A
Few Secrets About Teeth Whitening That
Your Dentist Hopes I'll Never Tell You!
Do
You Know The Major Differences Between
Dental Office and At-Home Teeth Whitening
What
Can You Really Expect From an At-Home
Whitening System? (and which ones you should stay
away from!)
What
To Look For In A Teeth Whitening System To Make
Sure That You Have The Whitest Teeth, Freshest
Breath, and the Healthiest Mouth -- With
The Least Tooth Sensitivity!
I began practicing
dentistry in 1975 - at that time I had just graduated
with my DDS degree from UCLA, and was eager to "make
my mark" as a dentist. I worked a double
shift: At a dental clinic near the corner of Hollywood
and Vine (about as unglamorous an intersection as you
will ever find - especially when seeing emergency
patients at 10:30 pm!) and at a clinic near CBS
Television City (where I once fixed the cracked
denture of a famous Vaudevillian who was appearing
across the street).
At any rate, it
really didn't matter at which socioeconomic level my
patients came from. This was Los Angeles.Everyone was very image conscious about
their smiles. Remember this was back in the 70's
when "cosmetic" dentistry meant
using "Pearl Drops" toothpaste.
A lot has changed in the past 28 years, and
especially in the last 10 years in the field of
teeth whitening, both in the dental office and at
home.
There are TWO
METHODS to get whiter teeth:
1. Dental
(In-office) Whitening and
2. Home Treatment
Method 1: Dental
(In-office) Whitening
I can
tell you from first-hand experience, dentists LOVE
the patient who wants their teeth bleached in the
dental office Back in the early '90's, there was
only one option!
Your
dentist would make "molds" of your teeth,
send them off to a lab, and in 5-10 days receive back
your custom fitted mouthpiece. Then you would sit in
the dental chair for 1-2 hours, with these plastic
molds filled with peroxide (at a very low
concentration) pressed against your teeth and gums.
After 3-4 visits, you teeth would be officially
declared whiter (and usually they were), and you would
be sent home with a nice, fat $500 - $1,000
bill to pay. And with whiter teeth of course.
Now I'll be the first to admit, dental office
whitening has come a long way in the past 10 years.
Now the most popular dental whitening procedure known
as Laser Bleaching (or Power Bleaching, Argon
Bleaching, etc.) which basically consists of the
application of a concentrated peroxide gel spread onto
your teeth, and for the next hour you sit in a dental
chair with your mouth wide open, while a special light
(usually argon) is shined onto the paste which
chemically reacts with the peroxide to complete the
bleaching process in as short a time period as
possible.
This procedure does
work (although many dentists say that you get a whiter
smile by repeated tray applications because the
peroxide stays in contact with your teeth for longer
periods of time), however the downside is that you
still get stuck with that fat $500 - $1,000 bill (at
least for the good dental whitening!). And you
STILL need to either come back 6 months later for
another whitening (excuse me - a touch up!),
or you're given some take home bleaching items (then
why did you spend $500-$1000 dollars for the in-office
procedure?)
Fortunately (as with most other things in life),
technology stepped in to make teeth whitening easier
and more affordable!
Method 2: Home Teeth
Whitening
I'll
say this once, just to get it out in the open:
It's
now possible (in almost all cases) to achieve
"dental office"quality teeth whitening,
from the comfort of your own home.
"At-Home" Teeth Bleaching has taken
a bite out of (sorry about the pun) the "in
office" power bleaching systems, where millions
of corporate advertising dollars now compete with the
comfort of doing it at home.
And rightly so...
Up until a few years ago, teeth whitening was a fairly
complex process - the hard part was making those
fitted mouthpieces for each patient. For this reason
alone, home teeth whitening was not an option for most
people.
Essentially,
there are 3 different types of
home-teeth whitening available:
Brush-on
whitening
Strips
you stick on your teeth
Trays
with bleaching gels
1) Brush-on Whitening
Brush-on whitening in principal is a
great concept. Just brush on the formula, allow it to
dry on your teeth, and let it stay on your teeth
overnight. Sounds simple, right?
In reality, brush-on whitening is designed for the
segment of the public that is in love with shortcuts.
(In other words, for those people who don't want to
spend the time to do it right the first time). Brush-on
whitening has two main flaws:
1. When you brush on the formula, it
relies on the premise that it will dry on your teeth.
This is great in principle, but if you get the formula
wet (i.e. from saliva) then it becomes REALLY easy to
rub off parts of the whitening formulas. And guess
what happens if you rub off only part of the whitening
formula? You got it - you don't get an even whitening
result! It turns out patchy, and blotchy. (reminds me
of the time I painted our first apartment - better
yet, don't ask!)
2. The second flaw with most
brush-on whitening as I see it, is the ingredients. If
you look at the ingredient list of the leading brush
on whitener, you'll see the first ingredient is alcohol
- and if you've read my free ebook "The
Bad Breath Bible"
then you already know that alcohol is terrible
for your breath! Actually, I'm sure the reason why
they've added alcohol to their formula is because it's
needed as a desiccant (something that dries out the
formula so that it supposedly stays on your teeth at
night), however that still doesn't diminish the effect
it can have on your gums and your breath. Also most of
these brush-on whitening formulas contain glycerin
- glycerin literally sucks the moisture out from the
enamel of your teeth and it's the primary cause of
most tooth sensitivity from whitening.
2) Strips You Stick On Your
Teeth
The second most common type of home teeth whitening is
using whitening strips. The main lure
of this type of home teeth whitening is their
simplicity of use. They're easy to apply and no
preparation is necessary. Again, everybody loves
shortcuts, right? Unfortunately, once again that's
exactly the type of teeth whitening you end up
getting! Let me explain...
Strips that stick on your teeth
usually consist of an upper strip and a lower strip
each pressed against the outer surface of your teeth.
Now think about this for a second…. Are your teeth
completely flat? Of course not - they have recesses
and grooves, particularly between each tooth. Well
imagine you're painting a fence, and you just slapped
paint on the outside, without taking the time to paint
the grooves between each wooden board. That fence
would look pretty funny wouldn't it? Nicely painted on
the outside, but in the grooves between each wooden
board, still dark and dingy, with all of the old paint
showing.
When you use whitening strips, the
same thing can easily happen to your teeth if you're
not careful. The whiter your teeth become, the more
pronounced those dingy cracks seem! Eventually it can
end up looking like you have small gaps between your
teeth. Definitely not the desired result!
3) Trays With Bleaching Gels
Trays with bleaching gels still provide the best
combination of the most affordable and most efficient
tooth whitening available. Since I'm a dentist, I can
let you in on a few little secrets here (secrets that
most dentists would shoot me for telling you since it
costs them thousands in lost income!)
First, most of the bleaching gels available at your
dentist are exactly the same. There is very little
difference from one dentist to another, because the
gels are formulated by a small number of
manufacturers.
Second, most of the bleaching gels
available at retail stores are of very poor quality.
They've been sitting in a warehouse or on a truck for
who knows how long - and, because they are designed to
be "low cost" (with low cost being sometimes
the only consideration), they have very low
concentrations of active ingredients.
Make sure you use a bleaching gel
with a concentration of at least 21% - this means a whiter
result in a shorter period of time!
Third, the one thing in common
between dental bleaching gels and "store"
gels is that they both use glycerin as a carrying
agent. Now there is nothing wrong with glycerin. It is
not dangerous in any way. However, when mixed with
carbamide peroxide the glycerin is used to draw water
out of the enamel in order to speed up the bleaching
process. This is what causes the most common side
effect of bleaching - sensitive teeth! (By the way, my
TheraBrite
formula doesn't use a
glycerin base - that's just one reason why it's so
unique.)
Armed
with this new knowledge, what should you do?
Well,
there are 4 KEY COMPONENTS to making sure you
get the best possible tooth whitening every time you
whiten your teeth.
Immediately
before bleaching, brush your teeth with an
oxygenating toothpaste combined with the finest
natural polishing agents AND aloe vera to
strengthen your gums & prevent any
sensitivity.
Use
form-fitting mouth trays that are fitted to your
specific bite. Make sure they fit snugly around
each tooth, and at all points they press firmly
around the sides of your teeth and gums.
Use a
21% concentrated bleaching gel based on carbamide
peroxide that is formulated specifically to reduce
the sensitivity to your teeth and gums. (In other
words - No glycerin)
Immediately
after bleaching, enhance the effect by using an
oxygenating oral rinse. Make sure not to use a
mouthwash with alcohol as this can actually
chemically curtail the bleaching effect.
The best home bleaching
systems use a moldable tray system that contains
mouthpieces which you can actually fit to your mouth.
You mold them by soaking them for a few seconds in
warm water, then you press the plastic up (or down)
against your teeth and gums. When the plastic cools
you have a nice soft plastic mouthpiece that is fitted
to the curves of your particular smile.
To make sure your teeth
are "as clean as a whistle"-- and to make
sure that the bleaching gel directly contacts your
tooth enamel (instead of dental plaque), brush your
teeth for two minutes with an oxygenating, slightly
abrasive toothpaste immediately before bleaching. You
should use as strong of bleaching gel as possible to
ensure that the time your teeth are in contact with
the whitening gel is well spent. The older gels used
16% carbamide peroxide, but the newer gels can be as
high as 22% peroxide. But, it's imperative that the
gel does not contain any glycerin to reduce any
sensitivity the whitening gel may have on your teeth
and gums. A flavored bleaching gel also helps - why
not make the experience as pleasant as possible? No
need for it to taste bad!
After your at-home
bleaching session,
it is very wise to rinse thoroughly with an
oxygenating mouthwash to prolong the effect (an
alcohol-based mouthwash will chemically curtail the
bleaching process).
Follow this procedure 5 days in a row, doing the top
and bottom arch separately for comfort (you can try to
do both at once if you prefer - I actually do it this
way, but everyone is different), and you will have a
noticeably whiter smile - GUARANTEED!
By Dr. Harold Katz, Founder of The California
Breath Clinics
2006 (c) creditplushealth.com
Credit Plus Health By Sean Toh All rights reserved.