Improving aesthetic integration with tooth whitening

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!

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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.

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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.

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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.

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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.

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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.

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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.

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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®.

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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

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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.

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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

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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.

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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

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