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Teeth Whitening

Teeth Whitening or “bleaching” is a form of treatment that will make teeth appear whiter. There are a few things you should know before you consider teeth whitening. 

1. A complete oral assessment and dental cleaning is recommended before you proceed with whitening your teeth. 
2. If you have existing crowns, bonding, bridges or other artificial dental work, these teeth will not respond to whitening. 
3. Generally, whitening strips do not cover the entire arch and only cover the front teeth. 
4. Teeth whitening can cause temporary reactions like sensitive teeth and sore gums which usually go away when the whitening process is complete. 
5. Bleaching products contain hydrogen peroxide that helps remove deep intrinsic stains and surface extrinsic stains. 

Intrinsic Stains are within the tooth structure and can occur while the tooth is developing or once it has erupted into the mouth. 

These stains are generally caused by: 

1. Ingesting fluoride from toothpaste/fluoride drops which causes white flecks or brown stains known as Dental Fluorosis.
2. Older people can develop brown stains as the enamel wears thin.
3. Children between the ages of 3-12 who are or have been exposed to tetracycline antibiotics can cause horizontal brown and/or grey stripping of the enamel surface.
4. Injury or infection of a baby tooth can lead to discoloration of the permanent tooth. 

Extrinsic Stains develop on the tooth’s outer surface. These stains are not part of the tooth structure. 

These stains are generally caused by:

1. Plaque that “sticks” to the tooth surface can turn yellow. This is a result of poor oral hygiene.
2. Food and drink-coffee, red wine, tea, certain berries, colas.
3. Smoking.
4. Iron tablets have a tendency to leave black marks on the teeth.
5. Antibiotic use with tetracycline.
6. Any mouth rinse that contains the antibacterial agent 'chlorhexidine'.

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