Teeth Cleaning Cost in India

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TOOTH WHITENING
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TOOTH WHITENING/BRIGHTENING PROCEDURES

• The lightening of the color of a tooth through
  the application of a chemical agent to oxidize
  the organic pigmentation in the tooth is referred
  to as bleaching.

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• Degradation of high molecular weight complex
  organic molecules that reflect specific wave
  length of light responsible for the color of the
  stain into lower molecular weight and less
  complex molecules that reflect less light is
  called lightning.
• Bleaching is used as sole treatment of choice or
  in conjunction with other treatment modalities to
  brighten a whole smile.

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HISTORY

• Bleaching was unsuccessfully used in the middle
  ages
• Modern bleaching technique began in 1918.Abbot
  used the combination of superoxol and heat.
• 1958Prarsonintra pulpal bleach
• 1967--Nutting and Porwalking bleach

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• 1978superoxol heat light
• 1989Haywood . Hayman (night guard vital
  bleaching,10 carbimide peroxide)
• 1996laser tooth whitening officially started
  with the approval of ion laser technology Argon
  and CO2 lasers to be used with a potential system
  of chemicals

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BLEACHING MATERIALS

• Oxidizing agents
• Hydrogen peroxide bleaching solution and gels.
• Ph highly acidic
• Conc 3-3.5
• Carbamide peroxide based bleaching agents also
  called
• Urea hydrogen peroxide,
• Carbamyl peroxide,
• Perhydrol urea
• Conc 3-45
• Ph 5-6.5

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More
and more people would like lighter teeth. Not
surprising as nothing can improve a smile like
bright white teeth
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Indications

• Light enamel discolorations
• Mild tetracycline discolorations
• Endemic fluorosis discolorations
• Age related discolorations

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Contraindications

• Severe dark discoloration
• Severe enamel loss
• Hypersensitive teeth
• Presence of caries
• Large/poor coronal restoration

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Procedural steps

• Familiarize the patient with
• Probable cause of discoloration
• Procedure to be followed
• Expected out come
• Possibility of future re-discoloration
• Take radiographs
• Detect all carious lesions
• Defective restorations and proximity of pulp horns

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• Evaluate tooth color
• With shade guide
• Take clinical photographs before and through out
  treatment.

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• Apply a protective cream to the surrounding
  gingival tissues and isolate the tooth with a
  rubber dam and waxed dental floss ligature.
• Do not inject local anesthetic.

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• APPLICATION OF 30 CARBAMIDE PEROXIDE ON THE
  TOOTH SURFACE
• MATERIAL IS ALLOWED TO STAY FOR 15-20 MINUTES

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Significant whitening of teeth after treatment
with Vivastyle Paint on
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Advantages

• professional tooth whitening without a tray, as
• Patients find tray application uncomfortable
• Patients are looking for a more cost-effective
  alternative
• smooth integration into daily schedule
• gentle application
• touching up of previously whitened teeth

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Technique

• Radiographically assess the status of the
  periapical tissues and the quality of endodontic
  obturation.Endodontic failures or questionable
  obturation ,should always be retreated prior to
  bleaching.

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