LaserWhite20 Instructions
Contents
1. SHOULD SPREAD ON TEETH WITHOUT DRIPPING OR RUNNING THE GEL SHOULD NOT DRY OUT TO THE POINT THAT IT FORMS A LAYER OF CRUST ON THE TEETH b Dry the teeth by wiping them with gauze c Apply a thin layer of LaserWhite20 whitening gel over all four quadrants The gel should be evenly spread with the brushed applicator tip to about 1mm thickness To confirm the uniform thickness observe the consistency of the lavender color within the gel NOTE During the procedure pay close attention to ensure that the gel does not contact patient s gingiva tongue or lip Take adequate precaution to ensure that patient does not swallow any gel d Place disposable clear cap over the handpiece s arch NOTE The purpose of the cap is to protect the patient and it should be disposed of after treatment Another purpose is to protect the handpiece from damage due to the whitening gel Damage to the handpiece may result if the cap is not used WARNING Ensure that the doctor patient and assistants are wearing protective eye wear before starting the laser treatment The eye wear that you received with the system is specially designed for the respective laser DO NOT use any other protective eye wear WARNING If at any time during the LaserWhite20 process the patient experiences discomfort or sensitivity stop the procedure carefully remove the gel and irrigate over the entire area with copious quantities of water while using high speed su2. Caretully e For Professional Use Only Avoid An Eye and Skin 2 Measure and record the shade of the patient s teeth using a Contact Rinse Thoroughly Vita Shade guide Use the brightness scale as shown below with Water if Exposed l Keep Out of Reach of Children Not for Injection Destroy After Use Strong Oxidizing Agent 1 Doctors should perform a complete intra oral exam and evaluate current x rays to qualify the patient for the procedure BRIGHTNESS SCALE B1 A1 B2 D2 A2 C1 C2 D4 A3 D3 B3 A3 5 B4 C3 A4 C4 3 Clean teeth surfaces using a pumice that does not contain glycerin Try to remove any dental plaque and superficial stains A Description 4 Apply Vaseline to the lips and insert cheek retractors to expose the treatment area and to keep any soft tissue away from the teeth Cotton rolls are recommended for increased protection and patient comfort BIOLASE LaserWhite20 whitening gel is a proprietary dental whitening gel used in conjunction with the ezlase 940 nm or LaserSmile 810 nm laser system The laser through a specialized hand piece and delivery system activates the LaserWhite20 whitening gel The whitening gel is chromophore engineered and designed to work with Biolase diode laser systems Do not use LaserWhite20 gel with any other laser or light sources 5 To document the initial shade take a professional clinical photograph 6 Apply Liquid D to the gingiv
3. several days to two weeks after the treatment The patient may experience positive lighter or negative darker rebound after this procedure is completed for up to two weeks Existing crowns onlays veneers and composite restorations will not change color due to this whitening process The SN 10 SUONINYSU Uy JeD Bbuiuayiyy 02x DJIYMJOSD 7N patient and dental professional should discuss possible cosmetic implications that existing restorations pose in whitening cases Areas of hypocalcification will bleach faster than adjacent tooth structure These are not always clinically evident at the onset of whitening and when visible the gel should be placed carefully adjacent to these areas to blend the remaining surface shade The patient should be advised not to consume products that stain teeth up to 48 hours after treatment This would include but not be limited to some fruits coffee red wine tomato sauces tea tobacco etc e It is NOT recommended to use LaserWhite20 on those who are pregnant or nursing Since LaserWhite20 whitening gel is an oxidizing agent and oxidizing agents have been reported to potentiate the action of some carcinogens it is recommended that patients discontinue the use of tobacco and alcohol containing products prior to the use of this whitening system and during any part of the whitening procedure e If you see any periapical areas of pathology PAT you should be aware of that
4. A NSU P SDJJDM V jATILVIGINIWI FLVAIDINIIY Contraindictations Precautions amp Warnings cont the LaserWhite20 whitening gel for two 2 applications Sessions per patient visit the desired results may be achieved in one application Do not use Liquid Dam on patients with known sensitivity to resin It is advisable to test Liquid Dam on a small section of the patient s gum before attempting this procedure When curing the Liquid Dam hold the curing light at least 2 cm away from the resin to reduce any heat induced sensitivity during curing Application on the teeth must be uniform and free from gaps to ensure uniform whitening of teeth surfaces Monitor patient s progress during treatment and discontinue use if patient reports sensitivity or discomfort or if clinical results exceed desired effects for patient and operator DO NOT anesthetize the teeth for this procedure If any sensitivity occurs discontinue the process as stated above Caution must be exercised regarding the inadvertent transferal of whitening gel from gloved hands or dental equipment onto non target tissues Copious irrigation with water is recommended when this occurs Restorations must be intact and areas of exposed dentin must be treated prior to the start of whitening A rebound effect of tooth shade could occur It Is recommended to wait two weeks prior to placement of proximal restorations since stabilization of tooth shade may take
5. GEL APPLICATION 2 Replace the brushed applicator tip with a new one from the LaserWhite20 whitening kit Reapply the LaserWhite20 whitening gel and perform steps 2 through 6 FINAL STEPS At the end rinse thoroughly with water from the syringe Remove the Liquid Dam by sliding the tip of an explorer or forceps between the gingiva and the barrier Lift it away carefully Use an explorer or floss to remove any residual Liquid Dam from interproximal spaces Rinse again A final polish can be performed with a fine grade paste to give a luster and shine to the teeth Apply moist cotton gauze over the gums and teeth and wait for a few minutes to rehydrate enamel and tissue Measure the shades using the Vita Shade Guide Brightness Scale Compare initial shades with final shades and discuss the outcomes with the patient NOTE Optionally vitamin E ointment can be applied to the irritated gum tissue at the end of the procedure E Tooth Sensitivity To reduce or prevent tooth sensitivity during and or after the LaserWhite20 Tooth Whitening procedure the dentist may recommend appropriate pain relief medication 30 60 minutes prior to the procedure and postoperatively Biolase LaserWhite20 Desensitizing Gel contains potassium nitrate It is designed to be used in a custom tray and applied in the same manner as a take home whitening gel While the length of use may vary depending on the condition the pa
6. a It is advised that the dental professional check with local Apply Liquid Dam onto the gingiv and state guidelines regarding administration of this system by dental auxiliary staff Clinicians and office staff must review this entire document before starting any whitening procedures with the ezlase 940 nm or Lasersmile 810 nm system 6b 6a Remove the black cap from the Liquid Dam syringe and replace it with the black applicator tip provided Be sure to apply the syringe tip firmly Rinse and air dry the teeth and especially the gingival tissue around the teeth to be whitened B Introduction 6c Holding the syringe firmly express a small amount of The ezlase 940 nm and Lasersmile 810 nm laser Liquid Dam onto a mixing pad to initiate the flow systems are designed to be administered only by the dental 6d professional in conjunction with the LaserWhite20 whitening gel for partial and full arch whitening procedures It may be used in cases where one or several teeth are desired to be lightened It is designed to be safe and effective and is an excellent means to bleach and whiten dark yellowed or discolored teeth with extrinsic and intrinsic staining A dental scaling to remove any subgingival calculus together with a prophylaxis is recommended a week before the LaserWhite20 whitening procedure Additionally surface plaque and stain should be removed with a pumice non glycerine based prior to the administration
7. condition Keep whitening gel out of the reach of children Ensure that whitening gel is not accessible by children or unqualified personnel The LaserWhite20 gel is designed only for use with Biolase diode laser systems DO NOT use this gel with any other delivery systems lasers or light sources LaserWhite20 gel when used with other lasers or light sources may result in damage to the light source and adverse effects to the patient CAUTION CAREFULLY READ INSTRUCTIONS BEFORE USE MSDS Available upon request or online http www biolase com msds Biolase waterlase dentistry ezlase LaserSmile and the LaserWhite20 logo are registered trademarks of Biolase Technology Inc USA Europe Biolase Headquarters ECIREF MT Promedt GmbH 0482 4 Cromwell Altenhofstrasse 80 Irvine CA 92618 D 66386 St Ingbert Germany T 949 361 1200 T 49 6894 581020 F 949 273 6687 www mt procons com TO REORDER PLEASE CALL 888 4 BIOLASE USA 888 424 6527 949 361 1200 International Shelf Life 18 Months Refrigeration Required IZ laserwhite 20 Whitening Gel Instructions This kit contains C Preparation for Laser Procedure 1 Syringe of whitening base gel 1 Syringe of activator gel 1 Syringe of liquid dam 1 Syringe of desensitizer 2 Applicator tips 5 Brushed applicator tips 2 Syringe caps 1 Disposable clear cap for handpiece CAUTION Read Instructions before Treating Patients Syringe May be Under Pressure Handle
8. ction Apply wet cotton gauze over the same area and wait for a few minutes before proceeding DO NOT proceed with treatment if sensitivity continues FOR EZLASE 940 NM SYSTEM 1 Prepare the ezlase 940 nm system a Connect the whitening handpiece to the fiber shaft b Turn laser ON and set in a STANDBY mode c Ensure the following settings are used Power 7 Watts Energy Total 200 J Continuous Wave mode For further detail please refer to the user manual 2 Press the READY button to set the system into READY mode Place the whitening handpiece in close proximity 1mm to Q1 without contacting the gel Activate the laser by holding the footswitch down Hold the handpiece in place for the duration of laser delivery of 200 J or approximately 30 seconds NOTE The ezlase 940 nm system has an energy counter that allows for the laser to emit energy for a specific duration of time 3 Continue with the same laser procedure Step 2 for Q2 Q3 and O4 4 Repeat procedure for all quadrants one 1 more time NOTE If patient experiences tooth sensitivity during this procedure stop the procedure and evaluate the patient s condition DO NOT proceed if the sensitivity continues 5 Allow the gel to remain on the teeth for a minimum of 5 minutes after the second laser cycle Step 4 6 Remove the gel using high speed suction and then flush with an air and water spray to remove any residual gel
9. h have not been protected with liquid dam WARNING Do not perform this procedure without gingival protection D Procedure In one in office visit the doctor can perform a maximum of two 2 gel applications 5400126 Rev E 6 2009 MIXING THE GEL NOTE Allow contents of syringe to come to room temperature before mixing the two components together The activator and base gels are designed to couple together so the two components can be mixed together Remove the caps from both the activator and base gel syringes Connect the two syringes together by twisting one syringe onto the other until fully tightened If not fully tightened gel may leak out during the mixing process To mix push one syringe into the other and reverse action for a minimum of 25 times Make sure the gel is consistent throughout the syringe continue mixing if necessary Push the mixed gel into the BASE GEL barrel then screw on _ a brushed applicator tip Your gel is now ready to be applied on the teeth 3 GEL APPLICATION 1 a Divide the upper and lower arches into four treatment sites Each treatment site can consist of as many as 5 teeth Q1 Upper right quadrant 4 8 Q2 Upper left quadrant 9 13 Q3 Lower right quadrant 20 24 Q4 Lower left quadrant 25 29 NOTE The whitening handpiece is designed to treat a full quadrant 4 5 teeth at a time PRIOR TO APPLYING GEL MAKE SURE THE GEL IS CONSISTENT THROUGHOUT THE SYRINGE THE GEL
10. ng the procedure Office personnel who do not have any protective eye wear should not enter the operatory while the laser system is in use The protective eye wear included with the system is specific to the laser s wavelength and also protects the operator patient and any dental auxiliary personnel from inadvertent contamination of their eyes with the whitening gel Protective gloves must be used throughout the whitening procedure It should be noted that the whitening material when in contact with mucosal membranes or unprotected epidermis can be caustic and cause irritation and burning If at any time during the procedure the patient experiences discomfort or burning stop the procedure Irrigate the area with copious quantities of water and evacuate excess water with the high speed suction DO NOT proceed if the patient continues to experience discomfort burning sensations or any other sensations that are uncomfortable to the patient Apply Vitamin E to areas where soft tissue has been irritated by the gel Patient expectations must be discussed prior to the start of the whitening process It is recommended to evaluate tooth shade prior to the procedure and again at the conclusion of the treatment Though it is possible to apply 2009 Biolase Technology Incorporated All Rights Reserved
11. of the whitening system Beginning at one end of the arch apply Liquid Dam to the gingiva to build a strip about 2 mm wide by F 1 to 1 1 2 mm thick Be sure to extend the material at least one half millimeter onto the enamel Where embrasures exist express the Dam through the opening filling the space completely Be sure to cover any exposed root surfaces Protect one extra tooth at each end of the arch beyond those to be whitened The degree of whitening varies from patient to patient based on the type of stain enamel thickness tooth structure and age However typical results range from six to twelve shades on the Vita Shade Guide Brightness Scale Teeth with deep intrinsic stain in the grayer tones generally will not respond as well as yellow shaded teeth Some patients have teeth that are a natural yellow shade because of enamel transparency which allows the color of dentin to be visualized In this case patients may show no improvement after the LaserWhite20 treatment The dentist is encouraged to discuss predictability and efficacy with the patient prior to the start of the whitening process to establish realistic expectations on the part of the patient 6e Cure the Liquid Dam in sections using a standard curing light holding the handpiece at least 2cm from the liquid dam Cure for 5 10 seconds then move along the arch to the next section 6f Vaseline can also be applied onto the mucosa in areas whic
12. tient and the dental professional the recommended length of use is between 15 and 60 minutes F Contraindictations Precautions amp Warnings e All clinical procedures performed with the ezlase 940 nm or the LaserSmile 810 nm laser system must be subjected to the same clinical judgment and care as with traditional techniques Patient risk must always be considered and fully understood before clinical treatment The clinician must completely understand the patient s medical history prior to treatment Exercise caution for general medical conditions that might contraindicate a local procedure Such conditions may include allergy to local or topical anesthetics heart disease lung disease bleeding disorders sleep apnea or an immune system deficiency Medical clearance from patient s physician is advisable when doubt exists regarding treatment LaserWhite20 should NOT be used on any patient with known allergies to hydrogen peroxide resin based materials or other such chemicals Medical clearance from the patient s physician is advisable when doubt exists regarding treatment Patients with periodontal disease exposed root surfaces damaged or fissured enamel gross caries allergies to chemical products such as hydrogen peroxide or other similar conditions are not candidates for laser teeth whitening procedures It is required that laser protective eye wear be worn by the patient and any dental personnel in the operatory duri
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