When it comes to chairside teeth whitening, both hydrogen peroxide (HP) and carbamide peroxide (CP) are effective agents, but they have distinct strengths and applications. Understanding their differences can help you deliver the best whitening experience for your patients. Below Fern Whitening Supplies will breakdown the differences and open your mind to a new thought- why not use a hybrid gel and get the best of both worlds!
Hydrogen Peroxide (HP)
Strengths:
- Fast Results: HP acts quickly, providing instant gratification with noticeable whitening after just one session. It rapidly penetrates the enamel and dentin to break down stains, offering immediate results.
- Quick Absorption: Due to its fast absorption, HP can quickly lighten teeth, making it a popular choice for those seeking quick aesthetic improvements.
Considerations:
- Potential for “False White” or “Fall Back”: The rapid whitening effect can sometimes lead to a temporary, overly white appearance, which may revert once the teeth undergo remineralization. This effect is sometimes referred to as “false white.”
- Risk of Harm: Studies, including those referenced in the Wilkins textbook, indicate that overuse of HP, particularly at higher concentrations, can cause more harm than good, potentially leading to increased sensitivity or enamel damage.
Carbamide Peroxide (CP)
Strengths:
- Gentle, Long-Lasting Effect: CP offers a slower, more controlled whitening process. It breaks down into hydrogen peroxide and urea over time, providing a gradual whitening effect.
- Deep Stain Removal: Ideal for use with light activation during chairside treatments, CP effectively targets stubborn stains, especially along gingival margins or dark canines. Its extended contact time allows it to deeply penetrate and remove persistent discoloration.
Considerations:
- Slow Acting: CP is often seen as a take-home gel option due to its slower action. However, using it chairside can maximize its effectiveness as it continues to work over the next 24 hours.
Combining HP and CP for Optimal Results
For the best chairside whitening experience, consider using both HP and CP. HP can provide immediate results and patient satisfaction, while CP ensures deeper, more enduring whitening. This combination leverages the strengths of both agents, addressing both immediate and long-term whitening needs.
Important Reminders for Providers
- Chairside Whitening as a Jumpstart: Chairside whitening is typically a starting point in the whitening process. Most cases will require additional take-home whitening or follow-up visits to achieve and maintain natural brightness.
- Ongoing Maintenance: To sustain results, patients should be prepared for touch-ups and maintenance, particularly if they continue eating and drinking staining substances.
By understanding the strengths and optimal uses of HP and CP, you can offer a comprehensive whitening solution that delivers both immediate and lasting results for your patients. Check out Fern Whitening Supplies Signature gel line which is a blend of both HP & CP.