![]() ![]() ![]() ![]() With the knowledge on peroxide-based whitening materials and the recognition of potential adverse effects associated with the procedure, dental professionals are able to formulate an effective and safe tooth whitening regimen for individual patients to achieve maximal benefits while minimising potential risks. So far there is no evidence of significant health risks associated with tooth whitening however, potential adverse effects can occur with inappropriate application, abuse, or the use of inappropriate whitening products. The most commonly seen side effects are tooth sensitivity and gingival irritation, which are usually mild to moderate and transient. Data accumulated during the last two decades demonstrate that, when used properly, peroxide-based tooth whitening is safe and effective. ![]() This article reviews and discusses safety issues of tooth whitening using peroxide-based materials, including biological properties and toxicology of H₂O₂, use of chlorine dioxide, safety studies on tooth whitening, and clinical considerations of its use. While few disputes exist regarding the efficacy of peroxide-based at-home whitening since its first introduction in 1989, its safety has been the cause of controversy and concern. They have produced this hard hitting video.In-office tooth whitening using hydrogen peroxide (H₂O₂) has been practised in dentistry without significant safety concerns for more than a century. Your smile campaign" has been launched by the Department for the Economy andĪ number of other stakeholders. The General Dental Council provides information for patients on teeth whitening including a patient leaflet.Methods: A novel gel (PAP+) was formulated. Objectives: This study tested a novel formulation of phthalimidoperoxycaproic acid (PAP) with additives to optimise its safety and effectiveness. Information for patients on teeth whitening is also available from the Oral Health Foundation. Background: Traditional bleaching agents based on hydrogen peroxide (HP) or carbamide peroxide (CP) have adverse soft and hard tissue effects.Our free teeth whitening poster is also available to put up in your surgery, available to print out in colour or in black and white, highlighting top tips on teeth whitening.Where can I get more information for my patients? The BDA Library also holds a wealth of resources on teeth whitening, including books for loan, ebooks, and a round-up of journal articles and research.Come to our CPD events focused on teeth whitening during the year, to help keep you up to date.BDA members can access BDA advice Tooth whitening, covering detailed information on the legal levels of hydrogen peroxide, supply and use, penalties, whitening techniques and unmarked products.Resources for dentists on teeth whitening The BDA recommends consulting your defence organisation before providing any treatment to under 18 year olds. In May 2014, the General Dental Council updated its position on teeth whitening to state that products containing or releasing between 0.1% and 6% hydrogen peroxide cannot be used on any person under the age of 18 years except where such use is intended wholly for the purpose of treating or preventing disease. Due to serious concerns regarding the safety of sodium perborate- and chlorine dioxide-based whitening products, these whitening agents should not be used. The UK regulations make no distinction between in-surgery whitening and the provision of home whitening kits. Products between 0.1% and 6% hydrogen peroxide can only be supplied by a dentist and a clinical examination must be undertaken before use. The EU Cosmetics Directive was finally amended in 2011, and the UK Cosmetic Product (Safety) (Amendment) 2012 came into force on 31 October 2012. Through the Council of European Dentists (CED), we lobbied the European Commission to remove all legal restrictions on dentists so they can carry out whitening procedures in line with accepted clinical practice. In the UK, a House of Lords Judgement in June 2001 confirmed that teeth whitening products were covered by the EU Cosmetics Directive and not the Medical Devices Directive. Historically, the legal position in Europe relating to teeth whitening has been confusing, with different interpretations of the EU Directive being applied in different European countries. The legal position: lobbying for dentistry ![]()
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