IMPROVING AESTHETIC INTEGRATION W I T H
T O O T H
W H I T E N I N G
Tr a n s f o r m i n g s m i l e s w i t h W h i t e D e n t a l B e a u t y
in association with
THE PERFECT SMILE
Patients have high aspirations of what their smile should look like. A lot of which has to do with the rise of social media and growing admiration of the celebrity lifestyle. But whilst they dream of having a perfectly straight, white smile, they also expect dentists to deliver
A big part of achieving the perfect smile is enhancing the colour of the teeth.
this through minimally invasive
Whitening the teeth ahead of further dental treatments means patients can match their new smile to their ideal shade, and improve
treatments. This is why it is more
And tooth whitening is advancing;
the aesthetic integration. And with
important than ever for dental
now reliable and effective tooth
modern dental materials readily
professionals to remain on their
whitening gels are available in
available to recreate natural looking
A game‌
concentrations as low as 5%
restorations, dentists can now deliver
Carbamide Peroxide to help minimise
beautiful smiles that reflect the
sensitivity caused by the peroxide.
tooth’s emitted fluorescence.
are leading the industry down a new
When combined with the at-home
In this interesting clinical case, one
path, so forward thinking dentists
whitening technique, innovations
of Style Italiano’s established dentists
are now able to offer patients
like this allow patients to confidently
demonstrates why tooth whitening
a choice of minimally invasive
whiten their teeth using minimally
is an important aspect of restorative
treatments that offer high quality
invasive methods.
dentistry and best practice for
Dentistry is transforming. New technologies and innovative products
and immediate results.
minimally invasive treatments. Enjoy! I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
2
CASE REPORT
This clinical case reviews the results of a 5% Carbamide Peroxide whitening system when used to improve aesthetic integration for future restorative treatments.
Dr Stefan Koubi is an established dentist with a degree from the University of Marseille, who now specialises in aesthetic dentistry and prosthodontics. As well as opening his own private practice in Marseille, Dr Koubi is dedicated to sharing his knowledge and experience through education‌ In 2011, he was recognised as the Best Lecturer of the Year in France, having spoken at over 250 national and international events across different aesthetic academies and prosthodontics societies.
DR STEFAN KOUBI:
He also founded a training center - L’Institut de
TOOTH WHITENING,
la Facette - focused on the science of laminate
VENEERS AND CERAMIC CHIPS
veneers in the cosmetic and functional field and has published around 58 publications on the topic of anterior aesthetic and minimally invasive dentistry and operative dentistry.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
3
CASE REPORT
The patient was a young woman looking to enhance the appearance of her teeth and boost self confidence in her smile. Upon assessment, the patient showed clear signs of Diastema, Microdontia, and general low value. All of which she was looking to resolve. To help her achieve her dream
Two weeks of tooth whitening
The patient selected treatment
smile, the patient was given two
was also recommended as part
option one for aesthetic reasons
treatment options to choose from:
of both treatment proposals in
as it offered better prominency of
order to improve the overall value
the two central incisors. However,
of the teeth. Whitening the teeth
the final treatment also included
at this stage would also enhance
two ceramic chips for the canine
the aesthetic integration with the
to help reduce the incisal embrasure
rest of the restorative work.
between lateral and canine.
1 2
To use veneer on the lateral incisor and ceramic chips on the central incisor. To use veneer on the lateral incisor and ceramic chips on the canine.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
4
P R E - O P E R AT I V E V I E W
To fully assess the state of the patient’s teeth, her smile was examined from two different angles:
1 2
Intraoral: this highlighted a general low value. Lateral: this showed signs of diastema and microdontia.
The lateral view was particularly important in this case as it helped us to understand the space between the lateral, canine and central teeth. It also highlighted how this should be managed and showcased the axis of the teeth and the dynamics of the smile. Using these two views of the patient’s smile, a mockup was created to represent how the treatment would work.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
5
TWO WEEKS OF TOOTH WHITENING
To ensure a natural appearance and consistency across the smile post restorative treatment, the teeth were whitened for two weeks using White Dental Beauty’s 5% Carbamide Peroxide mild whitening gel. Powered by NOVON® Technology
The patient was treated with a low
- an exclusive patented technology
strength bleaching gel to minimise
designed to produce an enhanced
sensitivity. However, due to the
whitening effect - White Dental
product’s patented chemistry, she
Beauty delivers improved whitening
was able to whiten her teeth from
results over less treatment time.
as little as 2 hours per day whilst achieving the same whitening
This is a result of the product’s
effect as a 10%CP system.
unique pH jump which encourages the release of perhydroxyl ions.
Using the Vita Shade Guide,
The patient was extremely happy
In its neutral state, the gels maintain
teeth were valued at A3 ahead of
with the aesthetics of her teeth,
a stable pH of 6.5, this jumps into
the treatment. This was improved
and was ready to undergo the
the alkaline range with a pH value
to A1 following two weeks
rest of the treatment.
of over 8.2 when activated by saliva.
of treatment.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
6
BONDING SEQUENCE
After two weeks of tooth whitening, the patient was pleased with the colour of her teeth and the restorative treatment could begin. The bonding sequence began using an individual dam, starting with the most fragile restoration‌ To begin with, the surface of the tooth was smoothed using a sandblasting technique. Then, the ceramic veneer was cemented to the lateral incisor following a standard bonding protocol. Using e.max Press MT BL2, the veneers and clips were created to match the characteristics and shade of the natural teeth. When reviewed using fluorescence visualisation, the restoration showed high quality aesthetic integration. I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
7
BEFORE AND AFTER
Before and after 2 weeks of tooth whitening, veneers and ceramic clips. Two conclusions can be deduced from this case... • Whitening the teeth ahead of restorative treatments ensures there is effective aesthetic integration across the mouth. • 5% Carbamide Peroxide is an effective whitening solution and can offered to patients who want to achieve impressive results with minimal sensitivity.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
8
P R O D U C T S U S E D : W H I T E D E N TA L B E A U T Y W I T H N O V O N ® T E C H N O L O G Y
White Dental Beauty is a worldwide leading tooth whitening brand. Working closely with leading clinicians and key opinion leaders to pave the way for the latest technological developments, White Dental Beauty create high-quality products that deliver optimum results. White Dental Beauty are
They have four professional
focused on creating products
whitening systems...
that are safe and effective, and
• 6% Hydrogen Peroxide
offer an impressive patient
• 5% Carbamide Peroxide
experience.
(for people with sensitive teeth)
• 10% Carbamide Peroxide • 16% Carbamide Peroxide
…all powered by NOVON®.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
9
NOVON®
NOVON® is a new whitening compound which uses an intelligent pH acceleration to deliver optimum whitening results over less treatment time. Teeth can now be whitened from as little as 30 minutes a day. So what makes NOVON® so unique?
Another advantage of using this
In short, it is the unique ‘pH jump’
is its stability. Unlike gels without
triggered upon application.
this technology, products
enhanced formula in whitening gels
containing NOVON® can be This chemical technology maintains
stored for over 24 months
a stable pH of around 6.5 when in
between temperatures of
its neutral state. But when activated
2 - 24°C.
POSTULATED STRUCTURE OF NOVON UREA
(contact with saliva), this jumps into the alkaline range of above 8.0. This encourages the release of perhydroxyl ions for a quicker and more efficient whitening effect.
Hydrogen
HYDROGEN PEROXIDE
Oxygen Nitrogen Phosphorous SODIUM TRIPOLYPHOSPHATE
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
10
NOVON
GENERATION OF THE PERHYDROXYL ION
White Dental Beauty offer a new
10% Carbamide Peroxide - this is
generation of tooth whitening that
the original percentage of gel used
means you can give your patients
as industry standard. Used for 2-4
a choice.
hours at a time and can be worn overnight.
6% Hydrogen Peroxide - this is
WHITENING ACTION OF THE PERHYDROXYL ION
equivalent to 18% Carbamide
5% Carbamide Peroxide - White
Peroxide and is the strongest at-
Dental Beauty Mild has been
home whitening solution allowed
designed to help people with
by EU Regulations. Used for 30-90
sensitive teeth whiten with
minutes at a time.
confidence. Even with less Peroxide, this is just as effective as a 10%CP
LARGE STAINING MOLECULE WHITENING ACTION
Hydrogen
SMALL COLOURLESS MOLECULES
16% Carbamide Peroxide - although
gel due to NOVON®.* Used for 2-4
the results of this are similar to
hours at a time and can be
gels with 6%HP, the treatment time
worn overnight.
required is longer. Used for 1-2 hours at a time.
Oxygen
*When compared to a competitive 10%CP gel, White Dental Beauty’s 5%CP gel containing NOVON® delivered similar whitening results in the same time - and with less immediate sensitivity. I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
11
W H Y W H I T E D E N TA L B E A U T Y ?
White Dental Beauty gels are specifically formulated, packaged and delivered with your patients in mind, ensuring you have everything you need to offer them a successful whitening treatment. Give your patients the best... • Visible whitening results in less than one week
And build your practice with their creative marketing support... • Eco friendly and biodegradable packaging
• 4 choices of strength: 6%HP, 16%CP, 10%CP and 5%CP mild • Stabilised Neutral pH that is kind to the tooth’s enamel • NOVON® pH alkalinity accelerator to boost the whitening effect • Optimal water content to help minimise sensitivity
• Patient literature, posters, feather flags and bags • Promotional patient videos through Dental Beauty TV • Luxury packaging with bespoke practice branding • Marketing support with customisable promotional signage
• Contains potassium fluoride for managing sensitivity • Conforms to EU Directives I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
12
W H Y W H I T E D E N TA L B E A U T Y ?
Buying White Dental Beauty
White Dental Beauty provide
White Dental Beauty’s whitening
dental practitioners with
systems are available worldwide
a comprehensive range of
from your local distributor, including
whitening products that are safe,
Optident for the UK and Henry
reliable, consistent and effective.
Schein for Europe.
This means you can satisfy patients needs with high quality
Meeting Patient Expectations Patients desire consistency and convenience from their tooth
products - as well as convenient packaging and easy to use syringes for application.
whitening product. They also expect
From the unique whitening
and demand outstanding care and
formula and carefully designed
excellent service, as well as the
packaging, to the help and advice
highest quality dental treatments.
when marketing the product
This is why you must have trust
- White Dental Beauty will put
in the products you offer.
together a helpful product package to help you improve patient care and build practice profitability.
I M P R O V I N G A E S T H E T I C I N T E G R AT I O N W I T H T O O T H W H I T E N I N G
13
White Dental Beauty is a worldwide leading tooth whitening brand, known for high quality products with clinically proven results. White Dental Beauty
We work with the world’s leading clinicians and top opinion leaders
IDC Valley
to ensure we stay at the forefront of tooth whitening innovation.
Ilkley
All of our products are safe, effective and unique.
West Yorkshire LS29 8AL United Kingdom E: info@whitedentalbeauty.co.uk T: +44 (0) 1943 605050
• Proven and predictable results • Intelligent pH Acceleration formula • Four different concentrations to suit every patient’s needs
whitedentalbeauty.co.uk
• Full marketing support package
Follow us here too:
• Bespoke practice branding service
in association with