Teeth Whitening in Bangalore.

Cost of  Teeth Whitening in Bangalore

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

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Bleaching may be defined as the lightening of the color of the tooth through the application of a chemical agent to oxidize the organic pigmentation in the tooth.

What causes teeth to look yellow?

Multiple factors cause teeth to become dull and lose their bright white sparkle. Certain food can stain your enamel, which is the outermost layer of your teeth. Additionally, plaque buildup on your teeth can cause them to look yellow.

This type of discoloration can usually be treated with regular cleaning and whitening remedies. However, sometimes teeth look yellow because the hard enamel has eroded, revealing the dentin underneath. Dentin is a naturally yellow, bony tissue that lies underneath the enamel.

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Facts about Teeth Whitening:

Teeth Whitening can be good for your teeth, but it is advised that you do it once in 6 months. There are home remedies for teeth whitening and this will also prevent your teeth from turning yellow. Here some simple facts that you need to know about whitening.

• Tooth sensitivity is common after you get a teeth whitening done.
• Laser and Ultra Violet (UV) light teeth whitening are temporary.
• Hard stains on your teeth cannot be removed.
• Tooth caps cannot be cleaned or whitened.
• The best home remedy is to clean your teeth every time before you go to bed.
• Everyone’s teeth cannot be white all the time.
• Your teeth are like sponges that absorb different types of food such as coffee, tea and meat. This leads to yellowish or brownish teeth.

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Indications:

• Discoloration of anterior teeth – after RCT

• Tetracycline stains (mild)
• Fluorosis
• Hemorrhagic discolouration
• Discolouration due to ageing
• Medication discolouration

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

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Contradictions:

• Hypo-plastic or severely undermined enamel.
• Deep micro-cracks
• Sensitive teeth
• Opaque or white spots
• Extensive silicate, acrylic or composite restorations

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Bleaching Materials:

The active ingredient in tooth bleaching materials is peroxide compounds.

Currently, a variety of bleaching materials are available, the most commonly used peroxide compounds are:

• Hydrogen Peroxide
• Sodium Perborate
• Carbamide Peroxide

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Hydrogen Peroxide:

• The in-office bleaching concentration is typically 25% to 38%.
• The at-home concentration is typically 3% to 7.5%.
• Hydrogen Peroxide at high concentration is caustic and will burn tissue on contact.

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Sodium Perborate:

• Sodium Perborate (NaBO3) is available in powdered form or as various commercial preparations.
• When fresh, it contains about 95% perborate, corresponding to 9.9% of the available oxygen.
• Sodium Perborate is stable when dry.
• In the presence of an acid, warm air, or water, however, it decomposes to form sodium metaborate, Hydrogen peroxide and nascent oxygen.
• Three types of sodium perborate preparations are available:
  • Monohydrate
  • Trihydrate
  • Tetrahydrate

• Commonly used sodium perborate preparations are alkaline.
• The material of choice in most intracoronal bleaching procedures.

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Carbamide Peroxide (Urea Hydrogen Peroxide)

• Exists in the form of white crystals or as a crystallized powder containing approximately 35% hydrogen peroxide.
• It forms hydrogen peroxide and urea in aqueous solution.
• Mostly used in home use bleaching materials with concentrations ranging from 10 to 30%.
• Bleaching preparations containing carbamide peroxide usually also include glycerine or propylene glycol, sodium stannate, phosphoric or citric acid and flavour additives.
• In some preparations, carbopol, a water-soluble polyacrylic acid polymer is added as a thickening agent.
• Carbopol also prolongs the release of active peroxide and improves shelf life.

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Intracranial Bleaching of Endodontically treated Teeth:

The methods most commonly employed to bleach endodontically treated teeth are:

• Walking Bleach
• Thermocatalytic Techniques

Walking Bleach:

• Coined by Nutting and Poe in 1961
• Involves the following steps-
  • Familiarize the patient
  • Radio-graphically assess the status
  • Evaluate tooth colour with a shade guide.
  • Isolate the tooth with a rubber dam.
  • Remove all restorative materials from the access cavity, exposing the dentin and refine the access. Remove all materials to a level just below the labial-gingival margin.
  • Apply a sufficiently thick layer, at least 2 mm, of a protective white cement barrier.
  • Prepare the walking bleach to paste pack the pulp chamber with the paste. Evaluate the patient 2 weeks later.

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Thermocatalytic:

• This technique involves the placement of the oxidizing chemical, generally 30% to 35% hydrogen peroxide, into the pulp chamber followed by heat application either by electric heating devices or specially designed lamps.
• Intermittent treatment with cooling breaks preferred.
• In addition, the surrounding soft tissues should be protected with Vaseline, Ora-base, or cocoa butter during treatment to avoid damage.

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Adverse Effects:

• External Root Resorption
• Chemical Burns
• Inhibition on Resin Polymerization and Bonding Strength.

Extra-coronal Bleaching:

• Extracorporeal bleaching may be used for whitening vital or non-vital teeth as well as a single tooth or whole arch,
• It has experienced a dramatic advancement in materials as well as techniques after at-home extra coronal bleaching was first introduced.

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In-Office Extra-coronal Bleaching:

• Bleaching procedures are performed in the clinic by a dental professional.
• Current commercial in-office bleaching materials are almost exclusively in the form of a gel, with 25% to 38% hydrogen peroxide.
• In-office extra coronal bleaching may be performed using a bleaching gel alone or a gel with a light.
• The light source can be a laser.
• The wavelength may range from high ultraviolet spectra, low visible blue light spectra, to invisible infrared spectra such as the CO2 laser.

The light exposure is intended to enhance the bleaching efficacy by activating the bleaching gel either through a specific catalyst or heat.

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Lasers:

• The action is to stimulate the catalyst in the chemical. There is no thermal effect and less dehydration of enamel.
• Argon Laser of 488 nm wavelength for 30 seconds to evaluate the activity of bleaching gel. As the laser energy is applied, the gel is left in place for 3-4 minutes and then removed. This procedure is repeated for 4-6 times.
• Another product uses Ion laser technology. Argon laser is used as described before. Then CO2 laser is employed with another peroxide solution to provide penetration of the bleaching agent into the tooth to provide bleaching below the surface.
• For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

CO2 Laser:

It is unrelated to the color of the tooth and energy is emitted in the form of heat. It is invisible and penetrates only 0.1 mm into water and Hydrogen Peroxide where it is absorbed.

This can enhance the effect of whitening after the initial argon laser process.

Diode Laser Light:

• A true laser light produced from a solid state source.

• It is very fast, taking 3-5 seconds to activate the bleaching of the agent.
• This type of laser produces no heat.

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Adverse effects from Extra-Coronal Bleaching:

Gingival Irritation:

• Commonly observed clinical side effect in extra-coronal bleaching.
• The Gingival irritation is usually mild to moderate, occurring in 2 to 3 days of using the bleaching gel.

Mercury release from amalgam restorations:

• The amount of mercury released may vary.
• Avoid extra coronal bleaching for teeth with extensive amalgam restorations.

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Tooth Sensitivity:

• Commonly observed clinical side effect during or after extra-coronal bleaching of vital teeth, with an incidence of up to 50%.
• The sensitivity, usually mild to moderate and transient, often occurs during the early stages of treatment and usually persists for 2 to 3 days.

Enamel Damage:

• The effect of extra-coronal bleaching on enamel has been conducted mainly using in vitro systems to examine changes in enamel surface micro-hardness and morphology.
• Most SEM studies showed little or no morphological changes in the bleached enamel surface.

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Some of the unproven methods include:

• Activated Charcoal: Brushing with powdered charcoal supposedly pulls toxins from the mouth and removes stains from teeth.
• Kaolin Clay: Proponents of this method claim that brushing with clay helps remove stains from teeth.
• Fruit Peels: Rubbing orange, lemon or banana peels on your teeth is claimed to make them whiter.
• Apple Cider Vinegar: There is no evidence that using vinegar as a mouthwash helps whiten your teeth. On the contrary, it weakens the enamel and promotes tooth decay.

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Most dentists offer whitening treatments that are much stronger than these natural remedies. They involve bleaching the teeth, which may be more effective for severe tooth discoloration. Overuse of any whitening product can damage your teeth.

Always check with your dentist about your options and which would work best for you.

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

For some moments, there has been steady consumer interest for whiter, more radiant teeth and an engaging smile. Professionally administered (in-office) tooth whitening, also identified as dental bleaching, continues a successful esthetic system and can be implemented using a wide range of methods and treatment protocols. Added basic approach is at-home whitening with custom-fitted plates, which subjects use to use professional-strength bleaching gel (for use at night or during the day). Various over-the-counter (OTC) whitening commodities are also generally available for self-application at the house.

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

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Extrinsic vs. Intrinsic Stains

Tooth (and dental) stains are terms used to express any change in the colour or clarity of a tooth as well as discolouration in various teeth or the whole dentition. Tooth blemishes are typically classified as external or inherent in origin, or from a mixture of both sources.

External stains usually result from an addition of painted compounds on enamel. External stains are essentially associated with environmental agents or personal behaviours, such as tobacco use, susceptibility to metal salts, or the consumption of highly pigmented foods or beverages.

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External tooth blemishes vary extensively in colour and austerity and can be increased by lifestyle habits, bad oral hygiene or regular consumption of pigmented food or drinks. A full spectrum of extrinsic blemishes can be dramatically reduced with automatic interruptions such as cleaning with a whitening toothpaste or professional precaution. 

Some over-the-counter whitening products are valid primarily in eliminating extrinsic (surface) blemishes on the enamel, and will not have a meaningful influence on natural stains or the natural colour of the tooth.

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Natural blemishes transpire inside the tooth and can appear due to systemic conditions such as hereditary disorders or local factors during tooth development or after the eruption. Ageing is another common aetiology of intrinsic discolouration. 

With increasing age, enamel becomes more translucent and thinner, which allows the yellower dentin to show through and the overall tooth colour may darken. Other causes of intrinsic discolouration include certain antibiotic use in childhood caries, amalgam restorations, and pulpal haemorrhage, decomposition or necrosis. Intrinsic discolourations can also occur with prolonged use of antiseptic mouth rinse.

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Whitening Agents

Reducing intrinsic stains involves a chemical reaction that changes the colour of the tooth. The most common ingredients used in bleaching are carbamide peroxide and hydrogen peroxide, which are used at different concentrations depending on the products or regimens used. 

The bleaching action in chemically induced whitening is due primarily to the effects of carbamide peroxide, which releases about one-third of its content as hydrogen peroxide, a strong oxidizing agent. Hydrogen peroxide diffuses easily through interprismatic spaces in the enamel, allowing for passage from enamel and dentin to pulp within 15 minutes of exposure. The bleaching process is generally believed to occur when reactive oxygen molecules interact with organic chromophores within enamel and dentin through a chemical oxidation process, which is influenced by various environmental factors.

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The extent of whitening attained through bleaching may be influenced by the type of intrinsic stain being addressed. For example, brown stains due to fluorosis or tetracycline may be more responsive to bleaching than white stains associated with fluorosis or orthodontic treatment, which may appear less noticeable as the background of the tooth lightens. 

The type of stain also can affect the length of and/or the number of treatments required to arrive as close as possible to the desired result. For example, although stains due to tetracycline may be diminished, treatment can take up to six months. 

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

Patient Considerations and Preferences

Tooth whitening is a common elective procedure and a popular, less-invasive aesthetic treatment for patients seeking to enhance their smile and appearance. A clinical exam before the start of tooth bleaching procedures, with radiographs and other screening and diagnostic tests as appropriate, can help diagnose various factors contributing to the patient’s tooth discolouration. 

A standard dental exam, beginning with a health and dental history, may include questions about the patient’s perception of the cause of the dental discolouration, as well as allergies, and any past or recent history of tooth sensitivity.

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Teeth whitening cost in bangalore

Patient dentition characteristics also influence the safe provision of care and the whitening treatment’s level of success. Patients who have tooth-coloured restorations also should be aware that only natural teeth will be affected by the bleaching agent and treatment could result in differences between natural teeth and restorations, which will not change colour.

Bleaching compounds in over-the-counter whitening products are peroxide-based and typically contain carbamide peroxide or hydrogen peroxide at lower concentrations than in-office or dentist-prescribed, at-home bleaching techniques. A variety of OTC options are available with products that include kinds of toothpaste, whitening strips, and gels painted directly on teeth or delivered in trays. 

Whitening kinds of toothpaste primarily rely on abrasives for mechanical removal of extrinsic surface stains, though some contain low levels of peroxide to help lighten tooth colour.

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Products Available Through Dentists

Examples of products available through dentists include gels delivered in custom-made trays, either intended for at-home use or applied as an in-office treatment. In-office whitening treatment may involve the application of a peroxide-containing gel, used with or without a light intended to accelerate and enhance the bleaching process (known as a light-activated system). Another in-office bleaching procedure, known as “power bleaching,” uses

concentrated solutions of hydrogen peroxide in water (with or without light activation), which may be applied for up to 30 minutes.

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Dentist-supervised whitening approaches include at-home and in-office options.

At-home whitening with custom trays involves whitening gel placed in trays by the patient at home. The trays are made in the office to fit comfortably and minimize contact of the gel with the gingiva of the patient. Peroxide concentration in at-home systems typically ranges from 10% to 38% carbamide peroxide and treatment times are dictated primarily by the concentration used.

Treatment Considerations

Examples of whitening treatment considerations may include the patient’s lifestyle, socioeconomic status, and present oral health. Since restorative materials generally do not change colour, identifying and documenting existing tooth restorations as part of the dental examination can help promote and achieve an acceptable tooth bleaching outcome. 

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Restorations can also be a cause of tooth discolouration: metallic and other restorative materials on the lingual or occlusal surface of the teeth may influence tooth colour significantly. Patient expectations may not be met or may be unrealistic without addressing cosmetic issues with existing restorations.

While OTC whitening products tend to be less expensive than at-home or in-office approaches, there is often a time trade-off in that OTC products may take significantly longer than either of the other options to achieve similar levels of whitening.

Sensitivity

One common adverse effect of OTC or dentist-dispensed, tray-based whitening is tooth sensitivity, which can be more prevalent with higher concentrations of active agents but is typically mild and transient. The risk of temporary dental sensitivity is associated with all forms of bleaching, possibly due to inflammation of the pulp as a result of peroxide exposure during the procedure.

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Regarding dental hard tissues, transient mild to moderate tooth sensitivity can occur in up to two-thirds of users during the early stages of bleaching treatment. With whitening strips or tray-based treatments, sensitivity may develop within two to three days after starting the program and usually resolves by the fourth-day post-treatment.

Factors that may influence the development or extent of tooth sensitivity associated with bleaching include the concentration of carbamide or hydrogen peroxide, the presence of adhesive restorations or the contact time and intensity and duration of light use. However, a recent systematic review of in-office whitening found the use of lower concentrations of hydrogen peroxide resulted in less tooth sensitivity and greater objective colour change. A variety of approaches to prevent bleaching sensitivity have been explored, such as pretreatment use of nonsteroidal anti-inflammatory drugs and pretreatment application of 5% potassium nitrate and 2% sodium fluoride gel. Further research is needed to confirm the efficacy of these approaches in reducing tooth sensitivity.

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.

For more information or to make an appointment today, you can visit our dental clinic in Indiranagar, Dr Mitali’s Pearl dental clinic in Indiranagar you can call also at 9632496064.

Teeth Whitening cost in Bangalore :

For teeth whitening in Bangalore, you can call Pearl Dental Clinic at 9632496064.