What Causes Discoloration?
While people have different colors
of skin and hair, they also have genetic differences in tooth color. Some
teeth are more yellow, while others yellow with aging. Natural tooth color
can be discolored by a number of causes. The surface of the teeth can be
stained by tobacco, coffee, tea, berries and other foods as well as by
deposits of calculus (which is better known as tartar).
Discoloration of the tooth
internally can also result from aging, injuries, excessive fluoride, certain
illnesses and taking antibiotic tetracycline during early childhood. Although
bleaching successfully lightens most discolorations, certain types (like
those caused by tetracycline) are more difficult to remove.
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There are two types of whitening procedures.
Whitening may be
done completely in the dental office (known as “chairside whitening”) or a system may be dispensed by the dentist to use at home (called “in-home whitening”). |
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Chairside whitening takes from 30
minutes to one hour per visit. It is not uncommon for the
teeth to become slightly sensitive following whitening treatments. To protect the mouth, a gel-like substance is applied to the gums and a rubber “shield” is placed around the necks of the teeth. A chemical solution, the oxidizing agent, is painted onto the teeth. A special light may be used to activate the agent. |
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Before |
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With in-home whitening, the
dentist makes an impression for a model of the teeth, fabricates a
custom-fitted tray and prescribes a whitening agent that comes in the form of
a bleaching gel. The gel is placed in the custom-fitted tray and worn up to
two hours daily or at night for about two weeks. The amount of time the
custom-fitted tray is worn and the duration may vary according to a person’s
individual need and the recommendations of the dentist. The dentist will
monitor the entire process of in-home whitening to assure its effectiveness
and safety.
Over the counter products that are
self-administered are not recommended, although they may appear to cost less.
Whitening treatment should be done under the supervision of a dentist
following a proper exam and diagnosis. Whiteners with the ADA Seal of
Acceptance have proven to be safe and effective.
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Most whitening procedures last one
to three years, although in some situations it may
last longer.
Some people, with certain dental
conditions, may not be good candidates for this type of
whitening. People with gum recession, for example, may have exposed root surfaces that are highly sensitive and could be further irritated by the ingredients in the whiteners or bleaching components. In addition, these products are not recommended for habitual tobacco and alcohol users.
Brushing and flossing, twice a
day, as well as regular professional cleanings, along with
occasional touch-up treatments will help keep teeth white. An attractive smile increases self-confidence. |
Whitening usually lasts between
one and three years. However, it is important to:
- Brush twice a day
- Floss once a day
- Have regular cleanings at your
dentist’s office
- Ask your dentist about any
concerns you may have
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