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Teeth Whitening

By completing this form you agree to have read, understood and agreed that:

  • Not recommended for children under the age of 12 years old.
  • Do not use if pregnant or lactating.
  • Do not use if periodontal disease or other Medical conditions existing in the mouth.
  • Do not use if you have a history of allergic reactions to peroxide products.
  • Temporary side effects of tooth sensitivity, or mild tissue irritation is possible but usually transient and may last for a day or two.
  • If you have any adverse reactions, treatment will be terminated and consulting your Health Professional is advised.
  • Avoid contact with product with the eye; try to avoid swallowing cosmetic or part thereof.
  • By agreeing to this document, I indicate that I have read and understand that all entire document and that I give my permission for the treatment to be performed by Clinic Laser Therapy

Maintenance is Critical

The first couple of days after tooth whitening are the most critical. After whitening the pores or dentinal tubules are open and most susceptible to staining. I tell my patients to wait at least 36-48 hours to consume food or beverages that may stain teeth; those include anything that may stain a white t-shirt. All systems require maintenance, even at-home trays. Consuming beverages that may stain teeth with a straw helps to keep your teeth sparkling!

For the best result, avoid foods that have a lot of color (coffee, tea, mustard, cranberry juice, red wine) for several days until the open pores in the tooth have closed over. Also, please note that led light treatments have to be spaced at a minimum of 6 months. During this time you have to use the after care kit to maintain the result. Otherwise, you loose the result in no more than three weeks.

Notice fees for absence

Madam, Sir, In order to help us provide you with a good quality service, it is necessary that you attend all your appointments. Please note that if you are unable to attend your appointment on the day and time agreed, you must notify us at least 24 hours in advance. Otherwise, you will lose your appointments. Late arrivals or repeated absences could obligate us to close your file. I was informed of this management policy.