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Teeth whitening

Teeth whitening (also called bleaching) is a cosmetic dental treatment in which discolouration of the tooth enamel is reduced using a whitening agent – usually based on hydrogen or carbamide peroxide – so the teeth appear lighter. It does not change the tooth substance itself but lightens existing stains.

Teeth whitening is a purely cosmetic treatment that lightens discolouration caused by coffee, tea, red wine, smoking or the natural darkening of teeth with age. There are two broad approaches: in-office whitening at the practice, where the agent is more highly concentrated and sometimes activated with light, and home whitening using custom-fitted trays worn at home over several days.

Ideally the process starts with a dental check-up: cavities, leaking fillings or exposed tooth necks should be treated beforehand. Often a professional dental cleaning is done first so that plaque does not distort the result. The gums are then protected and the gel is applied. Important: crowns, bridges, veneers and fillings do not lighten along with the teeth – after whitening they may differ in colour.

Whitening makes sense when healthy but discoloured teeth should look brighter, for example before an event. For individual dark (non-vital) teeth, other procedures may be more suitable. Costs depend on the method, effort and practice, and are generally not covered by Swiss basic insurance.

Look for professional supervision rather than pure cosmetic products, honest information about realistic results and possible sensitivity, and aftercare guidance. Typical mistakes are overusing drugstore products and ignoring existing dental problems.

Example

A woman in Zurich wants brighter teeth before her wedding. She first has a professional dental cleaning, after which her dentist recommends home whitening with custom trays that she wears at home in the evening. Because she has a crown on a front tooth, she discusses beforehand that it will not lighten along with the others and might later need to be colour-matched.

Frequently asked

Is teeth whitening harmful to the teeth?

Professionally performed whitening is considered gentle, as it does not remove enamel but lightens discolouration. Teeth may temporarily become more sensitive to cold, which usually subsides on its own. A prior check-up and correct application are important – which is why supervision by a professional makes sense.

How long does the result of whitening last?

This depends heavily on diet and habits: coffee, tea, red wine and smoking lead to new discolouration more quickly. With good oral hygiene and occasional touch-ups, the result stays visible longer. A fixed durability cannot be guaranteed, as it varies from person to person.

Does health insurance cover the costs?

Teeth whitening is a cosmetic treatment and is generally not paid for by Swiss basic insurance. Costs vary depending on the method and practice. Ask in advance for a transparent cost overview and whether a supplementary insurance might contribute anything.

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