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Tooth Bleaching

teeth whitening

Teeth Whitening

Tooth Bleaching is a frequently asked method among aesthetic dentistry treatments. In teeth whitening treatment, whitening agents are applied on the outermost layer of enamel. Chemically, the colorants accumulated in the pores of the enamel layer are removed and tooth discoloration is achieved.

Important note !!

The reason for the discoloration of the teeth is determined by the dentists and the necessary procedure is applied according to the need. Products such as whitening powder, whitening tape, tooth pencil, charcoal powder etc. that are not approved by the Ministry of Health in the market may cause permanent damage. The effects of such products on human health have not been proven, and may cause burns and tissue loss in oral tissues, teeth and gums. Ingestion of toxic residues can adversely affect the internal organs.

Is Teeth Whitening Harmful?

The material and technique to be used in the teeth whitening process should be chosen specifically for the patient. After the correct diagnosis by dentists, the personalized treatment to be applied is not harmful. Dental bleaching is not applied in the presence of long-standing sensitivity, gum disease, cracks or fractures in the tooth structure. The application of whitening agents, which have been inspected by the Ministry of Health and approved for use for human health, by dentists will ensure that all possible risks are minimized.

How Are Teeth Colored?

In order for the teeth whitening process to be successful with a patient-specific treatment, the source of the discoloration must first be found. Colorations can occur internally or externally. 

Intrinsic Tooth Discoloration

In addition to tooth enamel, they are also processed to the inner layer of dentine. It is usually caused by high fluoride consumption, drugs and antibiotics used in infancy or childhood. Visible results are obtained in most cases with whitening treatments.

Extrinsic Tooth Discoloration

These are the colorations that occur depending on the diet of the people. Foods such as Tea, Coffee, Cigarette, Orange Juice, Wine or smoking habits are the most common causes of external discoloration. These people usually apply to the clinic with the complaint of "My teeth are turning yellow". In external discoloration, dental calculus, which is formed when food residues are not cleaned adequately, accumulates on the teeth. First of all, it is necessary to clean the teeth. Afterwards, whitening treatment can be applied according to the structure of the resulting tooth tissue. If the eating habits are not regulated, the treatment results obtained in this type of coloration can return in a period of 6 months.

Can Every Teeth Be Whitened?

The answer is of course no. As stated above, the source of the coloration must first be determined. People with yellowed teeth usually ask the clinic “Can Anyone Have Teeth Whitening?” comes with a question. With a detailed examination, the effectiveness of the bleaching method to be applied depending on the coloration and the expectation of the person from the treatment should be examined. Fillings or veneers will not respond to whitening, and it is difficult to get visible results in some teeth. Therefore, the most accurate treatment plan should be created by the dentist.

What are the Teeth Whitening Methods?

Office Type Teeth Whitening (Office Bleaching)

Office type teeth whitening is the method applied in the clinic under the control of a doctor. It is the most effective and safe whitening technique. Teeth are isolated and dense whitening agents are applied on the teeth. Depending on the tooth structure and the source of the discoloration, 1-2 tones of whitening can be achieved. It maintains its effectiveness for a long time if attention is paid to the diet.

Home Bleaching

At-home teeth whitening is a whitening technique applied on transparent plaques to be produced according to the mouth size of the person. In these plates, reservoirs are prepared in which the whitening agents can be filled on the teeth. Although it varies according to the need for whitening, it is generally used for 7-10 days and 4-5 hours a day. It can be used in combination with the office method to be done in the clinic to increase the power of whitening.

Internal Bleaching

It is a teeth whitening method applied to lifeless teeth that have undergone root canal treatment. It is also called devital whitening. It is a solution applied to black discoloration that occurs over time in root canal treated teeth. It is preferred in cases where other bleaching techniques are not successful.

How Does Teeth Whitening (Office Type) Process Proceed in the Clinic?

First, treatments such as dental cleaning, dental fillings and root canal treatment are completed. There is no situation left to risk gum health and oral hygiene.

  • Lip protector retractor placed
  • Brushing the teeth with polish paste
  • A thin barrier is applied to protect the gums
  • Depending on the usage conditions of the bleaching agent, the whitening gel is applied and cleaned at regular intervals. 
  • All barriers are removed by washing with plenty of water.

Can Whitening be Applied to Dental Veneers?

Teeth whitening is only effective on living tissues. No results can be obtained on fillings or coatings made of composite or ceramic materials. In the presence of veneer on the front teeth, the most correct approach to the need for dental bleaching will be the smile design. 

Is There Sensitivity in Teeth Whitening Treatment?

Since almost all the pores are opened on the teeth after the in-office whitening process, it is normal to have sensitivity for the first 24 hours. It is helpful to stay away from extremely hot or cold foods, even if they create a low sensitivity state. Sensitizing gels or pastes can help this process go faster. Sensitivity to home bleaching or devital bleaching treatments is less likely. Permanent sensitivity complaints can be seen as a result of the use of whitening products sold on the internet without approval. In case of this sensitivity, advanced treatments such as root canal treatment may be required for solution.

Is Teeth Whitening Permanent? How Long Does Its Effect Last?

White teeth and a healthy smile are everyone's dreams. However, the most important criterion for achieving this dream is to pay attention to oral hygiene. Even if the teeth cleaning or whitening treatment by the dentist leads to a beautiful smile, its continuity depends on the dental care of the person. Therefore, the lifespan of the whitening treatment is variable and depends on the individual. The eating habits that cause discoloration continue and whiteness may return if attention is not paid, especially in the first 7-10 days after bleaching. With high oral hygiene and good tooth brushing, the bleaching effect can continue for 2-3 years. Whiteness is relative and after a certain period of time, eye habit develops to the existing whiteness. Depending on personal expectations, it may be desirable to become even whiter over time. 

What are the People or Situations for which Bleaching is Not Recommended?

  • Teeth with exposed root surface
  • Gum disease
  • Common dental caries
  • increased sensitivity
  • Presence of fillings and/or dental veneers in the anterior teeth
  • Conditions where tooth enamel is weak or thin
  • Pregnancy
  • Individuals under the age of 18
  • People who cannot stay away from coloring drinks and habits for the first 7-10 days after whitening treatment

How Much Are Teeth Whitening Prices?

Teeth whitening fees vary according to tooth discoloration levels and intraoral situation. First of all, oral health should be brought to a good level, for this there may be needs such as teeth cleaning and / or filling, root canal treatment before whitening. In cases where an aesthetic solution cannot be provided with Dental Bleaching, smile design applications are applied. For ideal aesthetic teeth zirconium teeth Treatment solutions such as veneer, leaf porcelain, laminate veneer can be produced. These actions will affect the treatment price. 

For teeth whitening prices, the list of treatment fees determined by the Turkish Dentists Association (TDB) can give an idea on average. 

Frequently Asked Questions About Teeth Whitening

The safest choice for home teeth whitening application is the use of home whitening kits given under the control of a physician. These sets include personalized night plates and teeth whitening gels. Uncontrolled use of products provided online and not approved by the Ministry of Health may pose a danger to oral and dental health.

Products that promise big changes in a short time, such as teeth whitening tape or teeth whitening pen, may contain chemicals that have not been scientifically proven to affect human health. Products with proven tooth bleaching effect by scientific research contain “Hydrogen Peroxide”. Even the use of this chemical agent should be done under the supervision of a doctor. In summary, although the teeth whitening tape or pen seems to work, it may cause irreversible damage to your teeth in the long run.

Teeth whitening gels are products that are applied under the control of a dentist and contain hydrogen peroxide in different concentrations. High-intensity ones are applied only in the clinic and with special preparation. Those with low densities are used by means of transparent plaques that are specially produced with the advice of the doctor.

Tooth whitening with baking soda is not actually a chemical whitening. Due to its highly abrasive nature, baking soda causes rapid wear on the top layer of tooth enamel and can improve tooth discoloration. However, in long-term and continuous use, it will create irreversible losses in the tooth enamel and cause it to appear more dull. 

Instant white teeth are only possible with in-office teeth whitening treatment applied in the clinic. 

Tooth whitening pastes are prohibited from containing chemical whitening agents as per the decisions of the American Food and Drug Administration (FDA). For this reason, there are only highly physical abrasives in all tooth whitening pastes produced today. Although these abrasives seem to provide whiteness at first, they pose a risk of permanent damage to the enamel in long-term use.

The most effective method of natural teeth whitening is brushing teeth at least 3 times a day, using dental floss and an interdental brush at least once. The color tone of our teeth is genetically determined. Even if our eating habits cause negative effects on tooth color, daily oral hygiene practices can reduce the effect of foods to almost zero. Since the enamel is very hard and the color tone is genetically determined, teeth whitening is only possible with chemical agents. All applications known as natural tooth whitening cause abrasions only on the top layer of tooth enamel.

There is no such thing as permanent teeth whitening. Although tooth enamel looks very hard and smooth, it contains micropores. In any case, teeth whitening applications consist of removing the coloring matter in these pores. After the whitening treatments, these pores will be filled again with the effect of time and food and the perfect whiteness will disappear. Although it varies from person to person, teeth whitening applications should be repeated between 6 months and 2 years.

Teeth whitening is generally considered safe when done by a dental professional. However, it can temporarily sensitize some people's gums and teeth.

A person's diet, lifestyle choices, and oral hygiene routines can affect the results of teeth whitening. The effects usually last from a few months to several years.

When done correctly by a dentist, tooth bleaching is unlikely to damage teeth. However, using bleaches too often or with excessive force can cause tooth discomfort and enamel damage.

Depending on the type of procedure and the number of sessions, the price of dental bleaching varies. In terms of giving an idea, the fee schedule prepared by the Turkish Dental Association can be examined.

Aesthetic fillings, leaf porcelain, zirconium teeth and veneers are some of the alternatives to teeth whitening. These procedures can make teeth look better by hiding stains and discoloration.

Aesthetic dentistry treatments such as tooth bleaching and dental bleaching are excluded from coverage by the insurance.

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