General
I acknowledge that I am purchasing a self-administered Teeth Whitening Chairside Service that is designed to whiten the color of my teeth. As a part of the purchase, I will be assisted & allowed usage of a specially designed LED Lamp in order to accelerate the whitening process. Teeth-Whitening is a Cosmetic Procedure to Whiten your teeth and does not clean your teeth. You should continue routine dental care & treatment with your Dentist.
Results Guarantee
Although most natural teeth can benefit from a teeth whitening treatment, I understand that everyone’s teeth are different and that results will vary. I understand that people with yellowish teeth generally get the best results and that if my teeth have spots due to tetracycline use (grayish tint) or fluorosis, these will be difficult to whiten. Also, if I have artificial teeth, caps, crowns, veneers, porcelain, composite or other restorative materials, I shouldn’t expect dramatic results from this treatment because the peroxide gel will not whiten (or damage) artificial dental work. Also, I am aware that my teeth will never be whiter than the white color my genes naturally allow.
Potential Risks
Although whitening treatments are generally safe, I understand that some of the potential complications of this treatment include but are not limited to: GUM/LIP IRRITATION: Whitening gel that comes in contact with gum tissue or the lips during the treatment may cause inflammation or whitening of these areas. This is due to inadvertent exposure of small areas of those tissues to the whitening gel. The inflammation and/or whitening of gums and lips is transient, and the color change of the gum tissue will reverse within 30 minutes. I may feel a stinging and tingling sensation on these soft tissues during the treatment if the gel comes in contact with them.
TOOTH SENSITIVITY
Although uncommon, some customers can experience some tooth sensitivity during the first 24 hours after the whitening treatment. People with existing sensitivity, recently cracked teeth, micro-cracks, open cavities, leaking fillings, exposed roots, or other dental conditions that cause sensitivity may find that those conditions increase or prolong tooth sensitivity after the treatment.
SPOTS OR STREAKS
Some customers may develop white spots or streaks on their teeth due to CALCIUM DEPOSITS that naturally occur in teeth. These spots are NOT caused by the peroxide gel. The gel just brings the already existing calcium deposits out and makes them visible again. These usually diminish over time.
Eligibility
I understand that this treatment CANNOT be used by pregnant or lactating women, people under the age of 14, people with braces of any kind, people with gum disease, open cavities, leaking fillings, or other dental conditions (including gingivitis and bleeding gums), or people with a known allergy to peroxide and/or to aloe vera. People that have had braces removed should wait for cement residue to wear off before getting a teeth whitening treatment and people with a piercing or other metal objects in the oral cavity should remove them before the treatment, as they may turn black. If I feel a sharp pain on a particular tooth during the treatment, I should stop the treatment and contact my dentist since this could be a sign of an open cavity.
