Vital tooth bleaching in dental practice: 2. Novel bleaching systems.

This paper describes some of the novel commercial approaches to tooth bleaching. Known as 'direct-to-consumer' products there are two main systems available, one employing coated, cellulose strips and the other a paint-on gel. A further development is the production of dentifrices that contain active hydrogen peroxide, made possible by the use of dual chambered tubes. Each of the systems is described and demonstrated and an overview of the research supporting their safe, effective use is presented in each case. It is likely that our patients have access to these products and, hence, it is important that we are aware of their strengths and weaknesses. CLINICAL RELEVANCE: The systems described within this paper are available for sale in Europe and over the internet. Patients may well be using, or planning to use, them and may ask for professional advice.