How to whiten teeth? And how much does teeth whitening cost?

Discolored dentition is immediately visible when you smile. It often makes patients feel self-conscious. Teeth whitening is a simple procedure that can change your entire look and boost confidence greatly.

That’s why it is one of the most popular dental cosmetic procedures. Read the guide below to learn about your options, the procedure, and its costs.

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What causes discolored teeth?

There are three types of causes that influence the color of your teeth:

  • extrinsic,
  • intrinsic, and
  • age-related.

Extrinsic factors may make your teeth appear brown or even purple. They are things that stain your teeth by coming in contact with them. Here are some things that fall into this category:

  • drinking tea, wine, coffee, and soft drinks,
  • eating some foods like citrus fruits and starchy meals,
  • smoking and ingesting tobacco,
  • poor dental hygiene, and
  • excessive use of fluoride.

Intrinsic factors come from the inside of your body. They can make dentition look grey or have black spots. These include:

  • diseases,
  • treatment like radiation and chemotherapy,
  • pregnancy,
  • certain medications,
  • amalgam restorations,
  • death of the pulp, and
  • genetics.

And lastly, patients often experience tooth discoloration as they age. Older people tend to have yellower teeth.

How does teeth whitening work?

Gels and serums that are used to whiten teeth contain active substances that bleach the teeth. This is most commonly either hydrogen peroxide or carbamide peroxide. They break stains down, making the coloration less concentrated and teeth become whiter.

Dr. Eric Moryoussef
Overall, studies have shown that both substances work equally well, however products with carbamide peroxide have a higher concentration. A product with 30% carbamide peroxide is equivalent to 10% hydrogen peroxide.

Those two compounds may be harsh on other parts of your mouth. This is why protection is applied to gums and lips. Products designed for home use have much lower concentrations to prevent patients from burning their mouths. This also means that these effects won’t be as visible as professional treatment.

LED and other types of lamps may be used to aid the process. They don’t actually whiten the teeth. Those devices simply speed up the process, by making the active ingredients break down quicker.

Teeth whitening methods

There is more than one way to whiten your teeth. You will most likely make your choice based on how quickly you want to see the effects and what your budget for this procedure is.

External in-office bleaching

External teeth whitening means bleaching the tooth from the outside, rather than from the inside. It is less complicated than internal bleaching.

Your dentist will first conduct an exam with X-rays to make sure you are a candidate.

Dr. Namrita Harchandani

Major cost factors are quality and safety of whitening products used and the expertise of the dental professional ensuring that best results are achieved while avoiding any side effects.

A whitening product is then applied. Lasers and LED devices are often used to speed up the process.

Going with professional bleaching gives results right away. Specialist care reduces the risk of side effects.

External bleaching for home application

Take-home kits are a compromise between OTC products and having your teeth whitened in-office. It is still a lot safer than working completely on your own, as the dental professional can choose the correct product and adjust the dosage.

You will need a personal assessment on whether you qualify for bleaching at all. If you do, a custom tray will be made. It will fit your mouth perfectly and ensure even coverage of the product.

The solution will be stronger than what you might get online or at the drugstore. You will probably get a set of trays and gel-filled syringes. Sometimes the kits consist of pre-filled trays only.

This treatment is cheaper than whitening your teeth in the office, as you spend less time “in the chair”. This means that the dentist will not have to be compensated for as much of their time.

Internal bleaching

Internal bleaching is a complicated process that must be done by a skilled professional. The procedure involves drilling a small hole inside a discolored tooth and inserting a bleaching solution. A temporary filling closes off the hole and the process can be repeated as necessary.

This method of whitening is meant for singular teeth that have become discolored due to, mainly, root canal work. Other indications include necrosis (discolored dead teeth) or intrapulpal haemorrhage (bleeding inside the tooth).

Internal bleaching can only be done at the office and may require up to 6 visits. It involves a lot of “meet, greet, and seat” time.

Teeth whitening at home (OTC products)

You can whiten your teeth at home using products such as whitening pens, strips, mouthwash, or toothpaste available online and at drugstores. The most common OTC method is using a teeth whitening kit that includes a gel and LED light.

Those products contain the same active ingredients, but in smaller concentrations. Effects will be visible after a few weeks of use.

This is the most affordable option in terms of professional-grade solutions. There are also alternative methods that cost even less, for example charcoal, coconut oil, and baking soda, but dentists usually advise against them.

The downside of whitening your teeth out of office is that side effects such as sensitivity and gum irritation are more common. Strips and other applicators are made to be universal, which means the coverage won’t be as even as with trays made by a dentist.

Cost of teeth whitening examined

The costs of teeth whitening range from $25 (for OTC products) up to $1,300 (when having both arches done professionally).

Whitening typeAverage costCost range
External in-office (per tooth)$70$40-$275
External in-office (per arch)$300$125-$625
External for home application (per arch)$250$75-$500
Internal (per tooth)$300$75-$500
External, OTC products$150$25-$200

You may also need to pay for additional procedures before or after your whitening treatment. These may include one or more of the following:

Have a look at the calculator below. You can change the options around to see what combination is most affordable.

Teeth whitening type
Scope
Number of teeth to be whitened
Number of arches to be whitened
Associated procedures
Calculate
0

Teeth whitening near me

Many patients are surprised how much a simple procedure like tooth bleaching can cost. If you want a beautiful set of pearly whites, you should prepare your budget for it. But that doesn’t mean you have to overpay.

We can help you make a dentist appointment with a specialist who is skilled and affordable. Our network of dental professionals is abundant in teeth whitening all across the US.

Our team will make sure to inspect your insurance policy to see if anything can be covered. Your preferred payment method will be considered as well. The service is free and available 24/7. Click here to get started.

FAQ

Is whitening and bleaching the same procedure?

Yes, those are two terms used to describe the same type of treatment.

Does whitening work on all teeth?

Whitening will not work on dental work and restorations such as crowns, veneers, and dentures. Teeth that are stained by tobacco may not react as well as you would like.

Gray and purple spotting on dentition is also hard to remove.

Is teeth whitening safe?

There is some risk to tooth whitening. Sensitivity is an almost sure side effect, but that goes away with time. The same goes for gum irritation. It is usually caused by faulty trays or uneven coverage of the whitening product.

Complications are more likely if you bleach your teeth often. The most important thing is to avoid ingesting the product. This can have detrimental effects on your stomach lining and digestive system.

Nonetheless, bleaching teeth is safe if you are a good candidate. That means you must not have any major issues in your mouth or be pregnant. You can wait until after you’ve had a baby and target the problems in your mouth before starting treatment.

Dental work such as crowns and bridges may also be an issue. Think about whitening before having them installed. Otherwise your whiter teeth may be a different color to your crown, filling, bridge, or veneers.

What to do for pain after teeth whitening?

Use desensitising products such as toothpastes and mouthwashes. There are numbing gels available at drug stores as well. These help sensitive teeth after whitening as well as before, so you may use these prior to your treatment as well.

How long does teeth whitening last?

The appointment may take about an hour. Results last anywhere from 3 months up to 3 years. This depends on the condition of your teeth and the bleaching method.

Home teeth whitening may have shorter effects that will appear after a few weeks of use.

How to take care of whitened teeth?

As always, brush and floss your teeth twice a day. Your teeth may be sensitive for a few weeks, so desensitizing toothpaste (before and after treatment) is a good idea. You can also supplement the procedure by using whitening products. Stay away from foods and drinks that stain teeth such as wine and tea.

What to eat after teeth whitening?

Try to stick to white vegetables and non-acidic fruits for a while. Those won’t stain your teeth and will keep you full of vitamins. Avoiding foods that are dark is key.

Does insurance cover teeth whitening?

Unfortunately, it is unlikely that your insurance will cover the costs of teeth whitening. This procedure is deemed cosmetic, and providers are reluctant to cover anything that is not medically necessary.

If you do manage to convince your policy provider to cover some of the related costs, maybe a dental exam, or a prophy prior to bleaching, you will have to deal with a lot of paperwork.

We recommend dental discount plans instead. They offer reductions on all procedures, including cosmetics. They are particularly handy when it comes to whitening. You won’t need to collect any paperwork or worry about yearly caps.