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Teeth Whitening
Information and
Informed Consent Form

3.  What should be expected upon completion of professional whitening?

We have obtained excellent results in most cases, but there is not a definite way to predict how light your teeth will get.  Teeth in the yellow shade range tend to whiten better than those in the gray or gray brown ranges.

Teeth discolored by certain antibiotics, decalcification, root canal therapy or trauma do not respond as predictably, and often require additional treatment.  This is best accomplished by the Take-Home treatment.

If your teeth are already a shade of A-1 to B-1, on an in-office shade guide, your additional results will be minimal.

During the consultation you may be shown before/after pictures of other patients.  These are all patients we have treated in this office.

Dr. Marinkovich will provide an approximation assessment as to the level of whiteness you may achieve.  Remember, these procedures only whiten natural teeth, not existing fillings or crowns.  If you have any questions about this, please discuss them with us prior to signing this form, and proceeding with this whitening procedure.

Next: 4. What are the potential side effects of whitening teeth?
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Printable Version of the Teeth Whitening Informed Consent Form