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  Teeth Whitening:
 
     
 
Who doesn’t want a great smile? Tooth whitening has become an up and coming procedure in recent times. Tooth whitening involves the use of peroxide-based materials to whiten teeth. Most dentists use an in-office and/or at-home whitening system to achieve the desired results. Prior to tooth whitening, the patient must get all cavities filled, and the gums must be healthy. The in-office systems use 35% hydrogen peroxide gels coupled with a high intensity light to whiten the teeth. The gums need to be protected with some systems, and then gels are placed on the teeth. A laser or plasma arc light source activates the peroxide to oxidize stains on the tooth surface. In about an hour, the teeth become four to six shades lighter. At-home systems most often use 10 to 20% carbamine peroxide gels to oxidize stains. The dentist makes impressions (molds) of the mouth, and then has soft mouth trays made. The patient is fitted with the trays, and then is instructed to place a thin ribbon of the gel into the tray and wear while sleeping. Most whitening occurs in one to two weeks. In difficult cases, trays may need to be worn for up to six weeks. I have found that a combination of in-office and at-home systems works the best, and routinely achieve between 12 to 15 shades of whitening. The procedure is safe when monitored by a dentist, and does not damage the tooth in any way.
 
     
 

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The more expensive in office in-office laser whitening procedure cost between $500 and $1100. At-home systems can range between $400-$800. Store bought bleaching systems have proven less effective than dentist-managed systems. Unsupervised use of store-bought bleaching systems often times can cause painful sensitivity to untreated dental cavities. The mouth trays are not custom made, which can cause gum irritation, and the peroxides are not as strong or effective. The options are varied but all and all, what’s most important is that white smile.

Featured Listing

Manhattan Dental Spa
Dr. Joseph P. Greer and Dr. Mitchell A. Charnass
200 Madison Avenue, 22nd Floor
New York, NY 10016
(212)683-2530


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