Teeth whitening

More and more people are paying for brighter, whiter teeth. But does teeth whitening work and is it safe? Here are the answers to common questions about the treatment.

What is teeth whitening?

Teeth whitening involves bleaching your teeth to make them lighter. Teeth whitening can’t make your teeth brilliant white, but it can lighten the existing colour by several shades.

Who can perform teeth whitening?

The General Dental Council, the organisation that regulates dental professionals in the UK, has decided that teeth whitening is a form of dentistry. This means that you should only have your teeth whitened by a dentist or another dental professional, such as a dental hygienist or dental therapist, on the prescription of a dentist.

Some beauty salons offer teeth whitening, but this is illegal if there's no dental professional present, and it may put your oral health at risk.

You can also buy DIY home teeth whitening kits but these may also carry risks.

What happens during teeth whitening at the dentist?

If you have teeth whitening you will need to make several visits to the dental surgery over a couple of months.

The dentist will take an impression of your teeth to make a mouthguard and will instruct you how to use it with a bleaching gel. Then, using your mouthguard at home, you regularly apply the gel for a specified period of time over two to four weeks. Some whitening gels can be left on for up to eight hours at a time, which shortens the treatment period to one week.

Another type of teeth whitening system that a dentist can provide is called laser whitening, which is also known as power whitening. This is where a bleaching product is painted onto your teeth and then a light or laser is shone on them to activate the whitening. Laser whitening takes about an hour.

Can any dentist whiten teeth?

Yes, provided they are registered with the General Dental Council. Registered dental therapists and dental hygienists can also carry out teeth whitening on the prescription of a dentist.

To find out if a dental professional is registered with the GDC you can check online or call 0845 222 4141.

What about home kits and beauty salons for teeth whitening?

As a result of the General Dental Council's decision, you should only go to a registered dental professional for teeth whitening because whitening by people who aren't qualified, for example in beauty salons, is illegal. Home kits also carry risks.

What are the risks of home kits and salon teeth whitening?

Some home kits don’t contain enough of the whitening product to be effective. More generally, if a dental professional is not doing the whitening, the mouthguard provided may not fit properly so some of the bleaching gel may leak out onto your gums and into your mouth, causing blistering and sensitivity.

Where teeth whitening is carried out in beauty salons by staff without any training or dental qualifications it not only carries a risk to your oral health, but is also illegal.

Can you have your teeth whitened on the NHS?

You can only have your teeth whitened on the NHS if there's a medical reason for it. For example, this might be to lighten teeth that have discoloured because the nerve has died.

Otherwise, teeth whitening by a dentist or other dental professional can only be done privately because it’s considered to be a cosmetic treatment. Costs vary and, as a general rule, laser whitening is more expensive than professional bleaching.

Find out which dental treatments are available on the NHS.

How do you go about getting teeth whitening?

Your dentist will advise you whether whitening is right for you. It may be that teeth whitening isn’t suitable, for example if you have gum disease or crowns.

Find your nearest dentist here.

What questions should I ask the dentist before going ahead?

Don’t be afraid to ask simple questions about the types of whitening treatment available, what results you can expect and whether the work is guaranteed for a certain amount of time. Also, ask them what they consider to be the risks in your particular case, for example increasing sensitivity of the teeth.

Try to talk to other people who have had the same treatment or visit another dentist for a second opinion until you feel confident. Always ask for a written treatment plan and price estimate before going ahead.

Is teeth whitening permanent?

No, teeth whitening isn’t permanent. It can last from a few months to up to three years, but this varies from person to person. Generally, the whitening effect won’t last as long if you smoke or drink red wine, tea or coffee, which can all stain your teeth.

Will teeth whitening work on false teeth?

No. Teeth whitening won’t work on dentures, crowns, fillings or veneers.

What are the risks of teeth whitening?

No matter what treatment you use, there is a chance your gums can be sensitive to the chemicals used in teeth whitening, especially if you already have sensitive teeth. There’s also a chance of burns to gums and some of the whitening kits used at home can harm tooth enamel.

What if I’m not happy with the results?

If you’re concerned that teeth whitening by a dental professional has harmed you, contact the Dental Complaints Service on 08456 120540. This is an expert, free and independent service that can help if you have a complaint about private dental care.

If you think your teeth whitening has been carried out illegally (that is, by someone not qualified or registered to perform it) contact the General Dental Council on 0845 222 4141 or email illegalpractice@gdc-uk.org. 

Read more about how to look after your teeth.

Last reviewed: 28/11/2011

Next review due: 28/11/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

katdes said on 13 December 2011

It does make me angry all this nonsense about only visiting a dentist to have you teeth whitened, i say rubbish after much research i purchased two kits off a well know auction site who themselves only sell on American FDA approved kits, indeed many of the sellers are themselves dentist, cost per treatment less than £7 each time, cost at a dentist for the same anywhere between £600-£800, of course more in the 'well to do' areas.

All i say is use the Internet to do your research, and do lots of it like i did and you will probably end up more knowledgeable about whitening then the dentist- no joke.

Having said that avoids beauty salons – they know less than the average 5 year old.

Once you know what to buy go for it and keep the money in your pocket not the overcharging dentist.

Bonne chance!

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Vizz said on 04 December 2011

The General Dental Council does not exist for the benefit of patients. It exists to protect the monopoly of Dentists and dental treatments. There is little evidence they actually support patients and regulations are often in favour of dentists. They cannot look after both sides of the equation.

Teeth whitening in many developed countries are regulated but outside the control (and expense) of dentists. They is no evidence to suggest alternative and more liberal regulation harms patients.

Let the patient decide who they choose to receive beauty treatments from. By all means the dental monopoly should be able to provide its codes and qualifications but so should others. Competion breeds a better patient experience.

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