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Pre Treatment Foaming Rinse

Generic Name: hydrogen peroxide
Dosage Form: oral liquid

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

PREOP™ RINSE
PRE TREATMENT
FOAMING RINSE

Instructions For Use
Prior to commencing dental procedures, dispense 2 pumps (4-5 ml)
of PreOp™ Rinse into a disposable paper cup and have patient rinse
and swish for 15 seconds. Optional: Seat patient in chair, have
patient rinse, and then instead of expectorating, use saliva ejector
to prevent sink contamination. After use, rinsing with water is
optional. For extended procedures, have patient rinse again.

Ingredients
Water, hydrogen peroxide, glycerine, PVP PEG, sodium lauryl
sulfate, sucralose, sodium citrate, sodium benzoate, etidronic acid,
organic mint oil or bubble gum flavor (based on front label).

Warnings/Precautions
If irritation (such as redness, swelling, soreness) of the gums or
mouth occurs, discontinue use & consult your dentist. Adult
supervision is required for use by children under 12. Avoid contact
with eyes, skin, or hair; flush with water if contact is made. Avoid
swallowing; do not induce vomiting. Do not apply directly to gums
or under tongue. Do not use if nursing or pregnant. Keep away
from sunlight & heat as contents may pressurize. Use of this
product is not intended to cure any disease. Not for systemic use.

Product Label

PREOP™ RINSE
PRE TREATMENT
FOAMING RINSE

SURFACTANT ENHANCED™

HYDROGEN PEROXIDE

Rx Only

475ml 16fl oz

Manufactured by EverBrands, Inc.
401 N. Oak St., Inglewood, CA 90302
eversmilewhite.com/preop
(855) 595-2999

res

PREOP RINSE
hydrogen peroxide liquid
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:72655-100
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HYDROGEN PEROXIDE (HYDROGEN PEROXIDE) HYDROGEN PEROXIDE 3.8 mL in 100 mL
Inactive Ingredients
Ingredient Name Strength
WATER
GLYCERIN
POVIDONE K30
POLYETHYLENE GLYCOL 8000
SODIUM LAURYL SULFATE
SUCRALOSE
SODIUM CITRATE
SODIUM BENZOATE
ETIDRONIC ACID
MENTHA ARVENSIS LEAF OIL
Product Characteristics
Color Score
Shape Size
Flavor BUBBLE GUM (May Contain) Imprint Code
Contains
Packaging
# Item Code Package Description
1 NDC:72655-100-01 475 mL in 1 BOTTLE, DISPENSING
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 12/30/2020
Labeler - Everbrands, Inc. dba EverPure, Inc. (080314845)
Registrant - Everbrands, Inc. dba EverPure, Inc. (080314845)
Establishment
Name Address ID/FEI Operations
Everbrands, Inc. dba EverPure, Inc. 080314845 manufacture(72655-100)
Everbrands, Inc. dba EverPure, Inc.