Teeth Whitening in Parramatta, Sydney
TEETH WHITENING
How Whitening Works
Whitening gels use a peroxide that breaks down into oxygen inside the tooth. The oxygen reacts with the coloured molecules trapped in the enamel and dentine and splits them into smaller, paler ones. Nothing is scraped off and no layer is removed. The tooth is the same tooth, with less pigment in it.
That is also why whitening works on some discolouration and not on other kinds, and why the starting shade matters more than the brand of gel.
Why Teeth Darken
Surface staining builds up on the outside of the enamel from coffee, tea, red wine, cola, curry and tobacco. Much of it lifts with a scale and clean, and whitening then works on what is left underneath.
Internal discolouration sits inside the tooth. Enamel thins with age and the yellower dentine beneath it shows through more. Some antibiotics taken while teeth were forming leave grey or brown banding. A tooth that was knocked hard can darken years later as the nerve inside it dies.
The two respond differently. Surface stain lifts readily. Age related yellowing usually improves well. Tetracycline banding is the stubborn one, often needing longer treatment for a partial result, and sometimes better handled with veneers. A single dead tooth does not respond to external whitening at all and needs internal bleaching after root canal treatment, or a crown.
What Whitening Will Not Change
Peroxide only works on natural tooth structure. It has no effect on:
- Porcelain and composite veneers
- Crowns and bridges
- White fillings, including the ones in front teeth
- Denture teeth
This is the detail that catches people out. Whitening natural teeth around existing front restorations leaves those restorations looking darker than they did before, because everything else has moved and they have not. Where that happens the fix is to replace them once the new shade has settled, which is why whitening is normally scheduled before any crown, veneer or front filling is matched.
Whitening also does nothing for white spots, which are areas of enamel with a different mineral content. Lightening the rest of the tooth can make them less obvious, or more, depending on the case.
In Chair and Take Home
In chair whitening uses a stronger gel in a single appointment of roughly an hour. The gums and lips are isolated first, because the gel at that concentration burns soft tissue. Most of the change is visible on the day, which suits a fixed deadline, and it is the more expensive option.
Take home whitening uses custom trays made from impressions of your teeth, loaded with a weaker gel and worn for a set period each day over one to two weeks. The trays fit the tooth shape closely, which keeps the gel on the teeth and off the gums. It reaches a similar end point more gradually, gives you more control over how far to take it, and the trays can be reloaded later for a top up.
The two are often combined, with an in chair session to make the initial change and trays to refine and maintain it.
What Happens Before Whitening
An examination comes first, and it is not a formality. Peroxide reaching the nerve through a cavity, a crack or an open margin causes real pain, and whitening an inflamed gum line is unpleasant for days.
- Decay and leaking fillings are treated first
- Gum disease is settled first
- Surface stain and tartar are removed with a scale and clean, which alone lifts more colour than people expect
- Existing crowns, veneers and front fillings are noted, so you know in advance which ones will not change
- The starting shade is recorded, since judging progress by memory in a bathroom mirror is unreliable
Whitening is not recommended during pregnancy or breastfeeding, or for children whose teeth are still developing.
Sensitivity and How Long It Lasts
Short lived sensitivity is the most common side effect, usually sharp twinges with cold air or cold drinks. It comes from the peroxide passing through the enamel, it does not mean damage has been done, and it settles within a few days of finishing. It is managed by using a desensitising toothpaste in the lead up, shortening each session, or leaving a day between applications rather than pushing through.
Results typically hold for one to three years. What decides the number is diet and habits rather than the treatment. Coffee, tea, red wine and smoking pull the shade back fastest. A rinse with water after staining drinks, and an occasional top up with take home trays, keeps the result where it landed.
Shop Bought Kits and Beauty Salon Whitening
In Australia, whitening products above a set peroxide strength may only be supplied and used by a registered dental practitioner. Supermarket kits sit below that limit, so they act slowly and produce a smaller change, which is a reasonable trade for the price if your teeth and gums are healthy to begin with.
The problems come from the one size fits all mouthpiece, which lets gel sit on the gums, and from nobody having checked the mouth first. A kit used over an untreated cavity or a cracked filling is how a cosmetic purchase turns into toothache.
Non dental whitening offered in salons and shopping centres is a separate concern. The operator cannot examine you, cannot diagnose why a tooth is dark, and is not permitted to use the stronger gels that produce the results shown in the advertising. Charcoal pastes and DIY methods using lemon juice or bicarbonate do not whiten either. They abrade or acid etch the enamel, and thinner enamel shows more of the yellow dentine underneath.
Common Questions
Does whitening damage enamel?
Whitening at the concentrations used by a dentist, over the recommended time, does not soften or thin enamel in any lasting way. The risks come from overuse, from gel sitting on the gums in a poorly fitting tray, and from whitening a mouth that had an untreated problem in it.
How many shades will my teeth lighten?
It depends on the starting shade and the cause. Yellow tones respond best, grey tones least. Nobody can promise a number in advance, which is why the starting shade is recorded and compared afterwards.
Can I whiten if I have sensitive teeth?
Usually yes, with adjustments. Sensitivity that is already present should be investigated first, because exposed root surfaces, cracks and worn enamel each need a different answer.
What should I avoid straight after whitening?
For the first day or two the teeth pick up colour more readily than usual, so it is worth avoiding coffee, tea, red wine, cola, curry, beetroot and tobacco during that window.
Will whitening work on a crown or a filling?
No. Only natural tooth structure changes shade. Restorations stay exactly as they are, and may need replacing afterwards to match the new shade of the teeth around them.
How often can I top up?
Most people use their take home trays for a night or two once or twice a year. More frequent use raises sensitivity without adding much to the result.
Teeth Whitening Near You
Our Parramatta clinic sees patients from across Western Sydney, including North Parramatta, Westmead, Harris Park, Mays Hill, Granville, Rosehill, Rydalmere, Oatlands, Northmead, Merrylands, Auburn, Dundas, Ermington, Guildford, Toongabbie and Pendle Hill.
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