Dr. Helaine Smith's Successful Smiles Blog

Browsing: Teeth Whitening

Mall Teeth Whitening: Is it Safe?

November 23rd, 2009
Last updated November 28th, 2009

News Center 5’s (WCVB Boston) Susan Wornick reported that teeth whitening at the mall isn’t all that it’s cracked up to be.

In this segment, Mall Teeth Whitening: Is it Safe?, the Channel 5 news team interviewed me, my colleague, Dr. Steven Spitz of SmileBoston, and Matt Dispensa, the owner of SmileBright at the Natick Collection mall in Natick, MA.

As I’ve written before in other posts, Getting Your Teeth Whitened at the Mall — Good or Bad?, and Myth Busters: The Facts About Teeth Whitening, the people who work at mall teeth whitening kiosks and storefronts are not dental technicians, something Dispensa confirms.

And as Dr. Spitz points out in the news report, teeth whitening kiosks are not regulated.

The reason I am troubled by these kiosks and storefronts is because some patients can’t have their teeth whitened due to other dental issues, such as crowns (which can’t be whitened), issues that caused tooth discoloration in the first place (i.e. taking medications as a child), or tooth decay. I’m very upfront with people when they have these issues.

Unfortunately, the sales clerks at mall kiosks have no clue about the condition of your mouth. You sign a waiver, put the peroxide in your mouth, and that’s it. You have no recourse should the whitening procedure not whiten your teeth as you expected or you have an adverse reaction to the peroxide.

Thank you to Susan Wornick for reporting on this important issue and for educating consumers about the teeth whitening industry.

WBZ TV Spot on Teeth Whitening at the Mall

July 10th, 2009

We were pretty excited here at the office when a reporter called from WBZ to talk to me about teeth whitening at the mall. He had found me via my blog posts about it — which you can read here and here. (Fox News ran a great spot about this topic last October.)

The WBZ spot ran this week — and while I wasn’t featured it in (the reporter opted for Dr. Samuels, the new head of the Mass Dental Society) — it does have some good information.

You can read David Wade’s post, “Curious If Teeth Whitening at Mall Kiosks is Safe” as well as view the video.

And as an aside, if you want current dental health news, check this blog first! :-) It’s one of the few dental blogs that actually seeks to educate you, the consumer, about everything and anything pertaining to dental and whole body health.

Myth Busters: The Facts About Teeth Whitening

October 27th, 2008
Last updated April 17th, 2010


Here at the Boston dental office, we receive lots of calls regarding teeth whitening. People have many questions . . . which concerns me because of all the procedures a dentist, periodontist, or oral surgeon can perform on you, teeth whitening is the absolute safest.

Because I firmly believe in educating people about the dentistry options available, here are the myths and the facts about teeth whitening (in no particular order).

Myth: The blue light is a laser.

Fact: The blue light is a metal halide UV light, not a laser. Dentists and those offering teeth whitening at the mall use this light to help break down the hydrogen peroxide. As it breaks down, oxygen is released into the air. The peroxide molecules then oxidize the pigmented compounds trapped in the tooth’s enamel into colorless by-products — thus producing a lighening effect on the teeth.

Myth: Professional whitening is more effective than Crest White Strips.

Fact: Both types of treatment work equally well. The benefit of having your teeth professionally whitened is two-fold: you have a dentist ensuring you’re a good candidate for teeth whitening, and professional whitening is faster (45 minutes versus weeks of at-home treatments).

Myth: Teeth whitening hurts.

Fact: Gums and teeth can be very sensitive to the hydrogen peroxide. Most tooth whitening procedures increase teeth sensitivity for twenty-four hours until the teeth become remineralized by saliva. When you use OTC white strips on daily basis, however, your teeth are sensitive to the strips’ 6% hydrogen peroxide for the entire month. Ouch!

Myth: You will achieve a movie star smile — whiter than white.

Fact: Whether you have your teeth professionally whitened or use OTC strips, your teeth will never become so white that you glow like the stars in the TV show Friends. Our teeth are not naturally white — they are either a shade of yellow, brown or gray. Coffee, wine and tea do not really darken teeth, they just create an extrinsic stain which is polished off easily. However, you still have the same color teeth. Teeth also become more yellow as we age as the enamel thins and the dentin, which is yellow, thickens.

Myth: The whitening goes away after a short period of time.

Fact: You can maintain your new smile for about 18 months. If you use OTC white strips a few nights every month, the whiteness may last a little longer. You can have your teeth whitened more than once.

Myth: Anyone can get their teeth whitened.

Fact: If your front teeth have been capped or you have crowns, teeth whitening will not work for you. A crown, which is a synthetic material, cannot be whitened. I also advise that pregnant and lactacting women hold off on getting their teeth whitened until a later date.

Myth: Only dentists can perform teeth whitening procedures.

Fact: You can now get your teeth whitened at special kiosks at the mall and even at gyms! However, the technicians who perform the procedure are not dentists — or even medical experts, which is why the procedure often costs much less than what you would get a dental office. Teeth whitening techs are not allowed to put their fingers in your mouth and must use “trays” that you insert into your mouth yourself.

If you do have your teeth whitened outside of a dental office, make sure the tech changes gloves between each procedure, that the area is clean and well-lit, and that the company doing the whitening isn’t marketing “laser whitening”

Getting Your Teeth Whitened at the Mall — Good or Bad?

October 7th, 2008
Last updated April 17th, 2010

Fox News in Boston ran a great segment Sunday night about those teeth whitening kiosks you find at the mall. (Reporter Maria Stephanos blogged about why they were running the story back in September.)

As far as educating consumers, the Fox team did a great job. Teeth whitening at the mall is different than what you get “chairside” from dental professional. The technicians at the mall kiosks are able to perform the procedure in about 15 minutes using soft trays coated with peroxide.

The difference between this procedure and something like the Zoom! teeth whitening procedure is that the dentist puts the peroxide solution on your teeth and monitors the procedure –- whereas at the kiosk you put the trays into your mouth yourself. This way, the technician cannot be cited for practicing dentistry without a license. And, the price at the kiosk is pretty good — $129 versus $300 or $400 for a visit to the dentist.

The other difference is that the percentage of peroxide in the Zoom! gel is very high, much higher than what you get with many of the tray and OTC products.

As this news segment showed, teeth whitening is a very simple and safe procedure. Whitening is safe for everyone, including pregnant woman and children. The gel is a strong concentration of hydrogen peroxide, which is extremely safe; however, it can cause temporary gum irritation if it’s placed on the gum tissue.

Isolation of the tissue and lips is important, which is one reason why you want to see an experienced professional. Additionally a dental office is available for questions and guidance.

We’ve done a lot of teeth whitening in my office over the last ten years, during which time I’ve evolved with the technology and trends. I used a laser initially and now we use a UV light.

We live in a world that wants results immediately and a Zoom! procedure done in 90 minutes seems to fit my patients’ busy lifestyles. I am more than happy to provide this service, but if you are diligent and want to spend a month using the over the counter Crest White strips, you will get the same result. I give my patients this information, but most want the fast results that Zoom! provides.

Once you whiten your teeth, you have to maintain them using at home trays or white strips. If you don’t touch up your teeth about once a month within 19 months of the initial whitening, your teeth will rebound close to their original shade.

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Helaine Smith, DMD, PC · 1892 Centre Street · Boston, MA 02132