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Treatment Consent Information

Treatment Consent Information

This information has been given to me so that I can make an informed decision about having my teeth cosmetically whitened.

If you have any questions about the below information please feel free to contact us by clicking the “chat” or “contact us” below or call the relevant clinic where our call center staff will be happy to assist.

Description of Procedure:

Please see the treatment introduction video at the bottom of this page for a full description of what happens on the day and how the treatment is performed.  On the day during the consultation process please feel free to ask any questions where your dental professional can discuss and answer to your satisfaction prior to going ahead with the treatment. Please also  review our FAQ’s below for further information if desired.

Almost all natural teeth can benefit from significant whitening, However, I understand that the white house can only guarantee 5 shades whiter. The level of whitening depends on the mineral content found within my own teeth and what type of stains have built up over the years, and I may need additional time which would be free of charge if required.

  • I understand that Beyond professional whitening treatments are not intended to lighten artificial teeth, caps, crowns, veneers, or porcelain, composite, or other restorative materials.
  • I understand that people with darkly stained yellow, or yellowish–brown teeth, frequently achieve better results than people with grey or bluish-grey teeth.
  • I understand that teeth with multiple discolorations, bands, lines or spots due to tetracycline, fluorosis or calcium spots may have a less dramatic whitening result and may temporarily accentuate this.

 

Treatment is for over 18 only:

Although there are no known side effects The White House are only permitted to perform teeth whitening treatments on people who are 18 year old or over as per EU regulation pertaining to the use of teeth whitening products.

Pregnancy and Breastfeeding:

Although there are no known side effects, tests have not been carried out on pregnant or breastfeeding women and since Teeth Whitening is an optional, cosmetic procedure, there is no reason to undergo any teeth whitening treatment while you’re pregnant or breastfeeding.

PATIENT CONSENT

I acknowledge that: I understand that although my professional teeth whitening specialist has been trained in the proper use of Beyond teeth whitening system, the treatment is not without risk. I understand that some of the potential complications include; and are not limited to:

Tooth Sensitivity: 

Generally, our teeth whitening treatment causes no sensitivity at all. However, a very small percentage of people with unusually sensitive teeth may experience mild sensitivity. This usually subsides within a couple of hours after the treatment. Patients with unusually sensitive teeth, recently cracked teeth, abfractions (micro-cracks), open cavities, leaking fillings, or other dental conditions that cause sensitivity, may find that tooth sensitivity is prolonged.

Gum irritation:

On a rare occasion the whitening gel can come in to contact with the gum tissue during the treatment, which may cause inflammation or whitening of the gums or gum-line. This may also cause a mild tingling sensation to the gums, but will subside almost immediately after the treatment.

Dry lips:

During the procedure, a cheek retractor is used to enable clear access to the teeth and gums. The cheek retractor stretches the lips, and although we provide lip balm it can result in drying or chapping of the lips.

Relapse:

Within the initial 24 hours I understand that I must avoid dark staining food or drinks and cigarettes completely as per advice of the teeth whitening specialist after my treatment. After treatment, it is natural for teeth to regress over time teeth stain naturally depending on lifestyle, eating and drinking habits, and age.

I understand that the results of this treatment are not intended to be permanent and that secondary or repeat treatments may be needed to maintain the tooth

COVID -19 Health Declaration

I confirm that I have read over all information regarding health measures taken by The White House and agree to cooperate with all new safety measures.

The White House – COVID-19 Information page

I verify that I will not present with any of the symptoms of COVID-19 See HSE COVID – 19 Symptoms here.

If necessary you can reschedule your appointment at any time using the links that will be provided in your email.

Frequently Asked Questions

The White House aims to always to achieve the best natural results, your teeth will go as white as they naturally can go, without looking fake white. Usually, we will get your teeth back to as white as they were when you were a teenager. The White House conducted a clinical study, carried out by our GDC registered dentists in the UK over a three month period recording the results from 178 patients. The results showed that 91% of all of these patients scored between 5 and 12 shades whiter after our 1-hour in-clinic teeth whitening treatment. For the 9% of patients that did not achieve these results, a 30 minute follow up appointment, which we provide free of charge achieved the desired results. The results are dependent on the type of staining and the mineral content contained within your teeth so results will, therefore, vary between individuals. We are so confident in our results that we have a full money-back guarantee, that we will achieve at least 5 shades whiter on the Vitapan Shade guide.

The treatment itself takes about 45 minutes, but when you come in we will go through everything with you and do a small consultation to access suitability, so, it usually takes about an hour in total.
That is the complete treatment and you will see the results immediately after you have finished.

No, at the White House we use a patented whitening gel that contains natural ingredients which enables us to get superior results without experiencing any sensitivity, during or after the whitening procedure.

Usually, on average, it would take about 1-2 years to come back to the original shade that you were before coming into us. The natural re-staining process begins after you leave the clinic so higher consumption of dark staining food and drinks like tea, coffee, red win or smoking  as well as the mineral content of your teeth and your own personal aftercare routine, all have a factor on how long the results last. We have an advanced home whitening maintenance kit which used for 30 minutes every 3-4 weeks will keep your teeth white for up to 2 years, if you would prefer to be seen by our qualified dentist for an appointment we can do a top-up treatment for €75. Both of these can be discounted if you purchase on the day of your treatment so ask your dental professional about the different options and discounts available.

No, our professional Teeth Whitening system has been proven to have no short or long-term negative effects on the enamel of teeth, on the dentin of teeth or the gums. In fact, it is specially formulated to improve general oral health while whitening.

Usually, a good time to come in and get your teeth whitened would be about 3 weeks before getting married.
If you wish to have them whitened sooner we would suggest to have them done and then use your free or discounted top-up again maybe a week before the wedding this way you will already know where we are and what to expect.
The top-up treatment only takes 20 minutes and we get very good results with this if you have had them whitened within the last 12 months.

Yes, our teeth whitening treatment can be done with crowns veneers or false teeth, however, it is not designed to whiten the false teeth veneers or crowns, all your natural teeth will be whitened as normal and the white fillings or crowns will get cleaned and remove stains and plaque that may have built up on the crowns restoring them to their original colour.

False teeth or crowns don’t have pores, dentin or enamel, therefore they do not discolour the same way as your natural teeth will,  if the crowns have been in for a number of years you will probably notice the shade difference between your crowns and your natural teeth thefore, when the treatment is done your teeth will usually get whitened back to the shade that they were when the crowns were put in. If the crowns were put in recently to match your darker shade we would not recommend whitening your natural teeth as the new darker crowns will not match. If you are planning to have a crown, bridge, filling or false tooth, it is recommended that you first have your teeth whitened first so your dentist will then be able to match the shade of the false tooth to your new colour.
In any case, we will always do a no-obligation consultation to discuss the expected outcome and we can tailor each treatment for the individual, making sure that we don’t get any unwanted results.

Although it is not necessary to have a scale and polish specifically prior to getting your teeth whitened, we would, of course, recommend your regular visits to the dentist so just go whenever you are due.
Any stains that have built up on the teeth will all be removed during the whitening treatment, but this is not a replacement for having a scale and polish as we only whiten about 18 front-facing teeth that are in the natural smile and we cannot remove any built-up plaque.

It would be necessary for you to have a scale and polish prior to having your teeth whitened if you have visible calculus (or tartar) built up on the outside of the teeth.

Other than that, just floss and brush on the day before coming in.

This is dependent on your own flexibility, we are open late nights on Thursdays and also open on Saturdays if you would like to reserve either of these times you would need to book in at least two weeks in advance.

If you are more flexible we might be able to fit you in within a couple of days notice.

Please contact 01-8904613 and one of our technicians will book you in on a day and time that suits you.

Although there are no known side effects The White House do not undergo the treatment if you are currently pregnant or breastfeeding or under the age of 18

Terms and conditions of refund policy:

On the day of your treatment, shade measurements will be taken in conjunction with your treatment consent form. We will confirm this shade with you and record it on the form.

We aim to achieve a minimum of 5 shades whiter from your starting shade.
If you do not achieve 5 shades whiter (measured on the international standard Vitapan Shade guide) on the day of your treatment, you are entitled to not pay for the treatment, or, we can offer you additional whitening sessions free of charge to achieve optimum and satisfactory results or a complimentary home kit if that is preferable.
Payment of treatment on the day is accepted as customer satisfaction with results.

 

After the treatment is completed, there is a 24-hour white diet required.
We cannot control this and the results will diminish if the white diet is not adhered to accidentally or otherwise.

We also understand that even with adhering to the white diet, in a small number of cases, a regression in colour can occur, which means, your teeth will no longer look as white as they were after the treatment. This might be due to the mineral content of the teeth which is different for every individual.

If a Regression occurs…

 

  • Please don’t hesitate to get back in contact with us to discuss it and we will arrange for you to come back to us for a review.

  • When returning we will take new shade measurements and compare this to your old shade. We will discuss this with you and we can then decide what’s best to do.
    Generally speaking, a second treatment (free of charge) will resolve 90% of the regression cases as we usually achieve optimum results that last, or, we can offer a free Teeth Whitening Home Kit which you can continue to use at home to help improve results. The options will be given by our dental professional during the review and it will be your choice depending on your own personal circumstances and case.

  • If you completed a second treatment but have still not achieved the desired minimum 5 shades whiter, or, a regression occurs again, you will still be entitled to a full refund as per our 30-day money-back guarantee.
    Unfortunately, about 2% of people’s teeth will not hold the whiter shade due to the mineral content and composition of the enamel and dentine of the teeth, therefore, further sessions results would likely just regress again anyway.

  • If you prefer to have your money back instead of having a second treatment, we will gladly provide you with a full refund after we verify that there is less than a 5 shade improvement.

  • The shade check, Re-treatment and Refund must be completed within a maximum of 30 days of initial treatment.


Treatment Introduction video