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Cosmetic Dentistry

Teeth Whitening

How is teeth whitening done, which stains does it work on and who is it not suitable for? Information on in-office and at-home methods, risks and how long results last.

Last updated:

Medically reviewed by:Dt. Emre Ersaçan

Illustrative image: clear whitening tray and tooth shade guide

Quick Facts

In-office treatment
Usually one session, about 45–90 minutes
At-home treatment
With a custom tray, for the period set by your dentist
Anaesthesia
Not required
Most effective on
Mainly external stains
Duration of effect
Depends on habits; the effect fades over time
Prerequisite
Decay and gum disease treated beforehand

Teeth whitening is a treatment that aims to lighten discolouration on the tooth surface and within the enamel by chemical means. No tooth tissue is removed; the lightening is achieved by the action of a whitening gel.

This page explains, for information purposes, how whitening is done, which types of discolouration it works on and who it is not suitable for. Results vary from person to person.

Why do teeth become discoloured?

TypeCauseResponse to whitening
ExternalTea, coffee, cola, red wine, smokingUsually good
InternalThe tooth's own colour, darkening with ageVariable
Medication-relatedCertain medications taken while teeth were developingLimited
Single dark toothAfter trauma or root canal treatmentA different method is needed
Surface depositsTartar and plaqueCleaning is needed first

Scaling and cleaning before whitening makes it possible to see the true colour of the teeth.

How is whitening done?

In-office whitening

  1. An examination is carried out; decay, gum disease and sensitivity are assessed.
  2. If necessary, scaling and cleaning are done first.
  3. The starting shade is recorded with a shade guide.
  4. The gums are covered with a protective barrier.
  5. Whitening gel is applied and left for a set time; this is repeated if necessary.
  6. The gel is removed, the result is assessed and aftercare advice is given.

At-home whitening

A thin custom-made tray and a gel prescribed by your dentist are used. Your dentist decides how long and how often the tray is worn. A well-fitting tray reduces the amount of gel that spreads onto the gums.

Who is it suitable for?

  • Adults with healthy teeth and gums
  • People whose discolouration is mainly external
  • People without decay or active gum disease
  • People with realistic expectations

When is it not suitable?

  • Untreated decay or gum disease
  • Severely worn, cracked or thinned enamel
  • Marked and persistent tooth sensitivity
  • When most of the front teeth have fillings or veneers/crowns
  • Pregnancy and breastfeeding
  • Children whose tooth development is not complete

Risks and side effects

  • Temporary tooth sensitivity during and after treatment
  • Temporary irritation, burning or whitening of the gums
  • Uneven lightening between teeth
  • Fillings and crowns remaining darker than the neighbouring teeth
  • Existing cracks or wear becoming more noticeable

This list is not exhaustive. Your individual risks are discussed during the examination and the informed consent process.

What should I pay attention to afterwards?

TopicRecommendation
First 24–48 hoursAvoid staining foods and drinks
SmokingStopping is recommended, as it speeds up discolouration
SensitivityA desensitising toothpaste recommended by your dentist can be used
BrushingTwice a day with a soft brush
Check-upsRegular visits to monitor colour and remove tartar

What should patients travelling from abroad consider?

In-office whitening usually takes one session of about 45–90 minutes, but an examination comes first, and scaling or treatment of decay and gum disease may be needed beforehand. At-home whitening continues with a custom tray for the period your dentist sets. Suitability is decided only after an in-person examination.

TopicWhat to know
Number of visitsExamination plus usually one in-office session; more if preliminary treatment is needed
At-home optionA custom tray is made; use continues at home as instructed
Before you travelRecent X-rays and dental records can be shared in advance
DecisionSuitability is confirmed only after examination
Back homeColour checks and cleaning can continue with a local dentist

About treatment fees

This page does not include fee information. Because the method used and the number of sessions vary from person to person, fees can only be discussed after an examination.

Frequently Asked Questions

Short answers to the questions patients ask most often about this treatment.

How is teeth whitening done?

In the clinic, the gums are covered with a protective barrier and a whitening gel is applied to the tooth surface and left for a set time. For at-home whitening, a thin custom-made tray is used with the gel and wearing time prescribed by your dentist. The two methods can also be combined.

Does whitening work on all types of discolouration?

No. It works better on external stains caused by tea, coffee or smoking. Discolouration from within the tooth structure, colour changes caused by certain medications and darkening of a single tooth after root canal treatment may require different approaches.

Do fillings and crowns whiten too?

No. Whitening gels only work on natural tooth tissue. The colour of composite fillings, porcelain veneers and crowns does not change. After whitening, these restorations may look darker than the neighbouring teeth and may need replacing.

Does whitening damage the teeth?

When whitening is done under a dentist's supervision at an appropriate concentration, no tooth tissue is removed. Even so, temporary sensitivity and temporary gum irritation may occur during and after treatment. Uncontrolled use of high-concentration products increases the risk.

Who is not suitable for whitening?

It is not suitable for people with untreated decay, active gum disease, severely worn or cracked enamel or marked tooth sensitivity. It is not recommended during pregnancy or breastfeeding, and it is not done in children before tooth development is complete.

How long does the effect last?

It varies with the person and their habits; no specific duration can be promised. Tea, coffee, cola and smoking cause the effect to fade faster. Top-up treatment may be needed over time.

Can I use products sold in shops or online?

The active ingredient concentration and application method of these products vary; they can irritate the gums and mask existing decay or a gum problem. Having an examination before starting any whitening is recommended.

Questions about a treatment? We are a message away.

Whether a treatment is suitable can only be decided after an examination and, where needed, imaging. Contact the clinic to plan your first visit.

References

The information on this page is based on the sources below. Links were accessible when last checked.

  1. NHS. Teeth whitening. Conditions
  2. American Dental Association. Teeth Whitening. MouthHealthy
  3. Cleveland Clinic. Cosmetic Dentistry: Purpose, Procedures & Benefits. Health Library
  4. NHS. Dental treatments. Live Well — Healthy teeth and gums
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