Becoming a Whitening Specialist In Your Practice

At our office, we are proud to offer several tooth whitening options to our patients, including in-office and take-home systems. Each of these options has been chosen for the consistent results and comfort they provide to our patients, but it is what we do first before the whitening that is important. The initial exam, x-rays, perio charting and finding out if the patient is candidate for whitening is the first step. Below we have questions that the office team needs to know as well as information to be given to the patient.

Will Tooth Whitening Really Make My Teeth Whiter?

Yes. The tooth whitening systems we offer have proven to consistently whiten our patients’ teeth by several shades. The only exceptions are individuals whose teeth are chemically stained or genetically dark, and which therefore cannot be affected by traditional tooth whitening systems. The Dr’s. Of Greenbriar Dental may recommend Porcelain Veneers to accomplish your whitening goals.

Will Tooth Whitening Systems Make My Teeth More Sensitive to Hot and Cold?

Some tooth whitening products can make your teeth sensitive, but we have chosen Venus tooth whitening systems specifically because they very rarely cause tooth sensitivity while delivering remarkably whiter teeth after treatment. Each type of whitening treatment can be customized for sensitive teeth, and we can adjust the whitening solution if your teeth are highly sensitive to heat and cold. If they are very sensitive before we start, we may recommend a fluoride toothpaste and or fluoride treatments.

Is In-Office Tooth Whitening Better than Take-Home Tooth Whitening?

Our in-office and at-home tooth whitening systems provide you with excellent results. However, these are both professional tooth whitening systems and should not be mistaken for over-the-counter products available in your local drug store. Professional tooth whitening systems use stronger solutions to produce more noticeable results. While over-the-counter products can whiten your teeth, the results are not likely to be as remarkable and will generally not last as long as those produced by professional tooth whitening treatments.

Are you Pregnant Or Breastfeeding?

If yes we must wait till you have the baby and are not breastfeeding. Some studies show it may cause birth defects.

When was the last time you saw a dentist? If more than 6 months we recommend a cleaning first for best results. Are your teeth sensitive to cleanings? If so how much?

Have you ever whitened before? If so, what type? How were the results? Did you ever wear trays?

If you had them made and did not wear them why?

Do you smoke?

Drink Coffee or Tea?

Is Whitening Safe?

Yes, extensive research and clinical studies indicate that whitening teeth under the supervision of a dentist is safe.

How Long Will the Whitening Results Last?

By following some simple post whitening care instructions they will always be lighter than they were, however we recommend touch up with every periodic cleaning. According to the ADA they say whitening last up to 5 years.

Should I Get My Tooth Whitened Before or After I Get My Bridge, Crown, or Other Dental Restoration?

If you need to have any dental restorations performed, you should have your teeth whitened prior to the dental restorations. Although teeth whitening can significantly whiten your teeth, tooth whitening cannot be used on dental restorations like porcelain veneers, dental bonding, crowns and bridgework. By having your teeth whitening treatment performed before the dental restorations, your new restorations can be matched to your new, bright, white smile.

How Long Does Tooth Whitening Take?

In-office procedures can take anywhere from 1 to 2 hours this includes the in-office treatment and fabricationof home trays before you leave. If only taking impressions for home-tray whitening, then the appointment takes about 45 minutes because we want you to leave with your trays before the appointment ends.

Which is Better – In-Office or At-Home Whitening?

It depends on your specific situation and preferences. In-office whitening is faster, but typically more expensive. Both procedures, when done under the supervision of a qualified cosmetic dentist are safe and effective.

What Types of Professional Whitening Procedures are Available?

At-home and in-office procedures are available. At-home procedures use a mouth tray and a special whitening gel, which you wear at night for two to three weeks. In-office tooth whitening uses a special laser light and dental gel. It’s a painless procedure and takes about an hour, after which you’ll see instant results.

We offer three 3 types of whitening in our practice.

Venus White Ultra-Pre-Filled, Ages (12-30 yrs old).Disposable Whitening Trays. (Once-a-day, 1 hour) treatment for up to seven days.

Venus White Pro 22%- (18yrs old and up) Take-home Whitening for Custom Trays. An impression is taken and poured with fabricated trays of their teeth. The patient then administered the whitening agent themselves every day for about 14 days.

Venus White Max 11.9%- In-office Whitening. Ages 18yrs and up). Four 15-minute sessions with the in-office procedure along with impression of home trays. Patient may not want home-trays and we will do 2 in-office sessions.

Informed Consent for Whitening (In-Office and Home)

This information is read to me and given to me so that I can make an informed decision on teeth whitening (in-office or home). I have been examined by my dentist and told I am a good candidate for whitening. I have the choice of home or in-office whitening treatment. I have been given all the details of whitening by the dental professional and explained in detail this procedure.

Description of the Whitening Procedures

Tooth Whitening is an effective, noninvasive, affordable method to whiten natural teeth. The Whitening process home or in-office

Will always whiten natural teeth but because of individual differences, the degree of whitening cannot be predicted with certainty. Also the color of a natural teeth is darker at the gumline than it is at the edge of the tooth. This will always be the case, no matter how white your teeth become. As a general guideline you can expect your teeth to lighten 2 to 5 shades although some teeth may lighten more and some may lighten less. Be assured that the whitening methods used will make your teeth as white as naturally possible without using restorative procedures.

Comprehensive Oral Exam and Records

The dentist must first make an assessment as to whether the patient is an ideal candidate for bleaching. We suggest that the patient first

undergo a thorough dental hygiene visit to remove extrinsic stain, calculus and plaque. During this initial visit, we can provide dental xrays, periodontal charting, digital photography and pre-operative study models for home-trays if needed. Make sure to take pre-operative photos with and without a shade guide to prove shade change. Patient’s with existing sensitivity, recession, exposed dentin, exposed root surfaces, recently cracked teeth, abfractions, open cavities, leaking fillings, or other dental conditions that cause sensitivity or allow penetration of the whitening gels into the tooth may cause tooth sensitivity.

Who is a Candidate?

Teeth that are yellowish-brown (A shade range) and typically stained from aging tend to whiten more rapidly than teeth that range from gray to grayish-brown (C to D). Patients who consume large quantities of dark soft drinks, tea, coffee, grape juice, red wine, and/or use tobacco will achieve greater success with the in-office procedure as compared with an at home bleaching procedure. Significant whitening can be achieved in most cases, but there is no definitive way to predict how white a patient’s teeth will get. Shade change results vary for every patient. Teeth with tetracycline stains, decalcifications, traumatic injuries, or root canal therapy may require further treatment. Please note that bleaching is not recommended for women who are pregnant or breast-feeding. Some medications are commonly considered to be photoreactive and may cause an adverse condition if used in conjunction with the power bleaching solutions. If the patient is currently taking any of these medications, have the patient consult with their physician before going through with a bleaching procedure. Have the patient consult the most recent edition of the Physician’s Drug Reference (PDR).

Planning for Less-Than-Ideal Results

Patients with tetracycline-stained dentition or intrinsic pigmentation will require additional visits and possible home tray alliance to

achieve optimal results. Case studies conducted in my office have shown that patients with these stains may benefit from a 10-second,

35% phosphoric acid etch to assist in the breakdown of the tetracycline band, which helps the carbamide peroxide break through the enamel more quickly and cause a color change. Be sure that if an acid etch is used in the bleaching process, an enhance cup should be

used to polish the enamel surface. Most in-office bleaching systems contain an at-home counterpart to maximize results and help meet patient expectations.

Risk of Whitening Treatment

Tooth Sensitivity- During the first 24 hours of treatment after in-office whitening some patient’s may experience some tooth sensitivity or pain. Normally that goes away after 24hours, but in rare cases can persist for longer periods of time.

Gum, Lip and Cheek Inflammation- Whitening may cause some inflammation of your gums, lips and cheek. The inflammation is usually temporary which will subside in a dew days but may persist longer. Using Vitamin E Oil on the tissue may help these areas to heal faster and soothe the tissue.

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