32-year-old female patient
Chief complaint: Patient was dissatisfied with the color of the teeth.
Initial evaluation
The patient underwent a detailed anamnesis examination and clinical examination, no pathological changes were observed. In the clinical exam, integrity of the periodontal tissues, absence of cervical and occlusal carious lesions, both in anterior and posterior teeth were observed. The patient reported no sensitivity.
Treatment performed
Prophylaxis was performed with pumice and water. Then, the initial shade of the patient’s teeth was taken (classic Vita shade guide), choosing A2, for the superior central incisors, and A3.5, for the superior canines. The process began with application of the Top Dam gingival barrier, in a generous amount, including a small cervical strip from the teeth to the molar region. After polymerization, the barrier was checked for perfect tissue protection.
The whitening gel of choice was Whiteness HP Blue 35%, maintained for 30 minutes in contact with the dental surface in the first session and, in the others, maintained for 40 minutes, as the patient did not report sensitivity between sessions. Four in-o¡ce whitening sessions were carried out, with an interval of one week between them.
Step by Step
Fig 1 – Photo initial smile
Fig 2 – Initial shade-taking
Fig 3 – Application of Top dam gingival barrier.
Fig 4 – Application of Whiteness HP Blue 35% whitening gel.
Fig 5 – Final shade
6 | Final result
Authors: Dra. Helena Laskawski Klemba e Dr. Raphael Monte Alto
Products Used
