Front
teeth, the 6 to 10 teeth most easily seen when you talk or smile, are the teeth
that can benefit most from an in-office “power” tooth whitening. Just as with
back teeth, if there are medium- to large-sized fillings in the teeth, it is
probably better if these teeth were
protected with crowns. The in-office power whitening procedure is one of
the most conservative and least expensive methods to attempt to lighten tooth
color back to a more acceptable appearance.
The
procedure involves isolating the teeth to be whitened and protecting the gum
tissues and lips. A whitening solution is then mixed and applied to the teeth.
The type of application and number of appointments depends on the type of
whitening system we believe will be best in your situation.
Most
patients show great improvement after only one treatment. Since the protective
biofilm that normally covers the tooth enamel is removed during the whitening
procedure, you should avoid smoking and drinking pigmented liquids (coffee,
tea, red wine) for about 24 hours after the whitening is completed. After 24
hours, the biofilm is usually back in place. The final color will usually
regress one shade in the first 1 to 3 months, with most of the change coming in
the first week. Some teeth may need a second appointment (or a combination of
in-office and at-home tray system whitening) to achieve the desired result. The
degree of whitening for any tooth is variable and impossible to predict. However,
recent studies show that 97% of all patients who whiten their teeth are happy
with the result. The color change should be satisfactory for 3 to 7 years.
If
you have dental restorations (crowns, bonding), the plastics and porcelain will
not change color. You may need to have some of those fillings redone once your
teeth are lightened. We will let you know whether you can expect to have some
fillings replaced due to the color change. If you are going to have fillings
replaced, you should wait at least 2 weeks after the whitening is completed for
the tooth color to stabilize before new restorations are placed. Some
postoperative sensitivity is possible, but it usually disappears quickly. The
tooth enamel or dentin is not damaged by the whitening process.
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