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Tooth whitening lightens teeth and helps to remove stains and discoloration. Whitening is among the most popular cosmetic dental procedures because it can greatly improve how your teeth look. Most dentists perform tooth whitening.
Whitening is not a one-time procedure. It will need to be repeated from time to time if you want to maintain the brighter color.
The outer layer of a tooth is called the enamel. The color of natural teeth is created by the reflection and scattering of light off the enamel, combined with the color of the dentin under it. Your genes affect the thickness and smoothness of the enamel. Thinner enamel allows more of the color of the dentin to show through. Having smoother or rougher enamel also affects the reflection of light and therefore the color.
Every day, a thin coating (pellicle) forms on the enamel and picks up stains. Tooth enamel also contains pores that can hold stains.
As you age, your enamel gets thinner and the dentin becomes darker.
Stains inside the tooth are called intrinsic stains. These can be caused by exposure to too much fluoride as a child while teeth are developing. Tetracycline antibiotics can stain a child's teeth if taken by a mother during the second half of pregnancy or by a child who is 8 years old or younger. Trauma may also darken a tooth.
Whitening is most effective on surface (extrinsic) stains.
Other dental problems can affect the success of tooth whitening. For example, cavities need to be treated before teeth are whitened. That's because the whitening solution can pass through decayed areas and reach the inner parts of the tooth. If your gums have receded, the exposed roots of your teeth may appear yellow or discolored. Whitening products will not make them whiter.
If you have tooth decay or receding gums, whitening may make your teeth sensitive. Whitening also does not work on ceramic or porcelain crowns or veneers.
Your dentist will examine your teeth and ask you questions to find out what caused the staining. Next, the dentist or hygienist will clean your teeth. This will remove the bacteria film, food and other substances that build up on your teeth and contribute to the staining. Once this is done, the whitening procedure begins.
For at-home whitening, your dentist will take impressions of your upper and lower teeth and will make custom mouthpieces to fit you. The mouthpiece needs to fit well. A close fit helps the whitening agent remain in contact with your teeth.
At home, you will fill each mouthpiece with a whitening gel your dentist provides. You will wear the mouthpiece for several hours every day. Many people achieve the amount of whitening they want within a week or two. However, you may need to wear the mouthpiece for four weeks or longer.
You also can buy whitening products over the counter. They contain a weaker whitening agent than the products you can get from your dentist. Therefore, whitening may take longer. The whitening agent is applied as a gel placed in a mouthpiece or as a strip that sticks to your teeth. Over-the-counter mouthpieces fit less securely than the kind you get from your dentist.