Table of Contents

Practice Building
Roundtable
Continuing Education
Periodontics

Inside Dentistry

October 2011, Volume 7, Issue 9
Published by AEGIS Communications

NiteWhite ACP/DayWhite ACP

Advanced take-home whitening formulas use a unique, patented technology to offer a variety of whitening solutions to fit patients’ needs.

Philips Oral Healthcare, formerly Discus Dental, uses a unique technology in its professional take-home whitening gels that do much more than just whiten teeth—they improve surface quality for a healthier smile that stays whiter longer.

NiteWhite and DayWhite (Figure 1) are the only professional take-home whitening gels that incorporate Amorphous Calcium Phosphate (ACP), a patented technology developed by the American Dental Association. ACP creates a micro-coating over the original tooth surface, making teeth stronger and shinier.1-8 NiteWhite ACP and DayWhite ACP also contain potassium nitrate and fluoride for added sensitivity protection and anti-caries benefits.

Unique Features

In addition to containing ACP, NiteWhite ACP and DayWhite ACP are unique in what they offer the practitioner. The reactive nature of the chemicals in ACP requires the calcium and phosphate to be stored separately until they are applied to the tooth. Philips’ patented dual-barrel syringe keeps the ingredients separate until they are used, allowing for greater stability and no refrigeration. In addition, both products can be personalized with a customized sleeve to promote the practice at no additional cost.

The Science Behind ACP

ACP is unique among the calcium phosphate technologies because it forms faster intraorally. This allows ACP to deliver the most calcium and phosphate ions in the shortest period of time. Once formed, ACP converts rapidly to the tooth mineral apatite, addressing tooth demineralization, higher susceptibility to caries, and loss of luster.

At normal oral pH and temperature, the addition of ACP components to the salivary system can cause the hydrolysis of ACP into apatite within a few minutes—roughly 20,000 times faster than normal, physiologic formation of apatite.3 In addition to building a barrier of acid-resistant hydroxyapatite on the teeth, ACP also changes the equilibrium between mineralization and demineralization to favor remineralization, even in response to acid challenges.4 In addition to improving surface enamel, ACP:

  • desensitizes by plugging the dentinal tubules with calcium phosphate.5,6
  • improves appearance through remineralization and restoration of smoothness by filling superficial defects.7
  • reduces fade-back 6 months after treatment.8

Indications

NiteWhite ACP is recommended for patients who prefer the convenience of whitening while they sleep. Recommended for dark stains, gray shades, and tetracycline patients.

A clinical test comparing NiteWhite ACP users with non-ACP NiteWhite users concluded that 5 days after treatment the ACP users had half the reported thermal and tactile sensitivity of the nonusers. 5

DayWhite ACP is perfect for patients who prefer shorter wear times or who brux. It is recommended for light stains, as well as yellow and brown shades.

Patients can expect to see optimal results within 1 to 2 weeks.

Good Corporate Neighbor

Now in eco-friendly packaging, NiteWhite ACP and DayWhite ACP have transitioned to sustainable, recycled or recyclable materials, and vegetable-based inks.

References

1. Schemehorn BR, Orban JC, Wood GD, et al. Remineralization by fluoride enhanced with calcium and phosphate ingredients. J Clin Dent. 1999;10(1 spec no):13-16.

2. Zhang L, Li Z, Dong Y. Experimental study of phosphopeptide in promoting tooth remineralization. Chin J Dent Res. 2000;3(1):27-30.

3. Grant KP, Thompson A, Tanzer JM. Caries inhibition in rats by a remineralizing toothpaste. J Clin Dent. 1999;10(1 spec no):30-33.

4. Kashket S. Historical review of remineralization research. J Clin Dent. 1999;10:56-64.

5. Giniger M, Ziemba F, Macdonald J, Felix H. The clinical performance of professionally dispensed bleaching gel with added amorphous calcium phosphate. J Am Dent Assoc. 2005;136(3):383-392.

6. Tung MS, Eichmiller FC. Amorphous calcium phosphate for tooth mineralization. Compend Contin Educ Dent. 2004;25(9 suppl 1):9-13.

7. Muñoz C, Stephens J, Proskin HM, Ghassemi A. Clinical efficacy of a fluoride dentifrice containing calcium, phosphate, and sodium bicarbonate on surface enamel smoothness and gloss. Compend Contin Educ Dent. 2004;25(9 suppl 1):32-39.

8. Forward GC. Non-fluoride anticaries agents. Adv Dent Res. 1994;8(2):208-214.

For more information, contact:

Philips Oral Healthcare, formerly Discus Dental
Phone: 800-508-6992
www.healthcare.philips.com/us_en/

Disclaimer

The preceding material was provided by the manufacturer. The statements and opinions contained therein are solely those of the manufacturer and not of the editors, publisher, or the Editorial Board of Inside Dentistry.