Whatever your dental issue, we’ll provide a solution!
This lady had previously had root treated and discoloured upper right central incisors. With only a small access cavity in the back of the tooth we did not want to damage the sound tooth further by placing a porcelain crown or veneer.
Until recently internal whitening was carried out by placing peroxide crystals in the access cavity which were then refreshed on a weekly basis. Internal whitening could easily have taken 8-10 weeks and 8-10 visits to the surgery to achieve a good result – time consuming and potentially expensive.
Here Steve is demonstrating a case in which he is utilising a new technique, which delivers fantastic results in just 1 -2 weeks.
In this case an impression was taken to make a small clear, invisible orthodontic retainer, extending from just upper first premolar to premolar. The small filling was removed from the back of the discoloured incisor, the top of the root filling sealed with a light cure glass ionomer.
The access cavity was left open and the patient was given two tubes of Boutique 16% carbamide peroxide whitening gel. The patient was shown how to insert the whitening gel into the access cavity and then place the clear retainer over the teeth.
The retainer holds the gel in the tooth, excess is removed with the finger once the retainer is in place. The patient was instructed to rinse the retainer and refresh the gel every 3-4 hours as convenient and wear overnight as well. We also provide the patient with a 5 or 10 ml syringe to aid in flushing food debris from the back of the tooth, with water or mouth wash, and a pack of Tepes interdental brushes to aid cleaning.
The fantastic results in these photos were achieved in just over a week. The access cavity was refilled with white filling material.
Outstanding results, minimal surgery time, minimal visits for the patient, no local anaesthesia required, no damage to the existing tooth substance, and a fraction of the cost of a crown.