Medically Reviewed by Evan Frisbee, DMD on November 17, 2020 Want a brighter smile? When it comes to tooth-whitening, you've got two
options: in-office-based teeth bleaching, or at-home care. Both tooth-whitening options use peroxide-based bleaching agents. At-home systems contain from 3% to 20% peroxide (carbamide or hydrogen peroxides). In-office systems contain from 15% to 43% peroxide. Generally, the longer you keep a stronger solution on your teeth, the whiter your teeth become. However, the higher
the percentage of peroxide in the whitening solution, the shorter it should be applied to the teeth. Keeping the gel on longer will dehydrate the tooth and increase tooth sensitivity. There are pros and cons to each option, but before you try at-home tooth-bleaching kits, be sure to talk to your dentist. Not everyone will see good results. Bleaching will not whiten porcelain crowns or composite tooth-colored bondings. Teeth whitening done by your dentist can get teeth brighter faster. The bleaching solution is usually much stronger than at-home kits. Also, heat, light, or a combination of the two may be used to speed and intensify the whitening process. The most dramatic results -- teeth generally get three to eight shades brighter -- usually take several 30- to 60-minute in-office visits. Some dentists use techniques that can be done in a single 2-hour appointment
(e.g. the Zoom system). The cost of in-office tooth whitening varies, but can range from $500 to $1,000. There are many choices for bleaching teeth at home, the most common include: Whether you use an at-home tooth-whitening system, or have your teeth bleached by a dentist, you can help maintain the results by brushing, flossing, and rinsing daily. Also, avoid acidic and tannin-rich foods and beverages such as: Tooth bleaching can make teeth temporarily sensitive -- or be uncomfortable for people who already have
sensitive teeth. When used incorrectly, home kits can also lead to burned -- even temporarily bleached -- gums. Tooth-whitening works best for people with yellow teeth and is less effective for people with brown teeth. If your teeth are gray or purple, tooth bleaching probably won't work at all. To be sure tooth-whitening is worth your time and money, talk to your dentist
before you use an over-the-counter tooth whitening kit. – Wearing your trays. / How long do results take? / How long do they last? / Touch-up treatments.
This page provides details about performing your treatments. How often / How long do you wear your trays?We can’t give you a precise answer to these questions because we have no way of knowing what product you’ll be using. You can’t assume that all whiteners have the same instructions because they don’t. What’s typical?Systems that utilize a 10% carbamide peroxide whitening gel and custom-made bleaching trays (the type of system typically dispensed by dentists, and the one referred to on our pages) typically call for:
How long will the entire process take?The total time frame that will be needed for your treatments will depend on several factors. Chief among them are: 1) The concentration of peroxide in the whitener you’re using. 2) The type of tooth staining that you have. What’s typical?An average case might involve teeth that have yellowed or darkened due to their long-term exposure to dark beverages (coffee, colas, wine). With these types of cases (when utilizing a 10% carbamide peroxide bleaching gel, with once-daily sessions lasting at least 1 hour), studies have shown (Strassler 2006):
Other types of discoloration can be more stubborn to resolve. (Learn more about treating different types of staining.) ▲ Section references – Strassler Is there a quicker way to get results?The total amount of time that’s needed for a case can be reduced by either:
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FYI –Our Dietschi reference evaluated the effect of 10, 15, 16 and 20% carbamide peroxide whiteners in a laboratory setting. It concluded that after a point of 20 applications had been reached, the use of a higher concentration gel did not prove to be significantly more effective. So, yes, a higher concentration product will produce results sooner but does not create a greater whitening effect. Its use is more likely to cause side effects. ▲ Section references – Leonard, Matis, Dietschi Adjust the duration of your sessions to your comfort level.While you must always stay within a system’s maximum guidelines, you do have the option of bleaching less. And doing so can be a way of helping to control the level of side effects you experience.
When should you perform your treatments?Your whitening sessions can be performed during the day, at night or some combination of both. When trying to decide, here are some of the issues you should consider. a) Daytime bleaching.
b) Nighttime bleaching.Wearing your trays while you sleep has some advantages.
Bleaching at night is probably more cost-effective.In general, whitening your teeth while you sleep tends to deliver the greatest “bang for the buck.” That’s because each whitener application remains in your trays to its point of exhaustion. In comparison, daytime sessions tend to get interrupted and therefore cut short before the full usefulness of the dispensed amount of bleaching gel has been reached. Due to this, ultimately a greater quantity of product will need to be used to reach the same whitening endpoint. The whitener’s formulation plays a role.Some bleaching gels have a formulation that allows them to remain active for even up to 8 hours after being dispensed into your trays. These products would, therefore, be very suited to longer application times, such as those sessions performed overnight. In comparison, shorter-acting gels would be more suited to waking-hour treatments. Times when the duties of life often dictate that a session must be kept relatively short. This isn’t to imply that “nighttime” gels can’t be used during the day and vice versa. But, at least in theory, some may be better suited for one or the other. If this is the case for the product you are using, you can expect it’s instructions to state so. Do you need to abstain from consuming dark foods and beverages during your treatment process?Chromogenic agents, like coffee, tea, colas, red wine and dark-colored fruits, are known to cause tooth discoloration over time. So, always minimizing the consumption of these kinds of items is generally a good idea. However, as a separate question: Do you need to abstain from consuming dark foodstuffs during the days and weeks while performing your whitening treatments? Studies suggest that doing so isn’t detrimental to the results you will get. We explain here: Is maintaining a “white” diet necessary during bleaching treatments? Your dentist will monitor your bleaching progress. Ending your treatments.There’s usually a point that’s reached where either:
An advantage of having your dentist involved in your bleaching process is that they can help you determine when either of these stopping points (especially the latter) has been reached. Monitoring with a shade guide.If you don’t have your dentist’s assistance, some OTC products come with a tooth shade guide. These are a graduated assortment of shades of white that you match to the current color of your teeth as they undergo the whitening process. As you monitor, you may find that a point is finally reached where your teeth won’t lighten any further. (This may or may not be the lightest color on the guide.) Some relapse is expected.Once you’ve terminated your whitening process, there’s typically a period of 2 weeks or so during which the shade of your teeth may relapse slightly before stabilizing. When can new dental work be scheduled?Once the above-mentioned stabilization has occurred, you and your dentist can make plans to begin the process of replacing your existing dental work so it matches the new shade of your teeth. If white fillings are involved, a wait-period of 2 to 3 weeks is indicated. FYI –Whitening to the point where your teeth match the whites of your eyes seems a little extreme to us, especially the older you are. Just go to Google Images and search “1960’s smiles” (a time before the current whitening craze was in vogue). Don’t be disappointed about relapse. All whitening methods experience it. In fact, it’s usually less dramatic with tray whitening than with in-office treatments. Should you whiten just one arch or two?Dentists usually charge for tray-based teeth whitening by the “arch.” An arch is a dental term used to refer to either the upper or lower teeth. A person’s complete set of teeth is composed of two arches. This means you do have the option of treating just your upper or lower teeth. There can be several reasons why you might choose to do so.
You can always treat your other teeth at any time, even weeks or months later. How long will your whitening results last?
▲ Section references – Leonard, Haywood, Haywood FYI –You have to expect that color relapse will occur over time. But that’s true for all whitening methods. Based on the tray-based studies we’ve read through, it seems that they often start to evaluate for relapse at 3, 6 and 12-month intervals, and then multiple years. Most seem to be able to document some level of fading as early as 3 to 6 months (more likely 6) after the original treatment. But patient satisfaction (which is an entirely different metric) seems to last much longer (12 months and more). In regard to very long-term patient satisfaction, some papers include before-and-after pictures of study participants. Usually, the relapse they show seems quite obvious when the pictures are side by side. But since the metric evaluated is patient satisfaction, the cases are reported as a success (which evidently they are). At that point when the color of your teeth has faded enough that you find it objectionable, touch-up treatments can be performed. How often will they be needed?There are numerous factors that can cause teeth to discolor. And even though your teeth have been lightened, these same processes will continue to occur. For example, people who have continued exposure to coffee, colas and tobacco products can expect that the luster of their original treatments will fade faster than those who don’t. Of course, an advantage of an at-home system, like tray whitening, means that you can perform touch-ups on your own at whatever interval you find necessary. People who are quite conscious of their teeth may want to perform touch-ups every 6 months or so. For others, once a year, or even every 2 years, may keep them looking the way they want. (See studies above.) What’s involved with retreatment?Additional syringes of tooth-whitening gel. As compared to your first go around, touch-up work is usually a much easier affair. The process should take much less time and require less whitener. Assuming you still have your bleaching trays, all you’ll need is some whitening gel.
If you don’t have these sources, you can look in your local store or online to see if you can’t find the exact same product you used before, or at least an equivalent one. When looking for an equivalent:
Page references sources: Dietschi D, et al. In vitro colorimetric evaluation of the efficacy of various bleaching methods and products. Haywood VB. Achieving, maintaining and recovering successful tooth bleaching. Haywood VB. Current status of nightguard vital bleaching. Leonard R. Efficacy, Longevity, Side Effects, and Patient Perceptions of Nightguard Vital Bleaching. Matis BA, et al. Clinical evaluation of bleaching agents of different concentrations. Strassler HE. Vital Tooth Bleaching: An Update. All reference sources for topic Tray-based Teeth Whitening. How often should you top up teeth whitening gel?Typically, 3 to 5 days of top-up whitening every 3 months will be enough to keep your teeth looking beautifully white.
How often should you whiten your teeth with gel and trays?Wearing the trays once every 2 months will keep your teeth at a very stable colour indefinitely, however if you want to keep them at an even brighter white, you may want to wear the trays once a month. Whitening gel, for maintenance, is available from the practice.
How long should you whiten your teeth with gel?The typical at-home whitening kit prescribed by a dentist contains about 10% hydrogen peroxide or carbamide. With such products, dentists typically advise their patients to wear their mouth trays for two to four hours.
How many times per week should you whiten your teeth?Unfortunately, that's not the case. They need upkeep just like the rest of the body! So how often should you whiten your teeth? Generally speaking, it's a good practice to return to your dentist for teeth whitening services roughly once per quarter, or once every three months.
How often can I do teeth whitening?How often teeth whitening treatments are recommended by dentists. Professional teeth whitening performed in the dentist's office is recommended once every year to every 18 months, depending on how long the results last. At-home kits can be used as often as once every four to six months.
How long does it take to see results from teeth whitening gel?Generally, you'll start to see noticeable results in around 10-14 days. It's a good idea to check back in with your dentist around that time anyway. Your dentist will first fabricate the whitening trays to fit you comfortably. You'll take home the whitening trays and apply a small amount of whitening gel inside.
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