Question: Is the 44% stronger than the 35% Hydrogen Peroxide?
Answer: Carbamide Peroxide consists of H202(hydrogen peroxide, the active ingredient) bonded with urea. Our 44% carbamide peroxide consists of 15.8% H202. Therefore, it's about half the strength of the 35% H202. We found this concentration to be a viable in-office option as it can produce in-office results on the upper arch without the need for a rubber dam.
Question: What is the #9 Enhancer?
Answer: Tri-Ethanol-Amine (TEA) which raises the pH of the material and reduces sensitivity. It is for use with in-office material and with at-home use only in special cases. Just add a few drops in the tray on top of the bleaching material. It is for use with 44% carbamide peroxide or to be mixed with 35% hydrogen peroxide gel (see instructions).
Question: What is the shelf-life of the bleaching material?
Answer: The shelf life of the at-home bleaching material is approximately two and a half years. The bleaching material should be kept refrigerated. In-office materials should also be refrigerated and replaced about nine months after the date of purchase.
Question: Do the higher concentrations cause sensitivity?
Answer: Our experience has shown that about 5% of patients are sensitive to carbamide peroxide. This percentage of sensitivity appears to be consistent through concentrations of 10%, 15%, and 20%.
Question: What should be done when a patient is experiencing sensitivity?
Answer: If a patient experiences pulpal symptoms, i.e. minor tooth sensitivity (nationwide surveys show less than 5% occurrence of such sensitivity with all at-home peroxide based bleaching agents), instruct them to discontinue treatment for 48 hours, and then resume treatment with 1/2 cc of material in the tray for one hour, once per day. The majority of such symptoms are transient and regress within about 48 hours.
Question: What is a common at-home treatment regimen?
Answer: We suggest that you have the patient place 1/2 cc of the material into the stent and wear the stent for one (1) hour. Twice-a-day applications is all that is required. Send the patient home with enough material (i.e. one 5.5cc syringe) to begin the upper arch. Bring patient in for a mid-treatment recall before sending him/her home with the remainder of bleach (sometimes in a higher concentration) to complete the arch. A mid-treatment exam is optional. After completion of the upper arch, then repeat the process for the lower arch.
Question: What does "patent protection" mean?
Answer: We are licensed under Patent Re: 34,196 which covers a method of tooth bleaching that involves placing bleaching material into a dentist designed mouth tray. We extend that patent protection in conjunction with the use of our products to our dentists' customers.

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