Teeth Whitening System | Pur-Well Living Coupons Code

Dental aesthetics is a booming dental discipline and, in this context, teeth whitening pur-well living coupons code treatments are becoming more and more popular. In order to guide the patient who comes to the pharmacy for advice on this issue, the pharmacist must know the different types of abnormalities that can affect tooth staining, and also the particularities of each of the available treatment options. This is the object of attention of this article.

 

Since the first civilizations, the search for beauty has been a longing constantly pursued by the human being. The aesthetic appearance of teeth and mouth have not been left out and thus the Mayans of Central and South America (around the year 1000 AD) embellished their mouth by filing the incisal edges of their anterior teeth with different shapes and designs. During the Roman Empire, oral hygiene was also of considerable importance and, although only the wealthy classes had access to cosmetic dental treatment, mouthwashes, toothpaste, and toothpicks were common in Roman toilets, if more for reasons of beauty than for dental health reasons. What's more,

The concern for dental aesthetics has been a constant in history and in different civilizations up to the present day, although it is currently linked to the general awareness about the importance that good oral hygiene has on our health.

The best smile

Without a doubt, a smile is our best business card. In the relationship between people, the smile is the first contact necessary for rapprochement and communication. It can be said that having a beautiful smile and being generous when sharing it with others undoubtedly contributes to improving our personal relationships. That is why today dentists' and dentists' offices are filled with patients eager to achieve a bright white smile.

Although the first tireless search for whiter teeth dates back to at least 2,000 years ago, when 1st-century Roman physicians claimed that brushing teeth with urine (particularly Portuguese urine) bleached teeth, if we skip In the time up to the fourteenth century we observed that the dental service in greatest demand after extractions was teeth whitening. With these historical antecedents, it is understandable that bleaching techniques and products have been the object of study, development, and constant evolution until we achieve the wide range of possibilities that we have today to achieve a tooth whitening adapted to the specific needs of each person.

Ethiopathology of dental discolorations

Before delving into dental whitening techniques, it is very important that we pause briefly to make a brief and cursory study of the etiopathology of dental discolorations, since the knowledge of the causes that produce discoloration is essential from a point of view therapeutic and fundamental for the selection of the ideal treatment regimen to follow.

Structural anomalies

Structural anomalies appear when the calcified components of the teeth present alterations in their structures and mineralization. The etiology can be hereditary or environmental, and the alterations can manifest as changes in the size, shape, and color of the teeth. Table 1 shows the different types of endogenous (hereditary) and exogenous (environmental) anomalies that may occur.

There are a series of differences that help us distinguish endogenous from exogenous pathologies, since while the former affects both the primary and secondary dentition, the exogenous nevertheless affect one or the other or only some teeth. Endogenous ones also affect enamel or dentin and exogenous ones affect both enamel and dentin and, finally, hereditary or endogenous discolorations have a diffuse or even vertical orientation, and yet environmental or exogenous ones have a horizontal orientation. In addition to those already mentioned, there are many other types of stains that can appear for various reasons, salivary components can cause brown spots, chlorophyll captured by dental plaque can cause green spots, imperfect dentinogenesis can produce purple-brown spots, yellowish or gray. On the other hand, it must also be considered that a generalized yellow or gray coloration may not be due to a pathological alteration, but simply constitute a variation within the normal range of dental tones. In addition, there are some spots that are of unknown etiology.

Therapeutic possibilities and treatment modalities

The development of new techniques together with the appearance and improvement of new materials allow us to have a wide range of therapeutic possibilities at our disposal. But as already mentioned in the previous section, like any other treatment, before being able to prescribe appropriate therapeutic measures, an attempt must be made to establish a correct diagnosis. There may be certain problems when it comes to discerning the etiology of a specific dental pigmentation, so an exact anamnesis and an assessment of the factors discussed will help in establishing the differential diagnosis. We can classify the laundering procedures according to different criteria:

The environment in which the treatment is carried out Depending on where it takes place, we can distinguish three categories: whitening that is carried out in the consultation applied by the dentist or by members of his team; outpatient or home whitening that is applied by the patient himself, and the combination of the two.

Point on which the treatment is applied In the points regard, it is possible to distinguish between external whitening and internal whitening. In the first, bleach is applied to the outer surface of the teeth, and in the second, a non-vital tooth or a tooth with calcified pulp is acted upon so that the bleach can be placed inside the tooth.

Technique used Basically, three techniques are worth mentioning: · Acid bleaching plus mechanical abrasion (acid/abrasion). They are very tempting due to the shortness of the treatment, but it is not very selective and very destructive, so its use is limited exclusively to superficial stains. · Bleaching systems. They are also used to treat superficial stains, but they are also the only ones that can be used to treat deeper enamel stains and for dentin pigmentation. Vital teeth whitening pur-well living coupons code can be done completely in the dental office (professional whitening) or outside of it (home whitening). · Combined treatment. In some cases, it is possible to obtain the desired clinical result by consecutively using bleaching and acid / mechanical abrasion techniques.

Acid application plus mechanical abrasion The application of acids together with the mechanical micro-abrasion of the enamel is a relatively simple technique that simultaneously removes stains and part of the tooth structure. Its indications are limited to stains or superficial decalcifications since by eliminating a layer of 2 to 3 micrometers of the enamel, we eliminate the discoloration. This technique is based on the use of a mixture of 18% hydrochloric acid with a pumice stone since it has been shown that it can give excellent results to remove the surface layer of enamel. Hydrochloric acid is a powerful descaling agent that does not act selectively and descales both the tooth structure and the stains that may exist in it, so if hydrochloric acid is combined with abrasive agents, the affected enamel is completely eliminated along with the stains. This method is indicated to treat pathological discolorations due to fluorosis. On the other hand, it is not indicated for stains or color changes that affect the deepest part of the enamel or dentin, for stains caused by food, beverages or tobacco or due to decalcification. It is also not indicated to treat tetracycline discolorations. It should be noted that applying this technique requires very strict measures to protect the dentist, patient and auxiliary personnel from acid. On the other hand, there is a more conservative method for removing yellow-brown fluorosis stains, which is to first try home bleaching and then proceed with selective acid / abrasion treatment if still necessary.

Most bleaching systems use hydrogen peroxide or a stabilized form of it, carbamide peroxide, to whiten teeth. Other abrasion techniques Another possibility consists of mechanical abrasion with rotary instruments without using acids or pumice stones, but with these techniques it is necessary to take extreme precautions to avoid the formation of recessed areas, the alteration of the lip contours and an excessive reduction of the enamel.

Bleaching systems

Most bleaching systems use hydrogen peroxide or a stabilized form of it, carbamide peroxide, to whiten teeth. The true mechanism of laundering is not fully understood. Highly unstable oxygen free radicals are known to be generated that break up the larger and intensely pigmented carbon ring organics contained in the enamel matrix, converting them into shorter, less pigmented chain molecules. This process is known as oxidation. When the oxidation process continues for a long time, it exceeds the whitening phase, being able to decompose organic materials into carbon dioxide and water, which represents the loss of the enamel matrix.

Professional bleaching To whiten vital teeth in the dental office (which is often known as powder bleaching), whitening agents composed of hydrogen peroxide are used, which is applied to the teeth and to later activate their whitening effect by heat. The key agent in this area is hydrogen peroxide. As already mentioned, the exact mechanism of stain removal is not well understood, but it is likely due to oxygen release, a mechanical cleaning effect, and oxidation or reduction reactions. In particular, tetracycline stains can disappear due to oxidative degradation of the quinone ring. In addition to the effectiveness of heat and hydrogen peroxide tooth whitening being fully demonstrated, no appreciable loss of vitality of the tooth has been observed after subjecting it to this bleaching technique, although a slight thermal sensitivity after bleaching is common. . Irreversible pulp effects have not been demonstrated. Typically 35% hydrogen peroxide is applied to the tooth surface as a gel and then the heating element is placed on the tooth. Each one of the teeth is treated separately and following a consecutive order. This technique also presents certain problems, since it sometimes offers unstable results. The spots can reappear over time after a successful or partially successful treatment. On the other hand, it is a somewhat annoying and unpleasant technique for patients, in addition to the fact that, as mentioned above, thermal hypersensitivity may appear after treatment. In extreme cases, periodontal and / or pulp lesions may appear. The incorporation of carbamide peroxide has given great hope, because the results obtained are very satisfactory, even better than those obtained with the techniques described above.Home bleaching prescribed by the dentist Self-application of home-based whitening agents previously prescribed by a dentist is probably the most popular method of whitening vital teeth. Carbamide peroxide is the main protagonist of this technique, which is also known as home bleaching or matrix bleaching. Carbamide peroxide, also known as hydrogen peroxide carbamide, carbamide urea, hydrogen peroxide urea, perhydrol urea and perhidelure, has been used since the sixties as an oral antiseptic, with the whitening action being a secondary effect, although nowadays it is Indication is the fundamental for its use. It degrades, forming approximately 3% hydrogen peroxide and 7% urea. Carbopol and other thickeners are often added to produce a gel or paste and improve the properties of the material. The incorporation of carbamide peroxide has given great hope, because the results obtained are very satisfactory, even better than those obtained with the techniques previously described. In addition, and perhaps the most important thing about this technique, is that its application is painless and can be performed on an outpatient basis. In addition, it is a fairly inexpensive technique and for all these reasons it can be considered the technique of choice in external whitening. The whitening agent (10% carbamide peroxide gel) is held against the teeth by means of a custom made tray. The frequency, timing and number of applications and the duration of the treatment vary depending on the technique used. It is often applied overnight, although the retention of bleaching material within the custom tray when left in overnight was initially questioned. Subsequent studies confirmed that more than 60% of active material was retained after more than 4 h of use. As in all techniques, the basic thing is a correct diagnosis and being aware of its limitations, since although many manufacturers when explaining the benefits of their products assure, for example, that it is the definitive solution to discolorations due to tetracyclines, we must be aware that it does not behave in the same way in all cases nor does it allow all users to obtain the same results. Carbamide peroxide is mainly indicated for mild discolorations caused by tetracyclines; yellowed teeth and darkened teeth due to aging. Treatment should be interrupted if tooth or gingival sensitivity develops and, of course, all the precautions specified in the package insert or in the instructions written by the manufacturer must be taken.

Home bleaching without a prescription There are many products for home bleaching that do not need the supervision of a dentist, however, this type of treatment is not advisable since problems arising from incorrect or excessive use are frequent. Isolated teeth whitening Sometimes an intact vital tooth differs from the rest and represents an aesthetic problem. It can be the result of trauma and the resulting internal bleeding or premature internal calcification. It can also be normal, as in the case of canines that are naturally darker than incisors. The whitening of isolated vital teeth is carried out using the techniques already mentioned. Non-vital stained teeth are usually more frequent, in which whitening can provide an acceptable solution, although it presents a problem such as lack of color stability over time. Sodium perborate and 30-35% hydrogen peroxide are the usual agents used to whiten stained devitalized teeth separately or in combination. Advice from the pharmacy · Go regularly to the dentist to carry out the corresponding check-ups. · Perform good dental hygiene daily, including dental floss. · Use a toothbrush with dense, straight, medium-hard, synthetic bristles and a rounded finish. · If possible, use a rotating electric toothbrush. · Use pastes or gels that include carbamide peroxide in their formulation and avoid pastes with high fluoride content. · Give up tobacco and cut down on alcohol. · Do not use your incisors to cut your nails or split the shells of nuts, for example. · Coffee and tea should be restricted and replaced by other types of beverages with less staining capacity. · In the usual diet, the consumption of certain vegetables such as artichokes or spinach, and coloring elements such as saffron should be reduced if possible. Before starting a whitening treatment Before starting a teeth whitening pur-well living coupons code treatment, a series of factors must be taken into account that will contribute to obtaining satisfactory results. The first and fundamental step is always aimed at maintaining gingival health since no aesthetic treatment can be started without a good periodontal condition of the patient. Regular visits to the dentist with hygiene and maintenance sessions are essential to enjoy good dental health. There are also simple maintenance techniques that can be done at home to delay the appearance of extrinsic stains. The first is prevention, reducing the consumption of coffee, tea, tobacco, and certain vegetables such as spinach and artichokes. Of course, we must not neglect oral hygiene. Currently, there are techniques to be able to perform a very complete oral hygiene at home through scrupulous brushing and the use of dental floss, which will help us avoid the premature appearance of stains. Rotating electric brushes can be of great help, simplifying the brushing technique and making it more precise. In addition, frequent association with carbamide peroxide pastes or gels can delay the appearance of stains.