32 Stories
Consent

To seek urgent medical advice contact NHS 111 (in UK). For non-urgent and clinical questions, contact us at [email protected] 


1. 32 STORIES TOOTH WHITENING SYSTEM

Procedure for 32S Prescription Teeth Whitening

In addition to providing your dental and medical details, you will have photos and impressions taken by one of our trained 32S Associates. This information is assessed by one of our clinical team before an online consultation is arranged to discuss the treatment. Subject to all of the necessary checks, a personalised prescription for tooth whitening products is generated. The Associate who is looking after you will take you through how to fit and use the bleaching trays for best results.

Risks of tooth whitening

The warnings, risks or inconveniences that may result from tooth whitening include but are not limited to the following:

i. These products are not suitable for use in persons under the age of 18 or during pregnancy
ii. It is essential to maintain regular dental check-ups with a dentist throughout the course of your treatment
iii. If you have a history of dental sensitivity it is likely that you will experience some sensitivity during whitening treatment, usually this subsides quickly post-treatment. iv. the unlikely event that the sensitivity is unbearable or results in persistent toothache we would advise you to stop treatment and seek advice from your regular dentist for the next appropriate steps
v. The bleaching products may cause some irritation or appearance of white spots on the soft tissues. These will usually subside quickly after treatment has finished but in rare cases of a severe reaction, you must discontinue all further treatment and make an appointment to see a dentist or doctor
vi. Do not put whitening gels anywhere except on the teeth, in the quantities advised by the dentist. If accidental contact occurs with eyes, rinse the area immediately and seek medical attention
vii. Sore throat or nausea may be experienced if excessive gel is swallowed
viii. This product is not suitable for patients who have a complex dental history or existing appliances in the mouth including, but not limited to, dental prostheses including restorations, crowns, bridges, implants or dentures in the smile zone
ix. In rare instances people may find that they are allergic to the bleaching tray plastic material. If this happens to you, it is essential that you discontinue all further treatment and seek urgent medical attention
x. Appliances in the mouth represent a mild risk of choking, please take care if the trays become dislodged
xi. The success of the treatment is subject to compliance of the individual in treatment, it is advised that you follow the regime advised by your dentist during your consultation
xii. Following treatment your teeth will not be whitened on a permanent basis, progressive extrinsic and intrinsic staining will mean that whitening top-ups are required. 32S do offer a whitening subscription service to replenish your supply of tooth whitening products when you run out
xiii. Bleaching products have been known to result in softening of bond materials that can lead to debond of fillings, crowns, bridges and other restorations
xiv. The success of the outcome will vary when tooth discoloration is related to inherited/developmental aspects, age-related tooth changes, extrinsic staining (e.g., from diet or smoking), or intrinsic staining such as tetracycline-associated stain or colour change secondary to tooth trauma. - In a small number of cases the enamel and dentine will be resistant to any colour change and please be aware that root surfaces do not tend to change colour. The best results are with patients whose teeth are discoloured to yellow, orange or light brown

2. 32 STORIES TOOTH STRAIGHTENING SYSTEM

Procedure for 32S Teeth Straightening

In addition to your initial dental consultation, you will have photos and impressions taken by one of our trained Associates who will share this information with our UK-based clinical team who decide if the case is suitable* for teledentistry. An online consultation with one of our dentists will follow to discuss the treatment process and next steps. Subject to approval by our clinical team, the treatment proposal will be shared with you to confirm that you are happy to proceed with treatment. Once you have confirmed, 32S will produce and ship the aligners to your address for treatment to begin.

The Associate who is looking after you will take you through how to fit and use the aligners for best results. You should wear your aligners for at least 22 hours per day, only removing them to eat, floss and brush your teeth. You will switch to the next aligner in the series every 1 – 2 weeks as directed. If the aligners do not seem to work or are not fitting correctly then you must let your Associate know so that we can address any problems.

*Every case is unique and there will be instances where the treatment required is too complex to be delivered safely by remote / teledentistry means and will require a helping hand from a dentist or orthodontist to achieve the desired outcome. If this is the case then one of our UK-based clinical team can help you to arrange an appointment with a 32S affiliate partner in your local area to help you proceed with treatment.

Risks of teeth straightening treatment

As mentioned previously, there are some risks or inconveniences that might be encountered as a result of teeth whitening. These include but are not limited to:

i. Failure in compliance with instructions for use may increase the treatment duration and affect the ability to achieve the desired outcome
ii. Soreness of the teeth and gums may be encountered, especially after switching to the next aligner in the series or due to scratching or irritation of soft tissues through aligner use
iii. Relapse of tooth movements back to original positions after treatment has ended is a risk. Compliance with retainer use will reduce this tendency and should be continued for as long as you wish to maintain the positions of the teeth, this might be lifelong (Info: Orthodontic Retention)
iv. Higher risk of tooth decay, gum disease or marking/staining of teeth as a result of poor oral hygiene or excessive sugars in the diet during treatment
v. The aligners may produce undesirable effects in the beginning such as speech impediment, dry mouth or excess saliva production. These effects should subside within a few weeks of consistent use
vi. The way that your teeth meet may be altered over the course of treatment. If this altered bite persists after treatment has been completed it is sometimes necessary to see a dentist to have some adjustments made to the teeth to improve the stability of the upper and lower arch configuration
vii. Atypically-shaped, short clinical crown lengths, partially erupted or missing teeth may affect the ability of the aligners to achieve the desired results
viii. Aligner treatments have only a limited scope of applications. For complex cases a dentist may be required to extract teeth or slenderise teeth to create space, place attachments on teeth, fit orthodontic elastics, alternative appliances and possibly brackets and wires where aligners are not suited. The 32S system alone will not be able to accommodate these cases
ix. Where teeth have been overlapped for a long time there may be pre-existing loss of gum attachment near the neck of the teeth. - Once aligned this can become more apparent resulting in the appearance of a 'black triangle' near to the gum
Aligners will not be able to move dental implants and they will sometimes dislodge existing restorations, such as fillings, crowns and veneers in the process of moving teeth. - Occasionally, at the end of treatment these restorations will no longer be satisfactory from a cosmetic perspective and will need to be replaced by a dentist at additional cost to the patient
x. Aligners will not be able to move teeth that have become ankylosed or locked in their position within the bone. If any individual teeth refuse to move or become submerged as the other teeth move around them, please cease treatment immediately and seek the opinion of an orthodontist
xi. Certain medications taken and medical conditions can affect orthodontic treatment and may make a patient unsuitable to go ahead with treatment
xii. Teeth that have been previously traumatised or heavily restored can be compromised by orthodontic tooth movements resulting in remedial dental treatment and, occasionally, the premature loss of a tooth or teeth
xiii. Root resorption (shortening of root lengths) may result from orthodontic movements which can threaten the longevity of teeth, especially when periodontal disease is concurrent or manifests itself later in life
xiv. Product breakages can sometimes occur. Replacement aligners can be manufactured, but the additional cost will be incurred by the patient
xv. Changes to the occlusion can result in disturbance of the bite, tooth wear or Temporomandibular Joint Disorder that can cause pain, discomfort and headaches;
xvi. Certain patients, particularly asthmatic and atopic patients, may be allergic to the plastic with which the aligners are made, in which case treatment will need to be discontinued

3. COSMETIC FINISHING / BONDING

Subject to all of the necessary checks, a transfer of care to one of our carefully selected cosmetic dentistry partners will be arranged, this may be in isolation or it may be as part of a broader cosmetic treatment plan that includes orthodontics and teeth whitening provided by 32 Stories or by one of our Dentist Partners.

What is Bonding?

Orthodontics (including aligners) can be an extremely effective way to straighten your teeth and change their set-up, teeth whitening is a proven and effective way to alter the shade of your teeth but neither of these treatments will change the size, shape and proportions of your natural teeth and gum line. Cosmetic finishing encompasses a range of dental procedures that are intended to enhance the overall cosmetic outcome of your teeth, gums and smile by changing the shape and addressing aesthetic concerns. These procedures include composite bonding, composite veneers or partial veneers, gum contouring, tooth contouring, microabrasion, macroabrasion, replacement of existing restorations and stain removal.


Advantages and Disadvantages of Dental Bonding

Composite bonding is a cosmetic procedure in which a tooth-colored composite resin material is applied to your teeth to improve your smile. Bonding can improve the appearance of teeth that are not ideally proportioned, chipped, broken, cracked, stained or have spaces between them. Composite bonding is not applicable in all cases, however it is a common, non-invasive approach to improving cosmetic outcomes.

Please be aware that the final decision and confirmation of consent regarding cosmetic finishing procedures will be a product of discussions between yourself and your dedicated 32 Stories Dental Aesthetics Partner.

Advantages

Cost: Bonding is one of the least expensive cosmetic procedures.
Time: Unlike crowns and veneers, which require more time to prepare and a second visit to place them, bonding can be completed in a single visit.
Invasiveness: Bonding requires minimal tooth removal. Frequently patients get multiple teeth bonded in one short appointment.

Disadvantages
Staining: Although you can achieve excellent results with bonding, the resin does stain over time. Crowns and veneers will be much more stain resistant.
Durability: Crowns and veneers are more resistant to breaking and usually last much longer than bonding.



Limitations of 32S teledentistry treatment model

Teledentistry is the remote delivery of dental care and advice. 32S offers a modern and futurist approach to the delivery of dental cosmetic treatments outside of the dental office. However, this remote service is not without its limitations and it does not equate to a physical orthodontic consultation and comprehensive orthodontic treatment. If you choose to proceed without a contemporaneous dental examination and you elect to not to have suitable radiographic examination of all teeth due to be moved then you do so at entirely your own risk. We have partnered with affiliate dental practitioners and orthodontists so if you change your mind and decide to go for a comprehensive approach with a physical examination with an orthodontist then your Associate will be happy to help you arrange this.

32 Stories dental aligners are well suited to conveniently address cosmetic concerns associated with the front 6 teeth in the upper and lower arches but will not necessarily address all aspects of bite imperfections. This option is presented to you in addition to all relevant restorative and comprehensive orthodontic approaches.


Treatment Consent

By confirming your consent prior to any payment transaction, you agree that you have answered all questions within the dental and medical forms truthfully and there is nothing to preclude you from participating in this treatment. In addition to the discussions you have undertaken with your clinician, you can confirm that you have been given ample time to read and assimilate the preceding information and have been given the opportunity to ask questions of a registered dental professional about my treatment. Should there be any elements of the treatment or risks that you do not understand, please contact us at [email protected] and we will arrange for an additional discussion with a trained clinician.

You understand that whitening and orthodontic treatments are not without risks and inconveniences, all of those outlined above, and you agree that you have read and understood these risks and inconveniences. This list is not exhaustive and other unexpected adverse outcomes can result from treatments that you choose to undertake. Additionally, you appreciate that there are alternatives available to you, including the option of no treatment. You understand that the most reliable way to have your teeth whitened or straightened safely is to undergo a comprehensive dental assessment with a registered dentist alongside radiographic examination. You agree to enter in to this course of treatment in full knowledge that no outcomes of whitening or teeth straightening treatments are guaranteed by 32S. You are aware that these treatments are associated with risks and will not hold 32S, any supplier or member of staff responsible for your medical or dental health.

You certify that you are at least 18 years of age before purchasing the 32S whitening solution.

You consent to the collection and processing of your medical records (see 32S data protection policy for details) by any 32S employees, partners or suppliers involved in the delivery of my treatment to the extent necessary for treatment, customer service and billing purposes.