A teeth whitening procedure or bleaching simply refers to any process that will make the teeth appear whiter. It is considered a non-invasive procedure that is designed to whiten and brighten teeth that are stained, discolored, darkened, or yellowed. First introduced to the public in the 1980’s, the popularity of teeth whitening products and procedures has soared. According to a survey conducted by the American Academy of Cosmetic Dentistry, when respondents were asked, “What would you like to improve most about your smile?” The most common response was: whiter and brighter teeth.
How white a tooth appears depends upon how light is reflected and scattered off the enamel, the outermost layer of the tooth. Teeth can look dark or discolored for a variety of reasons, with an imperfect appearance the result of outer surface stains or discoloration from within the tooth. While external tooth stains are typically due to certain foods and tobacco, internal tooth discoloration is mainly the result of hereditary factors, certain medications, tooth decay, restorations, or trauma. Additionally, the aging process can influence the color of a tooth. This is because over time the outer layer of enamel becomes thinner showing more yellowish tones from the underlying layer of dentin.
What are the advantages of a professional teeth whitening procedure performed by a dentist?
Although over the counter teeth whitening systems purchased in stores or online have become popular, there are health concerns and limitations with these products. If the manufacturers protocol is not correctly followed, certain products can damage the teeth and soft tissues in the mouth, and may not deliver the results as promised. Teeth whitening systems contain varying concentration of either hydrogen peroxide or carbamide peroxide, which act as the bleaching agents. When sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work are present, a teeth whitening procedure may be contraindicated. Also, since whitening systems do not have an effect on the color of dental fillings, crowns or bridges the presence of restorations is an important cosmetic consideration in treatment planning.
In general, individuals with yellow tones to their teeth respond best to teeth whitening procedures. Brown and grayish tinted teeth bleach respond less well and may require significantly longer dentist supervised tooth whitening regimens or alternative cosmetic treatments. Finally, teeth whitening may not be recommended in the presence of sensitive teeth, worn enamel and significant gum disease.
As a rule the healthiest and most effective methods of teeth whitening are the ones managed and supervised by the dentist. An in-office teeth whitening procedure as performed by the dentist is the most reliable and safest way to get the maximum results quickly. In as little as one hour a prescription-strength, in-office whitening procedure can dramatically whiten and brighten the natural teeth by several shades, while the surrounding tissues and any sensitive areas of the teeth are carefully isolated and protected from the bleaching agents.
A home whitening system from the dentist along with custom trays that have been fitted to the teeth is also an excellent option. Custom trays keep the bleaching agent in maximum contact with the teeth and away from the other areas of the mouth. With a take-home teeth whitening system, maximum results are less rapid than an in office procedure and are typically achieved over a longer period of time. A home whitening system can be used by itself or as recommended by the dentist as a follow up to an in office procedure in order to perfect or maintain the results.
While an overwhelming selection of over-the-counter teeth whitening products is readily available for purchase at stores or online, it's imperative to keep in mind that the healthiest and most effective methods of care are those professionally supervised by your dentist. With a teeth whitening procedure provided by our office, we can safely, comfortably, and effectively transform your smile by up to several shades in a short amount of time.
Teeth whitening offers a simple and non-invasive way to whiten and brighten your smile. Whitening products contain various strengths of biologically safe hydrogen peroxide or carbamide peroxide that act as bleaching agents on stained or discolored dental enamel. By breaking the stains into smaller pieces, these bleaching agents make the color less concentrated and your teeth brighter.
Every patient is different, and despite the fact that many people experience no sensitivity or pain with a professional teeth whitening, there are some that do. Although considered a minimally invasive cosmetic procedure, some temporary discomfort during and following the procedure may ensue. It helps to stick to room temperature beverages for a few days following a teeth whitening. You can also take over-the-counter pain medication as you would for a headache. If you have a history of sensitive teeth, we may select a gentler formulation of whitening products or an alternative procedure.
It's essential to keep in mind that every patient has unique needs and specific requirements of care. In general, individuals with yellow tones to their teeth respond best to teeth whitening. Brown and grayish tinted teeth respond less well to bleach and may require significantly longer dentist-supervised tooth whitening regimens or alternative cosmetic treatments. Finally, teeth whitening may not be recommended in the presence of sensitive teeth, worn enamel, and significant gum disease.
For darkly stained teeth, a whitening procedure may not provide the cosmetic results desired. In these cases, we'll talk about alternative options such as porcelain veneers or full-coverage crowns.
Teeth whitening only works on natural teeth. The fact that whiteners do not affect the color of existing dental fillings, veneers, bonding, crowns, or bridges on the front teeth remains an important consideration when choosing the best cosmetic option in care.
As a rule, the healthiest and most effective methods of teeth whitening are the ones managed and supervised by your dentist. You can count on our office to provide the most effective, safest, and satisfying professional-strength options to whiten, brighten, and lighten your smile! Stay away from over-the-counter products, which may be overly abrasive or put the health of your teeth and the surrounding soft tissues at risk. While these products may work when healthy teeth and gums are present, they're often ineffective or problematic when sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work are the case.
How long your teeth whitening lasts depends on your lifestyle. Your eating, drinking, and smoking habits can have a significant impact on maintaining your result. Of course, the best way to ensure that your smile stays healthy and beautiful is a good daily oral healthcare regimen, along with regular dental checkups and cleanings.
It's essential to keep in mind that as a cosmetic dental procedure, a teeth whitening may not be covered by your insurance plan. We understand the financial considerations involved in care and do our best to help you get the treatment you need without any additional stress or delay. We offer several payment options and financing plans to make things easier.
At the office of Dentistry on the Square, we want every patient to enjoy the benefits of a smile that is as beautiful as it is healthy. In addition to offering a comprehensive range of advanced services to keep your smile in tip-top health, we also provide leading-edge cosmetic solutions to transform less-than-perfect-looking teeth into ones that dazzle.
Teeth whitening is a cosmetic dental procedure designed to lighten the color of natural tooth enamel and reduce surface stains. Professional systems typically use peroxide-based bleaching agents that penetrate enamel and oxidize stain molecules, changing how light reflects off the tooth surface. The concentration and delivery method of the bleaching agent determine the speed and degree of whitening achieved. Results depend on the type of stains, enamel thickness, and the specific system selected by the dental team.
Both in-office and professionally supervised take-home options are available, and each varies in strength and application protocol. In-office treatments generally use higher concentrations and are performed under direct clinical supervision for faster results. Take-home systems use custom trays and lower-concentration gels for gradual whitening while allowing patients to manage treatment at home. Your dentist will recommend the most appropriate approach based on oral health and cosmetic goals.
Good candidates are adults with generally healthy teeth and gums who want to improve tooth shade and reduce surface discoloration. Whitening works best on extrinsic stains caused by foods, beverages, and tobacco, and on natural yellow-toned teeth, while some intrinsic stains may be less responsive. Patients with untreated cavities, active gum disease, cracked teeth, or loose restorations should address those issues before whitening to avoid complications. A comprehensive dental exam helps determine suitability and ensures the safest treatment plan.
The procedure is typically not recommended for children whose teeth and gums are still developing or for pregnant and nursing patients due to limited safety data. Individuals with significant tooth sensitivity or exposed root surfaces may require desensitizing protocols or alternative cosmetic options first. Your dentist can suggest preparatory care—such as a professional cleaning or restorative treatment—when needed to improve outcomes. This personalized assessment helps set realistic expectations for results.
In-office whitening uses higher concentrations of peroxide applied in a controlled clinical environment to produce faster, often more noticeable results in a single visit. The dental team applies protective barriers for the gums and monitors the procedure to minimize soft-tissue irritation and manage sensitivity. This option is suited to patients seeking immediate improvement or those preparing for special events. Some in-office protocols include light activation depending on the product used.
Take-home systems rely on custom-fitted trays and lower-concentration gels for gradual whitening over several days to weeks and are used under professional supervision. These kits offer convenience and make it easier to perform periodic touch-ups at home while maintaining clinical oversight. Success depends on following wear-time instructions and post-care guidance to achieve even and lasting results. Your dentist will recommend the approach that best fits your goals, sensitivity profile, and lifestyle.
The durability of whitening varies by individual and can range from several months to a few years, influenced by diet, oral hygiene, and the natural aging process. Consumption of staining beverages, tobacco use, and habits such as poor oral hygiene accelerate re-staining, while regular dental cleanings help maintain the effect. The original shade of the teeth and the whitening system chosen also affect how long results will be noticeable. Enamel thickness and individual tooth composition play a role in how quickly color changes recur.
Many patients maintain brightness with periodic touch-ups using dentist-prescribed take-home gels or occasional in-office boosters. Avoiding pigmented foods and beverages during the early post-treatment period and adopting stain-minimizing habits supports longer-lasting outcomes. Using desensitizing toothpaste and following a maintenance schedule recommended by your dentist can reduce sensitivity and preserve shade. Discussing a tailored maintenance plan with the dental team helps set realistic expectations for upkeep.
The most common side effect is temporary tooth sensitivity, especially to hot and cold, which typically subsides within a few days after treatment. Gum irritation can occur if whitening gel contacts soft tissues, but professional protective measures significantly reduce this risk. Overuse or unsupervised application of strong whitening products may contribute to prolonged sensitivity or adverse effects on enamel. A dental professional evaluates oral health and recommends safe protocols to minimize potential complications.
Whitening does not change the color of restorations such as crowns, veneers, or composite fillings, which can result in color mismatches after bleaching. Patients with untreated decay or significant gum disease usually need those issues addressed before undergoing whitening to prevent exacerbation. If sensitivity or irritation persists, dentists can provide desensitizing agents or modify the treatment regimen. Clear pre-treatment assessment and monitoring during care help ensure safe, effective results.
Start with a comprehensive dental exam and professional cleaning so the dentist can identify decay, loose restorations, or gum conditions that may affect whitening outcomes. Addressing these issues beforehand ensures the safest and most effective treatment and reduces the likelihood of post-procedure complications. Your clinician will review medical history, current medications, and any sensitivity concerns to tailor the approach and avoid problems. This evaluation also helps determine whether in-office treatment or a take-home system is most appropriate for your smile.
If you are scheduled for an in-office procedure, follow any pre-appointment instructions provided by the office, such as avoiding intensely pigmented foods for 24 hours. Arrive with clean teeth and be prepared to discuss your dental restorations and recent treatments. Ask about desensitizing options if you are prone to sensitivity so the team can include them in your plan. Clear communication before the appointment helps set expectations and increases comfort during treatment.
Whitening agents only change the color of natural tooth structure and will not alter existing restorations such as crowns, veneers, bridges, or composite fillings. If restorations were matched to the original tooth shade, whitening nearby natural teeth can create a mismatch that may require restorative adjustments. Planning ahead with your dentist allows for coordinated cosmetic treatment, such as scheduling replacement or refinishing of restorations after whitening. Discussing shade goals before treatment helps avoid unexpected aesthetic differences.
For patients with extensive restorations, a staged approach that combines whitening with subsequent restorative work often produces the most harmonious result. The dentist evaluates the condition, age, and material of existing restorations to recommend the optimal sequence of care. This collaborative planning yields a consistent color across natural teeth and prosthetics while prioritizing tooth structure preservation. Your dental team will explain the timing and options to achieve the best cosmetic outcome.
For at least 48 hours after an in-office procedure, avoid highly pigmented foods and beverages such as coffee, red wine, dark teas, berries, and colored sauces that can re-stain recently bleached enamel. Smoking and other tobacco use should also be minimized or avoided to preserve whitening benefits. Acidic foods and drinks can increase sensitivity and may compromise enamel health when consumed excessively during the initial recovery period. Following post-treatment dietary guidance significantly helps maintain the achieved shade.
Maintain good oral hygiene with routine brushing and flossing to minimize surface buildup that leads to new staining. Using a straw for pigmented beverages and rinsing with water after eating or drinking can reduce contact time with staining agents. Periodic touch-ups with a dentist-prescribed take-home kit and regular professional cleanings help sustain the improvement. If you experience prolonged sensitivity or an unexpected change in shade, contact the dental office for professional advice.
Intrinsic stains that originate within the tooth, such as those from certain medications, trauma, or developmental conditions, are generally more resistant to standard bleaching and may not respond fully to whitening. Examples include tetracycline staining and severe fluorosis, where results are often unpredictable and limited. A clinical examination and diagnostic photos help the dentist determine the nature of the discoloration and set realistic expectations. In some cases, whitening can improve the appearance of surrounding teeth even if the intrinsic stains require alternative treatment.
When intrinsic discoloration proves resistant, cosmetic restorative options such as porcelain veneers, composite bonding, or crowns can mask or replace the affected tooth structure. A combined approach—professional whitening for the surrounding teeth followed by restorative work on the most affected teeth—often achieves the most natural and balanced result. Your dentist will explain the benefits and limitations of each option and recommend a conservative sequence of care. Prioritizing tooth health and predictable esthetic outcomes guides the treatment plan.
The dental team follows evidence-based protocols, performs a thorough oral health assessment, and uses professional-grade whitening systems delivered under clinical supervision to maximize safety and effectiveness. Protective measures such as gingival barriers, controlled gel concentrations, and continuous monitoring during in-office sessions minimize soft-tissue irritation and overexposure. Patient education on preparation, post-care, and sensitivity management is provided to support predictable outcomes. These steps help reduce risks and improve patient comfort throughout the process.
Follow-up appointments or check-ins allow the team to evaluate results and recommend maintenance or touch-up options when appropriate. Treatment is personalized based on dental history, restorations, and cosmetic goals to ensure consistent, long-lasting improvements. If whitening is not the best solution for a specific case, the dentist will suggest alternative cosmetic treatments that better address the underlying cause of discoloration. Clear communication and clinical oversight are central to delivering safe, high-quality cosmetic care.
Your smile deserves care that feels as good as it looks and we’re here to make that happen.
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