Considering teeth whitening? We have some great new options for the process! This article on teeth whitening from Colgate explains exactly what teeth whitening is, what it is used for, what you need to do to prepare, how it is done, and what you will need to do for follow-up. Call Dr. Pastrell’s office today to discuss teeth whitening in more detail!
What Is It?
Tooth whitening lightens teeth and helps to remove stains and discoloration. Whitening is among the most popular cosmetic dental procedures because it can greatly improve how your teeth look. Most dentists perform tooth whitening.
Whitening is not a one-time procedure. It will need to be repeated from time to time if you want to maintain the brighter color.
What It’s Used For
The outer layer of a tooth is called the enamel. The color of natural teeth is created by the reflection and scattering of light off the enamel, combined with the color of the dentin under it. Your genes affect the thickness and smoothness of the enamel. Thinner enamel allows more of the color of the dentin to show through. Having smoother or rougher enamel also affects the reflection of light and therefore the color.
Every day, a thin coating (pellicle) forms on the enamel and picks up stains. Tooth enamel also contains pores that can hold stains.
The most common reasons for teeth to get yellow or stained are:
- Using tobacco
- Drinking dark-colored liquids such as coffee, cola, tea and red wine
- Not taking good care of your teeth
Aging makes teeth less bright as the enamel gets thinner and the dentin becomes darker.
It is also possible to have stains inside the tooth. These are called intrinsic stains. For example, intrinsic stains can be caused by exposure to too much fluoride as a child while teeth are developing. Other causes include tetracycline antibiotics. They can stain a child’s teeth if taken by a mother during the second half of pregnancy or by a child who is 8 years old or younger. Teeth are still developing during these years. Trauma may also darken a tooth.
Tooth whitening is most effective on surface (extrinsic) stains.
Other dental problems can affect the success of tooth whitening. For example, cavities need to be treated before teeth are whitened. That’s because the whitening solution can pass through decayed areas and reach the inner parts of the tooth. If your gums have receded, the exposed roots of your teeth may appear yellow or discolored. Whitening products will not make them whiter.
If you have tooth decay or receding gums, whitening may make your teeth sensitive. Whitening also does not work on ceramic or porcelain crowns or veneers.
Whitening can be done in the dental office or at home. For in-office whitening, Dr. Pastrell’s office probably will photograph your teeth first. This step will help him or her to monitor the progress of the treatment. Dr. Pastrell also will examine your teeth and ask you questions to find out what caused the staining.
Next, Dr. Pastrell or a dental hygienist will clean your teeth. This will remove the film of bacteria, food and other substances that build up on your teeth and contribute to the staining. Once this is done, the whitening procedure begins.
For whitening at home, Dr. Pastrell can make trays to hold the whitening gel that fit your teeth precisely. Home whitening gel usually needs to be applied daily for two to three weeks. Over-the-counter kits also are widely available for home use. They provide trays to hold the gel, or whitening strips that stick to your teeth. Talk to Dr. Pastrell if you want to use these home products. Be sure to follow directions to avoid overuse and possible damage to your teeth and mouth.
How It’s Done
There are two main types of whitening procedures. Vital whitening is performed on teeth that have live nerves. Non-vital whitening is done on a tooth that has had root-canal treatment and no longer has a live nerve.
The most common type of vital tooth whitening uses a gel that is applied directly to the tooth surface. This product contains some form of hydrogen peroxide.
Tooth whitening can be done in Dr. Pastrell’s office or at home. In-office whitening allows your dentist to use a more powerful whitening gel. A specialized light or laser activates the gel and allows bleaching to happen faster.
In-office whitening usually takes 30 to 90 minutes. You will need 1 to 3 appointments. The number will depend upon the method used, how severe your stains are and how white you want your teeth to be. Different types of stains respond differently to the treatment.
First, Dr. Pastrell will apply a substance that covers and protects the gums around the teeth. Then, the whitening agent will be placed on the teeth.
Some whitening agents are activated by a laser light, special lights or by the heat from these lights. After the whitening agent is applied, Dr. Pastrell will shine the light on your teeth. If they are badly discolored, your dentist may suggest that you continue the bleaching process at home for a few days or weeks.
For in-home whitening, Dr. Pastrell will take impressions of your upper and lower teeth and will make custom mouthpieces to fit you. The mouthpiece needs to fit well. A close fit helps the whitening agent remain in contact with your teeth.
At home, you will fill each mouthpiece with a whitening gel Dr. Pastrell’s office provides. You will wear the mouthpiece for several hours every day. Many people achieve the amount of whitening they want within a week or two. However, you may need to wear the mouthpiece for four weeks or longer.
You also can buy whitening products over the counter. They contain a weaker whitening agent than the products you can get from Dr. Pastrell. Therefore, whitening may take longer. The whitening agent is applied as a gel placed in a mouthpiece or as a strip that sticks to your teeth. Over-the-counter mouthpieces fit less securely than the kind you get from Dr. Pastrell’s office.
Whitening toothpastes are available as well. They contain abrasives that remove stains on the enamel.
Vital whitening may not improve the appearance of a tooth that has had root-canal treatment because the stain is coming from the inside of the tooth. If this is the case, Dr. Pastrell will use a different procedure that whitens the tooth from the inside. He or she will place a whitening agent inside the tooth and put a temporary filling over it. The tooth will be left this way for several days. You may need this done only once, or it can be repeated until the tooth reaches the desired shade.
If you find that your gums are white or sore, follow up with Dr. Pastrell.
Whitening is not a permanent solution. The stains will come back. If you smoke or consume a lot of staining foods or drinks, you may see the whiteness start to fade in as little as one month. If you avoid these sources of staining, you may not need another whitening treatment for 6 to 12 months.
Re-whitening can be done in Dr. Pastrell’s office or at home. If you have a custom-made mouthpiece and whitening agent at home, you can whiten your teeth as often as you need to. Discuss your whitening schedule with Dr. Pastrell. You can talk about what whitening products would work best for you.
Whitening is unlikely to cause serious side effects, although some people’s teeth may become more sensitive for a short while. You may get mild gum irritation as well. Women should not have their teeth whitened while pregnant. The effect of the whitening materials on the development of the fetus is not known. Since the procedure is cosmetic, it should be postponed until after delivery.
When To Call a Professional
If you feel your teeth would benefit from whitening, contact Dr. Pastrell’s office today at 775.746.1177.
Brightening your smile is as easy as visiting Dr. Pastrell’s office for a whitening treatment, or purchasing one of the many at-home treatment options available. Using a whitening toothpaste or mouthwash, trying whitening pens, strips or trays are all good ways to supplement your normal oral hygiene habits
Treating Sensitive Teeth After TEETH WHITENING
Sometimes after whitening treatments, teeth can be sensitive. If this occurs you have options to reduce the pain.
Use a sensitivity toothpaste – sensitive toothpastes are formulated with ingredients such as potassium nitrate to relive the pain associated with tooth sensitivity
Chew gum – scientists have found that more saliva is produced when chewing gum. And the act of chewing may distract people from the pain.
Avoid whitening for a while – give your teeth a break and stop using whitening products.