Safe teeth whitening
Our life is unthinkable without smiles. Smile is an integral element of communication, expression of emotions, a tool in achieving mutual understanding, a sign of approval, greeting. It is more eloquent than words and clearer than gestures.
Of course, we want our smile to be beautiful and healthy. The trends of recent years are increasingly inclining us towards a healthy lifestyle and self-care. In the modern world, the requirements for aesthetics have increased significantly. Dentistry is no longer just functional. With the development of new technologies, dentists are becoming jewelers, whose job is not just to treat, but to create unique smiles.
The first step to high aesthetics – teeth whitening. A dazzling, snow-white smile – an important element without which the picture of perfection would not be complete. We are pleased to be able to offer a variety of teeth whitening options at our clinic, the effects of each of them helping our patients smile more often.
Effect of teeth whitening
First of all, when starting a conversation about whitening let's understand what effect you can expect from whitening.
What what the whitening system gets rid of – is the internal staining of the teeth.
- enamel staining;
- superficial staining of the dentin;
- deep dentin staining.
Changes can range from small stains to changes in tooth tissue structure.
What shouldn't you expect from teeth whitening?
If the stains are easily enough treated with whitening systems, there are cases when we see a change in the structure of the tooth or its volume, a change in the anatomical shape of the tooth, then additional methods of restoration are required – filling or orthopedic restoration (prosthetics).
Bleaching – it's safe!
The history of whitening goes back over 100 years, and so all the trial and error has been left behind, and now in modern dentistry the whitening procedure is completely safe!
At all times people have resorted to various tricks to achieve the standards of beauty. The practice of whitening began long ago, since the 19th century, when bleaching agents based on bleach, oxalic acid, peroxide esters were used.
Gradually, physical methods were added, in particular, heat exposure, which allowed to speed up the procedure. Then they experimented with the concentration of hydrogen peroxide. They were looking for methods to improve the whitening effect, so cold light and laser appeared in the practice of whitening.
How does whitening work?
So what are the agents that work in the whitening process?
When hydrogen peroxide hits your teeth, it breaks down into the following fractions: free radicals, active oxygen, and water.
The chemical essence of whitening is to break down pigments just by using active oxygen.
Pigments are found in both enamel and dentin, and whitening is done at the level of these tooth tissues.
Types of whitening
Home teeth whitening
Teeth whitening strips
In the 60's there was a craze for low-percentage whitening systems, specifically teeth whitening strips, they were even used in cosmetology.
What are the inconveniences of teeth whitening strips?
The fact is that teeth have a spherical structure, so it is almost impossible to glue the strip so that it wraps around all surfaces and goes into the interdental spaces. Therefore, the whitening effect of the strips is noticeable only on those surfaces with which it comes into contact. Often we hear complaints from patients who have used the strips about uneven whitening.
The use of strips is safe in principle, because certified products contain no more than 6% carbamide peroxide or hydrogen peroxide. They can be recommended even in beauty salons because it is not considered a medical manipulation.
However, using whitening strips does not guarantee that you will get the desired results. There are alternative and more effective methods of teeth whitening.
Opalescence home whitening mouthpieces
True and proper home bleaching has been around since the 1980s, and by the 1990s, 10% carbamide peroxide was introduced into the practice.
It was a new and interesting compound in its properties. When exposed in the whitening process, it split into three fractions: active oxygen, water and a new compound – urea – which helped the home whitening process because it increased the permeability of the tooth tissue to the whitening agents.
Now for home whitening use individual mouth guards, made in the clinic specifically for the patient on his casts, and Opalescence gel with a different content of carbamide peroxide: 10, 15 and 20% - which when exposed just releases urea.
Urea helps moisturization, penetration of various substances deeper into the layers of enamel and dentin, and the decrease in the concentration of whitening gel is compensated by this very agent.
Whitening with Opalescence drops and gel is less aggressive, it is safe for patient self-use and effective due to the special gel formula.
If the patient has no experience in whitening, it is recommended to start with a minimum percentage. In order to avoid irritating the gingiva, it is necessary to precisely follow the recommendations of the attending physician and put exactly the right amount of gel into the mouthpiece without excess.
The home whitening procedure itself takes an average of 1 month, as one tooth row is whitened first, then the second, for 2 weeks each. In addition, the whitening procedure is preceded by a consultation with a therapist, professional oral hygiene and the process of mineralization of tooth enamel - saturation of enamel with minerals in order to strengthen it and reduce tooth sensitivity.
Office (laser) teeth whitening
In the 1990s, other whitening systems emerged and new physical factors were added that enhance the effects of whitening agents in the clinical setting, namely laser and cold light.
Laser whitening is performed in the doctor's office using a special whitening gel and a cold light lamp. This type of whitening is currently the most effective, and the result is as long-lasting as possible.
The procedure of office whitening itself lasts 2 hours, it is necessarily preceded by stages of sanitation or oral health and mineralization of teeth in order to strengthen them and reduce sensitivity. The whole process takes about two weeks./p>
ZOOM 4 teeth whitening
ZOOM 4 is characterized by its individual approach. The manufacturer approached the development of the system from the point of view of patient comfort. They added a certain agent to the whitening kit that is used before and after the procedure, namely APF-factor (amorphous calcium phosphate). It helps to reduce sensitivity, making it very rare for the ZOOM system to cause discomfort.
In addition, the manufacturer was able to make the system effective by reducing the percentage of carbamide peroxide to 25%. Therefore, the ZOOM 4 system is as painless as possible.
The technology of both systems is similar, and the gel is quite easy to apply in both Beyond and ZOOM 4. But in terms of individualization, ZOOM 4 is probably better. In addition, both lamps allow the light intensity to be customized for the patient thanks to three power modes.
Contraindications to the whitening procedure
Of the contraindications to whitening, the following should be highlighted:
- Presence of tooth decay and plaque.
- The presence of non-carious lesions, structural changes not in the stage of stain, but with disruption of the structure, because in this case the risk of deeper penetration of the gel and whitening agents is quite high, which can lead to complications.
- Gum diseases that require special periodontal preparation. In such cases, professional hygiene is not sufficient, because, due to swelling and bleeding of the gingival margin, it will not be possible to achieve a thorough isolation of the gingiva during the whitening procedure.
General contraindications are pregnancy and breastfeeding, and also relative contraindications are thyroid diseases and diabetes mellitus, since the disturbance of the general metabolism in the body in such cases can affect the mineral metabolism of each tooth. Although in the remission stage, whitening is still permissible.
Is whitening possible with fillings, braces or orthotics?
The presence of a large amount of filling material on the anterior surface, much less orthopedic designs that completely cover the teeth, whitening is a relative contraindication. Artificial material (fillings, ceramics) are not subject to whitening, and will require replacement after the course is completed.
The presence of orthodontic structures – is a contraindication. However, office whitening with internal lingual braces is possible if the patient is very willing.
General recommendations for whitening
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The main recommendations before and after the whitening procedure – are recommendations for desensitization. Two weeks before and the first few days after the procedure, the use of a gel containing calcium amorphophosphate is required.
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It is not recommended to smoke after the whitening procedure. Tobacco smoke can provoke darkening of the teeth.
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Immediately after whitening, do not use brightly colored lipstick.
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Other than that, one of the most important recommendations – limiting coloring substances in food or a colorless diet for two weeks after the procedure. Foods like beets, carrots, and plums, which can lead to staining, are excluded. Prohibited products also include coca-cola, tea, coffee, red wine, tomatoes, soy sauce, chocolate. This is due to the fact that the first time after the whitening procedure, the structure of the enamel remains porous. Anti-sensitivity gel fills the enamel, but will not completely save from the absorption of coloring substances by the enamel.
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Don't eat something very cold and very hot together (avoid large temperature differences).
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Recommendations for oral hygiene is that you should use floss, a quality toothbrush of medium hardness, paste with minerals, fluoride rinse. Brush your teeth preferably after each meal, at least – twice a day. Regularly, at least 2 times a year, visit the dentist for a preventive examination.
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It is not recommended to perform home whitening within 1 year after office whitening – it may cause hypersensitivity.
Duration of effect after whitening
According to the manufacturer's recommendation, an interval of two years is ideal for maintaining the whitening effect. The full effect does diminish over time, depending on the patient's lifestyle, dietary habits, and how often he or she visits the hygienist.
If the patient creates conditions for himself where pigmentation and internal coloration return more quickly, the repeat procedure will be needed sooner. If he or she adheres to a diet, however, the effect is more likely to last two years.
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