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12% PAP+ Peroxide-Free Whitening Gel — Professional Guide

Peroxide‑Free • Pro Protocol • Low Sensitivity

12% PAP+ Peroxide‑Free Whitening Gel — Professional Guide

Peroxide‑free whitening for sensitivity‑prone clients and maintenance programs. This guide covers indications, step‑by‑step protocol, sensitivity management, and when to move up to hydrogen peroxide strengths.

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Clinically reviewed by David Hanna, RDH — Registered Dental Hygienist

Clinical Indications & Contraindications

Indications

  • Clients with sensitivity history or peroxide aversion
  • Mild extrinsic staining and mid‑cycle maintenance between HP sessions
  • Intro whitening for first‑time patients; cosmetic studio add‑on

Contraindications & Cautions

  • Active caries, cracks, or open lesions; defer until resolved
  • Extensive restorative work in the esthetic zone (enamel only responds)
  • Unrealistic expectations for single‑visit shade jumps; set clear goals

Mechanism of Action (Peroxide‑Free)

PAP+ (phthalimidoperoxycaproic acid) whitens via a non‑peroxide oxidative pathway with adjunctive enamel‑friendly ingredients. While lift is gentler than HP, the sensitivity profile is favorable, making PAP+ ideal for cautious starts and maintenance.

Step‑by‑Step Protocol (12% PAP+)

1) Preparation

  • Baseline shade & photos; dry field with retractors/cotton
  • Prophy as needed to remove pellicle

2) Isolation

  • Barrier optional; required if gel proximity to gingiva is likely

3) Application

  • Apply 1–2 mm even layer; avoid soft tissue
  • LED optional for comfort/workflow

4) Timing

  • 1 cycle × 15–20 minutes; agitate lightly if needed

5) Finish

  • Suction, rinse thoroughly; review shade change

Sensitivity Risk & Mitigation

Risk Factors

  • Exposed dentin/cervical lesions
  • Recent aggressive whitening or abrasives

Mitigation

  • Shorter session length; careful isolation
  • Post‑op desensitizer; cool/neutral drinks

Case Scenarios

Mild coffee/wine stains

Single 15–20 min cycle; reinforce aftercare. Consider 16% HP next visit if patient wants faster lift.

Maintenance between HP sessions

Use PAP+ at mid‑year; daily CP pen for retention.

Troubleshooting & Common Pitfalls

  • Minimal immediate change: Align expectations; schedule next session or step up to 16% HP / 25% HP.
  • Soft tissue contact: Remove, irrigate, and re‑isolate.

Storage, Handling & Compliance

Storage

  • Cool, dry place; follow labeling
  • Rotate stock (FIFO); check expiry

Compliance

  • Use by trained professionals; follow local regulations
  • Consent and documentation recommended

Pricing, Packaging & Positioning

Positioning

“Peroxide‑free, low‑sensitivity whitening” — ideal for cautious starters and maintenance.

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Compare PAP+ to HP Strengths

Strength Best For Typical Cycles Notes
12% PAP+ Sensitivity‑prone / maintenance 1 × 15–20 min Peroxide‑free; gentle lift
16% HP Light stains; gentle in‑office 2 × 15–20 min Lower sensitivity profile
25% HP Most routine cases 2–3 × 15–20 min Balanced power/comfort
35–44% HP Moderate to severe stains 1–3 × 15–20 min Barrier; strict isolation

FAQ — 12% PAP+

  • How much shade change should I expect? Gentle lift; best for mild stains and maintenance.
  • Is LED required? No, optional for comfort/workflow.
  • When should I move to HP? If lift plateaus or patient wants faster results, consider 16% HP or 25% HP.
  • Does PAP+ whiten restorations? No—enamel only.
  • Maintenance frequency? Every 3–6 months; daily CP pen helps retain shade.
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