Before and After Care Advice for Teeth Whitening

GENERAL: I acknowledge that I am purchasing a teeth whitening service that is designed to whiten the colour of my teeth. As a part of the purchase, I am asking for assistance in the use of my teeth whitening kit, and I understand that I will be allowed to use a specially designed LED Lamp in order to accelerate the whitening process. Most natural teeth can benefit from a teeth-whitening treatment, I understand that everyone’s teeth are different and that results will vary. I understand that people with yellowish teeth generally get the best results and that if my teeth have spots due to tetracycline use (greyish tint) or fluorosis, these will be difficult to whiten. Also, if I have artificial teeth, caps, crowns, veneers, porcelain, composite or other restorative materials, I shouldn’t expect dramatic results from this treatment because the peroxide gel will not whiten (or damage) artificial dental work. Also, I am aware that my teeth will never be whiter than the white colour my genes naturally allow.

Potential risks: although whitening treatments are generally safe, I understand that some of the potential complications of this treatment include, but are not limited to:

GUM/LIP IRRITATION: Whitening gel that comes in contact with gum tissue or the lips during the treatment may cause inflammation or whitening of these areas. This is due to inadvertent exposure of small areas of those tissues to the whitening gel. The inflammation and/or whitening of gums and lips are transient, and the colour change of the gum tissue should reverse within 30 minutes. I may feel a stinging and tingling sensation on these soft tissues during the treatment if the gel comes in contact with them.

TOOTH SENSITIVITY: Although uncommon, some customers can experience some tooth sensitivity during the first 24 hours after the whitening treatment. People with existing sensitivity, recently cracked teeth, micro-cracks, open cavities, leaking fillings, exposed roots, or other dental conditions that cause sensitivity may find that those conditions increase or prolong tooth sensitivity after the treatment.

SPOTS OR STREAKS: Some customers may develop white spots or streaks on their teeth due to calcium deposits or fluorosis which are already occurring in the teeth. The peroxide gel does not cause these spots. The gel just enhances the already existing condition and makes it visible. These usually diminish over time generally 1-24 hours.

RESULTS: I understand teeth whitening results are subjective and each individual is different and results cannot be guaranteed. I understand teeth whitening is a cosmetic process that bleaches the stains on the surface of my teeth and will not change my enamel colour or improve intrinsic stains like dead nerves or tetracycline stains.

RELAPSE: After the treatment, it is normal for teeth' colour to regress somewhat over time. This is natural and should be very gradual, but it can be accelerated by exposing the teeth to various staining agents, such as coffee, tea, tobacco, red wine, colas, etc. I realize that I should not eat or drink anything except water for 60 minutes after the treatment and avoid staining foods for 24-48 hours because the gel opens the pores of my enamel and makes my teeth very vulnerable to staining agents. I have received and will follow the aftercare. I understand that the results of the treatment are not intended to be permanent and that secondary, repeat or touch-up treatments may be needed for me to maintain the result.

ELIGIBILITY: I understand that this treatment CANNOT be used by pregnant or breastfeeding women, people under the age of 16, people with gum disease, open cavities, leaking fillings, or other dental conditions, or people with a known allergy to peroxide and/or to any ingredient listed on the packaging of the product. I am not currently taking photoreactive drugs or have consulted with my physician about the use of an LED accelerator lamp with these treatments (Chlorothiazide, Hydrochlorothiazide, Chlorthalidone, Naprosyn, Oxaprozin, Nabumetone, Pirozicam, Doxycycline, Ciprofloxacin, Ofloxacin, Psoralens, Democlocyline, Norfloxacin, Sparfloxacin, Sulindac, Tetracycline, St. John’s Wart, Isotretinoin, Tretinoin). People that have had braces removed should wait for cement residue to wear off before getting a teeth whitening treatment and people with a piercing or other metal objects in the oral cavity should remove them before the treatment as they may turn black. If I feel a sharp pain on a particular tooth during the treatment I should stop the treatment and contact my dentist since this could be a sign of a pre-existing dental condition that requires attention. The treatment is not recommended for persons who have had lip filler or cosmetic tattoos within two weeks prior to the treatment.

By agreeing to this consent form, I indicate that I am not ineligible as per the criteria listed above or any other condition which may make me ineligible for the treatment, that I have read and fully understand this entire document including the possible risks, complications and benefits that can result from the treatment, and that I am performing this treatment under my own responsibility and will not hold Blushaé, its owners, suppliers or any of its employees liable for any of the above risks that I may experience. I also certify that I have healthy teeth and gums.

After a teeth whitening treatment, the pores of your enamel are open and this makes them extra vulnerable to any stains which can reverse a lot of the whitening benefits from your treatment. Follow the White Diet for 24-48 hours after a teeth whitening treatment. Once the pores close, which usually happens within 24-48 hours after the procedure, you can resume your normal habits. An easy rule to remember is anything that would stain white fabric; Avoid it!

Remember though the more staining your diet the faster you will re-stain your teeth. Taking care of what you eat will keep your smile whiter for longer.

NON-STAINING BEVERAGES:

  • Water

  • Sparkling Water

  • Milk

BEVERAGES to AVOID:

  • Lemonade, Orange Juice, Any Acidic Fruit Juice

  • Tea and Coffee

  • Colas and Other Fizzy Drinks

  • Energy Drinks

NON-STAINING ALCOHOLIC DRINKS:

  • Vodka

  • Gin

  • White Wine

  • Champagne

ALCOHOLIC DRINKS TO AVOID:

  • Red Wine

  • Stout or Dark Beer

  • Coloured mixed drinks

  • Coloured Cocktails

  • Dark Spirits

FOOD YOU CAN HAVE:

  • Chicken

  • Turkey

  • White Fish

  • White Rice

  • White Pasta

  • White Sauce

  • Cauliflower

  • Cottage Cheese

  • Potatoes (NO skin)

  • Bananas

  • Peeled apples

FOODS TO AVOID:

Try to avoid foods with colour. The more colourful, the more likely it can stain your teeth.

  • Coloured fruit and vegetables i.e. capsicum, Carrots and Orange Fruits and Vegetables

  • Broccoli, Spinach and Green Vegetables

  • Dark and milk chocolate

  • Rye and dark Bread

  • Tomatoes and Red Sauces such as Spaghetti Sauce

  • Curries and pickles

  • Beetroot

  • Berries

  • Butter and Margarine

  • Coloured lollies

ADDITIONAL INFORMATION

Avoid extremely hot or cold liquids. These are dangerous to your white smile because they change the temperature of your teeth. This temperature change (hot and cold cycling) causes teeth to expand and contract, allowing stains to penetrate your teeth. Try cutting down on these types of drinks (including coffee and tea) or try drinking them with a straw to reduce the amount of time they are in contact with your teeth. Avoid foods and drinks that are acidic. Acidic foods and beverages open up the pores of the tooth enamel allowing stains to more easily penetrate your teeth. Use a straw to help minimize the contact of these substances with your teeth.

Cut back on drinking and smoking. Frequent consumption of alcoholic drinks and heavy smoking can reverse the effects of teeth whitening. Many alcoholic drinks such as wine have tannins that can stain the teeth. The same goes for the nicotine in tobacco. If you cannot quit drinking and smoking, at least try and reduce the frequency. Alcohol also reduces your resolve to avoid food that may stain your teeth.

Use smudge-proof lipstick. Use smudge-proof lipstick to keep lipstick from getting on your teeth because regular lipstick can stain teeth. Also, avoid tinted lip balm.

For long-lasting results, be sure to follow The White Diet during and after every teeth whitening even with treatment with a home touch-up kit.

You may have a follow-up treatment in 4 months if you desire. Keep in mind the more regularly you have a teeth whitening treatment the smaller the results of the treatment will be as there are not as many stains to bleach.

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