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Teeth whitening

Whitening lightens the natural tooth using a peroxide gel, either in the clinic in about an hour or at home in custom trays over two weeks. It removes no tooth structure, which is what separates it from veneers. It lightens natural teeth only: it does not change crowns, veneers or fillings, and results last one to three years.

What whitening actually does

A peroxide gel sits against the tooth and breaks down the staining held inside the enamel and the layer beneath it. The tooth is not coated, bleached in the laundry sense, or resurfaced. Its own colour is lightened.

This is the entire difference between whitening and veneers. Whitening changes colour and takes nothing away. Veneers change colour and shape and remove enamel permanently.

The two ways it is done

In the clinic. A protective barrier on the gums, a stronger gel, roughly an hour. You leave lighter the same day. It suits a deadline, and it is the option people book before a wedding.

At home, in custom trays. We take an impression, the trays are made to fit your teeth exactly, and you wear them with a milder gel for a couple of hours a day or overnight, for about two weeks. Slower, and usually the better result, because total contact time is what does the work.

The trays last for years, which is what makes topping up cheap afterwards. That is the reason we lean towards this one for most people.

What it will not change

Crowns, veneers and white fillings. These do not lighten at all. If you have one on a front tooth, whitening everything around it will leave it looking darker than before, and matching it again means replacing it. We look for this at the examination and tell you before you start, not after.

Stains from inside the tooth. A tooth that darkened after an injury or a root treatment has its discolouration in the wrong layer for external whitening. There are other approaches, including whitening from inside a root treated tooth, and they are a separate conversation.

Shape, position and length. Colour is one of three complaints people bring in. Whitening addresses exactly one of them.

What it costs you in risk

Sensitivity, usually. Sharp, brief twinges at cold, for a few days, settling on its own. Starting with a milder gel and shorter sessions reduces it, and there are pastes that help.

Gum irritation if the gel sits on the gum, which is what a custom tray is for and what shop bought one size trays are bad at.

The one genuine danger is whitening over untreated decay, a cracked tooth or an exposed root surface, where the gel reaches places it should not. That is not a risk of whitening. It is a risk of whitening without an examination first.

Why we push it before porcelain

It is reversible in the only sense that counts: if you do nothing more, your teeth are still your teeth.

For a real share of the people who come in asking for a Hollywood smile, colour was the actual complaint. Whitening answers it for a fraction of the cost, and the ones who still want veneers afterwards go ahead knowing it was not just the shade they were unhappy with.

Questions people ask

Professional whitening at the concentrations we use does not remove or soften enamel in any lasting way. It commonly causes sensitivity for a few days, which settles. The real risks come from unsupervised high strength products and from whitening over untreated decay or exposed roots, which is why an examination comes first.

One to three years, depending mostly on you. Coffee, tea, red wine and smoking bring the colour back faster than anything else. Most people keep a set of trays and top up for a night or two once a year, which is far cheaper than repeating the whole course.

No, and this matters more than people expect. Porcelain and composite do not change colour at all. If you have a crown or a white filling on a front tooth, whitening the teeth around it will make it stand out, and it may then need replacing to match. We check for this before starting.

At home in custom trays usually gives the better and longer lasting result, because the gel is in contact for far longer overall. In-clinic is faster and suits a deadline. Many people do both: one clinic session to start, then trays to finish and to top up afterwards.

Because it answers the question cheaply and takes nothing away. A good number of people asking for veneers are unhappy with colour alone, and whitening fixes colour alone. If you whiten, live with it for a month and still want porcelain, you will have lost very little and you will know.

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