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Why a Tooth Whitening System?


Why do teeth become yellowed? This is because people consume caffeine-containing drinks, smoke, get exposed to antibiotics, and just plain age. Teeth whitening is an effective path to reverse this process, and is so successful that 95% of persons experiencing the approach do verify some improvement. There is a great deal of tooth whitening systems accessible today. Tooth whitening systems offer a wide spectrum of alternatives, ranging from economical whitening strips on the low end to pricey but mostly effective specialized dental whitening services.

The ADA Seal of Acceptance

The ADA guideline for a whitener requires that it not be bad to the soft tissues of the mouth or the teeth, and that a whitener can effectively whiten teeth. What we must know in regards to the ADA seal of acceptance is that no OTC product has yet earned this coveted designation. There are varying degrees of worth to all these whitening systems. This is an area that the U.S. FDA doesn't become involved. Nonetheless, the American Dental Association (ADA) does set rules for tooth whitening products. Only particular tray-based dentist-dispensed products have the ADA Seal. In all the at-home tooth whiteners which have attained the ADA Seal, the active ingredient is a 10% carbamide peroxide solution.

Tooth Whitening Toothpaste

The most uncomplicated tooth whitening system is tooth whitening toothpaste (which is a mix of hydrogen peroxide and baking soda). If you simply desire some uncomplicated maintenance of prior tooth whitening, then this is the direction to go. But, if the difficulty is more deep rooted, then further tooth whitening systems ought to be looked into.

Three Primary Approaches to Tooth Whitening

Despite the perplexing array of dentist and over the counter (OTC) products, there are actually only three (3) approaches to whitening one’s teeth:

  • Dental in-office bleaching
  • Self-applied night-time bleaching using a custom-fitted tray or a polyethylene strip
  • Individual administered whitening using OTC bleaching products

There is nothing intrinsically superior or deficient regarding any of these three basic approaches - each system can yield decent results. The key to the most ideal results in tooth whitening is the whitening agent delivery method. In all the tooth whitening methods, the tooth bleaching gel is kept in place by a system of delivery. This is absolutely central to keep the gel in contact with the surface of the tooth. You simply can’t put a bleaching agent on your teeth without a viable delivery method and presume it to work.

Take Home Tray Whitening

Because the bleaching tray is so custom fitted, this allows the bleaching gel to remain in contact with the teeth surface. In fact, this is the most significant aspect of the bleaching process and is the explanation why tray based bleaching systems have been so successful. This is possibly the most cost effective method of tooth whitening right now out there. With a take home tooth whitening tray system, which the patient can perform at home, the dentist makes an impression for a model of the patient’s teeth. Then, a perfect fitting bleach tray is fitted from this impression. Lastly, a bleaching gel is prescribed by the dentist. At home, the bleaching gel is placed in the bleaching tray by the patient and the tray is subsequently worn for one to two hours at home at a convenient time by the tooth whitening patient.

An OTC kit is similar to the take home whitening tray fitted at the dentist’s office, but in this case, you are completely on your own. You must closely follow all the instructions. This approach has been successful, but you must be cautious. This system is not recommended by the ADA.

Dentist-supervised laser tooth whitening

Compared to OTC products, dentists typically use a higher concentration of bleaching compound with a laser tooth whitening system like Britesmile® or Zoom® tooth whitening. With a laser whitening process, the exactly defined light frequency combined with a proprietary bleaching chemical produces particularly enhanced whitening effects. With a procedure like Zoom® tooth whitening, a special bright laser light is shone on the teeth whitening gel for an hour. Laser light energy creates energy which causes chemical reactions that cause the tooth whitening. Most people do a Zoom® tooth whitening once every six months.


A comparison of peroxide concentrations in tooth whitening


The following table will give the reader a broad understanding of the differing strengths of peroxides used in the several whitening systems.


Application Agent Professional/OTC Concentration
In Office "power bleaching" hydrogen peroxide carbamide peroxide dentist
dentist
15%-38%
35%
Night-time tray bleaching carbamide peroxide
hydrogen peroxide
dentist
dentist
10%-22%
6-9.5%
whitening strips hydrogen peroxide
hydrogen peroxide
OTC
dentist
5.3%-10%
6.5%-14%
paint on gels carbamide peroxide
hydrogen peroxide
OTC
OTC
18%
19%

A comparison of all the tooth whitening systems


In the following table, we make an attempt to summarize the relative effectiveness, prices, and benefits of the different tooth whitening systems.


Method Effectiveness Length of results Treatment Duration Side Effects Tooth Type Cost
Whitening strips Whitens teeth slightly, might leave "lines" 1 year 7-14 days Minimally sensitive teeth/gums Slightly yellow teeth $15
Brush on whitening gels Somewhat better than regular toothpaste Several weeks 7-14 days Bad breath Slightly yellow teeth $3-$5
OTC gels Improves with higher peroxide levels 1 year 1-3 weeks Sensitive teeth/gums Moderately yellow to dark teeth $10
Bleaching done in dentist's office Great for yellow teeth 3 yrs 1-2 mos. Sensitive teeth/gums Extremely dark teeth, which require professional evaluation $300-$1000
Dentist supervised gel application Great for yellow teeth 3 years 3-6 wks Sensitive teeth/gums Dark teeth, which needs a dentist-supervised evaluation $300-$500
Crowns Very effective for one tooth 10-15 years 1 month feeling of tightness Single tooth is decayed or broken $600-$3000
Veneers Very effective for just one tooth 10-15 years 3-4 weeks feeling of tightness Single tooth needs straightening $500-$1200
Bonding Very effective for just one tooth 5-10 years 1-2 weeks Rare allergies Single tooth needs minor reshaping $300-$700

Whitening Strip Method

The next simplest tooth whitening technique is the whitening strip method. You place tooth bleaching tape on your front teeth. This tape is flexible, and contains the gel which bleaches the teeth. This is the most comfortable, least pricey, and easiest to employ tooth whitening procedure. This explains the popularity of this approach. Yet, often the results aren't as superb as those results seen with the tray-based methods or in-office laser tooth whitening systems. Whitening strips might do a nice job of whitening the exterior tooth surfaces, but achieve a poor job of bleaching the teeth divisions and cracks. A dark division between whitened teeth could look similar to a bad cavity. If you do not use a tray-based tooth whitening system, you run the possibility of having irregular or spotty results.

OTC tooth whitening products can in principle provide the identical tooth whitening effect as a visit to a dentist office, yet with a lower concentration of the peroxide (5% - 10%), and over a longer period of time. This is partially true, but omits the fact that dentists employ a laser tooth whitening system as well as bleach, something not available with OTC products.

Conclusion

Whatever tooth whitening system you prefer, always seek the advice of your dentist and follow carefully all instructions. Take a look at your condition. Providing you are looking for a little whitening of your teeth, then contemplate an OTC tooth whitening system. Provided that you particularly seek a wonderful bright white smile, then your sole option is a cosmetic dentist.

If you have a further interest in tooth whitening methods, you may also want to look into teeth whitening prices or in addition tooth whiteners.
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