Method and material for brightening teeth

Abstract

There is disclosed a .Iadd.novel .Iaddend.process and a .[.material.]. .Iadd.composition .Iaddend.for brightening teeth.Iadd., together with a novel use of old compositions for brightening teeth. .Iaddend.The .Iadd.novel .Iaddend.process .Iadd.and use each comprises .Iaddend..[.comprises.]. the .[.construction.]. .Iadd.placing .Iaddend.of a splint around the tooth or teeth to be brightened, .[.followed by the insertion within the splint of.]. .Iadd.with .Iaddend.a brightening agent .[.selected from one of many peroxide groups.]. .Iadd.comprising a composition capable of sustained nascent oxygen release.Iaddend.. The splint is constructed so that the splint is relatively liquid tight .[.to the gingiva.].. .Iadd.Preferably, .Iaddend.the brightening agent is periodically renewed .Iadd.during the day .Iaddend.and can be mixed with various other agents to increase the nascent oxygen release .[.aerating factors.].. In one embodiment, the .[.perioxide.]. .Iadd.peroxide .Iaddend.that is used is a 10% solution of carbamide peroxide mixed with a water free gel.

What is claimed is: 
     
       1. The process of brightening teeth .Iadd.during sleep at night, .Iaddend.comprising the steps of: obtaining a substantially liquid tight splint to cover the tooth or teeth to be brightened;   placing within said splint a brightener agent at the location within said splint associated with the tooth .[.surfaces.]. .Iadd.or teeth .Iaddend.to be brightened; and   .Iadd.before sleep, .Iaddend.placing the splint containing said brightener agent around the tooth or teeth to be brightened .Iadd.for a sufficient number of nights to effect a substantial brightening of said tooth or teeth.Iaddend..   
     
     
       2. The process of claim 1 wherein .Iadd.the .Iaddend.brightener agent is a nonaqueous .[.oral.]. peroxy .[.compound.]. .Iadd.composition.Iaddend.. 
     
     
       3. The process of claim 2 wherein said brightener agent is mixed with stannous fluoride. 
     
     
       4. The process of claim 2 wherein said .[.oral.]. peroxy .[.compound.]. .Iadd.composition .Iaddend.is .[.peroxyl.]. .Iadd.PEROXYL® .Iaddend.gel mixed with .[.peroxigel.]. .Iadd.PROXIGEL® .Iaddend.in the ratio of about 3 milliliters of .[.peroxyl.]. .Iadd.PEROXYL® gel .Iaddend.to about 1.2 ounces of .[.proxigel.]. .Iadd.PROXIGEL®.Iaddend.. 
     
     
       5. The process of claim .[.1.]. .Iadd.19 .Iaddend.further comprising the steps of: periodically removing said splint;   adding additional brightener agent; and   replacing said splint containing said additional brightener agent around the tooth or teeth to be brightened.   
     
     
       6. The invention set forth in claim .[.5 wherein said periodically removing step includes the step of obtaining a fresh unused substantially airtight splint to cover the tooth or teeth to be brightened, and wherein said replacing step, includes the step of substituting said fresh splint for said removed splint.]. .Iadd.1, further comprising the steps of: periodically removing said splint from said tooth or teeth;   replacing the used brightener agent with new brightener agent and;   reintroducing the splint with the new brightener agent with said tooth or teeth.Iaddend..   
     
     
       7. The invention set forth in claim 1 where the splint obtaining step includes the steps of: making an impression of the tooth or teeth to be brightened, said impression including adjacent gingiva;   molding said impression to create a mold of said tooth or teeth to be brightened;   forming plastic tightly around said mold; and   trimming said formed plastic to fit over said tooth or teeth to be brightened and over said adjacent gingiva.   
     
     
       8. The invention set forth in claim 7 wherein said trimmed plastic is between 0.01 inch and 0.1 inch thick. 
     
     
       9. The invention set forth in claim 7 wherein said trimmed plastic is transparent. 
     
     
       10. The use of a .[.peroxy compound.]. .Iadd.composition capable of sustained nascent oxygen release .Iaddend.to bleach teeth, wherein the use .[.consists of.]. .Iadd.comprises.Iaddend.: bringing said .[.peroxy compound.]. .Iadd.composition .Iaddend.into physical contact with each said tooth .[.to be cleaned.]. .Iadd.for sufficient amount of time to effect substantial brightening.Iaddend.;   .[.creating.]. .Iadd.whereby said composition is retained by .Iaddend.a mechanical barrier around said .[.peroxy compound after.]. .Iadd.composition during .Iaddend.said physical contact .[.is made.]., said mechanical barrier relying upon intimate contact with the gingiva adjacent the tooth for a substantially .[.airtight and.]. leakproof seal.   
     
     
       11. The use of a peroxy .[.compound.]. .Iadd.composition .Iaddend.as set forth in claim 10 wherein physical contact is made with a plurality of teeth at the same time and wherein said mechanical barrier extends to all of said plurality of teeth. 
     
     
       12. The use of a peroxy .[.compound.]. .Iadd.composition .Iaddend.as set forth in claim 11 wherein said mechanical barrier contour provides means for allowing continued physical contact of different amounts of said peroxy .[.compound.]. .Iadd.composition .Iaddend.for different teeth. 
     
     
       13. The use of a peroxy .[.compound.]. .Iadd.composition .Iaddend.as set forth in claim 12 wherein said last mentioned means is adjustable. 
     
     
       14. The use of a peroxy .[.compound.]. .Iadd.composition .Iaddend.as set forth in claim 10 wherein said mechanical barrier is a splint obtained by the steps of: making an impression of the tooth or teeth to be brightened, said impression including adjacent gingiva;   molding said impression to create a mold of said tooth or teeth to be brightened;   forming plastic tightly around said mold; and   trimming said formed plastic to fit over said tooth or teeth to be brightened and over said adjacent gingiva.   
     
     
       15. The use of a peroxy .[.compound.]. .Iadd.composition .Iaddend.as set forth in claim 14 wherein said trimmed plastic is transparent. 
     
     
       16. The use of a .[.peroxy compound.]. .Iadd.composition .Iaddend.as set forth in claim 10 wherein said compound is a mixture of .[.peroxyl.]. .Iadd.PEROXYL® gel .Iaddend.and .[.peroxigel.]. .Iadd.PROXIGEL® .Iaddend.in the ratio of .Iadd.about .Iaddend.3 milliliters of .[.peroxyl.]. .Iadd.PEROXYL® gel .Iaddend.to .Iadd.about .Iaddend.1.2 ounces of .[.peroxigel.]. .Iadd.PROXIGEL®.Iaddend.. .Iadd.17. The process of claim 2 wherein said nonaqueous peroxy composition contains 
     
     
        carbamide peroxide and is in a water-free gel base. .Iaddend. .Iadd.18. The process of claim 1 in which the splint is placed around the tooth or teeth to be brightened during sleeping for about four weeks. .Iaddend. .Iadd.19. The process of claim 1 in which, in addition to placing said splint containing said brightening agent before sleep at night, said splint is also placed around the tooth or teeth during the day as well. .Iaddend. .Iadd.20. The process of claim 19 in which during the day the brightening agent is renewed several times, each renewal after several hours. .Iaddend. .Iadd.21. The process of claim 20 in which during the day the brightening agent is renewed during the day about every four hours. .Iaddend. .Iadd.22. The process of claim 20 or 21 in which said splint is used during the daytime and during sleeping for at least about two weeks. .Iaddend. .Iadd.23. The process of substantially brightening teeth during sleep at night and during the day, comprising the steps of: (a) obtaining a substantially liquid tight splint to cover the tooth or teeth to be brightened;   (b) placing within said splint a brightener agent at the location within said splint associated with and for physical contact with each tooth or teeth to be substantially brightened, said brightener agent comprising a non-aqueous peroxy composition;   (c) before sleep, and during the day as well, placing the splint containing said peroxy brightener agent around the tooth or teeth to be substantially brightened, so as to create a mechanical barrier around the peroxy composition brightener after said physical contact is made, said mechanical barrier relying upon intimate contact with the gingiva adjacent the tooth or teeth for a substantially liquid tight seal, said placement occurring for a sufficient number of nights and days to effect a   
     
     
        substantial brightening of said tooth or teeth. .Iaddend. .Iadd.24.  The process of claim 23 wherein the non-aqueous peroxy composition further contains carbamide peroxide and is in a water-free gel base. .Iaddend. .Iadd.25. The process of claim 23 in which the brightener agent is renewed several times during the day, each renewal after several hours. .Iaddend. .Iadd.26. The process of claim 23 in which the brightener agent is renewed several times during the day, each renewal after about four hours. 
     
     
        .Iaddend. .Iadd.27.  The process of claim 25 or 26 in which said splint is used during the daytime and during the nighttime for at least about two weeks. .Iaddend. .Iadd.28. The method of use of claim 10, wherein the composition capable of sustained release contains carbamide peroxide. .Iaddend. .Iadd.29. The method of use of claim 10, wherein the composition comprises a mixture of PEROXYL® gel and PROXIGEL®, where the volume ratio of PEROXYL GEL® to PROXIGEL® is about 3 milliliters to about 1.2 ounces. .Iaddend. .Iadd.30. The use of a composition capable of sustained nascent oxygen release to brighten teeth, wherein the use comprises: bringing said composition into physical contact with a sufficient portion of the surface of each tooth to be brightened for a sufficient amount of time to effect substantial brightening of said tooth; and   retaining said composition by a mechanical barrier around said composition, said mechanical barrier being substantially liquid tight. .Iaddend. .Iadd.31. The use of claim 30, wherein the composition contains carbamide   
     
     
        peroxide. .Iaddend. .Iadd.32.  The use of claim 31, wherein the composition comprised a mixture of PEROXYL® gel and PROXIGEL®, wherein the volume ratio of PEROXYL® gel to PROXIGEL® is about 3 milliliters to about 1.2 ounces. .Iaddend. .Iadd.33. The use of claim 30, wherein said composition contains carbamide peroxide, and the mechanical barrier relies upon intimate contact with the gingiva adjacent the tooth. .Iaddend. .Iadd.34. The use of claim 30, wherein said mechanical barrier comprises a very thin, clear, plastic splint. .Iaddend. .Iadd.35. Composition comprising a mixture of PEROXYL® gel and PROXIGEL®, where the volume ratio of PEROXYL® gel to PROXIGEL® is about 3 milliliters to about 1.2 ounces. .Iaddend. .Iadd.36. The use of a thin plastic splint in a process to accomplish substantial brightening of a tooth or teeth, comprising: (a) placing within a custom fitted and trimmed, thin plastic splint a brightener agent at a location within said splint associated with and for physical contact with each tooth or teeth to be substantially brightened, said thin plastic splint custom-formed and adapted to said tooth or teeth so as to be in substantially liquid tight engagement when in engagement with said tooth or teeth; and   (b) placing said splint in substantially liquid tight engagement with said brightener agent on said tooth or teeth to be brightened for a time sufficient to effect substantial brightening of said tooth or teeth.   
     
     
        .Iaddend. .Iadd.37.  The use set forth in claim 36 wherein said trimmed plastic is between 0.01 inch and 0.1 inch thick. .Iaddend. .Iadd.38. The invention set forth in claim 36 wherein said trimmed plastic is transparent. .Iaddend. .Iadd.39. In a tooth brightening article combination, the combination comprising: (a) a thin wall splint usable for up to about four weeks by the user, said splint being formed of plastic to fit in liquid tight configuration to a predetermined tooth or teeth, the ends of the splint being closed to prevent any substantial leakage of a liquid; and   (b) a liquid composition capable of sustained nascent oxygen release, said liquid composition being in sufficient quantity to be in physical contact with each predetermined tooth or teeth with said thin wall splint is fitted in said liquid tight configuration with said tooth or teeth. .Iaddend. .Iadd.40. The tooth brightening article combination of claim 39 wherein said splint has a wall thickness of 0.01 inch to 0.1 inch.   
     
     
        .Iaddend. .Iadd.41.  In a tooth brightening article combination, the combination comprising: (a) a thin wall splint of plastic usable for up to about four weeks by the user, said splint being formed and trimmed on a mold of a selected tooth or teeth and surrounding gingiva, the trim of said splint being such that the thin wall plastic covers at least a part of the mold section representing gingiva surrounding said tooth or teeth to form a liquid tight seal therewith, and   (b) a gel base peroxy composition containing carbamide peroxide. .Iaddend. .Iadd.42. The tooth brightening article combination of claim 41, wherein said composition is a mixture of about 3 milliliters PEROXYL® gel to about 1.2 ounces of PROXIGEL®. .Iaddend. .Iadd.43. A splint for use in holding a liquid tooth brightening composition in a liquid tight seal against a selected tooth or teeth and surrounding gingiva, said splint comprising a sheet of plastic material of determined size and thickness of 0.01 inch to 0.1 inch and heat formed over a mold of said tooth or teeth and surrounding gingiva, to contour the plastic to said tooth or teeth and gingiva, the thus formed plastic trimmed to extend at least partially onto the surrounding gingiva and sealed at its end(s) to form a liquid tight seal when in place around said tooth or teeth, said splint usable daily   
     
     
        for about four weeks by the user. .Iaddend. .Iadd.44.  A thin formed plastic splint for minimizing saliva from entering and for minimizing a solution for brightening teeth from leaking out from a selected tooth or teeth when said splint is in place, said thin formed plastic splint being formed by: (a) making a mold of the selected tooth or teeth and surrounding gingiva;   (b) placing a sheet of plastic material around said mold of said tooth or teeth section to be brightened and forming the plastic material to the contour of said tooth or teeth and surrounding gingiva section;   (c) trimming the plastic so that it extends at least partially onto the surrounding gingiva of said tooth or teeth; and   (d) sealing the ends of the splint to minimize a solution in the thus formed splint from leaking. .Iaddend. .Iadd.45. The thin formed splint of claim 44, including, prior to placing the sheet of plastic material around the mold of said tooth or teeth section, spraying silicone on both sides of the sheet and heating the plastic sheet. .Iaddend. .Iadd.46. The thin formed splint of claim 44 wherein the thickness of the plastic material is 0.01 to 0.1 inch. .Iaddend. .Iadd.47. A method of brightening teeth comprising:   (a) fitting the tooth or teeth to be brightened with a thin wall splint suitable for containing a source of releasable nascent oxygen, said splint comprising a plastic material having a wall thickness from between about 0.01 inch and about 0.1 inch and said splint further comprising a closed chamber around said tooth or teeth to be brightened, and having a top portion thereof in tight contact with the gingiva contiguous with the tooth or teeth to be brightened contained in said chamber, between said top portion of said splint forms an effective seal with said gingiva, such that release of nascent oxygen from a source therefore in said chamber is substantially restricted to said chamber and contact of said released nascent oxygen with the tooth or teeth in the chamber is (are) assured substantially free from the flushing effect of salivary secretions normally present in the mouth;   (b) placing within said splint a source of nascent oxygen;   (c) securing the splint containing said source of nascent oxygen to the tooth or teeth gingiva to be treated;   (d) maintaining said splint in the mouth until the source of nascent oxygen in the splint is substantially exhausted; and   (e) repeating steps (b) through (d) until the desired degree of brightness   
     
     
        is obtained. .Iaddend. .Iadd.48.  A tooth brightening, thin wall splint, suitable for use with a source of nascent oxygen said splint forming a closed chamber around tooth or teeth to be brightened, and said splint having (a) a wall thickness from between about 0.01 inch to about 0.1 inch, and (b) a top portion in tight contact with the gingiva contiguous to the tooth or teeth to be brightened, wherein said top portion of said splint forms an effective seal with said gingiva, such that release of nascent oxygen from a source located within said chamber is substantially restricted to said chamber and contact of said released nascent oxygen with the tooth or teeth in the chamber is (are) assured substantially free from the flushing effects of salivary secretions normally present in the mouth. .Iaddend. .Iadd.49. In a method of brightening teeth, the steps of: (a) forming a splint to enclose one or more teeth to be brightened, said splint designed to extend onto the gingiva associated with said one or more teeth and to fit tightly to minimize saliva from impacting the enclosed teeth;   (b) placing a brightening solution into the splint;   (c) placing the splint around said one or more teeth and gingiva for a given period of time, securing the splint from said one or more teeth;   (d) rinsing said one or more teeth; and   (e) repeating steps (b) through (d) as necessary until the degree of   
     
     
        desired brightness is achieved. .Iaddend. .Iadd.50.  The method of claim 49 when steps (b) through (d) are repeated while the uses of the splint is sleeping at night. .Iaddend. .Iadd.51. The method of claim 49, wherein steps (b) through (d) are repeated during the day. .Iaddend. .Iadd.52. The method of claim 49, wherein steps (b) through (d) are repeated (a) while the user of the splint is asleep at night and (b) during the day. .Iaddend. .Iadd.53. The method of claim 49, wherein said rinsing in (d) is with a fluoride composition. .Iaddend. .Iadd.54. The method of brightening teeth, comprising the steps of: (a) forming a substantially liquid tight splint to cover the tooth or teeth to be brightened, including at least part of the gingiva surrounding said tooth or teeth;   (b) placing about 1 drop per tooth or teeth to be brightened of a nascent oxygen releasing composition in said splint;   (c) place the splint with said composition around said tooth or teeth to be brightened and surrounding gingiva to effectively seal the splint against said gingiva; and   (d) reviewing the composition about every four hours during the time the splint is worn until the degree of brightness desired is achieved.   
     
     
        .Iaddend. .Iadd.55.  The process of brightening a tooth or teeth, comprising the steps of: (a) obtaining a substantially liquid tight splint to cover the tooth or teeth to be brightened;   (b) placing a brightener agent at the location within said splint associated with the tooth or teeth to be brightened; and   (c) placing the splint containing said brightener agent around the tooth or teeth to be brightened for a number of hours a day a sufficient number of days to effect a substantial brightening of said tooth or teeth. .Iaddend. .Iadd.56. The method set forth in claim 55 further comprising the steps of:   (a) periodically removing said splint;   (b) adding additional brightener agent; and   (c) replacing said splint containing said additional brightener agent   
     
     
        around the tooth or teeth to be brightened. .Iaddend. .Iadd.57.  The method set forth in claim 56, further comprising the steps of: (a) periodically removing said splint from said tooth or teeth;   (b) replacing the used brightener agent with new brightener agent; and   (c) reintroducing the splint with the new brightener agent with said tooth or teeth. .Iaddend. .Iadd.58. The process of brightening a tooth or teeth, comprising the steps of:   (a) obtaining a substantially liquid tight splint to cover the tooth or teeth to be brightened;   (b) placing a brightener agent for a number of hours each day at the location substantially within said splint associated with the tooth or teeth to be brightened; and   (c) placing the splint containing the brightener agent around the tooth or teeth to be brightened for a sufficient number of days to effect a   
     
     
        substantial brightening of said tooth or teeth. .Iaddend. .Iadd.59.  A process of brightening a stained tooth or teeth comprising the steps of: obtaining a substantially liquid-tight splint to cover the tooth or teeth to be brightened;   placing a brightener agent at the location within said splint associated with the tooth or teeth to be brightened;   placing the splint containing said brightener agent around the tooth or teeth to be brightened for a number of hours;   periodically removing said splint and adding additional brightener agent; and   replacing said splint around the tooth or teeth to be brightened. .Iaddend.