Professional Non-Vital Bleaching

 FOR IN-OFFICE USE ONLY

NON-VITAL BLEACHING

I. Check endodontics
A. X-Ray’s
B. Do not bleach if negative signs or symptoms are present

II. Protect the soft tissue

III.Open the tooth
A. Clean
B. Remove pulp and discolored dentin
C. Seal gutta-percha subgingivally
D. Reduce gutta-percha 2-3 mm below gingival margin
E. Remove internal restorations that prevent bleach from being in contact with tooth
structure

IV. Seal gutta-percha and subgingival tooth structure with
A. Light-cured glass ionomer, or
B. Bonded composite (White)

V. Polish enamel

VI. Bleach the tooth (internal and external)
A. Gel bleaching
1. Fill pulpal chamber and cover entire external surface
2. Change the gel every 12 minutes (3-4 applications = 1 treatment) 36 to 48 minutes
treatment time
3. Temporize
4. May need second appointment
B. Optional “Walking” Bleach procedure (internal only)
1. Place 35% H₂O₂ gel in tooth (it is not necessary to use the #9
enhancer when performing internal bleaching)
2. Seal the tooth with composite
C. Combined – you may perform both procedures in one visit
D. With walking bleach technique re-appoint patient in 2-5 days.

                      SHELF LIFE IS ONE YEAR FROM THE DATE OF DELIVERY

                      PLEASE KEEP THIS MATERIAL REFRIGERATED