Supervised vs. unsupervised process. Additional visits would be scheduled until the desired shade is reached. This is because the pulp chamber, or nerve of the tooth, is enlarged until this age. He teaches full-time as a clinical associate professor at his alma mater, New York University College of Dentistry, is a diplomate of the American Board of Orthodontics, and serves on advisory boards for the American Dental Education Association. Next, the teeth would be coated with a whitening solution on the front surface only. All told, the procedure can take anywhere from 60 to … Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening is not recommended or will be less successful in the following circumstances: Age and pregnancy issues. Are you considering teeth whitening to help reinvigorate a smile tainted by discoloration? Fillings, crowns, and other restorations. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. You just swish them around in your mouth for 60 seconds twice a day before brushing your teeth. Just because a product doesn't have the seal does not necessarily mean that the product isn't safe and effective. Because a whitening rinse is only in contact with the teeth for such a short time -- just two minutes a day compared to 30 minutes for many strips -- it may have less of an effect. Stop whitening your teeth for 2 to 3 days to allow teeth to adjust to the process. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain carbamide peroxide or hydrogen peroxide that helps lighten the color deep in the tooth. Teeth whitening is ideal for people who have healthy, unrestored teeth (no fillings) and gums. a successful whitening practice Call 1 (800) 826-9711 for a free consultation, plus learn about rebate offers that save your patients up to $40 on their in-office treatments. Read our, Medically reviewed by Sumaya Ibraheem, DDS, BSIP / Universal Images Group / Getty Images, What to Expect With Professional Teeth Whitening, Professional At-Home Teeth Whitening Kits, Dentist-Quality At-Home Teeth Whitening Kits Offer Great Results, The 8 Best Teeth Whitening Products of 2021, A Look at the Possible Side Effects of Whitening Your Teeth, Learn About the Best Teeth Whitening Home Remedies, Listerine Healthy White Vibrant Multi-Action Fluoride Mouth Rinse Review, 10 Ways to Cope With Teeth Whitening Sensitivity, The 8 Best Mouthwashes for Gingivitis of 2021, Dental Crowns May Be Necessary After a Root Canal, Osseous Surgery: Everything You Need to Know, How to Be Prepared for Your Dental Veneers Appointment, A quick guide to helping patients navigate whitening options, A critical review of modern concepts for teeth whitening, Professional (in-office) whitening treatments - the procedure. Blue-gray staining caused by the antibiotic tetracycline is more difficult to lighten and may require up to six months of home treatments or several in-office appointments to successfully lighten. As an alternative to the costlier, in-office procedure, many people are turning to professional at-home whitening kits. Once the optimum shade has been reached (or the maximum time has passed), the teeth would be rinsed. In contrast, prescription strength whitening conducted in your dentist's office can make your teeth three to eight shades lighter. Over-the-counter products and dentist-supervised at-home products usually contain a lower strength bleaching agent, with about a 10% to 22% carbamide peroxide content, which is equivalent to about 3% hydrogen peroxide. Tooth-colored fillings and resin composite materials used in dental restorations (crowns, veneers, bonding, bridges) do not whiten. Tooth whitening or tooth bleaching is the process of lightening the color of human teeth. Penchas, Data on file 2011. Teeth whitening under this condition could irritate the pulp or cause it to become sensitive. But this cosmetic procedure is not recommended for everyone. It all depends on your budget and … Whitening. Not a dental professional? Before starting, the dentist will make a record of the current shade of your teeth. Learn more on teeth whitening … © 2005 - 2021 WebMD LLC. For some time, there has been consistent consumer demand for whiter, brighter teeth and an attractive smile. Ask your dentist or pharmacist for a high fluoride-containing product, which can help remineralize your teeth. First, your dentist can perform an oral exam and consider your complete medical history, which can be helpful in determining if bleaching is an appropriate course of treatment based on the type and extent of stains, and the number and location of restorations. Not all manufacturers seek the ADA's Seal of Acceptance. Compendium of Continuing Education in Dentistry, December 2005. This type of whitening is also the most expensive approach. American Dental Association. With over-the-counter bleaching products, you're on your own. Unrealistic expectations. But to achieve dramatic results, several appointments are usually needed. If at any time you experience a prolonged change in the color of your gums or an increased tooth sensitivity to hot or cold foods and beverages, stop wearing the mouthpiece and see your dentist immediately. Shawn Watson is an orthodontic dental assistant and writer with over 10 years of experience working in the field of dentistry. Over-the-Counter Whitening Strips and Gels. Gum disease, worn enamel, cavities, and exposed roots. WebMD does not provide medical advice, diagnosis or treatment. Sensitive teeth and allergies. Apply the fluoride product to the tray and wear for 4 minutes prior to and following the whitening agent. Updated August 2019. Currently, only dentist-dispensed home-use products containing 10% carbamide peroxide and office-applied products containing 35% hydrogen peroxide have this seal. Do-it-yourself methods aren't the same as getting your teeth whitened by a professional. Yellowish teeth respond well to bleaching, brownish-colored teeth respond less well and grayish-hue or purple-stained teeth may not respond to bleaching at all. CVS. Whitening toothpastes can lighten the tooth's color by about one shade. All rights reserved. However, some experts say that rinses may not be as effective as other over-the-counter whitening products. In-Office Teeth Whitening: Professional Advantages, Costs and Options. Most OTC kits run between $40 to $100 on average, while a professional at-home model can cost anywhere from $100 to $400.. Both of these conditions usually are temporary and disappear within 1 to 3 days of stopping or completing treatment. The procedure begins with a short preparation to cover the lips and gums, leaving the teeth exposed. Your mouth will be isolated with gauze to keep your teeth dry. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Edmund Khoo, DDS, is board-certified in orthodontics. The degree of whiteness will vary from individual to individual depending on the condition of the teeth, the level of staining, and the type of bleaching system used. Individuals with gum disease or teeth with worn enamel are generally discouraged from undergoing a tooth-whitening procedure. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Choosing an Over-the-Counter Whitening Kit, [ss_icon]15 Tooth Problems: Cavities, Stained Teeth, Hyperdontia and More. Some kits come with a tray that can be molded to some degree. Massachusetts Dental Society. In the office setting, your dentist will apply either a gel to the gum tissue or use a rubber shield (which slides over the teeth) prior to treatment to protect your gums and oral cavities from the effects of the bleaching. If you do experience sensitivity, you can reduce or eliminate it by: Some whitening products you get through dentists' offices as well as professionally applied (in-office) bleaching products have the American Dental Association (ADA) Seal of Acceptance, which tells you that the product meets ADA guidelines for safety and effectiveness. Additional protective measures. There is now laser whitening or ‘power whitening'. Individuals who expect their teeth to be a new "blinding white" may be disappointed with their results. These are better than others that come with a standard mouthpiece. Those who avoid foods and beverages that stain may be able to wait one year or longer before another whitening treatment or touch-up is needed. A fluoride application may be used to help ease any tooth sensitivity, which is a common. Tooth sensitivity often occurs during early stages of the bleaching treatment. A quick guide to helping patients navigate whitening options. Also, whitening procedures will not work on exposed tooth roots, because roots do not have an enamel layer. Cotner P. Animated-Teeth.com. This customization allows for maximum contact between the whitening gel, which is applied to the mouthpiece tray, and the teeth. Whitening is often desirable when teeth become yellowed over time for a number of reasons, and can be achieved by changing the intrinsic or extrinsic color of the tooth enamel. Follow the directions on the product carefully. Listerine Whitening FAQ. 2019;7(3). Darkly stained teeth. But these products also include ingredients, such as hydrogen peroxide in some, which whiten teeth. Your dentist can then better match the type of stain with the best treatment, if appropriate, to lighten those stains. Epple M, Meyer F, Enax J. A barrier would next be placed along the gumline to further protect it from exposure to the solution. When your dentist does it, they'll likely want to see you a couple of times to clear up any questions about the directions, to make sure the customized tray fits properly, to check your gums for signs of irritation, and to generally see how the process is working. Consult with your care provider to learn what your actual treatment costs will be … People who expose their teeth to foods and beverages that cause staining may see the whiteness start to fade in as little as one month. All toothpastes help remove surface stains, because they contain mild abrasives. Another common approach is at-home whitening … Opalescence™ Boost™ professional teeth whitening is applied by your dentist right in the chair to give you a white smile fast! Teeth whitening is not permanent. Anyone allergic to peroxide (the whitening agent) should not use a bleaching product. Once applied, the solution would be left on the teeth for 30 to 60 minutes, or reapplied occasionally, depending on the brand. Continued. Carey C. Tooth whitening: what we now know. What Teeth Whitening Light Treatments Are Available? In-office teeth whitening is not an altogether complicated procedure, but it does require skill to avoid injury to the gingival (gum) area. Many whitening products require a curing light or laser to activate the peroxide. In-office, professionally applied tooth whitening products contain hydrogen peroxide in concentrations ranging from 15% to 43%. Find out if teeth whitening is right for you. Over-the-counter products don't provide these extra protective measures. Professional (in-office) whitening treatments - the procedure. 2014;14 Suppl:70-6. doi:10.1016/j.jebdp.2014.02.006. The chemical degradation of the chromogens within or on the … Initial results are seen in a few days and final results are sustained for about four months. Over-the-counter bleaching systems are the least expensive option, with in-office whitening being the costliest. The strips should be applied according to the instructions on the label. Strength of bleaching agent. Try to select a product that allows the mouthpiece to be customized. With in-office procedures, you'll get the bleaching agent applied directly to your teeth. In-office bleaching provides the quickest way to whiten teeth. 1 Up to 8 VITA shades with Philips Zoom WhiteSpeed. The procedure itself is performed for an hour a day over a two-week period. Thank you, {{form.email}}, for signing up. With in-office bleaching, the whitening product is applied directly to the teeth. The tray is worn for a period of time, generally from a couple of hours a day to every day during the night for up to four weeks and even longer (depending on the degree of discoloration and desired level of whitening). No whitening products using lasers are on the ADA's list of accepted products. Over-the-counter whitening products also contain a mouthpiece tray, but the "one-size-fits-all" approach means that the fit will not be exact. Whitening strips are very thin, virtually invisible strips that are coated with a peroxide-based whitening gel. A healthy guide to is to achieve a shade slightly whiter than the whites of your eyes. In-office teeth whitening procedures cost around $650 or more (not typically covered by insurance) and may sometimes require multiple visits to obtain the desired shade. You'll want to consider a few important differences. Or your dentist can perform a cosmetic teeth whitening procedure in the office with at-home follow-ups if necessary. Teeth whitening is a cosmetic procedure that helps to lighten teeth by removing stains and discolouration. Professional, in-office teeth whitening is the most popular cosmetic dental procedure in the … Gum disease, worn enamel, cavities, and exposed roots. These toothpastes contain. A custom-made tray also minimizes the gel's contact with gum tissue. Smokers need to be aware that their results will be limited unless they refrain from continued smoking, particularly during the bleaching process. J Evid Based Dent Pract. Professional teeth whitening delivers optimum results in a relatively short amount of time. Tray-based tooth whitening systems, purchased either over-the-counter or from a dentist, involve filling a mouth guard-like tray with a gel whitening solution -- which contains a peroxide-bleaching agent. Over-the-counter bleaching products are not endorsed by the ADA, because the organization believes that professional consultation is important to ensuring safe and effective use. At your convenience at home, you can apply any of the numerous over-the-counter treatments to whiten your teeth. doi:10.3390/dj7030079. Tissue irritation most commonly results from an ill-fitting mouthpiece tray rather than the tooth-bleaching agent. Octoberr 2019. Mouthpiece trays. Instructions vary depending on the strength of the peroxide. Manufacturers say it may take 12 weeks to see results. Like most mouthwashes, they freshen breath and help reduce dental plaque and gum disease. Ill-fitting trays can irritate the gum and soft tissue by allowing more bleaching gel to seep onto these tissues. Witzenburg M. RDH Magazine. Tooth whitening is the process which lightens teeth, helps remove stains, and corrects tooth discoloration. In-office teeth whitening is not an altogether complicated procedure, but it does require skill to avoid injury to the gingival (gum) area. This is a voluntary program that requires considerable expense and time on the part of a manufacturer. While not inexpensive, an at-home kit may be the perfect choice if you can't afford professional treatments or are not fully covered by dental insurance. The solution typically includes either hydrogen peroxide or carbamide peroxide as the bleaching agent. Ask your dentist what strategy is best for you. 2 Price estimate based on an average national price of $500 per in-office treatment and is not a promotional offer or guaranteed price. A critical review of modern concepts for teeth whitening. You can find a list at www.ada.org. Smoking or tobacco of any sort would also be avoided. No hot or uncomfortable lights are necessary because it is chemically activated, and you’ll have a … All teeth whitening products contain peroxide, either as carbamide peroxide (CP) or hydrogen peroxide (HP). Therefore, using a whitening agent on teeth that contain restorations will result in uneven whitening -- in this case, making the teeth without restorations appear lighter than those with restorations. 45 minutes excluding prep-time. Your teeth would then be polished with pumice, a grainy material used to remove any plaque on the surface. This is because the whitening solutions penetrate into any existing decay and the inner areas of the tooth, which can cause sensitivity. Individuals with yellow tones to their teeth respond best. Several whitening toothpastes available in drugstores have received the seal, too. Among the newest whitening products available are whitening rinses. Teeth whitening is also not recommended in pregnant or lactating women. All told, the procedure can take anywhere from 60 to 90 minutes to complete., There are several standard steps to performing an in-office whitening:. Amazon.com. Teeth whiteners are not drugs and therefore aren't regulated by the FDA. Initial results are seen in a few days and final results are sustained for about four months. Brush teeth with a toothpaste made for sensitive teeth. Upon completion, you would be advised to avoid foods or beverages with a high level of pigment for at least 24 hours. The two side effects that occur most often with teeth whitening are a temporary increase in tooth sensitivity and mild irritation of the soft tissues of the mouth, particularly the gums. Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. During this procedure a rubber dam is put over your teeth to protect the gums, and a bleaching product is painted onto your teeth. Moreover, expensive equipment may be needed to prepare and finish the procedure. Any whitening procedure should be done prior to the placement of restorations. People with numerous restorations that would result in uneven whitening may be better off considering bonding, veneers, or crowns rather than a tooth whitening system. With dentist-supervised at-home bleaching products, your dentist will take an impression of your teeth and make a mouthpiece tray that is customized to exactly fit your teeth. 1-3 Professionally administered (in-office) tooth whitening, also known as dental bleaching, remains a popular esthetic procedure and can be performed using a wide range of techniques and application protocols. Look for online reviews and ask around to find out what others who may have already tried the kit you're considering think about it. What to Expect With Professional Teeth Whitening . The trays take around one to two weeks to make on average. Then a light or laser is shone on the teeth to activate the chemical. Performed under the supervision of a dentist, this method of whitening has gained popularity among those who either are dissatisfied with over-the-counter (OTC) products or don't want all of the fuss and bother of a professional at-home kit., Price is the main differentiator when comparing teeth whitening options. Individuals with sensitive teeth and gums, receding gums, and/or defective restorations should consult with their dentist prior to using a tooth-whitening system. However, with in-office bleaching, dramatic results can be seen after the first treatment. These do-it-yourself models can only be obtained from a dentist and require a dental impression in order to make custom-fitted trays (dental cups contoured to your teeth).. There are many teeth whitening systems and products including whitening toothpastes, over-the-counter gels, rinses, strips, trays, and whitening products obtained from a dentist. SOURCES: It is not all that difficult to do and provides far better results than most OTC drugstore brands. Individuals with gum disease or teeth with worn enamel are generally discouraged from undergoing a tooth-whitening procedure. Results are seen in only one, 30- to 60-minute treatment. Costs. These products can be used in combination with heat, a special light, or a laser. Wearing the tray for a shorter period of time (for example, two 30-minute sessions vs. two 60-minute sessions). Retractors may be used to keep your cheeks, lips, and tongue well away from the whitening solution. Medically Reviewed by: Larry Addleson, DDS, FAACD En Español. The complete procedure takes less than an hour, but a regular teeth cleaning is recommended prior to the actual Zoom teeth whitening session.
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