Author: Dr. Iyad Hassan.
Dissatisfaction with the shade of his teeth and a small gab between the two centrales.
The patient came to the clinic to improve the shade of his teeth. He was invited to a wedding and asked for a bright smile A diastema and a gingival inflammation were noticed, dark stains on the surface of the teeth due to smoking shisha.
The treatment suggested was a deep clean by our dental hygienist followed by in-office whitening with Whiteness HP Blue by FGM. Both procedures were done in the same session as there are no reasons for not having dental whitening treatment for the malocclusion patients.
Fig. 1: Initial aspect.
Fig. 2: Shade taking using Vita classical shade guide – the shade is A2 but on canines it is A3.
Fig. 3: The hygienist used a device named aquacare with sodium carbonate powder sandblast for stain removal.
Fig. 4: Aspect after finishing the cleaning and stain removal, the patient asked to rest for 15 minutes.
Fig. 5: The patient’s lips were hydrated for the placement of the lip retractor. Then with the gums dry , Top dam gingival barrier was applied. We ensured there was no blood on the gingival surface in order to get better bonding of the dam.
Fig. 6: After the barrier was completely fitted, the whitening gel Whiteness HP Blue was applied 4 times. 50 minutes later, the gel was removed with a disposable surgical suction device. No whitening lamps were used.
Fig. 7: Immediate result – already showing some change in shade.
Fig. 8: Closing diastema immediately after the whitening procedure with Vittra APS composite in shade DA1 + EA1.