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2 December 2009
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You are in : HEALTHCARE

TEETH WHITENING

Now we all know the importance of healthy teeth and a nice big smile. So it's no surprise that many people are going the 'American way' these days and opting to have their teeth 'whitened'.

What may come as a surprise though is that EU laws mean that many such treatments are 'technically' illegal in the UK...

How common have these 'tooth-whitening' treatments become?
They've actually been around for a few decades now. Like many things the trend for having our teeth pearly white originates over the other side of the Atlantic. The Americans are mad about having ultra straight, healthy looking white teeth. Many of the techniques for this treatment were perfected over in the States. And it seems, that not to be outdone over here, we've become quite keen on the look too.

It's not purely a fashion thing though is it?
No. Tooth colour is genetically determined, like hair colour. But, unlike hair, teeth tend to darken naturally with age. They can also become stained - through drinking tea and coffee or smoking, and as well as that illness plays its part in the colour of our teeth.

So tooth whiteners are useful for dentists because they lighten teeth and improve appearance without ruining natural tooth tissue, and they mean dentists don't have to resort to using veneers. It's a costly process though - we're talking hundreds of pounds here.

So what's the problem with teeth-whitening then?
In a nutshell, it's the actual material - the bleach should I say - that's used in teeth whiteners. Under EU laws it's a criminal offence to 'supply' products with more than 0.1% hydrogen peroxide in them - tooth whitening agents usually contain around 3.6% hydrogen peroxide. The EU say this is too high and there are concerns this sort of level of peroxide could damage teeth or gums. Dentists I should point out insist their techniques are quite safe.

But are dentists 'supplying' the material? Surely that's the company that makes the stuff?
Well the British Dental Association has sought legal advice on this. It says that if a dentist is applying tooth whitening products in exchange for payment, he or she would be likely to be selling, and therefore 'supplying', the products. So 'technically' dentists who are using tooth-whiteners are breaking the law. I should add that patients who undergo this sort of treatment are in no way liable!

But most dentists who've always carried out teeth-whitening procedures are continuing to do so aren't they?
It would seem so yes. British dentists have been told they face criminal prosecution if they use tooth-whitening treatments. This could mean a fine of around five thousand pounds, or even a six month jail sentence. But so far things haven't gone that serious. And it's thought trading standards officers will only become interested in the supply of tooth-whitening material at a dental practice if a patient comes forward with a complaint about any other aspect of a surgery.

Adam Jaffa, who manages the Gentle Dental Care dentist surgery in Belfast. says any move to prosecute a dentist is an over-reaction.

So dentists don't have a problem with teeth-whitening procedures then?

No. They say if the treatment is used carefully, it's a very effective and simple, one-off treatment for patients who want to see an improvement to the look of their teeth. They feel that if patients want the treatment, then they should get it. And that if the tooth whitening process is freely used in the United States, and many other places, then why not here. There's a feeling among some that this is petty bureaucracy.

What's the British Dental Association doing about this?
All it can do is publish advice to dentists, explaining the rules as they stand at the moment. It says there's nothing illegal or unsafe about the 'technique' of tooth whitening. It's simply that the supply of the products has 'by accident' become caught by an EU Directive. But it wants its members to be aware that if they are carrying out teeth bleaching, they're breaking the law, and should do so at their own risk.

At the same time the BDA is working with manufacturers to try to get the supply of tooth whitening products back on the agenda of the European Commission advisory groups to get the rules changed. But it's not known how long this process will take.

RELATED LINKS
British Dental Association

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