Q- Why do my teeth have stains and discolorations?
A-Most stains are caused by age, tobacco, coffee, or tea. Other types of stains can be caused by antibiotics, such as tetracycline; or too much fluoride.
Q- What treatments are used for stained teeth?
A-Supervised bleaching procedures that are done in-office and at-home have become among the most popular treatment options. In some cases, the procedure is performed entirely in the office, using a light or heat source to speed up the bleaching process. In other cases, an oral health care professional gets the procedure started during an office visit and then gives you what you need to complete it at home. Still another popular procedure is one that you complete entirely at home.
At home procedures, sometimes called nightguard vital bleaching, consist of placing a bleaching solution, usually a peroxide mixture, in a tray (nightguard) that has been custom fitted for your mouth by an oral health care professional. The bleaching solutions may vary in potency and may be worn for an hour, or throughout the night. Your oral health care professional can advise you on the appropriate type of application and the length of time needed to whiten your teeth, based on the severity of tooth discoloration and your specific needs.
Q- How effective are bleaching systems?
A- Bleaching is effective in lightning most stains caused by age, tobacco, coffee, and tea. Based on clinical studies, 96 percent of patients with these kinds of stains experience some lightening effect. Other types of stains, such as those produced by tetracycline use or fluorosis (too much fluoride), respond to bleaching less reliably. If you have a tooth-color filling when your teeth are bleached, the filling will stay yellow—dental restorations do not change color when tooth whitener is applied.
Q-Should I bleach my teeth before I have other restorations performed?
A-Yes, should the restorations be visible when you smile, bleaching is advised to be performed before any cosmetic restorations to guarantee a perfect shade match.
Q-Are there any side effects to tooth bleaching?
A-In some studies, patients have experienced uncomfortable short-term side effects when having teeth bleached. Hydrogen peroxide can increase temperature sensitivity in the teeth, particularly at higher concentrations.
Therefore, bleaching is a procedure best done under the care of an oral health care professional . Still, the general health risks of bleaching systems are minimal as far as your body is concerned. Applications are controlled so that you don't swallow hydrogen peroxide.
Q-Can I get the same results with the over the counter products?
A-Most of the whitening products (such as the strips) on the market will either take much longer (3 weeks) to obtain less/similar results and some products such as the whitening toothpastes or gels are just not effective. A lot of the whitening toothpastes are very abrasive and are meant to just get rid of surface stains and not to actually bleach the teeth. In addition due to their abrasiveness they may cause tooth sensitivity in the long run.
