Tooth Bleaching and Whitening

Tooth Bleaching has become one of the most effective and well-accepted aesthetic dental treatments over the past periods. Although there are several methods available to manage discoloured tooth, tooth bleaching and whitening has been informed to be the choice which is most desired by the patients looking for dental aesthetic improvement. Bleaching is a process in dental practice in order to make the teeth whiter. It seems as though good looks

and a great smile is becoming ever more expected and important in our society. Most people's teeth are not a dazzling white colour which is the desired colour nowadays by them. Deciduous teeth are generally whiter than the adult tooth that follows has a slight yellow hint to it. But lots of people’s teeth become stained through some of their drinking, eating, and smoking habits. People who smoke, drinking tea, coffee, chewing of betel nut and leaf and soda generally have stained teeth causing a yellowish and brownish discolouration. Intrinsic discolouration of permanent anterior teeth is a continuing aesthetics problem for a small segment of the population. Mainly two agents, fluoride and tetracycline, ingested during amelogenesis have long been recognised as pre-disposing factors in intrinsic staining. Conservative management, bleaching, in this kind of discolouration which is most important

especially the adults and younger peoples, because of the psychological impact of the disfiguring nature of the stain, when self-image is of such importance. Over the past two decades, tooth whitening or bleaching has become one of the most popular aesthetic dental treatments. It is the simple yet effective form of improving smile as well as the facial appearance. Although results may vary depending on such factors as type of stain, age of patient, concentration of the active agent, and treatment time and frequency. The patients have reliable and long lasting tooth bleaching and whitening services by the specialist dentists at Dental clinics in Turkey. The key tooth bleaching materials are based primarily on hydrogen peroxide. This hydrogen peroxide gel is applied on the tooth surface and is activated with a light source. Most people complain about the development of post bleaching sensitivity, but that doesnt last long anyway. Recently it was seen that the use of fluoride gel did not affect the whitening efficacy of the patient. It was observed no difference between the efficacies but patients who received the placebo had higher-intensity tooth sensitivity than that of patients who received the fluoride. So application of fluoride makes better patient comfort after a successful bleaching procedure. Human teeth are polychromatic in nature. Normal colour of primary teeth is bluish white and permanent teeth are greyish-yellow, greyish-white and yellowish- white. The colour of the teeth is determined by the

translucency and the thickness of the underlying dentin and the colour of the pulp. Tooth discoloration is associated with food habit, trauma, dental anomalies such as tetracycline pigmentation and also pernicious habit like smoking, tobacco chewing. Sometime iatrogenic cause may induce to tooth discoloration such as "white spot lesions", one of the drawbacks of orthodontic treatment. Despite of bleaching there are various approaches of

improving tooth colour such as; polishing, composite filling, crown, veneer etc. But there are some sorts of limitation in their application. Polishing doesn;t make any result in case of intrinsic stain as well as yellow coloration of the tooth. It only removes superficial stain. On the other hand, crown, veneer, etc. is too expensive in case of generalized tooth discoloration. In case of the crown it also needs to reduction of vital tooth structure that is not desired by the patient. Composite filling also needs some tooth preparation, but it doesnt last long. As well as it is not suitable in case of generalized discoloration. Most of the time, in the long run, it itself cause staining and sometimes it even cracks and chip off. Include all the approaches bleaching is the treatment of choice for discoloration of tooth, considering the age, fractured tooth, pre-existing cosmetic restoration, severe gingivitis or periodontitis. Because it is the simplest, time and cost effective to the patients. And the patients are better satisfied in bleaching than various alternate choices. Previously whitening agents of various types were used to reflect the miscellaneous nature of discoloration, as an example: oxalic acid was used for the removal of iron

stains associated with pulp necrosis and hemorrhage; chlorine was indicated for silver and copper stains produced in the process of amalgam-based restoration. Several studies were already done to see the efficacy of bleaching. Now a day we have more option to choose more better material for tooth whitening such as Hydrogen peroxide, Carbamide peroxide, Sodium perborate and Chlorine dioxide. In our cases, we used hydrogen peroxide gel with proper precaution for the surrounding tissues as mentioned before. The ultimate outcome was good and patient was satisfied with their tooth whitening treatment. Anatomically the dental hard tissues are highly permeable to fluids, and fluid flows in the enamel and dentin in the interprismatic spaces and dentinal tubules, respectively. So, this bleaching agent sometime may cause tooth hypersensitivity. To minimize this problem and being have a healthy tooth structure, we suggest to use fluoride toothpaste. The Dental Clinics in Istanbul satisfies the patients with the most suitable tooth bleaching and whitening services.

About the Doctor

Dr. Özgür ÖZTÜRK, who was born in 1983 in İstanbul, completed his secondary education in Erzurum High School of Science. In 2002, he was accepted Çukurova University Faculty of Dentistry. A year after, he was transferred  to İstanbul University Faculty of Dentistry. After 5 year of education Öztürk, has succesfully  received the title of dentist. In the same year he started his doctorate in head of the department of  Oral and Maxillofacial Surgery at İstanbul University. Throughout his doctorate he participated lots of national and international congress, published scientific articles and posters.

In 2011, he studied Oral and Maxillofacial Surgery ,Tissue Engineering  in USA, Odontogenic treatments and Distraction Osteogenesis at Finland Oulu University. In the end of 2011, he accomplished his doctorate and become an expert about Oral and Maxillofacial Surgery. After doctorate, he completed his military service in Tatvan Military Hospital as Oral & Maxillofacial Surgent.

Dr. Öztürk is an active member of American Medical Association’’, ‘’Med Oral Patol Oral Cir Bucal’’, ‘’Norsk Oralmedisinsk Selskap’.

Dr. Özgür ÖZTÜRK
ORAL AND MAXILLOFACIAL SURGEON

About the Doctor

Dr. Gizem Nur ÖZTÜRK, who was born in Edirne in 1988, started her education at  Edirne Anatolian Teacher Training School and was accepted to Faculty of Dentistry at İstanbul University in 2006. In 2010- 2011, she completed her education in Finland Oulu University and succeed in doctorate exam.

In 2011, she started her doctorate at İstanbul University Prosthetic Dental Treatment department. Throughout her doctorate, she published both national/international articles and posters.

Professional Interests: Aesthetic Dentistry, Ceramic Applications, Prothetic Treatments, Temporamandibular İlness.

Languages: English

Dr. Gizem Nur ÖZTÜRK
PROSTHETICS EXPERT

About the Doctor

Dr. Elif Nihan ATALAY, who was born in Eskisehir in year 1987, graduated from Adnan Menderes Anatolian High School in 2010 and was accepted to Faculty of Dentistry at Istanbul University. After completed her master degree Atalay, started her doctorate in Periodontology department at Bulent Ecevit University and graduated.

Professional Interests: Mukogingival surgery, Implant Applications

Languages: English

Dr. Elif Nihan ATALAY
PERIODONTOLOGY SPECIALIST

About the Doctor

Dr. Madina GULVERDIYEVA, was born in Azerbaijan, graduated from Stomatology department at Azerbaijan Medical University. In 2016, she completed her doctorate in Prosthodontics Department at Gazi University. GULVERDIYEVA, attended lots of courses; Dental Smile Design, Mesotheraphy, Platelet Rich Plasma Therapy (PRP), Botulium Toxin Type-A in Facial Aesthetic Upper and Lower face indication , Hyaluronic Acid Derman Fillers in Facial Aesthetics. Throughout her education she published articles and posters.

Languages: Azerbaijani , Turkish, English, Russian

Dr. Madina GULVERDIYEVA
PROSTHODONTICS EXPERT

About the Doctor

Dt. Ayfer ATAMER, was born in Çorlu in year 1988, graduated from Faculty of Dentistry at İstanbul University. In 2013, she started her doctorate and continue her studies at the same faculty.

Professional Interests: Aesthetic dentistry, Temporomandibular joint disorders, Implant prosthetic treatments.

Dt. Ayfer ATAMER
PROSTHETIC DENTISTRY RESEARCH ASSISTANT

About the Doctor

Dt. Muhammed KİŞİN, who was born in Idlib in year 1990, graduated from the Faculty of Dentistry at Kalamoon University in 2014. He also has DDS and DSD certificates.

Professional interests: Canal root treatment, dental fillings, aesthetic dentistry, surgical prosedures.

Languages: Arabic, Turkish, English

Dt. Muhammed KİŞİN
DENTIST

About the Doctor

Dt. Gizem HARMANKAYA, who was born in Ankara in year 1993, completed her secondary education at Ankara Hasan Ali Yücel Anatolian Teacher Training High School. In 2011 Harmankaya, accepted Faculty of Dentistry at Zonguldak Bülent Ecevit University. Also, she has TDB 24.International Dentistry Congress, Basic Implantology Course, Workshop and 4. Genç Edad Winter Symposium certificates.

Professional Interests: Dental fillings, canal root treatment, pediatric dentistry, aesthetic restoration, dental cleaning and polishing.

Languages: Turkish, English

Dt. Gizem HARMANKAYA
DENTIST

About the Doctor

Dt. Batyr GULAMOV, was born in Turkmenia in year 1995. In 2012, he was accepted to Faculty of Dentistry at Belorussian State Medical University.

After graduated with success in 2017, GULAMOV, decided to work in Turkey and started to work in İmplant Akademi.

Professional Interest: Dental fillings, canal root treatment

Languages: Russian, English, Turkish

Dt. Batyr GULAMOV
DENTIST