Bleaching (Vital & Non Vital) (4)

8/18/2019 Bleaching (Vital & Non Vital) (4)

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Raditya Nugroho, drg., Sp.KG

1

BLEACHING (VITAL & NN VITAL!


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"a#tor$%a#tor yag dapat 'y)a)#a

pru)aha *ara gigi

+


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CNSERVATIVE TREATENTS

"R -ISCLRE- TEETH

r'oa/ o% 0ur%a 0tai0,)/ahig,

'iroa)ra0io or 'aroa)ra0io,

rig,

ad p/a't o% por/ai ro*0


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BLEACHING

Non-vital Bleaching

2"Walking" Bleach Technique2Thermocatalytic Bleaching

Technique

VitalBleaching

2In-Office Vital Bleaching Technique2Dentist Prescrie!-ome #$$lie!

Technique %Nightguar! Vital Bleaching&

3


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atria/ B/ahig

Baya# )aha )/ahig yag tr0dia 0aat ii, yag pa/ig u'u' digua#a ada/ah

hidrog pro#0ida, 0odiu' pr)orat, da #ar)a'id pro#0ida. Hidrog pro#0ida

da #ar)a'id pro#0ida diidi#a0i#a utu# p'utiha 4traoroa/, 0dag#a

pr)orat atriu' digua#a utu# p'utiha itraoroa/.

2 Hidrog 5ro#0ida. Tr0dia da/a' )r)agai #o0tra0i, #o0tra0i 678 0a'pai

698 (0upro4o/, prhidro/! ada/ah yag pa/ig u'u' digua#a. G/ 0i/i#o dio#0ida

yag 'gadug hidrog pro#0ida 698 :uga tr0dia, ))rapa diataraya

dia#ti%#a o/h ahaya.

2 Sodiu' pr)orat. rupa#a ;at pgo#0ida0i tr0dia da/a' )tu# )u)u#.

gadug pr)orat 0#itar


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=

2 Proses Terjadinya Pemutihan Gigi

2 Ra#0i H++ dga 'o/#u/ 'o/#u/ apatit>

2 H++ H+ ?

2 Ca17(53!=(H!+ ? 17 Ca ? 6 5+9 ? H+

2

2 5gdapa Ca 'i')u/#a *ara putih pada gigi


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B/ahig

@

2 Si%at H++ >2 Kau0ti# dapat '')a#ar :ariga )i/a )r0tuha2 /pa0#a radi#a/ ))a0 yg.)r0i%at to#0i#2 H++ dg.#o0tra0i tiggi )r0i%at tr'odia'i#

yg.td#.0ra)i/ > dapat '/da#2 -i0i'pa d/'.#'a0a g/ap

2 5r/u di/a#u#a i0o/a0i darah #r:a


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Non-vital Bleaching

2 Indikasi

2 -i0o/oratio0 o% pu/p ha')r

2 -ti di0o/oratio0

2 -i0o/oratio0 ot a'a)/ %or'atio

2 to 4traoroa/ )/ahig


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Non-vital Bleaching

<

2 Kontraindikasi

2 Supr%iia/ a'/ di0o/oratio0

2 -%ti a'/

2 5r0 o% ari0

2 Sr dti /o00

2 -i0o/ord o'po0it0


10/28

5ENCEGAHAN -ISKLRASI GIGI (TAN5A

5L5A!

17

2 5rpara0i :a/a 'a0u# (aity tra! yg. tpattruta'a pada tadu# pu/pa

2 S'ua )#a0 darah diiriga0i NaC/ yg. r'at2 S'ua :ariga pu/pa yg. dpt. 'y)a)#a

prdaraha hr0. di#/uar#a2 Stiap r0tora0i yg.ru0a# 0)ai#ya digati2 Haru0 digua#a o)at o)at 'di#a'

yg.td#.'y)a)#a pru)aha *ara

2 Baha pgi0i da 0a/r SA hr0.di#/uar#a dr.SA1$6 '' di )a*ah RI"ICED

2 Ruag pu/pa 0)ai#ya dii0i 0' g/a00 ioo'rda #aita0 :a/a 'a0u# dg.r0i #o'po0it


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"Walking" Bleach Technique

11

2 Bleaching Mechanism2 Isolasi gigi2 Lindungi mukosa mulut2 Oturasi endodontik yang adekuat2 Gunakan !rotectie arriers#2 $indari etsa asam2 $idrogen !eroksida %& sam!ai %'(

2 $indari oksidasi yang erleihan2 $indari !anas2 Kontrol erkala


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1+


13/28


16

Gutta point

Semen GlassIonomer

Bahan bleaching

Tumpat sementara


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Thermocatalytic Bleaching Technique

13

2 698 hydrog pro4ida2 5gguaa i0tru't paa02 E%# 0a'pig >2 RESR5SI EKSTERNAL SERVIKAL AKAR

o.#.irita0i pd.0'tu' da /iga'priodo0iu' dr.)aha o#0idatoryg.di#o')ia0i#a dg.paa0

Tr)u#ti tida# %#ti%tida# '')ri#a ha0i/ yg

/)h )ai# drpd 'toda /ai F tida#dir#o'daa0i#a utu# )/ahigitra#oroa/


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19


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In)O**ice +ital Bleaching Technique

1=

2 Indikasi

2 Light a'/ di0o/oratio0

2 i/d ttray/i di0o/oratio0

2 Ed'i %/uoro0i0 di0o/oratio0

2 Ag$r/atd di0o/oratio0


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18/28


1

2 -iago0a2 I%or' Co0t

2 5')r0iha pr'u#aa gigi dga pumiceda )ru0h

2 5tua *ara a*a/ gigi atrior

2 Ap/i#a0i protti /ip )a/'

2 Gigi yag a#a di)/ahig di#rig#a

2 Ap/i#a0i soft dam(5/idug gigia!2 Ap/i#a0i )aha )/ahig (hidrog pro#0ida

68!


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1<

2 5')r0iha )aha )/ahig2 5/pa0a soft dam

2 5y0uaia *ara gigi 0t/ah di)/ahig

2 5')ria 5')ria pota00iu' itrat %/uorid 68

2 I0tru#0i po0t )/ahig >2 $ Tida# ro#o#

2 $ ggua#a pa0ta gigi yag 'gadug*hitig

2 $ Tida# 'g#o0u'0i 'a#aa da 'iu'ayg )r*ara

2 $ Bi/a tra0a /iu diu/a0i d00iti;ig agt


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+7


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,entist Prescried)$ome -!!lied Technique

./ightguard +ital Bleaching0

+1

2 Indikasi

2 Supr%iia/ a'/ di0o/oratio0

2 i/d y//o* di0o/oratio0

2 Bro* %/uoro0i0 di0o/oratio0

2 Ag$r/atd di0o/oratio0


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,entist Prescried)$ome -!!lied Technique

./ightguard +ital Bleaching0

++

2 Kontraindikasi

2 Sr a'/ /o00

2 Hypr00iti tth2 5r0 o% ari0

2 -%ti oroa/ r0toratio0

2 A//rgy to )/ahig g/0

2 Bru4i0'


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+6

2 -ENTIST 5RESCRIBE-NIGHTGAR- VITAL HE

BLEACHING SSTES Cara ii 0#arag )aya# dipa#ai

ggua#a )aha p'utih dg.#o0tra0i riga (Kar)a'idpro#0ida 178 higga 198 !

-igua#a 0diri o/h pa0i 0tiap 'a/a' (=$ :a'! atau 00uai

a:ura drg, ''a#ai u0to' tray pr0oraga (p/a0ti# a#u'

ightguard!

F (di)uat o/h drg! Ea/ua0i #'a:ua%# 0a'pig 0tiap 1 'iggu o/h drg


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2 Th adatag0 o% th i$o%%i ita/ )/ahig thiu ar that (a/though it u00ry au0ti h'ia/0! it i0 tota//y udr th dti0t0 otro/, th 0o%t ti00u i0gra//y prottd %ro' th pro00, ad it ha0 th pottia/ %or )/ahig tth'or rapid/y.

2 -i0adatag0 pri'ari/y r/at to th o0t, th uprdita)/ outo', ad thu#o* duratio o% th trat't. Th %atur0 that *arrat or ad autioi/ud th pottia/ %or 0o%t$ti00u da'ag to patit ad proidr, th di0o'%orto% a ru))r da', ad th pottia/ %or po0ttrat't 00itiity.

2 Th adatag0 o% th dti0t pr0ri)d$ho' app/id thiu (i.., ightguard

ita/ )/ahig! ar th u0 o% a /o*r otratio o% pro4id (gra//y 178 to198 ar)a'id pro4id!, th a0 o% app/iatio, 'ii'a/ 0id %%t0, ad /o*ro0t )au0 o% th rdud hair ti' ruird %or trat't.

2 Th di0adatag0 ar th r/ia o patit o'p/ia, th /ogr trat'tti', ad th (u#o*! pottia/ %or 0o%t$ti00u hag0 *ith 400i/y4tdd u0.


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5ERTIBANGAN EILIH VITAL HE

BLEACHING ATA IN$""ICERA5I- BLEACHING

+=

2 Gigi yag 00iti% 2 Jaga 'ggua#a 5ER BLEACH2 5'utiha 0/uruh /g#ug gigi2 54 dg.0yu' /)ar ( tr/ihat! 0)ai#ya pa#ai

HE BLEACHING2 Satu gigi *ara g/ap (ita/!2 -i/a#u#a 5ERIN$""ICE BLEACHING F

d/a:ut#a HE BLEACHING2 K)ia0aa BRIS#/aia TJ

2 Tida# 'ug#i pa#ai CST TRA, 0)ai#ya'ggua#a IN$""ICE BLECHING


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+@

5ERTIBANGAN LAIN

Kr:a0a'a pa0i-rg.haru0 'gtahui )aha B/ahig yg.0udah 'dapat0rti%i#a0i 0tadard itra0ioa/ 0pt.AERICAN -ENTAL ASSCIATIN (A-A!

Cotoh >

5ALESCENCE HITENING GEL

(LTRA-ENT 5R-CT,INC!

CLGATE 5LATIN 5R"ESSINAL HITENINGSSTE

(CLGATE RAL 5HARACETICALS

NITE HITE CLASSIC

(-EN AT!


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Tri'a #a0ih...............

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Documents

Bleaching (Vital & Non Vital) (4)