How can you brighten your smile?

Your wedding is coming up and you want your smile to be its brightest. Or maybe you have an important speaking engagement. Whatever the reason, tooth bleaching isn't just for the movie stars, and it isn't just for one day. Millions of people have had their teeth bleached, and probably millions more are thinking about it.

The desire for whiter teeth is very strong. And tooth bleaching safely lightens the color of the teeth lasting for up to three years. The most effective and safest method of tooth bleaching is dentist-supervised.

Is bleaching for you?

Generally, bleaching is successful in at least 90 percent of patients. Consider tooth bleaching if your teeth are darkened from age, coffee, tea, or smoking. Teeth darkened with the color of yellow, brown, or orange respond better to lightening. Other types of gray stains caused by fluorosis, smoking. or tetracycline are lightened, but results are not as dramatic.

What's involved?

Step one: First, the dentist will record your medical history to determine whether you are a candidate for tooth bleaching and what type of bleaching system should be used.

Next, you'll decide if you want all of your teeth bleached, or just the uppers. If you're in a big hurry for whiter teeth, you may decide to have in-office bleaching where the dentist will whiten your teeth while you sit in the dental chair. However, most patients choose dentist-supervised at-home bleaching, which is more economical.

Step two: At the next appointment, the dentist or hygienist will take impressions of your teeth to fabricate your mouthguard appliance. The mouthguard is custom made for your mouth only and is very lightweight, so that it can be conveniently worn. It is fabricated so that it can be comfortably worn while sleeping or while awake. You should even be able to talk with your mouthguard. Along with the mouthguard, you'll receive the bleaching materials. You'll be instructed to wear the mouthguard for two to four hours a day until your next appointment. generally within one to two weeks. Some patients choose to sleep with their mouth-guard. However, the bleaching material is active for only two hours at a time. The bleaching treatment can take from two to six weeks, with visits to the dentist scheduled every two weeks.

How long does it last?

Lightness should last for about one to three years. at which point you could use a touch up. The procedure will not be as costly the next time because you can probably still use the same mouthguard. The pretreatment time also is much shorter than the original treatment time.

How does it work?

The active ingredient in most of the whitening agents is 10 percent carbamide peroxide also known as urea peroxide; when water contacts this white crystal. the release of hydrogen peroxide lightens the teeth.

Is it safe? Any side effects?

A survey of 7,617 dentists reported that 66 percent of their patients had irritation to the gums and tooth sensitivity, which resolved when treatment ended. Several studies have proven its safety during the past five years. The American Dental Association has also granted its seal of approval to some tooth bleaching products.

What are realistic expectations?