Vital Teeth Bleaching Treatments with In-Office Bleaching: The Case Reports

Dental bleaching is one of the preferred treatments by patients to improve facial attractiveness. It is a relatively simple and conservative technique that makes possible to change dental colour by removing discolorations. Four different patients applied to our Faculty for whitening treatment at different times. In clinical examinations, we detected extrinsic discoloration of the teeth. For this reason, we decided to apply office bleaching treatment (Opalescence BOOST, Ultradent Products INC., USA). First of all, measures were taken to protect the lips, gums and oral mucosa. Gums were covered with gingival barrier (OpalDam Green, Ultradent Products INC., USA). Isolation was provided with cotton pellets. 40% Hydrogen Peroxide was applied to the maxillary and mandibular teeth inculuding between the second premolars. After 20 minutes of application, hydrogen peroxide was carefully removed with water and cotton pellets have been replaced. After that, a second 20 minutes application was made with the whitening agent. When the application period was over, it was removed with water and the gingival barrier has been removed. Patients were advised to stay away from products containing coloring dark colors such as cigarettes, tea, coffee, chocolate, red wine, cherries, tomato paste for two weeks. At the controls two weeks later, it was seen that the aesthetic expectation of the patients was met.