Teeth Whitening
About the procedure: Teeth Whitening is designed to lighten the color of your teeth. Lightning can be achieved in the vast majority of cases, but the results cannot be guaranteed. Teeth whitening, like any other treatment, has some inherent risks and limitations. These are seldom serious enough to discourage you from having your teeth whitening but should be considered in making a decision to have the treatment. Teeth whitening can be done every 6 months.
If you have recessed gums, cracked or broken teeth, or severe plaque buildup, your appointment may be canceled. We will recommend that you visit a dentist for appropriate care.
Contraindications: Although it is impossible to list every potential risk and complication, the following are recognized as known contraindications. Furthermore, it is your responsibility to fully and accurately disclose all medical history prior to initial treatment, as well as provide any medical updates at all future treatment sessions. If you have any of the conditions listed below, you should bring it to the attention of your esthetician PRIOR to signing this consent form. Please review the following carefully. It is important that you answer all questions honestly and to the best of your ability and knowledge. Failure to do so can result in unsatisfactory results and/or injury.
If you have any of the conditions listed below, we will be unable to perform this service on you. Instead, we may recommend an alternative treatment.
Crowns
Fillings on front teeth
Veneers
Pregnant
Breastfeeding
Periodontal Disease
Tetracycline
Frequency: 6 months in between teeth whitening treatments.
Clients must be at least 16 years old to receive teeth whitening.
Wait two weeks after any skin treatment before getting teeth whitening.
We cannot perform any services if you’ve been on Accutane in the past year
You must wait 72 hours after waxing before undergoing teeth whitening.
72 hours sun exposure
If you have any of the following conditions, a doctor's note will be required before receiving any services.
Autoimmune Disease
Blood Pressure Medication
Cancer
Chemotherapy/Radiation
Psoriasis
Serious Medical Condition
Post-Care Instructions:
Avoid Acidic Foods: Can cause sensitivity 72 hours
Avoid Extreme Temperatures: Hot or cold 72 hours
Avoid Eating: 2 hours after treatment
Avoid Staining Foods/Drinks: Wine, soy sauce, berries, dark drinks, etc. for 72 hours
Stay Hydrated: To avoid sensitivity
Important Information
Whitening will not change the color of fillings, crowns, dentures, veneers, or any other material (restorations) that is not enamel. If after bleaching a color difference results between your teeth and other restorations, these restorations may have to be replaced by a dentist to match your new enamel color.
Do not attempt to bleach crowns, veneers, or any other restoration, as this will not work and possibly damage them. Bleaching is only indicated for enamel.
Whitening cannot be done for patients that are pregnant, trying to get pregnant or breastfeeding.
Whitening will likely not be successful if tartar buildup exists in your mouth. A cleaning is recommended to remove these deposits prior to bleaching.
If you have tetracycline staining in your teeth, it is likely that you may need power bleaching for best results.
Tooth Sensitivity: During whitening, some patients experience transient sensitivity. This sensitivity is usually mild if your teeth are not normally sensitive.
Gum Irritation: This is the result of using the trays for too many hours when you first start whitening. During the teeth whitening session the gums may bleach and turn white it can possibly cause sensitivity during and after the treatment. It’s caused by salivating, use sensodyne to help the sensitivity
Effect on Fillings: Be aware that tooth colored filling will not whiten, and mismatched shading may happen. Same thing applies to any other restoration in your mouth (crowns, veneers, dentures, inlays, onlays, etc.). You may need to replace these restorations so that they will match your newly whitened teeth. Completion of Treatment.
Level of Lightning: There is no reliable way to predict how light your teeth will whiten. Type of staining, tooth anatomy and periodontal/carious condition vary from person to person, thus affecting bleaching results.
Relapse: Following the completion of whitening, pigment found in food and drinks will re-stain your teeth after some time. This is commonly called ‘bleaching relapse’. With home whitening, you may choose to wear your trays once every few months to keep relapse from occurring.
Allergic Reaction: During the procedure, various products may be applied there is a possibility of an allergic reaction to these products. Additionally, since this procedure enhances the penetration of topical substances, it may increase your sensitivity. If you experience any abnormal sensations during the treatment, please notify your esthetician immediately or contact our office.
Lack of results: I understand I may not experience complete clearance. It is important that your expectations be realistic and understand the procedure has its limitations. Additional procedures may be necessary to achieve desired effect.
Color Change and Staining: After teeth whitening, your teeth or skin may be more susceptible to color changes or staining. Failure to follow post-treatment instructions can increase the risk of discoloration. To minimize this risk, avoid consuming foods and drinks that can stain your teeth (such as coffee, wine, or berries) for 72 hours after the treatment. Additionally, it's essential to maintain good oral hygiene and consider using a whitening toothpaste to prolong your results. Additionally, you need to wait two weeks after any skin treatment and 72 hours after waxing before undergoing teeth whitening to avoid scarring or hyperpigmentation.
Must be 16 years or older to receive service.
