My patient is worried about white spots
Pre-existing white patches may go chalky during treatment - they usually blend in within a few days of stopping the treatment (rarely these will take longer to blend in, can sometimes take a few weeks).
Occasionally new patchy white areas occur, which generally also blend in after stopping the treatment. These demineralisation spots were there beforehand so it is important to explain to your patient that this sometimes happens and it would have been impossible to predict.
You can advise your patient to use the Enlighten Serum in the trays as they would the whitening gels for 30-60 minutes per day to speed up the blending process. Extra treatments such as ICON are highly effective and should be considered if the patient's spots have not blended in within 2-3 week after finishing the treatment.
My patient is experiencing high sensitivity
Sorry to hear your patient is experiencing quite a bit of sensitivity 😞 The most common causes of extreme sensitivity are bruxism and enamel loss.
Both patients with bruxism and patients with a good amount of enamel loss classify as difficult cases and must be prescribed a different, longer course of treatment from the outset to ensure a smoother experience and great results.
Recommended protocol for bruxists:
Week 1 at 10% CP overnight for as long as asleep
Week 2 at 16% CP overnight for as long as asleep
Week 3 at 6% HP during the day for 1 hour each day
Week 4 at 16% CP overnight for as long as asleep
Week 5 at 16% CP overnight for as long as asleep
Recommended protocol for enamel loss patients:
Week 1 at 10% CP overnight for as long as asleep
Week 2 at 10% CP overnight for as long as asleep
Week 3 at 6% HP during the day for 1 hour each day
Week 4 at 10% CP overnight for as long as asleep
Week 5 at 10% CP overnight for as long as asleep
My patient may have had an allergy
If your patient is having an allergic reaction, have them stop treatment immediately and prescribe antihistamine for the time being.
So far, the only part of the system confirmed by patch test to have caused an allergy before is the HEMA (HydroxyEthylMethAcrylate) found in the Seal Swabs and Hurriseal desensitiser. Female clients may already be aware of such allergy if they are a nail salon regular as HEMA tends to be present in many nail products used in salons. However, as of summer of 2024 the Seal Swabs have been discontinued and replaced with another desensitising product called Enlighten Comfort which does not contain any HEMA.
It is not impossible that something else has caused the allergy, so certainly ask the patient to get a patch test done, especially if they intend to attempt whitening again once the symptoms are better.
In the absence of a patch test, we do not recommend that they continue whitening.
It is important for us to know of such incidents so we can log them accordingly, so please get back to us once the patient has received the results of their patch test.