Teeth Whitening

What is teeth whitening?

Teeth whitening involves bleaching your teeth to lighten the colour of the enamel.

The main ingredients used in tooth whitening products are the chemicals hydrogen peroxide or carbamide peroxide. The chemicals usually come in a gel, which is applied to your teeth. Sometimes a light is used too.

Where can I get my teeth whitened?

Only registered dental practitioners can use the strong whitening gels and products containing more than 6% hydrogen peroxide. These are most effective.

The Australian Dental Association advises that only registered dental practitioners have the training and knowledge to assess if bleaching is appropriate and safe for you. They are responsible for meeting safety and quality regulations.

Teeth whitening services may be offered by unregulated, unqualified practitioners, for example in:

You can also buy teeth whitening kits online or at the supermarket. These may contain bleaching chemicals or charcoal or bicarbonate of soda. Some kits may not be reliable and using them incorrectly can cause further dental problems.

Teeth whitening by a non-qualified dental practitioner can damage your teeth and gums. Dental practitioners are responsible for meeting safety and quality regulations and can provide a professional assessment of your teeth.

What type of teeth whitening procedure could I have?

In-chair teeth whitening

Some whitening treatments can be done while you are sitting in the dental chair.

Your dentist or dental practitioner applies strong hydrogen peroxide gel. Often a light is placed over the teeth. You should leave your dental appointment with whiter teeth.

Take-home teeth whitening

With take-home teeth whitening, your dentist will provide you the instructions on how to use the take home kit.

This method of teeth whitening takes longer to achieve results than in-chair treatment. This doesn’t mean that the final result is better or worse.

How much does teeth whitening cost?

Call us on 02 8605 2261 to get the best available offer on our In-chair teeth whitening.

You will need to sign Consent for teeth whitening before the treatment 

Consent For Teeth Whitening

This form must be signed by a person who is above 18 years of age and is undergoing a treatment for the teeth whitening. You may be asked to provide the proof of age before starting the treatment.



Background: We provide this information to give you insight into Chairside professional tooth whitening.  Your cooperation and understanding of this material is necessary as we strive to achieve the best results for you. 

Procedure:  Chairside professional tooth whitening is a procedure designed to lighten the color of your teeth using a hydrogen peroxide mixture.  It produces maximum whitening results in the shortest possible time with minimum sensitivity.  During the procedure, the whitening gel will be applied to your teeth for three (3) 8-minute sessions.  For the duration of the entire treatment, a plastic cheek retractor will be placed in your mouth to help keep it open and your gums will be covered with a barrier to ensure isolation from the hydrogen peroxide gel.  Before and after the treatment, the shade of your teeth will be assessed and recorded.


Risks: All forms of health treatment, including tooth whitening, have some risks and limitations.  Complications that can occur in professional tooth whitening are infrequent and are usually minor in nature. 

·   Tooth Sensitivity: During the whitening process some patients may experience tooth sensitivity.  This is normal and generally mild if your teeth are not normally sensitive.  If your teeth are normally sensitive, please inform us before treatment.  Please let us know if you experience any discomfort during or after the procedure so we are able to minimize your discomfort. A mild analgesic will usually be effective in eliminating any discomfort.

·   Gum and soft tissue irritation: Whitening may cause inflammation of your gums, lips or cheek margins.  This is generally the result of the whitening gel coming into contact with these tissues.  Protective materials are placed in the mouth to prevent this, but despite our best efforts, it can still rarely occur. If any irritation does occur, it is generally short in duration and is very mild.  Rinsing with warm salt water can relieve it.

·   Existing restorations:  White fillings; porcelain or composite restorations, crowns or veneers may not whiten at all or evenly with your natural teeth during this procedure. Please discuss this with your dentist prior to beginning treatment.

Treatment Responsibilities:  If you do not understand something communicated to you during consultation, or in any printed material given to you before or after the procedure, please feel free to ask.

Expectations: Significant whitening can be achieved in many cases, but there is no absolute way to predict how light your teeth will get.  Please understand that teeth with multiple colorations, bands, splotches or spots due to tetracycline staining or fluorosis do not whiten as well and may appear more spotted after treatment. These effects are generally short in duration. Chairside professional tooth whitening  is not recommended for pregnant or lactating women, children under 18 years of age or any persons having known peroxides allergies.


Alternate Treatment Options: While we feel that Chairside whitening is the fastest, most effective means of whitening your teeth, please take note that there are other options available to you, such as take home systems or Paint on whitening.  If you have questions regarding other treatment alternatives please ask the dentist.






First Name:__________________________

Last Name______________________________

Date Of Birth:________________________



Phone Number:_______________________


Emergency Contact Name / Phone:_________________________________________________


I _________________________would like to have my teeth lightened via the “in-chair” whitening technique. 


Informed Consent

 I understand the above list includes all the common complications and I am aware the list of complications in this form is not complete. 

My dental health care provider has explained to me the basic whitening procedures, the advantages and disadvantages, the risks and known possible complications, also alternative treatments have been discussed and my questions have been answered to my satisfaction.  I understand that my Chairside professional whitening  treatment cannot be guaranteed.  I can ask my doctor about whitening treatments that will most benefit my case.I understand that after treatment, I will be required to refrain from consuming any chromogenic substances (i.e. tomato sauce, coffee, all tobacco products) for 48 hours.

In signing this informed consent, I am stating I have read this informed consent and I fully understand it and the possible risks, complications and benefits that can result from the Chairside tooth whitening system. . I  agrees to indemnify 32 Pearls Dentists (32 Pearls Pty Ltd) , its staff and directors against all claims, actions, demands, suits, damages, liabilities, losses and expenses made by me or any other person in respect to the dental treatment / service rendered.



Patient’s Signature: ____________________________________  Date: _______________


Patient’s Name (printed):