Authors: Amanda Vessoni Barbosa Kasuya1, Patricia Saram Progiante, Juliana Delben, Cleverson de Oliveira e Silva e Fabiano Carlos Marson
Patient’s Sex and Age: Female patient, 30 years old
Chief Complaint: Yellowish color of natural teeth.
Initial Clinical/Radiographic Assessment
During the anamnesis, the patient reported never having undergone previous teeth whitening treatment and had a mild generalized tooth sensitivity. Physical examination revealed the absence of prior restorations, healthy gum condition, no carious lesions, and an initial tooth color of A3 according to the Vita Classical shade guide.
Treatment Performed
The proposed treatment was supervised at-home teeth whitening using 10% carbamide peroxide gel (Whiteness Perfect 10%, FGM) with a reduced daily usage time of 1 hour for 21 days. After making a silicone tray and providing instructions on using the whitening gel, dietary guidelines, and oral hygiene, the treatment was initiated. The patient was informed that if she experienced heightened sensitivity, she should contact the clinic for reevaluation of the treatment plan.
At the midway point of the treatment, during a follow-up visit, the tooth color was measured as A1, indicating significant whitening progress without any complaints of sensitivity, allowing the treatment to continue. After completing the 21-day period, the patient expressed satisfaction with the achieved aesthetic improvement (final shade B1), as she did not need to discontinue the treatment due to sensitivity.
The reduced daily usage time for the teeth whitening treatment resulted in a significant change in tooth color over the course of 21 days of continuous treatment. The patient was satisfied with the outcome and did not experience any sensitivity that would hinder the treatment.
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