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Article: Volume 49 Number 1 Page 10 - January 2022

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  Dental Update 496: 10-12

Aesthetic Dentistry:  ‘Peroxide-free’ Bleaching: Should we be Worried?

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Abstract: An increase in patient awareness and education has seen the demand for cosmetic dentistry rise. The use of social media applications such as Instagram provide patients with a plethora of information on procedures, such as direct composite bonding, veneers of different types and the align, bleach and bond protocol. When using social media applications, it is common to see advertisements for ‘peroxide-free’ gels, from a range of brands, many of which ‘influencers’ and celebrities are paid to endorse. These direct-to-consumer products allow the patient to bypass the traditional method of speaking to their dental practitioner. This coupled with the reach that some of these companies possess on social media platforms means that patients could be putting their future dental health at risk. This article outlines the risks involved in the use of ‘peroxide-free’ bleaching gels, which are becoming increasingly popular among patients. Furthermore, the article also outlines the potential pitfalls associated when ‘peroxide-free’ gels are used in conjunction with other unregulated dental products such as ‘charcoal toothpastes’ and ‘direct-to-consumer aligners’

Clinical relevance: This article aims to help clinicians to recognize and discuss the dangers associated with unregulated whitening products and direct-to-consumer orthodontics with patients.

Author notes: Onkar Mudhar, BDS (KCL), MFDS RCS (Eng), Dental Core Trainee in Oral Surgery/OMFS, Eastman Dental Hospital and General Dental Practitioner, London. email:

Objective: To highlight the risks associated with patients seeking ‘quick fix’/‘DIY dentistry’.

S4S Dental_June22