetic dentistry_beauty & science No. 1, 2017

teeth whitening and remineralisation industry report | Figs. 1a & b: Scanning electron microscope (SEM) images of unprotected open dentine tubuli before treatment with nHAp agent by PrevDent. Fig. 1a Fig. 1b But patients receiving the bleaching therapy should have medical purposes and not cosmetic reasons for such a special, highly concentrated teeth whitening treatment. along with the products with officially higher con- centrations of the teeth whitening agents. Other reactions from EU countries The state control system has not yet detected the use of higher concentrations of hydrogen peroxide in Germany and these products should also be banned from the market because of EU directive 2011/84/EU. But, we expect German regulations to follow the EU directive for this year. Off the market in France France had some special reactions on the EU direc- tive and control mechanisms. All teeth whitening products—even the ones that should have only 6 % hydrogen peroxide—were taken off the market for some months and went into a state control system. The Health Ministry of France wanted to be sure that all products contained the exact concentrations of the teeth whitening agents that were displayed on the packages. All teeth whitening products were analysed and double checked by a governmental state control. After this analysis, some products failed the new restrictions; in reality they contained a higher con- centration than what was printed on the packages. Of course these products were taken off the market, In countries like the Netherlands or the United Kingdom, the new rules have led to a massive change to teeth whitening treatments. Market shelves were completely empty because of all the banned products and the dentists were sending pa- tients away from in-office teeth whitening to home teeth whitening. Products containing only 16 % carbamide peroxide for home teeth whitening had a massive increase in sales. The UK market also had an increase in home teeth whitening products. For in-office teeth whitening, UK dentists no longer saw a safe and effective alter- native therapy. In general, the market appeared con- fused and nervous based on a lack of alternative new teeth whitening products and lack of information. The UK’s Commonwealth States had similar reac- tions to the regulations and availability of products. India and Australia adapted the EU regulations to the local market and made plans to reduce hydrogen peroxide concentration down to 3 % instead of 6 %. By following the EU regulations like the UK, the mar- ket opportunities in these countries are growing more in the home teeth whitening business. Fig. 2a Fig. 2b Figs. 2a & b: Scanning electron microscope (SEM) images of sealed and protected dentine surfaces after treatment with nHAp agent by PrevDent. 47 cosmeticdentistry 1 2017

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