Post zoom consent

Post in-office Zoom after-care Instructions

Zoom whitening Post Care

ZOOM! In Office Whitening Post Care Instructions

(To be followed for the first 48 hours after the procedure)

CONGRATULATIONS! You have just experienced a revolutionary tooth whitening procedure. The next 48 hours are important in enhancing and maximizing your whitening results for a long lasting, bright and healthy smile.

Everyone’s teeth have a protective layer called the acquired pellicle. This layer contains the surface dental stains and is removed during a regular dental cleaning or the whitening process. It takes 12 to 24 hours for the barrier to fully develop again.Drink only water for the first hour after your Zoom procedure. To maximize the whitening, we ask that for the next 48 hours, you DO NOT consume dark or yellow staining substances such as:

-All Tobacco Products
-Avoid Colored Lipstick
-Coffee / Tea
-Red Wine
-Lettuce & tomatoes
-Soft Drinks
-Potato Chips
-Mustard / Ketchup
-Berries
-Red Sauces
-Soy Sauce

Remember that you must not use any colored toothpastes or gels for the first 48 hours. In addition, do not use any colored mouthwash or home fluoride treatments. If your daily homecare involves the use of Peridex (Chlorhexidine), please wait 48 hours before continuing the usage of this product.

If post operative sensitivity occurs, I chew sugarless gum to reduce the peroxide levels, take an Advil or Tylenol, or what you would normally use for a headache, and brush with Sensodyne. Use Vitamin E soft gel capsules( puncture and use gel inside capsule) to relieve any discomfort.

FOOD & DRINK RECOMMENDATIONS FOR 48 HOURS:

Main Entree Suggestions: Turkey, white tuna (no vinegar), white fish, canned chicken breast, chicken breast without the skin, grilled cheese with white cheddar or mozzarella cheese, pasta with white sauce such as alfredo.

Side Dish Suggestions: Plain pasta, white rice, mashed or baked potato (no peel).

Beverage Suggestions: Milk, water, clear soda (sprite) or tonic.

Alcohol Suggestions: Gin or Vodka (no orange juice). White wine is ok.

Fruits & Vegetable Suggestions: Apples, bananas, pears (no peels) and cauliflower.

Snack Suggestions: Cottage cheese, plain or vanilla yogurt, vanilla cookies, vanilla pudding, white cheese, white cheddar or mozzarella.

Condiment Suggestions: Mayonnaise, sour cream and white gravy.

Carbohydrate Suggestions: White bread (no crust), flour tortillas (white), crackers.

Breakfast Suggestions: Pancakes with white syrup, egg whites, oatmeal, cream of wheat.

Additional ways you can help maintain your sparkling Zoom smile is to avoid staining related habits, use an electric toothbrush, floss and have regular professional hygiene visits twice a year to keep your smile its whitest!

I acknowledge that the post-procedural instructions were given to:

Patient name
MM slash DD slash YYYY

Once fully read and reviewed, please sign below that you have received the appropriate post-operative instructions and that the patient has had the opportunity to ask any related questions . By signing below and submitting this document, we are assuming that it has been read in its entirety. All patient signatures will be verified for authenticity in the office

If you have any questions about the instructions or your dental health, please call either of our office locations.