- When is bleaching indicated?
Whiter, brighter
teeth contribute to an attractive smile. Enamel stains or
discoloration, trauma to baby teeth, which has stained permanent teeth
and a general discolored pattern in teeth, can all benefit from
bleaching. First, an examination should be done to make sure there are
no other restoration related problems and that bleaching can be done.
Bleaching may be done using one of the following procedures:
- Home bleaching procedure
- Office bleach procedure
- What does the home bleach technique involve?
The bleaching gel
is applied to your teeth by a bleaching tray (a thin plastic flexible
mouth guard) so only the teeth to be bleached are covered by the gel.
Impressions of your upper and lower teeth are made. This impression
will be used to make a bleaching tray to specially fit your mouth
exactly. When the tray is ready, you are shown how to use the gel and
to apply it correctly. We usually advise wearing them for period of one
to two hours at a time (day bleach), once to twice a day, over a
two-week period. Or we now have another type of bleach (night bleach),
which you wear over night for five days. You can choose the type of
bleaching that best suits your lifestyle. Bleaching results usually
last a long time, but will gradually fade, therefore we usually
recommend a 6 or 12 monthly "touch up" treatment of 1 - 2 days
duration. Your mouth is unlikely to change and so your trays will still
fit.
- What does the office bleach technique involve?
Some people desire
a faster result, in which case you can do an in office bleaching or
power bleach. It takes about one hour of your time in the dentists'
chair to lighten your teeth one or two shades. For best long term
results we recommend you follow up with an at home bleaching routine.
- Are there any side effects?
The bleaching gel
which is used has been proven to be a safe and effective treatment. It
does not damage or weaken the enamel of teeth.
Some patients may experience a temporary increase in teeth sensitivity,
although the gel concentration we use makes this unlikely. Should it
occur we suggest stopping the bleaching process for 1 -2 days to give
your teeth a rest, then continue the process.
Gum irritation may also occur, especially if you have gingivitis and
bleeding gums to start with. For this reason we recommend a thorough
teeth and gum cleaning prior to commencing the bleaching process. This
also helps to remove any stains from your teeth and thus makes the
bleaching more effective.
Severe tetracycline stains may not improve enough and an alternative
treatment procedure such as porcelain veneers may be required.
- Should cosmetic or restorative bonding be done before bleaching?
NO! Bleaching will
change the color of your teeth, but will not change the color of your
fillings. For this reason, after your teeth have been satisfactorily
whitened it may be necessary to replace some old fillings to better
match the color of your teeth, and to do any new bonding procedures
after bleaching.