What’s The Deal With All These Whitening Products?

We all desire white, bright teeth. In stores, the media and online, consumers are bombarded with a seeming multitude of tooth whitening products. The question is which product(s) are best? Are all agents safe or do certain products cause damage and pain? First things first, in my professional opinion don’t consider whitening you teeth if your oral health is not optimal. Tooth decay and/or gum (periodontal) disease must be treated first and your oral hygiene optimized. Yes, that means brushing and flossing 2x/day. It’s also beneficial to stop any harmful habits such as smoking, chewing tobacco or the consumption of acidic and sugary beverages.

Each of us is unique and so too is the colour of our teeth. Certain people are born with pearly whites, while others are not. The intrinsic colour of our teeth cannot be changed by whitening. What can be changed however is the accumulation of stains that contribute overtime to a general darkening of our teeth. In such instances, whitening represents the fastest, least invasive and most cost effective means of brightening our smile. Whitening, depending on the method, can cause transient sensitivity. Studies have shown that the use of at-home whitening products too frequently or aggressively can cause our teeth to weaken. There are many important reasons why a dental professional consultation is essential to define the best and safest approach for each patient. In addition, certain patient’s have teeth with intrinsic stains or white tooth fillings that do not respond to bleaching. Following bleaching, the match between white fillings and the surrounding teeth changes. A sign of gum (periodontal) disease is often exposed roots. Tooth roots subjected to the chemicals contained in bleaching agents, may be irritated and develop thermal sensitivity. Below is a table outlining the pros and cons of each product. l would be glad to assist you in determining the optimum whitening treatment given the specifics of your smile.

Professional In-office Whitening

Pros:

  • Dramatic results are achieved quickly
  • These treatments employ the highest
    concentration of hydrogen peroxide or
    carbamide peroxide
  • Special precautions are required to
    reduce exposing the gums to the
    whitening agents
  • usually after just one session

Cons:

  • Cost

Professional At-home Whitening

Pros:

  • Significantly saving as compared to in-office whitening
  • Custom patient specific trays provide equivalent results to in-office
    treatments
  • Greater flexibility as the trays may be worn during the day, at night or
    whenever is convenient for you
  • Custom trays fit perfectly to enable the whitening agents to penetrate into
    even those hard to reach areas while protecting the gums from whitening chemical exposure
  • Touch-up kits to maintain brightness can be ordered at significantly reduced cost

Cons:

  • Cost

Whitening Strips (OTC)

Pros:

  • Less costly than professional treatments

Cons:

  • Require more time than professional treatments to achieve noticeable changes
  • If applied incorrectly and without
    professional supervision, OTC products can cause gum irritation and/or dental-tooth sensitivity
  • Exposed tooth roots are particularly at risk of sensitivity
  • The greatest negative of OTC products is the real potential to develop a
    zebra-effect. OTC whitening tends to result in uneven white and dark stripes
  • Managing and correcting a Zebra- effect is problematic even professionally

Whitening Toothpaste (OTC)

Pros:

  • Best used to maintain a degree of whiteness

Cons:

  • Low concentrations of whitening agent
  • Limited effectiveness as compared with professional whitening gels
  • Often such products are abrasive to teeth
  • If used incorrectly, whitening toothpaste can damage tooth enamel and/or the surface luster of existing dental restorations

Whitening Pen (OTC)

Pros:

  • Portable brush pen can be applied anytime, anywhere
  • At best, this product should be viewed as a refresher for professionally whitened teeth that develop new stains

Cons:

  • Results if they occur are gradual, especially on darker stains
  • Often several pens are required to achieve any noticeable results, if at all

Whitening Mouth Rinse (OTC)

Pros:

  • Easy
  • Low cost
  • Best used to maintain a degree of whiteness

Cons:

  • Extremely low concentration of whitening agent
  • Typically requires months to visualize minor improvements

*Source: Summer/Fall 2017 ODA Journal

Looking for Some Smile Help?

Having a smile you’re confident goes very far for quality of life… Stop putting off you and be the person you want to be! To learn more on on our teeth whitening options, contact our office directly by either phone at (416) 224-2114 or by email at reception@sarinovackdentistry.com.