17 Gerard St, Cremorne, NSW, 2090 | Mon to Fri: 8:30AM-6:00PM Sat: 9:00AM-12:00PM | Call (02) 9953-4189
patient after teeth whitening treatment

Teeth Whitening

Most effective tooth whitening procedures

We are happy to suggest the most appropriate treatments, based on the best risk-benefit, and cost-benefit ratios for your situation. We listen, evaluate and discuss bleaching with you. We also educate you by helping you to acknowledge unrealistic expectations.

Meeting your expectations

Bleaching and tooth whitening results depend on several factors:

Before and after photos with shade guide are generally required for obtaining your informed consent. 92.5% of patients consulting Designer Smiles have expressed satisfaction with our tooth whitening procedures. Long-term studies on tooth whitening have shown:

Therefore, we help patients understand the possibilities available to them.

Five years after One Visit Tooth Whitening

Monthly home tray whitening gel can be supplemented with yearly in-house tooth whitening system as well at Designer Smiles. Over-the-counter products (OTC) have considerable amounts of acid which can affect the surface enamel of the tooth, while professionally delivered products tested in clinical trials sustain no damage to tooth enamel.

Tooth whitening is an art requiring prior assessment of tooth colour/shade. Patients with very dark stains on their teeth may not be suitable candidates for whitening procedure as it would take quite a long period of time and the banding-striations will remain. Also not Ideal for tooth bleaching are teeth with severe tetracycline discolouration and enamel hypoplasia (surface malformations). Bleaching alone will not fix the problem. The surface colour contrast in the bands will remain. Ultrathin minimal intervention porcelain veneers developed by Dr Sarkis Nalbandian and his laboratory (dental Xpressions) are the answer.

Ideal Clinical Situation

The presence of even discolouration on surface with no bands or pits fissures or grooves. Yellow teeth, with light discolouration restricted to enamel as opposed to dentine, and plenty of enamel.

Indications

Patient with ideal clinical situation after tooth whitening

Patient with an ideal clinical situation before and after tooth whitening

However the most important factor in a successful treatment is: realistic patient expectations.

What are the two kinds of stains that develop?

Extrinsic—Stain, which is deposited on the outside surface. Whiteners will lighten calculus and the subsurface structure.

Intrinsic—Stain, which is incorporated into the tooth structure before or after eruption.

Yellow brown-amelogenesis imperfecta, hypoplastic form which is usually transmitted as autosomal dominant trait

What agent or agents lighten teeth?

Peroxide is an active agent. Found in Carbamide Peroxide (CP). Breakdown: 10% CP=3% HP+7% Urea; (HP = Oxygen + Water; Urea = Ammonia + Carbon Dioxide)

How does it work?

Carbamide peroxide breaks down into hydrogen peroxide and urea, materials commonly found and readily disposed of in the body.

Hydrogen peroxide breaks down into water and an oxygen free radical

The 10% Carbamide Peroxide is the safest and tested and is regarded the standard of care in Evidenced Based Dentistry. We, in dentistry are now trained in biochemical concepts of tooth whitening.

The tooth whitening procedure at Designer Smiles is very simple. We have the experience and expertise in advising you on tooth whitening. Dr Sarkis Nalbandian tested the first revolutionary tooth whitening system in 2001 and he is recognised and approached by media for assessment of current whitening systems. He appeared on Channel Nine’s A Current Affair in Australia, and evaluated and tested a range of tooth whitening systems: both in-house and over the counter products.

The truth

Very few therapies work for everyone.

Advantages of bleaching alone:

Over the years, teeth can become discoloured for a number of reasons. Smoking, certain foods, aging, medication and poor oral hygiene can all contribute to the problem where the change can be so gradual, you never notice. With the new techniques in bleaching, you’ll be surprised at the difference in your smile.

Instant Power tooth whitening special formulation by Designer Smiles® is the most effective whitening procedure in modern dentistry today. We provide this service in One Visit with in-house whitening lasers and can improve the shade of your teeth by at least 2-3 shades. If you have golden-brown discolouration teeth can improve 7-12 shades lighter. Tooth whitening is offered to all our patients and, as we are the only surgery in Australia with two fully equipped rooms for this procedure, appointments can be arranged for you as soon as possible.

Alternatively, we also offer home whitening systems. With our home bleaching program, using a custom-fitted lightweight mouth guard and special gel, results can be seen after only a few days of treatment.

Contraindications for tooth whitening

Disadvantages of bleaching alone

How long does bleaching last?

It depends on the person!

Special consideration for bleaching patients

Dentofacial aesthetic rejuvenation

It is not just about the teeth, it is all about the face! Determining the patient’s specific concern(s) is of major clinical importance. Many tooth surface loss patients (TSL and heavily restored teeth) will be primarily concerned about the longevity of their dentition, but aesthetics is also likely to be of concern. It is easy to presume that this results from the shortened appearance of the teeth. However, the patient may just dislike the yellow/brown appearance of exposed dentine surfaces. Bleaching here also will not work and restorative coverage is required. Porcelain veneers & crowns are placed on lower 10 teeth.

Patient with permanent white teeth using ultra-white procelain veneers

I want white white teeth!

There are few patients for whom white teeth really suits them and make them very happy. If you are one of those patients then please have a look. 10 ultra-white porcelain veneers placed on upper amd lower arch for this lovely patient. This special request made by the patient, was completed after considerable assessment, diagnosis and planning. You have different aesthetic criteria. It is our duty to listen to you, because realistic expectations are always met with satisfying results. Our patient’s wishes are respected and you can see it complements this patient’s lovely dentofacial aesthetics.

Please feel free to contact us should you have any queries. Designer Smiles® is a one stop shop for all tooth whitening, implant, surgical and reconstructive (prosthodontic) oral rehabilitation solutions. Call us or fill in the form below for more information.

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