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 Contemporary Dentistry, 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.
Professional teeth whitening uses peroxide-based agents to break down stain molecules through a controlled oxidation reaction that lightens tooth color. The most common active ingredients are hydrogen peroxide and carbamide peroxide, with carbamide breaking down into hydrogen peroxide and acting more slowly. Because the process is chemical rather than abrasive, professional protocols aim to preserve enamel while reducing visible discoloration.
The effectiveness of whitening depends on the type and depth of the stain, the initial tooth shade, and the concentration and duration of the product used. In a dental setting the team monitors results and adjusts the regimen to balance shade improvement with comfort. When intrinsic stains are present, the dentist will discuss whether whitening alone will meet expectations or if complementary cosmetic options are more appropriate.
In-office whitening typically delivers faster, more pronounced results by using higher-concentration peroxide under professional supervision for a single appointment or a series of short visits. The clinical setting allows the dental team to protect soft tissues, monitor sensitivity, and make immediate adjustments to optimize comfort and outcomes. Some in-office systems use adjunctive light or heat to accelerate the reaction, although clinical supervision remains the key factor in safety and predictability.
Custom take-home kits use lower-concentration gels with patient-specific trays that allow gradual whitening over several days or weeks, offering convenience and greater flexibility. Custom trays help ensure even contact with enamel while minimizing gum exposure, which reduces irritation and improves efficacy compared with generic over-the-counter options. This approach is often preferred by patients who want incremental changes or who need to manage sensitivity more cautiously.
Good candidates for whitening are patients with natural tooth enamel and primarily extrinsic or mild intrinsic staining that responds to peroxide-based agents. The dentist will perform a clinical exam to confirm that teeth are free of active decay, restorations are evaluated, and gum health is stable before recommending a whitening plan. This evaluation helps prevent complications and identifies whether whitening is likely to achieve the desired result.
Certain conditions may require additional steps or alternative cosmetic solutions, such as significant enamel wear, untreated periodontal disease, or large visible restorations that will not change color with bleaching. Patients with extreme sensitivity may be offered desensitizing protocols or a slower take-home approach to improve tolerance. A consultation allows your dental team to tailor recommendations to your oral health and aesthetic priorities.
When performed according to professional guidelines, whitening does not cause permanent damage to enamel because the mechanism targets stain molecules rather than mechanically abrading tooth structure. Temporary sensitivity is common and usually resolves within a few days to weeks; practitioners can use desensitizing agents, fluoride applications, or altered treatment schedules to reduce discomfort. Close monitoring during treatment helps identify and address sensitivity before it becomes prolonged.
Long-term sensitivity is uncommon when whitening is supervised and when preexisting conditions such as exposed dentin or enamel erosion are managed beforehand. The dental team will assess enamel integrity and recommend appropriate measures to protect teeth, such as remineralizing treatments or modifying the concentration and duration of bleaching. Choosing a dentist-supervised plan reduces the risk of adverse outcomes compared with unsupervised, high-risk practices.
Preparation typically begins with a comprehensive examination and a professional cleaning so the dentist can confirm oral health and remove surface buildup that might interfere with even whitening. Any active decay, loose restorations, or gum inflammation should be addressed before bleaching to protect tooth vitality and soft tissues. The team will also document your starting shade and discuss realistic goals so you know what to expect.
Patients may be asked to avoid highly pigmented foods and beverages for a short period before treatment to optimize initial results, and photographs are often taken for comparison. If you plan to use custom trays, the practice will take impressions or digital scans during an earlier visit to ensure a precise fit. Clear communication about your timeline, sensitivity history, and desired outcome helps the dentist select the right protocol for your needs.
Results vary by individual and depend on diet, oral hygiene, and lifestyle choices; many patients enjoy noticeably whiter teeth for several months to a few years before noticing gradual darkening. Maintaining good oral hygiene, avoiding or moderating consumption of staining substances such as coffee and red wine, and not using tobacco products all help prolong results. Regular professional cleanings also remove surface deposits that can dull the appearance of whitened teeth.
For ongoing maintenance, custom take-home trays allow periodic touch-ups that restore shade without repeating an in-office protocol. The dental team can recommend a personalized schedule for touch-ups based on your habits and the initial improvement achieved. Following the practice’s aftercare guidance reduces the frequency of retreatment and helps preserve a consistent, natural-looking shade.
Whitening agents lighten natural enamel but do not change the color of existing crowns, veneers, bonding, or composite restorations, which can lead to shade mismatch after bleaching. Because restorations are color-stable, the dentist will review visible prosthetics and may recommend replacing or adjusting restorative work after whitening to achieve a uniform appearance. Planning ahead avoids surprises and ensures that any restorative materials match the final tooth shade.
When restorations are present, the team will discuss the sequence of treatments so you can decide whether to whiten natural teeth first and then update restorations, or to pursue alternative cosmetic options that coordinate with your goals. Accurate shade documentation and communication between clinician and laboratory help create harmonious, long-term results. This coordinated approach supports a predictable aesthetic outcome while maintaining oral health priorities.
Tooth discoloration arises from extrinsic staining and intrinsic changes; extrinsic stains are deposits on the enamel from pigments in foods, beverages, and tobacco, while intrinsic discoloration originates within the tooth from genetics, aging, trauma, or certain medications. Extrinsic stains generally respond well to bleaching and professional polishing, especially when identified early. Intrinsic stains can be more resistant and sometimes require combined cosmetic strategies for optimal results.
The dental team evaluates the shade, pattern, and likely origin of discoloration to determine the most effective approach. When intrinsic factors dominate, options such as veneers or bonding may be recommended in combination with or instead of whitening. Understanding the stain type helps set realistic expectations and guides selection of the treatment that best suits your smile goals.
The most common side effects are temporary tooth sensitivity and mild gum irritation, both of which typically resolve within days after treatment ends. Professional supervision allows the team to limit gel contact with soft tissues, adjust peroxide concentration, and provide desensitizing treatments to minimize these effects. Rare complications can occur if products are overused or applied improperly, which is why dentist-guided care is recommended.
Allergic reactions to whitening components are uncommon but possible, so you should inform your provider about any known sensitivities or medical history that could be relevant. The dentist will review contraindications and tailor the protocol to reduce risk, including recommending alternative cosmetic solutions when appropriate. Following post-treatment instructions and reporting prolonged symptoms helps ensure a safe and satisfactory outcome.
The selection process begins with a focused consultation that considers your desired timeline, tolerance for sensitivity, daily habits, and the current condition of your teeth and restorations. The dentist reviews these factors alongside clinical findings to recommend either an in-office procedure, a custom take-home regimen, or a combination that balances speed, comfort, and longevity. Clear communication about expected results and maintenance requirements ensures the chosen plan fits your life.
At the office of Contemporary Dentistry, our team emphasizes individualized plans and follow-up strategies so patients understand how to preserve their results. We document starting shades, discuss realistic outcomes, and propose maintenance protocols tailored to your habits and goals. This personalized approach helps achieve a natural, lasting improvement while protecting oral health.
