In-office whitening uses a peroxide gel, stronger than products sold for home use, applied by the dentist while your gums and lips are protected. The gel breaks down stain molecules inside the enamel and lightens the tooth from within. It doesn’t remove enamel or change the shape of your teeth.
Who it’s for
Whitening suits adults with healthy teeth and gums whose teeth have darkened with age, coffee, tea, red wine or smoking. It works on natural enamel only. Crowns, veneers and fillings stay the colour they are.
Some conditions are treated first: decay, leaking fillings and gum disease, because the gel can make them sore. Whitening is usually postponed during pregnancy and breastfeeding. Very sensitive teeth, or grey discolouration from certain medicines or a dead tooth, may respond less well, and we’ll discuss other options.
How it’s done
The dentist checks your teeth and records your starting shade. A protective barrier is painted over the gums. The whitening gel is applied to the front of the teeth and left for a set time, then removed and reapplied, usually in two or three rounds. The appointment takes 60 to 90 minutes in total. At the end we compare the new shade with the old.
If you are also having veneers, crowns or bonding, whitening is done first so that the new restorations can be matched to your whitened teeth.
Afterwards
For a day or two your teeth may be sensitive to cold, and the gum edge may feel tender. A toothpaste for sensitive teeth helps. For 48 hours avoid coffee, tea, red wine, cola, curry, beetroot and smoking, while the enamel is most likely to pick up stain. After that, the less you expose your teeth to strong colours, the longer the result holds.
Risks and alternatives
Sensitivity and gum irritation are common and temporary. Results vary and can be uneven on teeth with white spots, which can look more visible for a day or two. Overusing whitening products afterwards can make teeth sensitive without making them whiter.
Alternatives are a professional clean and polish for surface stain, composite bonding or veneers for teeth that don’t lighten enough, and treatment of a single dark tooth from the inside after root canal treatment.
Which option suits your teeth?
Send photos or an X-ray and we’ll write, tooth by tooth, what we recommend and why.
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