Teeth whitening is a cosmetic procedure designed to bleach the stains on the surface of my teeth and will not change my natural enamel colour and will only bleach the stains on the surface of the tooth enamel. The process will involve peroxide gel is used on the surface of my teeth and accelerated with a lamp. Teeth whitening will not be beneficial for stains and discolouration inside the tooth enamel. Teeth whitening treatments are not intended to lighten the following types of teeth: Artificial teeth, Caps, Crowns, Veneers, Porcelain, Composite and Other restorative materials.
I understand that teeth with the following may not lighten and are usually best treated with other non-bleaching alternatives. Multiple fillings, Cavities, Chips, Cracks.
I understand that teeth with the following may not whiten or be improved as well and may need multiple treatments or may not whiten at all. Multiple colorations, Bands, Splotches, dark shadows due to tetracycline use etc.White spots due to Fluorosis, Teeth with a dead nerve.
I understand that the results of my whitening are not guaranteed and results vary.I understand that although my technician has been trained in the proper use of the in-office whitening system they are not a dental practitioner and the treatment is not without risk. I understand that some of the potential complications of this treatment include, but are not limited to: Blisters, Tooth Sensitivity or discomfort, Fluorosis enhancement, Gum irritation.
I understand that while some tooth sensitivity is normal and should only last for a few days, the following may make my teeth more sensitive after the treatment and may make the sensitivity last longer: Existing sensitivityTooth recession, Exposed dentin, Exposed root surfaces, Severely worn teeth, Damaged or missing enamelCracked teeth, Cavities, Leaking fillings.
I understand that this procedure should not be administered to me if I am pregnant, nursing, have not seen a dentist in two years, have unfilled holes in my teeth, have a temporary crown, or have untreated gum disease.I understand that it is natural for teeth that underwent the whitening treatment to regress somewhat in their shading posttreatment.
I understand that this is natural and should be very gradual but it can be accelerated by exposing the teeth to various staining agents such as dark-coloured liquids (coffee, tea, dark soda), all tobacco products, mustard or ketchup, red wine, soy sauce, berries, berry pie, and red sauces like tomato sauce.
I understand that the results of the whitening treatment are not intended to be permanent and repeat treatments may be needed further to maintain the whitening result. After treatment, I will be required to refrain from consuming any substances that could discolor my teeth for the first 24 hours after treatment. These substances include but are not limited to dark-colored liquids (coffee, tea, dark soda), all tobacco products, mustard or ketchup, red wine, soy sauce, berries, berry pie, and red sauces like tomato sauce.
