Why a Tooth Whitening System?
There is a plethora of tooth whitening systems to be had today. Why do teeth become yellowed? This is due to the fact that people consume caffeine-containing drinks, smoke, get exposed to antibiotics, and just plain age. Teeth whitening is an effective way to reverse this process, and is so successful that 95% of those going through the system do demonstrate some improvement. Tooth whitening systems provide a wide spectrum of alternatives, ranging from economical whitening strips on the low end to expensive but mostly effective skilled dental whitening services.
The ADA Seal of Acceptance
The ADA guideline for a whitener requires that it not turn out to be bad to the soft tissues of the mouth or the teeth, and that a whitener can effectively whiten teeth. What we should know in regards to the ADA seal of acceptance is that no OTC product has as of yet attained this coveted designation. Only a small amount of tray-based dentist-dispensed products have the ADA Seal. In all the at-home tooth whiteners that have attained the ADA Seal, the active ingredient is a 10% carbamide peroxide solution. There are differing 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 guidelines for tooth whitening products.
Tooth Whitening Toothpaste
The most simple tooth whitening technique is tooth whitening toothpaste (which is a mix of hydrogen peroxide and baking soda). If you simply want some uncomplicated maintenance of prior tooth whitening, then this is the way to go. However, if the situation is more deep rooted, then additional tooth whitening systems ought to be looked into.
Take Home Tray Whitening
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 then worn for one to two hours at home at a convenient time by the tooth whitening patient. Because the bleaching tray is so custom fitted, this allows the bleaching gel to remain in contact with the teeth surface. Actually, this is the most pivotal aspect of the bleaching process and is the rationale why tray based bleaching systems have been so successful. This is possibly the most cost effective method of tooth whitening right now available.
An OTC kit is similar to the take home whitening tray fitted at the dentist’s office, but in this case, you are totally on your own. You must thoroughly follow all the instructions. This procedure has been successful, but you should be careful. This system is not recommended by the ADA.
Dentist-supervised laser tooth whitening
Judged against 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 technique, the precisely defined light frequency combined with a proprietary bleaching chemical produces exceptionally enhanced whitening effects. With a procedure such as Zoom® tooth whitening, a special bright laser light is shone on the teeth whitening gel for an hour. Laser light energy creates energy which initiates chemical reactions that trigger 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 provide the reader a broad understanding of the varying strengths of peroxides utilized 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 attempt to summarize the relative effectiveness, prices, and benefits of the diverse 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 approach is the whitening strip technique. You place tooth bleaching tape on your front teeth. This tape is flexible, and contains the gel that bleaches the teeth. This is the most comfortable, least pricey, and easiest to employ tooth whitening approach. This explains the popularity of this system. But then, frequently the outcomes aren't as superb as those results seen with the tray-based methods or in-office laser tooth whitening systems. Whitening strips can do a good job of whitening the exterior tooth surfaces, but do a poor job of bleaching the teeth divisions and cracks. A dark division between whitened teeth might seem similar to a bad cavity. If you don't utilize a tray-based tooth whitening system, you run the chance of dealing with irregular or spotty consequences.
OTC tooth whitening products can in principle come up with the identical tooth whitening effect as a visit to a dentist office, but with a lowered concentration of the peroxide (5% - 10%), and over a longer time period. This is partially true, but omits the fact that dentists use a laser tooth whitening system as well as bleach, something not available with OTC products.
Three Primary Approaches to Tooth Whitening
Despite the perplexing array of dentist and over the counter (OTC) products, there are basically 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 directed whitening using OTC bleaching products
There's not anything intrinsically superior or deficient about any of these three basic approaches - each system should yield fine results. The key to the best outcomes in tooth whitening is the whitening agent delivery procedure. In all the tooth whitening methods, the tooth bleaching gel is kept in place by a method of delivery. This is absolutely necessary to keep the gel in contact with the surface of the tooth. You just can’t put a bleaching agent on your teeth without a decent delivery procedure and presume it to work.
Conclusion
Whatever tooth whitening system you prefer, always seek the advice of your dentist and follow in detail all instructions. Assess your situation. If you are looking for a little whitening of your teeth, then contemplate an OTC tooth whitening system. Provided that you particularly wish a magnificent bright white smile, at that time your only choice is a cosmetic dentist.
If you have a further interest in tooth whitening methods, you may also want to look into
rapid white or in addition
whitelight teeth whitening.