Inside Dentistry
November 2015
Volume 11, Issue 11

In-Office Power Whitening

Minimize side effects with this powerful solution

Cappy Sinclair, DDS

Figure 1 | Currently, there are three main categories of products available for tooth whitening—over-the-counter (OTC), at-home, and in-office whitening therapies. With in-office or power whitening treatment, a highly concentrated whitening gel is applied directly to the teeth in one or several increments completed in the same appointment, and then removed to reveal immediate, visible results. In-office whitening works more efficiently and effectively than other treatments, but it is not without its challenges, including discomfort from hypersensitvity and the lengthy procedure and application time. Some in-office treatments do not achieve whitening of stains that resulted from iatrogenic factors such as dental fluorosis and tetracycline.

Pola Office Plus Whitening is a chemically activated in-office whitening treatment designed to minimize sensitivity and maximize bleaching efficiency. Effective when whitening one or more teeth, parts of a tooth, and/or for chairside whitening techniques, the treatment is indicated for use on vital and non-vital teeth, including intracoronal bleaching.

Pola Office Plus can be used prior to placing esthetic restorations and to treat discolored teeth caused by disease, injury, medical treatment, or iatrogenic factors, such as dental fluorosis, jaundice, tetracycline, adult minocycline stains, porphyria, trauma, and erythroblastosis fetalis. It can also treat organic stains and be used in conjunction with at-home treatments for tougher stain removal.

This treatment contains a powerful 37.5% hydrogen peroxide gel. With a higher concentration than other treatments, Pola Office Plus produces quicker and more significant whitening results in just 30 minutes. It does not require at-home wear and is ideal for patients with a hypersensitive gag reflex, as the whitening gel is applied directly to the teeth.

With three, 8-minute sessions, the active hydrogen peroxide and neutral pH levels minimize changes in tooth structure and unpleasant side effects, including tooth sensitivity and gingival irritation.1 The addition of potassium nitrate and fluoride to the whitening formula helps reduce sensitivity and improves the overall tooth health.2 Fluoride also helps decrease susceptibility to caries3 and prevents damaging effects on enamel mineral content.4

Key Takeaways

  • Procedure requires just three, 8-minute sessions, minimizing changes in tooth structure and unpleasant side effects
  • Effective for whitening challenging stains, as well as dark, internally discolored teeth
  • Minimizes patient responsibility, as it does not require at-home wear
  • Ideal for patients with a hypersensitive gag reflex because it is applied directly to teeth and completed in less than an hour

About the author

Cappy Sinclair, DDS, is in private practice in Virginia Beach, Virginia. He is also a board member for the American Academy of Cosmetic Dentistry.

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1. Attin T, Kielbassa AM, Schwanenberg M, et al. Effect of fluoride treatment on remineralization of bleached enamel. J Oral Rehabil. 1997;24(4):282-286.

2. Tam L. Effect of potassium nitrate and fluoride on carbamide peroxide bleaching. Quintessence Int. 2001;32(10):766-770.

3. Al-Qunaian TA. The effect of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-270.

4. Basting RT, Rodrigues AL Jr., Serra MC. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-1342.

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