1. Finding the Key to Success A helpful guide for Staff Education on the three whitening methods. Jenna R. Derango R.D.H.

2. What’s the key to success? • Making patients happy • Giving patients what they want • Domino effect

3. What do patients want?? • Patients will pay for what they want long before what they need • Patients aren’t created equal • Finding some patients’ wants can be like pulling teeth

4. What we don’t know • 85% of patients want whiter teeth • Seeing 100 patients a week equals approximately 85 patients a week to be scheduled to bleach

6. Give them want they want • Patients want options: Whitening strips Oral B Remberant Proffesional Crest Whitestrips Supreme Proffesional Strength Take home trays Opalescence PF Colgate Platinum Overnight Professional In office bleaching Zoom 2

7. What to say • “Esthetics is the last of our four categories. Today I am going to take a shade of your current tooth color. The reason I am doing this is because we now know that teeth change colors or darken over time. By taking your shade we will have a reference point for our records.”

8. Tooth Whitening is it safe? • Found in 1960 • Carbamide peroxide- antiseptic for periodontal surgery • No research showing harmful effects to the tooth

9. ORAL B Cost: $33 8.5% hydrogen peroxide solution Easy to use Use for 5-7 days 30 minutes daily CREST Cost $55 14% hydrogen peroxide solution Easy to use Use for 3 weeks 30 minutes twice daily Whitening strip advantages

10. Whitening strip disadvantages • Patient Compliance • Misaligned teeth could cause spotting • Not cost effective • No touch ups or long lasting effect guarenteed

11. Opalescence Cost $315, touch up gel $32-45 (four pack) 15% & 20% Carbamide Peroxide solution Use for 10 – 14 days Perfect fit to teeth Long lasting results Ability to touch up Most effective method Colgate $ 315, touch up $12 a tube 10% Carbamide Peroxide solution Use for 10-14 days Perfect fit to teeth Long lasting results Ability to touch up Most effective method Take home tray advantages

12. Take home tray disadvantages • Patient compliance • Sensitivity • Cost not covered by insurance

13. In office bleaching (Zoom 2) advantages • Nationwide average= $725 Our cost=$550 • 16% Peroxide solution • Immediate results • Eliminates compliance issue

14. In office bleaching (Zoom 2) disadvantages • Patient comfort • Use of tray system to increase and maintain results • Increased sensitivity • Cost not covered by insurance

15. Best time to bleach….NOW • After dental cleanings • Before restorative treatment

16. Special Thanks to… • Gary Takacs • Specializes in the “business of dentistry” • Practice Management Instructor at the University of the Pacific School of Dentistry • Founder of Ride and Learn and Race and Learn