Teeth whitening is one of the most requested cosmetic treatments. And one of the most misunderstood.
Before starting, there are medical questions to ask, indications to evaluate, and limitations to understand. Dr. Zerguine explains these from his daily practice at Dental Swiss Clinics in Montreux.
Two Protocols — Depending on Goal and Timeline
At Dental Swiss Clinics, two whitening protocols are offered depending on the patient’s situation.
White Home — The Standard Take-Home Protocol
White Home relies on custom-made trays fabricated in the clinic using digital impressions and 3D printing. The patient applies the whitening gel at home according to the defined protocol — for progressive, controlled, and lasting results.
This is the standard protocol for patients who want natural results without immediate time constraints.
Clinic Plus — For Tight Deadlines
Clinic Plus combines the take-home protocol with an in-office whitening session. This is the solution for patients who have a specific deadline — a wedding, professional event, or special occasion — and desire accelerated results.
What Patients Most Often Overlook
Ceramics and Composites Do Not Whiten
This is the clinical reality that many patients discover too late. Crowns, veneers, and composite restorations do not respond to whitening — only natural teeth are affected.
If you have visible aesthetic restorations — veneers, all-ceramic crowns, anterior composites — the final whitening result will create a shade difference between your natural teeth and your restorations.
That’s why the correct sequence is always — whitening first, then aesthetic restorations. Never the other way around.
Whitening Does Not Weaken Teeth
This is the most common fear. Clinical data is clear — whitening performed with appropriate products and protocols on healthy teeth does not weaken enamel.
Post-treatment sensitivities are possible and temporary — they usually disappear within a few days. They are not a sign of tooth weakening.
The Result Depends on the Starting Shade
Whitening lightens natural teeth — it does not make them uniformly white. The final result depends on the initial shade, the nature of the stains, and the individual response to treatment.
A realistic result is discussed before treatment begins — not after.
Contraindications to Evaluate Before Starting
Certain situations require prior management before any whitening:
Untreated Cavities An active cavity is an absolute contraindication. The whitening gel can penetrate the carious lesion and cause intense sensitivity or pulp damage.
Gum Inflammation Inflamed gums or poor periodontal health must be treated before any whitening. Scaling is recommended no more than one month before starting the protocol.
Unevaluated Sensitive Teeth Pre-existing hypersensitivity must be clinically evaluated before starting — to adapt the protocol or contraindicate the treatment if necessary.
The Correct Sequence for a Complete Aesthetic Project
If you are considering a comprehensive aesthetic project — whitening and veneers or crowns — the clinical sequence is imperative:
- Complete oral health assessment
- Scaling if necessary
- Treatment of any cavities and inflammation
- Whitening — stabilization of the final shade
- Placement of aesthetic restorations based on the whitened shade
Following this sequence ensures lasting aesthetic consistency between natural teeth and restorations.
Frequently Asked Questions
Is whitening painful? No — temporary sensitivities are possible during and after treatment, but they quickly disappear. The protocol is adapted according to the patient’s sensitivity.
How long do the results last? Results vary depending on dietary habits and smoking. With proper maintenance, a well-performed whitening can last several years. Occasional touch-ups with the trays are possible.
Can I get whitening if I have veneers? Yes — but veneers will not respond to whitening. The correct sequence is to whiten first, then place the veneers to match the new shade.
Is whitening suitable for all patients? No — a clinical evaluation is essential. Cavities, gum inflammation, and certain hypersensitivities are contraindications that must be treated before starting.
What is the cost of whitening in Montreux? Dental whitening is offered starting from CHF 429 at Dental Swiss Clinics. A quote is provided after clinical evaluation.
For an evaluation and an aesthetic plan tailored to your situation — contact Dental Swiss Clinics in Montreux, Monday to Friday from 8 AM to 8 PM.