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Everyday Dentistry

Teeth Whitening

The least invasive cosmetic treatment available, and for most people the one that makes the biggest difference relative to what it costs.

Treated by

Dr. Jonathan Berkowitz, DMD

Residency-trained Prosthodontist

  • University of Michigan prosthodontic residency
  • Ten years attending prosthodontist, Northport VA
  • Implants placed and restored in-house
Read his full background

Your options

In-office whitening uses a high-concentration gel applied under supervision, with the gums carefully protected. It takes about an hour and produces a visible change in a single appointment. This is the right choice when there is an event coming up.

Custom take-home trays are made from impressions of your teeth so the gel stays exactly where it should. You wear them for a set period each day over one to two weeks. The result is comparable to in-office whitening, generally causes less sensitivity because the concentration is lower, and the trays can be reused for touch-ups later.

Many patients do both — an in-office session to establish the result, then trays to maintain it.

What whitening will not fix

Whitening works on natural tooth structure. It has no effect on crowns, veneers, bridges, or fillings, which keep their original shade. If you have a crown on a front tooth, whitening the teeth around it will make it stand out, and it would then need replacing to match. That is worth knowing before you start rather than after.

Grey discolouration from tetracycline exposure responds poorly and often needs veneers. A single dark tooth is usually a sign of a dead nerve and requires a different approach — internal bleaching or a crown.

Where teeth are worn thin at the edges and appear grey because the enamel has eroded, whitening will not help; that is a restorative problem.

We will tell you honestly if whitening is unlikely to achieve what you want. It is an inexpensive treatment and we would rather you spend the money on something that works.

Sensitivity and safety

Temporary sensitivity to cold is the most common side effect. It typically appears during treatment and resolves within a few days of finishing. Desensitising toothpaste used for a couple of weeks beforehand reduces it considerably, and the intensity can be adjusted if it becomes uncomfortable.

Professionally supervised whitening does not damage enamel. The reason it is worth doing under supervision is that we check first for decay, cracks, and gum recession — whitening gel reaching an untreated cavity or an exposed root is genuinely painful, and that is what goes wrong with unsupervised kits.

Questions

Things people ask

If your question is not here, call the office. Nobody will pressure you into booking.

Call 212-874-1700
How long do the results last?

Typically one to three years, depending largely on diet. Coffee, tea, red wine, and tobacco are the main culprits.

If you have custom trays, occasional touch-ups of a night or two keep the result indefinitely at almost no additional cost.

Are drugstore whitening strips worth trying?

They do work, modestly. The concentrations are much lower and the strips do not adapt to the shape of your teeth, so results are milder and often uneven — particularly on the canines, which are naturally darker.

They are a reasonable low-cost option if your expectations are moderate. For a noticeable change, professional whitening is a different order of result.

I am in my seventies. Is it still worth doing?

Often yes, and the change can be more striking than in a younger patient because there is typically more accumulated staining to remove.

The consideration at any age is what is already in your mouth — existing crowns and fillings will not change shade, so we plan around them.

Talk it through with a specialist.

Most people considering implants or major reconstruction have been thinking about it for a long time. A conversation costs nothing and there is never any pressure.

40 West 86th Street, Suite 1C · New York, NY 10024