Teeth whitening strips – Common side effects and how to manage them.

Dealing with side effects caused by whitening strips.

Common problems.

By far, the two most common side effects people experience when using whitening strips (like Crest Whitestrips®) are  1) Tooth sensitivity  and  2) Gum irritation. This page outlines remedies for both of these complications.

Less frequently, a person may experience throat irritation, sore throat or even stomach upset. This page discusses remedies for these side effects too.

(Some people will notice uneven whitening, or white spot formation on their teeth following treatments. We discuss these issues on this page.)

Side effect avoidance.

The lower portion of this page provides some basic guidelines you can use to minimize your risk of experiencing side effects, or get them under control more quickly once they have started to appear.

1) Tooth sensitivity.

▲ Section references – Gerlach

Whitestrips Supreme has the highest concentration whitener.

Using a lower concentration strip can help to reduce side effects.

a) Why does it occur?

▲ Section references – Gokay

b) What’s the pain like?

In most cases, the sensitivity that’s noticed is a heightened reaction of your teeth to hot and cold items, such as foods and beverages. Dentists call this “thermal sensitivity.”

How much pain can you expect? When?

Especially in the case where you’re using a strips product that’s been coated with a comparatively lower-concentration whitener (here are examples of Whitestrips® products and their hydrogen peroxide concentration), the sensitivity usually just comes on gradually.

It may be persistent, possibly increasing a little each day with each treatment. Or just be noticeable for those first few hours following a bleaching session. With more potent strips, you may notice the sensitivity immediately upon the completion of even your first treatment.

Effects on activities.

Since the amount of sensitivity that results is usually relatively minor, and setting it off fairly easy to avoid, experiencing it typically doesn’t cause great disruption in a person’s life. Or even necessarily interfere with their bleaching schedule.

▲ Section references – Gerlach

c) Remedies for tooth sensitivity caused by using whitening strips.

1) Some improvement should occur naturally.

In the majority of cases, a person should notice that their thermal sensitivity begins to fade, a little each day, once they have completed their bleaching treatments.

Performing whitening sessions less frequently or using a lower concentration strip (such as Whitestrips® Gentle Routine) can help to speed this process along. – More information.

Using desensitizing toothpaste, before or after problems occur, can help.

2) Try using desensitizing toothpaste.

Many manufacturers make an anti-sensitivity version of their regular paste. These products are often labeled with the phrase “toothpaste for sensitive teeth.” Their active ingredient is frequently potassium nitrate or fluoride.

(Related page: The best toothpastes for treating tooth sensitivity.)

Obtaining relief may take some time. – The idea is that you use the toothpaste in place of your regular one, for some days and weeks, as it gradually produces its effect.

(Prescription-strength fluoride toothpaste or gel prescribed or dispensed by your dentist can also be used in a similar fashion.)

3) Preventing tooth sensitivity.

As a way of helping their patients reduce their risk for experiencing thermal irritation, many dentists recommend that they begin using a desensitizing toothpaste two weeks prior to initiating the use of their whitening strips.

2) Gum irritation.

▲ Section references – Gerlach

a) Why does it occur?

Gum irritation is caused by the caustic nature of the peroxide found in a strip’s whitener. In general, the higher its concentration, the greater the likelihood that this side effect will be noticed. (Once again, a reason why the “strongest” or “quickest working” type of strip doesn’t necessarily make a good choice.)

The cause of whitening strip gum irritation.

1) The shape of strips is part of the problem.

And this means that when it is positioned over the user’s teeth, some of its full-strength whitener will be in direct contact with their gums.

2) Residual whitener can be the cause too.

Gum irritation can also result from deposits of whitener that are left behind after a whitening strip has been removed.

For this reason, you should always rinse, wipe and/or gently brush your teeth and surrounding gum tissue after every bleaching treatment. Be sure to wash your hands and toothbrush off afterward.

b) How much discomfort can you expect?

In most cases, the level of gum irritation that a person experiences is just mild. It usually doesn’t interfere with their daily activities, or even their bleaching schedule.

c) Remedies for gum irritation.

In the typical case, whitening strip gum irritation will gradually disappear over the next few days after the person’s bleaching treatments have been completed.

Don’t brush first.

You might be surprised to learn that Crest® does not recommend that you brush your teeth before applying Whitestrips®. Brushing tends to remove the protective microfilm that accumulates on gum tissue. Use that link to learn more about this effect.

Choose a different type of strip.

Performing sessions less frequently or using a lower concentration strip product (Crest Whitestrips® Gentle Routine) can help to keep this side effect in check. – More information.

d) The whitener may irritate your fingers.

Besides just your gums, a strip’s whitener can also irritate your skin. We discuss this phenomenon in greater detail here.

3) Throat irritation.

Just like with any peroxide-based system, if the whitener from a strip is swallowed, throat irritation may occur.

▲ Section references – crestwhitesmile.com

Preventing sore-throat side effects.

As a general rule of thumb, anything foreign that’s placed in your mouth will tend to trigger increased salivation. So when strips are worn, especially during your first several sessions, you may notice this effect.

The accumulating saliva will tend to pick up some of the peroxide whitener that’s leached from your strips. And if you swallow it, it will tend to cause throat irritation. So the solution is to avoid swallowing, at least to the extent that’s possible. Instead, always spit fluids out.

Of course, despite your best efforts you will still end up swallowing some peroxide. But if you can keep this to just a minimum, the hope is that it won’t be enough to cause throat or stomach irritation.

How using strips might help to lower your potential for throat irritation.

When whitening strips are made, a very measured amount of peroxide is placed on each one. That’s in stark contrast to other at-home bleaching systems where it’s the end-user who dispenses the amount of whitener.

In the latter case, like when using bleaching trays, the amount of agent that’s dispensed, and therefore ultimately consumed, may be fairly significant. So by choosing to use strips instead, you may substantially reduce your potential for soft tissue irritation because you have less peroxide exposure.

Remedies for whitener-induced sore throats.

If the source of your throat soreness is the simple cause and effect we describe above, you’ll usually find that your condition is self-limiting (which means that as hours pass you should notice ever-decreasing irritation).

And as mentioned above, if experiencing this side effect becomes a reoccurring issue for you, you can probably lower your risk by choosing a kit that comes with lower-concentration strips. Wearing your strips less frequently (like every other day) may help too.

Also, be sure to remove any residual whitener from your teeth after treatments (using a wet toothbrush is a good method) and rinse out thoroughly.

Guidelines for managing side effects.

a) If you notice side effects, stop your whitening treatments.

If side effects start to show up, it only makes sense to stop performing whitening treatments (right now, immediately).

There’s absolutely no reason not to.

Bleaching teeth with peroxide is simply a function of whitener concentration and total treatment time (session length X number of sessions).

Interrupting the process for a few days, as you evaluate your side effects and allow them to subside, will not compromise your results (assuming that at some point you are finally able to finish using all of your strips).

b) Re-evaluating your whitening approach.

Once your side effects have subsided, you’ll need to make a decision. Should you resume your treatments, or have the side effects you’ve experienced put you off on the whole idea of whitening your teeth.

If you do decide to continue on, you now have experience with what doesn’t work. So, what you need to do is come up with a plan that can help to reduce the chances that your side effects will return.

One pair Crest Whitestrips (upper/lower).

1) Try wearing your whitening strips less frequently.

You’ll simply have to experiment to see what regimen works best. For example, if wearing them every other day still triggers side effects, try every 3rd day. Or whiten on consecutive days until symptoms start to occur, and then back off on treatments for a while.

And don’t worry, as we discussed above, performing sessions less frequently won’t interfere with the bleaching process, it will only slow it down. Assuming that you still use all of your strips, you’ll reach the same lightening endpoint.

2) Try using a lower-concentration strip.

Another solution involves using strips that are coated with a lower concentration whitener. For example, instead of using one of Crest®’s standard 10% hydrogen peroxide strips, try using their 6% one (Crest Whitestrips® Gentle Routine).

Different than with our example above however, by using a lower concentration strip your total exposure to bleaching agent will be less. If so, you’ll achieve less whitening success.

3) Which approach is better?

• Crest Whitestrips® Professional Effects (10% hydrogen peroxide whitener, 30-minute application, 20 sessions) – 10 hours of total exposure of a 10% product.
• Crest Whitestrips® Gentle Routine (6% hydrogen peroxide whitener, 5-minute application, 28 sessions) – 2.3 hours of total exposure of a (roughly half as strong) 6% product.

Clearly, these two products couldn’t possibly be expected to produce the same whitening outcome.

So, in the case where side effects have become a problem for you, you’ll need to decide:

• If your teeth just need a little improvement, the Whitestrips® Gentle Routine product would probably make a good choice.
• But if your teeth need a lot of improvement, you might either use Whitestrips® Professional Effects but spread out over a longer time frame. Or consider ultimately using more than one box of the Gentle Routine strips.

Evaluating your risk for side effects.

Start out slowly.

A smart way to test your potential for experiencing side effects is to ease into the use of your product.

For example, if their directions recommend daily treatments, do an initial one and then skip a day. If you notice even a hint of problems developing, continue on with this routine (or less) as you figure out to what degree they’ll become an issue.

Faster and whiter isn’t better.

If you’re trying out teeth whitening strips for the first time, choosing a product that boasts that it gives faster and brighter results may not make the best choice, at least in terms of avoiding side effects.

These types of products tend to be ones that have a higher concentration whitener, or are intended to be worn for extended time frames (possibly even an hour or more). Both of these characteristics tend to make experiencing side effects more likely.

As a less risky alternative, look for a standard “introductory” type of product that’s made by a well-known manufacturer.

Comments.

This section contains comments submitted in previous years. Many have been edited so to limit their scope to subjects discussed on this page.