For long-term wear to treat tetracycline-stained teeth, the non-scalloped tray with 10% carbamide peroxide provides the most efficient bleaching possible with the least gingival or tooth sensitivity. One successful model involves charging a reasonable initial bleaching fee for the maxillary arch, while educating the patient that any subsequent treatment and material refill costs will depend on the length of the bleaching process.

Some surface stain removal may occur on composites, but the basic color of the restorations will remain the same. } Carbamide peroxide is composed of hydrogen peroxide and urea. last_found = $(this); 'ccZoneID': that.attr("cczoneid"), Hughes N, Cordero R. Prebrushing with a potassium nitrate dentifrice to reduce tooth sensitivity during bleaching evaluated in a practice-based setting. if ( found == false && typeof last_found !== 'undefined' ) { var offset = $('#article-content p:nth-of-type(5)').offset(); pos = that.attr('ccposition'); The presence of a gummy smile may be less of a problem when planning to bleach tetracycline-stained teeth. var target_offset = 1000; found = true; One of the main ones is that the results are immediate and long-lasting . To help keep this from happening, the experts at Colgate outline some helpful preventative measures in the post below:Brushing your teeth after every meal will help to prevent some stains. As with normal teeth, tetracycline-stained teeth should be examined for existing decay.

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'ccId': that.attr("ccid"), offset.left = offset.left + ($('#article-content p:nth-of-type(5)').width() / Tray delivery of potassium nitrate–fluoride to reduce bleaching sensitivity. found = true; var last_found; if ( found == false && typeof last_found !== 'undefined' ) { Depending of the severity and level of tetracycline … }); Those brownish-gray stains caused by exposure to the antibiotic tetracycline took place prior to the eruption of your teeth. if ( $(this).offset().top >= target_offset ) { Because the teeth lighten from the incisal to the gingival, the location of the darkened areas will have an impact on the final result. When planning to bleach normal teeth, identification of a “gummy smile” is important because whiter teeth will make it more noticeable. } var that = $($(this).children()[0]); The best way to maximize patient compliance and compare progress from the baseline shade is to treat only one arch at a time. 'ccSponsor': that.attr("ccsponsor"), ZOOM! Just one session can make your teeth up to seven shades lighter. Just one session can make your teeth up to seven shades lighter. if ( found == false && typeof last_found !== 'undefined' ) {

Periodontal therapy for altered passive eruption may be indicated prior to bleaching to expose more of the teeth and eliminate the excessive gingival display, which can reduce the need for bleaching.
'ccSize': that.attr("ccsize"), if ( $(this).offset().top >= target_offset ) { To ensure that the lightest shade possible is achieved, before terminating treatment, the patient should continue bleaching for an entire month despite no discernible color change. Haywood VB. } Still, for many years I had grey teeth that I was ashamed of. The gingival health of patients involved in bleaching research projects using this concentration and tray type has been shown to improve during bleaching. However, teeth that undergo root canal treatment may darken anyway. if(parent.attr('ccposition')){ Just one session can make your teeth up to seven shades lighter. } A. Hi many thanks for your enquiry, whitening has been found to work on tetracycline teeth, i have actually done some cases myself and have had good results. } The evening was a great success and thanks to everyone that attended. Whitening solutions cannot penetrate deep enough to rid the tooth of the stains caused by tetracycline. The KOR whitening system is a multi step deep whitening treatment for severely stained teeth. var last_found; Unfortunately, zoom whitening will not remove tetracycline stains, as the stains are deep in the tooth enamel.  These are intrinsic stains.  Zoom whitening can't penetrate deep enough into the teeth to remove the staining. Dr. Robert Harrell and his expert team at Adult Dentistry of Ballantyne understand how important a healthy, gleaming smile is to your appearance and level of self-confidence. $(".second_ready").each(function() { Compliance is better with overnight tray use, and the patient gets the greatest benefit per application due to its longer activity time, which reduces cost. the best whitening treatment on the market in my opinion is a system called enlighten, which is a home whitening treatment eight hours a night for 14 consecutive nights treatment followed by one hour insurgery treatment. Matis BA, Cochran MA, Eckert G. Review of the effectiveness of various tooth whitening systems. Because of the long-term tray wear necessary in the treatment of tetracycline-stained teeth, the use of 10% carbamide peroxide overnight is recommended.
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Because the decay process is halted during bleaching with 10% carbamide peroxide, small non-sensitive caries do not have to be restored prior to treatment. Haywood VB. }); “Don't bleach until you see the white of their eyes.” 8. Tetracycline stains are embedded within the enamel of the tooth. Leonard RH, Haywood VB, Caplan DJ, Tart ND. An aggressive regime of Zoom followed by tray whitening may lighten the teeth significantly resulting in an overall whiter appearance.