Tooth Whitening

You can expect better results from our special technique of custom-made tray fabrication These trays specially made reservoirs for the whitening gel, and they seal at the gum line. Trays often fabricated in dental offices do not seal the whitening gel at the gum line to keep it in place. The whitening gel is sucked and washed out of the tray by the saliva very quickly, and very little depth of whitening occurs.  You may have heard that certain types of over the counter bleaching gels have acids in them, which may damage fillings, crowns, bonding, and the roots of teeth. The whitening gel you will receive from our office has absolutely no acid whatsoever and will not damage teeth or restorations. In fact, it has the latest anti-sensitivity agents to make your whitening experience more comfortable.

In addition to whitening, oxygen also deep cleans the teeth, removing microscopic debris from between the crystals of the tooth structure. 

Directions

Before sessions begin

2 weeks before beginning tooth-whitening, brush with desensitizing toothpaste at least 2 times per day. This will help reduce tooth sensitivity.

During sessions

Brush your teeth immediately before each whitening session with Rembrandt Deep White Toothpaste (which contains an active whitening ingredient that helps start the whitening process). It is important to brush immediately before whitening because protein from your saliva will coat your teeth within minutes after brushing, and could inhibit the bleaching agent from whitening your teeth as quickly. Besides, you want the gel to contact teeth, not food or plaque. If you normally tend to have teeth that are sensitive to tooth brushing, cold or sweets, use any a Sensitive Teeth Toothpaste instead. This will help de-sensitize your teeth before whitening.

Pre-load your tray before brushing your teeth, so they are ready to be inserted immediately after brushing.

Squeeze a dab of the gel into each reservoir on the inner side of the outer walls of the trays (except in the very last molars).  We will demonstrate this for you during your next visit.  The gel is thick and the trays are flexible, so the gel will cause the outer rim of the tray to be pushed away from the gum line.  After you put the tray in you’ll need to firmly push the tray back against the teeth to establish the seal of the tray at the gum line-this is very important.

Continue nightly whitening until all the gel is used up or you are happy with the results.

If you’ve put too much gel in the tray, you’ll notice a significant amount of gel oozing out from under the edge of the tray.  Take a Q-Tip or a toothbrush and remove the excess by wiping towards the gums and next time use a little less gel.  If you’ve put in too little gel, you will see through the clear tray some large open voids (little bubbles are OK) in the reservoirs not entirely filled with gel.  If you see this, do NOT remove the tray.  There is plenty of gel in the reservoirs to start your bleaching, but next time use a little more gel.

In the morning, after removing the trays brush your teeth with Rembrandt Deep Whitening toothpaste. If your teeth are sensitive, then brush with luke-warm water and use tooth paste for sensitive teeth. Rinse your mouth with luke-warm water.  Cold or hot water may be slightly uncomfortable to rinse with at that time.  Clean the gel out of the trays with Q-Tips under COLD running water. Make sure all the used up gel is removed.

During the two weeks of at-home whitening, stay away from staining foods and drinks. That would only reduce the success of whitening process.  Any food or beverage, which would permanently stain a white shirt or blouse, could also stain your teeth.  If possible, when drinking a staining beverage, it may help to keep the beverage off the outer surface of the teeth by carefully drinking through a straw.  Smoking should also be held to the very minimum during the tooth whitening process. 

What to expect

Your teeth and gums may become sore and sensitive during the first 3-4 days of whitening.  Taking Advil every 6 hours during the day will help this. Also, you can place any toothpaste for sensitive teeth (or you can purchase desensitizing gel from our office) into your whitening trays and wear them for 30-60 minutes to help decrease sensitivity.  This sensitivity usually decreases on its own after the first 3-4 days.

You may notice that your teeth might start to look "chalky".  They may start to develop white spots.  The area of the teeth near the gum line may look dark (this is just because the rest of the tooth will have become lighter by comparison).  Or the color may look too opaque (chalky).  Don’t fear.  This will all even out after you stop whitening. Your tooth whitening results may be quite dramatic.  However, upon completion of the whitening process the color may “tone down” somewhat.  This is normal and actually looks more natural.

You may find that your lower teeth do not lighten as quickly as your upper teeth.  This is because the lower teeth are smaller, the enamel is thinner, and the reservoirs will be smaller. 

If you think your teeth can be whiter purchase an additional ½ or full whitening kits available at our office.

For maximum whitening results in office power whitening is available using the latest power whitening technology.  We will be happy to discuss it with you.

Maintaining your new white teeth

All natural teeth darken with time.  It’s normal. 

To maintain your new pearly whites indefinitely use Rembrandt Deep White toothpaste and mouth rinse at least once a day and do a one night touch-up with your bleaching trays every 2-3 months.  Gel refill kits are available at our office or on our website under the "SHOP" menu.  Store the gel in the refrigerator door compartment for best shelf life.

Store your trays safely.  Keep them in the case provided.  Keep them away from heat – heat will distort them.  Don’t leave them in the hot car.  Don’t put or wash them in warm or hot water.  And keep them away from your pets.  Dogs seem to think that bleaching trays are chew-toys.

We know you are going to be thrilled with your whitening result, but only if you are able to comply with the above instructions – they are important. If you have any problems or questions, call us right away.

Click to schedule an appointment or call 631-361-3577

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