
Brighten While You Straighten - Teeth Straightening Meets Teeth Whitening
Having a mouth full of misaligned, yellowed teeth can be an intense, even traumatizing experience. Folks may spend years ashamed of their smiles before they get to experience the metamorphic powers of a smile transformation. Opalescenceâą PF whitening for aligners (Opalescence PF 10% in Canada) is made for people who want to not only straighten their teeth at home but whiten their teeth at home at the same time.
Longtime dental assistant and prolific lecturer Shannon Pace-Brinker has assisted countless patients through their clear aligner journeys. Sheâs also created hundreds of CE courses featuring clear aligners. She says Opalescence PF whitening will help legions of patients get the smile they desire. âNow youâre giving patients the best of both worlds. Not only are you straightening their teeth, but youâre making them whiterâwhich go together.â
âThere are a lot of perks. Patients donât have to take the teeth whitening tray in and out, because the solution allows for long-term use and minimizes concerns of sensitive teeth. Doctors donât have to fabricate new trays because the patient can use the clear aligner they were going to be wearing anyway. It also helps motivate the patient to keep their aligner in their mouthâpromoting compliance,â Pace-Brinker says, adding that the teeth whitening gel also keeps teeth hydrated. âYouâre
covering the teeth, so you have some water in that teeth whitening gel, which is another perk. Thatâs like a surprise, or a gift, to the patient.â
Compliance is a huge factor in patient success with clear aligners. With traditional brackets and wires, movement will be achieved because the patient canât remove them. With clear aligners, a patient can simply take them out. âWe donât want to give patients any reason to take clear aligners out,â Pace-Brinker says.
Patients who have sensitive teeth while whitening their teeth with clear aligners could be a reason for a patient to fall out of compliance. With this in mind, Opalescence PF whitening comes in a mild 10% carbamide peroxide concentration. Patients can comfortably wear the aligner with the teeth whitening gel throughout the day or night, for (up to) 8-10 hours/day throughout the duration of the whitening treatment process. Mitigating tooth sensitivity issues minimizes reasons for a patient to remove their clear aligner, which keeps them in compliance and maximizes potential for movement of the teeth. âThe compliance factor is higher when using Opalescence PF vs. not because if youâre giving them a brighter smile, theyâre going to wear the tray more; because they can easily see that result,â Pace-Brinker says.
Pace-Brinker coaches dental practices on teeth whitening while straightening with clear aligners. She says many practices donât realize that they donât need to fabricate additional trays for the teeth whitening gel. Opalescence PF works with the clear aligners the patients would be wearing anyway. Thereâs also no special cleaning needed for the aligner after the teeth whitening gel has been used.
Did you know your patients with clear aligners can whiten with Opalescenceâą PF?

Express one continuous line of gel along the lower half of the cheek side of each aligner tray. Use 1/4 to 1/3 of syringe per arch.

Lightly tap tray to adapt sides to teeth. Ensure that the trays are fully seated and completely engaged onto the aligner attachments.
Wear Opalescence 10% gel for 8-10 hours overnight.

Remove excess gel with a soft toothbrush. Do not swallow rinsed gel.
Clean tray with a soft brush and water after use.
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This article was originally published in the Clinical Lifeâą magazine: Winter 2025 edition


