ABSTRACT

This chapter describes the home whitening technique and protocol in detail and so that successful whitening treatments can be achieved. Names associated with home whitening include the following: nightguard vital bleaching, dentist-assisted or dentist-prescribed home-applied whitening, and dentist-supervised at-home whitening. Home whitening agents should not be used in the following situations: severe tetracycline staining, severe pitting hypoplasia, and discolorations in the adolescent patient with large pulps. The alternatives to home whitening may involve the following: in-office whitening, such as power or laser whitening, porcelain veneers, composite veneers, and composite bonding. The initial discussion with the patient should address the following: advantages and disadvantages of tooth whitening, alternatives to whitening treatments, and any side effects that may be experienced. Excellent impressions reproducing the surfaces of the upper and lower teeth should be taken so that whitening trays can be made. The whitening trays are checked for correct fit, retention, and overextension on the gingival area.