Potential risks of bleaching

[tirath]

-Adverse soft tissue response to long term contact with the chemicals.
-Excessive ingestion of the chemicals can cause possible systemic effects.
-Etching of enamel and dentin with associated hypersensitivity.
-Possible surface alteration of resin, ceramic, glass ionomer and metal restorations.
-Possible bite alterations and TMJ problems from extended use of trays.

        

[tirath]

-Instruct the patient to place 2-3 drops of bleaching agent per tooth in the tray along the facial wall and place the tray in the mouth.
-With in a minute of placing the tray, there will be slight foaming action. The patient can expectorate excess liquid.
-Wear 3-4 hours a day, replenishing bleach every 30-60 minutes.
-Discontinue usage if uncomfortable.
-Report to the dentist if tissue irritation or tooth sensitivity occurs.
-Expect 1-2 shade lightening.
-Treatment time 4-24 weeks.

Follow-up
-Call the patient after 1-2 weeks to evaluate tissue response and monitor compliance.
-Monitor lightening, check for complications and provide fresh bleaching agent.
-If complications occur, stop treatment for a few days and proceed with shorter wearing time or lower concentration.
-Take post operative photographs to verify changes.

        

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