Tooth Whitening

Tooth whitening has become one of the most requested cosmetic dental procedures. This course provides a comprehensive scientific and clinical review of modern whitening therapies, separating marketing hype from evidence-based practice. It explores the chemistry of whitening agents—primarily hydrogen peroxide and carbamide peroxide—and the mechanism of oxidation that allows them to break down complex chromophores within the tooth structure. Participants will gain a deep understanding of the various delivery systems available, ranging from high-concentration in-office power bleaching to custom take-home trays and over-the-counter strips. Crucial to success is the proper diagnosis of tooth discoloration. This curriculum differentiates between extrinsic stains caused by lifestyle factors and intrinsic stains resulting from trauma, tetracycline, or fluorosis, as the treatment approach and prognosis differ significantly for each. The course also addresses the management of the most common side effect: dentinal hypersensitivity. By understanding the hydrodynamic theory and utilizing desensitizing agents effectively, clinicians can improve patient comfort and compliance. Finally, the course covers the restorative implications of whitening. It emphasizes the critical "wait period" required before placing composite or porcelain restorations due to the temporary reduction in bond strength caused by residual oxygen. Safety protocols, including gingival isolation and the management of non-vital teeth via internal bleaching, are also detailed. This training empowers dental professionals to deliver safe, predictable, and esthetically pleasing results.