Prestipino Dental Group is offering a Summer Special of $100 off of our Whitening products.

Offer is valid from 7/19/2018  through  9/4/2018

The Discounted Fees are as follows to existing patients of the practice:

 $400   IN-Office Whitening

$200 AT -Home Bleaching Trays (Per Arch)

$700 Combo (In-Office & At Home Whitening)

 *New Patients who are interested in receiving a professional tooth whitening must receive an Examination and X-rays in order to qualify*


 If you are looking to improve your smile, a simple and cost effective first step is Professional Tooth Whitening by a dentist. Research has demonstrated safety and effectiveness of tooth whitening with peroxide products.1-3   Today, the dental practice has many choices for whitening. These include different types of tray and tray less systems with peroxides in a wide range of concentrations.

Teeth whitening products can be classified as Over the Counter (OTC), In-Office Professional Bleaching and At- Home Professional Bleaching.  Many of the OTC whitening products work but they are less effective because of the lower concentration of the peroxide agents.  Professional tooth whitening can be more effective to lighten and brighten the actual color of your teeth, making them less yellow. The key difference is that professional tooth whitening has higher concentrations of either carbamide or hydrogen peroxide agents.


For patients who cannot find the time to apply trays in their busy lives, In-Office Whitening offers the convenience of whitening their teeth in one or more dental appointments. In some patients, In-Office bleaching may produce faster initial results compared to the At-Home bleaching. The process involves applying a special protection to your gums, and then 2-3  applications of a professional strength-bleaching agent. Each application takes approximately 20 minutes for a total appointment time of 1 hour.

The first step will be to identify the current color of your teeth using a professional color chart and taking a photograph for a baseline. Each bleaching appointment will lighten your teeth one step on this color chart. For patients whose goal is to lighten multiple steps the In-Office bleaching process can be repeated every 30 days. For optimum results, we suggest you start with the In- Office bleaching followed up by the At- Home bleaching.


At-Home professional tooth bleaching uses a weaker version of the bleaching agent, which is applied to your teeth in custom fit trays that we make for you. At the first appointment we will measure the current color of your teeth, take a photograph and take impressions to fabricate the custom trays. These custom trays are specifically designed to contain the bleach on your teeth and not your gums. Often times, an improperly designed tray, causes the bleach solution to leak onto your gums and can cause the sensitivity.

At the second appointment, we will deliver your trays and go over the instructions for bleaching at home. After brushing and flossing your teeth you will apply a bead of the bleaching gel to the inside of the trays. The trays are then inserted over your teeth and worn for a minimum of one hour. You should not eat or drink while the trays are in place. After removing the trays, brush your teeth and rinse the trays out. At-home tooth bleaching is designed for you to wear the trays every night for 2 weeks. The In-Office and At -Home systems can be equally effective, and the method you choose is simply your personal preference.


Based upon the literature there are various degrees of bleaching relapse will occur over time.4, 5 To minimize the bleaching relapse, a patient would have better success with a power toothbrush and whitening toothpaste over manual toothbrushing.6 Additionally, we recommend that patients use trays to bleach their teeth at some regular interval (monthly, quarterly) for one session to maintain the results of the initial color change.


Transient tooth sensitivity has been the highest reported adverse reaction, in a range of 18%-78% of patients during bleaching with at-home tray delivery and in-office procedures. 7-10   This increase in sensitivity is temporary and can be managed.   We recommend two effective strategies to minimize the sensitivity. Brushing your teeth with an OTC desensitizing toothpaste that contains potassium nitrate(ex. Sensodyne) for 2-3 weeks prior to bleaching will drastically reduce this side effect, and can be maintained throughout the process and for a few weeks after.11,12 Another strategy for patients with very sensitive teeth, is to have a patient use a professionally dispensed desensitizing gel with 5% sodium nitrate to be used with the tray at least 1 week prior to the bleaching.13


The active ingredient in professional dental bleaching products was actually invented to prevent cavities and to treat some forms of gum disease. If used in excess over very long periods of time the bleach can cause some minor changes to the tooth’s outer surface enamel. We will guide you to choose the appropriate frequency of bleaching to achieve your esthetic goals and prevent any over-use of the bleaching agents. Based upon the clinical results reported with professional tooth whitening, it is safe, viable and an important part of an esthetic treatment plan.

Contact our practice today at 301-652-2300 and take advantage of this Summer Whitening Special !!!


  1. Haywood VB. Nightguard vital bleaching: current concepts and research.J Am Dent Assoc. 1997;128:19s-25s.
  2. Li Y. Toxicological considerations of tooth bleaching using peroxide containing agents.J Am Dent Assoc. 1997;128:31s-36s.
  3. Rosenstiel SF, Gegauff AG, Johnston WM. Randomized clinical trial of efficacy and safety of a home bleaching procedure.Quintessence Int. 1996; 27:383-388.
  4. Kugel G, Aboushala A, Sharma S, Ferreira S, An-derson C. Maintenance of whitening with a power toothbrush after bleaching treatment. Compend Contin Educ Dent. 2004; 25:119-131.
  5. Leonard Jr RH. Efficacy, longevity, side effects and patient perceptions of nightguard vital bleaching. Compend Contin Educ Dent. 1998;19:766-774
  6. Haywood VB. Achieving, maintaining and recovering successful tooth bleaching. J Esthet Dent. 1996;8:31-38
  7. Haywood VB, Cordero R, Wright K, Gendreau L, Rupp R, Kotler M, Littlejohn S, Fabyanski J, Smith 8. Brushing with a potassium nitrate dentifrice to reduce bleaching sensitivity.J Clin Dent. 2005;16:17-22.
  8. Tredwin CJ, Naik S, Lewis NJ, Scully C. Hydrogen peroxide tooth whitening (bleaching) products: review of adverse effects and safety issues.Br Dent J. 2006;200:371-376.
  9. Jorgensen MG, Carroll WB. Incidence of tooth sensitivity after home whitening treatment.J Am Dent Assoc. 2002;133:1076-1082.
  10. Swift EJ Jr., AT-home bleaching: pulpal effects and -tooth sensitivity issues, part ii. J Esthet Restor Dent. 2006;18:301-304
  11. Haywood VB, Cordero R, Wright K, Gendreau L, Rupp R, Kotler M, Littlejohn S, Fabyanski J, Smith S. Brushing with a potassium nitrate dentifrice to reduce bleaching sensitivity. J Clin Dent. 2005;16:17-22
  12. Leonard, Jr. RH, Smith LR, Garland GE, Caplan DJ. Desensitizing agent efficacy during whitening in an at-risk population. J Esthet Restor Dent. 2004; 16:49-56