Brian Howe DDS, Family Dentistry | Inlays  amp  Onlays, Dental Fillings and Dental Cleanings

Teeth Whitening

A brighter smile can change the way you feel about yourself and how others perceive you. If your teeth have lost their luster because of coffee, aging, or other everyday habits, professional teeth whitening can deliver noticeable improvement quickly and safely. Our approach blends modern whitening technology with clinical judgment to help you reach the shade you want while protecting overall oral health.

At Brian Howe DDS, Family Dentistry, we use proven whitening systems administered under professional supervision so results are both effective and predictable. Whether you prefer a single in-office visit or a customized take-home regimen, our team will guide you through the options and choose the approach that fits your needs and lifestyle.

Throughout this page you’ll find clear, practical information about how whitening works, what causes tooth discoloration, how we personalize treatment, and simple steps you can take to maintain a brighter smile. Our goal is to arm you with the knowledge to make an informed choice and to ensure your smile looks natural and healthy.

Why professional whitening outperforms store-bought products

Over-the-counter whitening products are convenient, but they are designed to be safe for a broad audience and therefore usually contain lower concentrations of active ingredients. Professional whitening systems, in contrast, use higher-strength bleaching agents delivered in a controlled way by dental professionals. That combination of potency and oversight frequently leads to faster, more uniform results with fewer surprises.

Equally important is the clinical evaluation that accompanies professional whitening. A dentist can identify issues like cavities, exposed root surfaces, or cracked restorations that could be aggravated by whitening agents. Treating those problems first and tailoring the protocol avoids unnecessary discomfort and protects long-term oral health.

Finally, professional care reduces the chance of uneven whitening or damage to soft tissues. Custom trays and precise application techniques help concentrate the bleaching gel where it’s needed while shielding gums and lips, so patients experience better outcomes and can trust what they see in the mirror.

How we tailor whitening plans to each patient

No two smiles are the same, which is why we begin every whitening plan with a brief but thorough exam. We check for decay, evaluate existing restorations, and discuss your expectations. From there we determine whether an in-office procedure, a take-home kit, or a combination of both will deliver the best result for your particular situation.

Customized take-home trays are fabricated to fit your teeth precisely. That fit keeps bleaching gel in contact with the enamel while minimizing contact with soft tissues, which can reduce sensitivity. For in-office options, we select the appropriate concentration of bleaching agent and timing to balance speed and comfort based on your sensitivity history and desired outcome.

If you have crowns, veneers, or bonding, we’ll explain how these materials respond differently to whitening and offer alternatives to achieve a consistent appearance. Our recommendations always aim for natural-looking results that harmonize with the rest of your smile.

Understanding the different types of tooth discoloration

Tooth discoloration falls into two main categories: extrinsic and intrinsic. Extrinsic stains affect the enamel’s surface and are often caused by dietary pigments (coffee, tea, red wine), tobacco, or certain foods. These stains typically respond well to professional bleaching and polishing because the discoloration is closer to the surface.

Intrinsic stains are embedded deeper within the tooth structure and result from factors like antibiotic exposure in childhood, certain medical treatments, trauma to a tooth, or the natural aging process. Intrinsic discoloration can be more resistant to bleaching, and while whitening can improve many of these cases, some situations may benefit from restorative solutions like veneers or bonding for the most esthetic result.

It’s also worth noting that restorations such as crowns and composite fillings do not whiten with bleaching agents. When mismatched shades are a concern, we can discuss color-matching strategies or replacing restorations after whitening to create a consistent, attractive smile.

What to expect during a professional whitening visit

Your whitening visit typically begins with a quick exam and a professional cleaning if needed. Removing surface plaque and debris allows the bleaching agent to contact the tooth more evenly. We will take shade measurements and talk through realistic goals so you know what to expect in terms of change and timing.

For in-office treatments, soft-tissue barriers protect your lips and gums while a professional-strength gel is applied to the teeth. Depending on the system, we may use a single extended application or several shorter cycles. The entire appointment usually takes less than two hours, and many patients notice an immediate improvement.

If you’re using a take-home system, we will provide custom trays and clear instructions for wear time and care. Take-home kits offer convenience and gradual whitening that some patients prefer for managing sensitivity. Follow-up appointments give us a chance to assess progress and make adjustments as needed.

Sensitivity after whitening is common but usually temporary. We’ll advise you on products and techniques to minimize discomfort, such as using desensitizing toothpaste, adjusting tray wear times, or spacing treatments to allow your teeth to acclimate.

Simple habits to extend and protect your whitening results

Maintaining a bright smile is an ongoing effort, and simple lifestyle choices have a big impact. Rinsing or brushing after consuming highly pigmented foods and beverages, using a straw for dark drinks, and avoiding frequent exposure to tobacco smoke will all help preserve your results for longer.

Regular dental hygiene and routine cleanings remove surface buildup that can dull tooth color over time. Periodic touch-ups—either with at-home trays or shorter in-office sessions—are an effective way to refresh your smile without undergoing a full whitening procedure again.

We also recommend non-abrasive whitening toothpastes and sensitivity-friendly products when appropriate. For patients who drink coffee or wine daily, a maintenance plan can be tailored to your habits so you can enjoy the foods you love while keeping your smile bright.

When dental restorations are part of the smile, planning is important: whitening first and matching restorations afterward ensures cohesive color and reduces the need for repeated restorative work down the line.

To summarize, professional teeth whitening is a safe, efficient way to enhance your smile when performed under dental supervision. If you’re curious whether whitening is right for you or want to learn which approach best suits your teeth and routine, please contact our office for more information. Our team at Brian Howe DDS, Family Dentistry will be happy to discuss your options and help you find the most appropriate path to a brighter smile.

Frequently Asked Questions

How does professional teeth whitening work?

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Professional teeth whitening uses peroxide-based bleaching agents that penetrate the enamel to break down colored molecules responsible for stains. A dentist or trained hygienist selects the concentration and application method to balance effectiveness with comfort and to protect soft tissues. Clinical supervision also allows for protection of gums and targeted application so whitening is even and controlled.

In-office systems typically use higher-strength gels applied during a single visit, while take-home trays deliver lower-strength gel over a series of applications. Both approaches rely on chemical oxidation rather than abrasive scrubbing to lighten teeth, which helps preserve enamel integrity. The overall aim is a natural-looking shade change that harmonizes with facial features and dental restorations when applicable.

What causes tooth discoloration?

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Tooth discoloration falls into two main categories: extrinsic and intrinsic. Extrinsic stains affect the enamel surface and commonly come from dietary pigments such as coffee, tea, red wine, and certain foods, as well as tobacco use and inadequate removal of surface plaque. These surface stains generally respond well to professional cleaning and bleaching.

Intrinsic stains are located deeper in the tooth structure and can result from factors like childhood exposure to certain antibiotics, dental trauma, fluorosis, or the natural aging process. Intrinsic discoloration can be more resistant to bleaching and may sometimes require restorative approaches such as bonding or veneers for the most aesthetic outcome. It is also important to remember that crowns and composite restorations do not change color with bleaching agents.

How do you determine if I am a candidate for whitening?

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Candidacy for whitening begins with a brief clinical exam to check for decay, exposed root surfaces, gum disease, and the condition of existing restorations. The dentist will review your dental history, discuss sensitivity concerns, and assess whether whitening alone will achieve your goals or if restorative options should be considered. Clear expectations about likely outcomes are established based on the type and depth of staining.

Children, pregnant or nursing patients, and individuals with untreated oral health issues may not be ideal candidates until those conditions are addressed. If restorations are present, the team will explain how they respond to bleaching and outline sequencing strategies, such as whitening first and then adjusting or replacing restorations to match the new shade. This personalized evaluation helps minimize complications and delivers a more consistent final appearance.

What are the differences between in-office whitening and take-home whitening kits?

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In-office whitening is performed under direct clinical supervision and typically uses higher-strength bleaching agents for faster, more dramatic results in a single visit. Protective measures such as soft-tissue barriers and careful timing reduce the risk of gum irritation, and multiple short applications or a single extended application may be used depending on the system and your sensitivity history. The controlled environment allows the clinician to monitor response and adjust the protocol if needed.

Take-home kits use custom-fitted trays that hold a lower concentration gel against the teeth for repeated, gradual applications at home. This approach offers convenience and can be gentler for patients prone to sensitivity because wear times and frequency are adjustable. Our office at Brian Howe DDS, Family Dentistry will discuss which option or combination best matches your lifestyle and clinical needs.

Will teeth whitening increase tooth sensitivity?

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Transient sensitivity is a common side effect of bleaching and usually reflects temporary changes in the tooth’s fluid dynamics rather than permanent damage. Patients may notice heightened sensitivity to cold or air for a few hours to a few days after treatment, and those with a history of sensitivity or exposed root surfaces are more likely to experience it. The good news is sensitivity typically peaks shortly after treatment and resolves with appropriate care.

There are several ways to reduce or manage sensitivity, including using desensitizing toothpaste before and after treatment, shortening tray wear times for take-home systems, and spacing in-office appointments if needed. Dentists can also apply topical fluoride or desensitizing agents when necessary and tailor a regimen that balances whitening goals with comfort. Open communication about sensitivity allows the team to modify treatment for the best tolerability and results.

How long do whitening results last and what maintenance is recommended?

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The longevity of whitening varies with individual habits such as diet, tobacco use, and oral hygiene. Many patients enjoy noticeably lighter teeth for months to a few years, and gradual re-staining is common when consuming pigmented foods and beverages regularly. Regular dental cleanings and good home care help preserve results by removing surface buildup that can dull tooth color.

Maintenance strategies include occasional touch-up treatments with custom trays or short in-office sessions, using nonabrasive whitening toothpaste, and moderating intake of high-staining items. Simple habits like rinsing or brushing soon after consuming dark foods or drinks and using a straw for beverages can reduce new staining and extend the time between touch-ups. Your dentist can recommend a maintenance schedule tailored to your habits and cosmetic goals.

Can teeth whitening affect crowns, veneers, or fillings?

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Bleaching agents do not change the color of dental restorations such as porcelain crowns, veneers, or composite fillings because those materials are not responsive to peroxide-based gels. As a result, whitening natural teeth while leaving restorations unchanged can create a mismatch in shade. It is important to evaluate the presence and visibility of restorations before starting any whitening plan.

When restorations are part of the smile, a common strategy is to whiten the natural teeth first and then adjust or replace restorations to match the new shade for a cohesive outcome. Your dentist can advise whether minor color-matching adjustments, new restorations, or alternative cosmetic options like bonding or veneers would best achieve a uniform appearance. Planning ahead reduces the likelihood of needing repeated corrective work later on.

What should I expect during a professional whitening appointment?

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A typical appointment begins with a short exam and, if necessary, a professional cleaning to remove plaque and surface debris so the bleaching agent contacts enamel more evenly. Shade measurements and a discussion of realistic outcomes help set expectations before soft-tissue barriers are placed to protect gums and lips. The whitening gel is then applied in one or more cycles while the clinician monitors comfort and progress.

Most in-office procedures take less than two hours, and many patients notice an immediate improvement in shade when the treatment is complete. Aftercare instructions will cover sensitivity management and staining precautions, and the clinician will recommend follow-up or maintenance options based on your response. The team at Brian Howe DDS, Family Dentistry will ensure you leave with clear guidance for caring for your newly brightened smile.

Are there any risks or side effects associated with whitening?

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The most common side effects are temporary tooth sensitivity and mild gum irritation, which typically resolve after treatment ends or with simple interventions. Uneven results can occur when intrinsic stains are present or when restorations do not respond to bleaching, and some deep intrinsic discoloration may not fully respond to peroxide-based systems. Rarely, overuse or improper application of whitening products can lead to increased sensitivity or soft-tissue discomfort.

Receiving whitening under professional supervision greatly reduces these risks because the clinician can identify contraindications, protect soft tissues, and tailor the protocol to your needs. Pre-treatment evaluation and close monitoring during and after the procedure help prevent complications and address any concerns promptly. If whitening alone is unlikely to deliver the desired outcome, the dental team can recommend alternative cosmetic approaches that better address underlying causes.

How should I prepare for whitening and what aftercare should I follow?

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Preparation starts with a dental exam to treat any active decay, address gum disease, and evaluate restorations so whitening proceeds safely and predictably. A professional cleaning before bleaching removes surface buildup that can interfere with even whitening, and discussing goals with your dentist ensures realistic expectations. If you have a history of sensitivity, mention it so the clinician can plan appropriate mitigation strategies.

Aftercare includes avoiding highly pigmented foods and beverages for the first 24 to 48 hours, maintaining excellent oral hygiene, and using recommended desensitizing products if sensitivity occurs. Periodic touch-ups with custom trays or brief in-office sessions can help sustain results over time, and regular dental visits ensure any cosmetic or restorative needs are addressed in a coordinated way. Following the clinician’s instructions maximizes both safety and the longevity of your brighter smile.

Contact Us

Our friendly and knowledgeable team is always ready to assist you. You can reach us by phone at (740) 393-2161 or by using the convenient contact form below. If you submit the form, a member of our staff will respond within 24–48 hours.

Please do not use this form for emergencies or for appointment-related matters.

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Brian Howe DDS, Family Dentistry | Oral Exams, All-on-4 reg  and Digital Impressions