The journal · Lesson 4 of 6

What won't whiten

Crowns, veneers, bonding, tetracycline bands, one dark tooth, white spots, brown fluorosis, receded gums — and why they become the dark spot.

For about one in four people, peroxide won't get them where they want to go. Not because the product is bad — because of what's in their mouth.

Six things peroxide can't fix

Crowns, veneers, bonding, fillings. Porcelain and composite don't bleach; your teeth get lighter and the work stays put. Tetracycline bands. Gray or blue-gray stripes from childhood antibiotics — months of trays might lighten a little, rarely to white. One dark tooth. Usually an old hit and a dead nerve; outside bleaching does almost nothing, and it needs a dentist. White spots. Chalky patches from fluorosis or braces — whitening makes them more visible, not less. Brown fluorosis, mottling. Some brown responds; the pitted kind doesn't. Receded gums, exposed root. Root is dentin with no enamel: darker, doesn't bleach well, and peroxide on it hurts.

The mirror test

Smile wide in good light. A tooth a different color from its neighbors? Gray or blue tones? White patches? Dark at the gumline? Whitening may still help — but the plan has to work around them, and you need a realistic end shade before you start.

Do this now

Take a photo. Window light, no flash, lips pulled back, teeth together. It's one of the three photos the team looks at.

Want this for your teeth, specifically? The Whitening Box sizes your gel from three photos and mails custom trays from Dr. T's lab. See the box →

Next: Whitening without the zing → · All lessons