Teeth Whitening
As the name suggests, tooth whitening is the common method used
to whiten moderately stained or discolored teeth by reversing the
discoloration of the tooth enamel.
| The
Problem: |
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- Teeth darkened from age
- Teeth darkened from coffee, tea or smoking
- Discolored teeth caused by the deterioration of a tooth’s
nerve
- Yellowing or discoloration of the teeth from excessive fluoride
- Tetracycline (antibiotic) staining
Stains caused by fluoride or tetracycline may be lightened, but results
are not as dramatic. Depending on the individual’s case, your
hygienist and dentist can tailor an alternative treatment to whiten
the severely stained teeth like veneers.
| The
Solution: |
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In principle, determining whether a patient is a candidate for whitening
is mainly based upon diagnosing the exact cause of teeth discoloration.
There are several types of whitening methods available but the most
commonly used and effective ones are: At-home Whitening:
This is the most popular method of whitening teeth; it is done at
home but supervised by the hygienist. In-office
Instant (Power) Whitening:
This procedure is done in the office. It’s a very good choice
when a single tooth needs to be bleached. It has a very high concentration
of bleaching material so not everyone is a candidate for this method.
Tooth Whitening is a procedure that differs from
one individual to another depending on the several reasons like type
and color of stains, cause of stains, and patient’s teeth and
gum health. The hygienist will discuss with you the best method to
have a brighter smile.
Remember, tooth whitening IS NOT a permanent procedure.
| The
Procedure: |
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At-home Whitening:
The hygienist will take impressions of your teeth and create a comfortable
custom-made mouth tray. The hygienist will give you the tray and tubes
of bleach to take home. You will load your tray with bleach twice
a day for ½ an hour (a total of 1 hour daily), for a period
of one to two weeks or depending on the hygienist’s instructions.
In-office Instant (Power) Whitening:
It is very important that this procedure be performed by a trained
hygienist to ensure best and safest results. The hygienist will
first examine the mouth and gums to ensure that they are healthy.
The hygienist will isolate and protect your lips, gums and inside
lining of your mouth. Next, a bleaching agent is applied to the
teeth 3 times during one hour.
| Advantages: |
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At-home Whitening:
Since the trays are custom made to fit your mouth, less bleaching
agent is likely to be swallowed. Also, checking in with your hygienist
while your bleaching ensures that the procedure is going smoothly.
In-office Instant (Power) Whitening:
One visit to our office is usually all it takes to get a brighter
smile.
| Disadvantages: |
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There are no disadvantages for tooth whitening, but there are issues
that you need to know about before making the decision of whitening
your teeth:
- Whitening is not recommended for pregnant or lactating women
- Whitening is not recommended for children under the age of
14
- Always discuss your expectations with your hygienist, do NOT
have unrealistic expectations
- If you have sensitive teeth or gums you should discuss with
your hygienist and dentist before going for whitening
- Fillings, crowns and any other kind of restoration DO NOT bleach,
hence, they may not match the shade of your newly bleached teeth
- It is recommended that whitening be done prior to placement
of composite fillings, bonding or crowns in order to achieve the
best match to your new tooth/teeth color
| Alternatives: |
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Porcelain veneers are
the best alternative to tooth whitening especially when the teeth
discoloration is severe and the cause is tetracycline or excessive
fluoride.
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