ABSTRACT

This chapter aims to elaborate on the benefits of introducing a program of therapeutic esthetics as part of an oral health maintenance program and helping patients to gain health sustainability. The whitening tray can be transformed to a therapeutic tray to deliver chemicals to help the patient achieve a sustained health gain throughout his or her life. The main tooth whitening materials are both derived from hydrogen peroxide. Most of the home whitening materials also contains fluoride or potassium nitrate to act as soothers. The following is a list of trays that can be used for the purpose of therapeutics: aligners, retainers such as an essix retainer, and whitening tray. The whitening material kills caries bacteria and reduces plaque adherence to the teeth. Elderly patients who have difficulty holding a toothbrush may find it easier to apply the carbamide peroxide gel and place this in the mouth overnight.