How We Restored One Patient’s Smile After Veneers: Part 2

How We Restored One Patient’s Smile After Veneers: Part 2

Why Teeth Whitening Is Needed Before Restorations

My patient entered our office seeking guidance because she was dissatisfied with veneers another office had placed. After successfully developing a vision for our end goal, I could not be more excited to produce the results that my patient and I strove for.

Step 1: Teeth Whitening

The first step necessary was to reveal the whitest shade of my patient’s natural dentition through a series of teeth bleaching, or teeth whitening. I always recommend that professional teeth whitening be performed prior to any esthetic dental work.

I advise this because we match our porcelain restorations to the existing shade of the teeth and cannot go back and change it, so the color will remain the same even if whitening is done after the permanent restorations are placed. I exclusively use the KöR whitening system, as I have seen the best results and received the most positive feedback from my patients with this method.

Using the KöR Whitening “Max” System, I first began with a set of impressions to capture my patient’s teeth and gums, from which we fabricated custom-fitting trays for use with professional-strength whitening gel. She wore this every night for two weeks, and we provided her with a “desensitizing gel” to help prevent sensitivity from the whitening products. This is critical in reducing discomfort that may be associated with teeth whitening.

Many patients have asked me whether using teeth whitening products is detrimental to the health of their teeth. While there are many consumer products available, the materials and protocols used in professional teeth whitening are considered harmless, and any resulting tooth hypersensitivity is temporary.

It is important to note that:

  • Pregnant women should not use whitening gels.
  • Products containing peroxides are not recommended for use by children under 12 years of age.
  • Avoid contact of the product with the eye.


During Whitening:

  • Soft tissue (gum) protection with customized dam
  • 34% Hydremide Peroxide
  • Up to three 20-minute applications



In the case of my patient, the after-whitening results speak for themselves, and we achieved a beautiful whiter shade. In fact, my patient’s teeth were registered as “B1” in the shade after the in-office professional whitening. Remember the “Vita Classical Shade Guide” mentioned in Part I? B1 is the brightest shade in that spectrum! 

Click here to view our Before + After Gallery!

To learn more about how the team at My Gilroy Dentist, Amy N. Tran, D.D.S. can help you perfect your restorations, call us today at (408) 317-7300 or contact us online.