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It is the practice for bleaching the teeth of the patients who are not satisfied with their tooth color.

 

The bleaching process can practice in two way to whether the tooth is vital or devital and according to the patient's preference at home or in the office.

 

Reasons of tooth pigmentation:

 

External pigmentation:

 

* Insufficient oral hygiene

* Existing restorations

* Nutrition habits

* Dental plaque accumulation,

* Frequently usage of colored substances such as tea, coffee and cigarettes,

 

Agents that used for internal pigmentation:

 

* Devital teeth (especially due to trauma and periodontal cyst),

* Genetic diseases (especially used in pregnancy, tetracycline group antibiotics)

* Great amount of fluoride usage

* İnflammatory diseases during childhood

 

Which patients are appropriate for whitening treatment?

 

* Teeth with yellowish and brownish pigmentation,

* Low-grade tetracycline pigmentation

* Teeth that have lost their vitality

* In patients who are not satisfied with the color of their teeth,

 

Patient profiles not appropriate for bleaching;

 

* People who have tooth sensitivity,

* Alcohol and smoking addicts

* Pregnant or mothers in breastfeeding term,

* For people who have peroxide allergies,

* In persons with teeth with a wide room of pulp structure including nerve and vascular bundle located in the middle of the tooth

* In patients with loss of tooth structure,

* In children and deciduous teeth,

* The patients with high expectations because they cannot be satisfied,

 

Bleaching methods in brief:

 

Home bleaching method:

 

* Dental plates are prepared according to the patient's mouth size by the dentist. The substances to be used in bleaching should be applied as indicated by the dentist. Although the cost of home bleaching is low, it is a very long-term method. During this time, the patient should not use any substances that cause pigmentation in the teeth and they should have a very good oral hygiene.

 

Clinic whitening method:

 

* It is a method of bleaching by the dentist. Its cost is high but it is the preferred method because it results in a shorter time and provides more patient satisfaction.