A member asked:

My orthodontist gave me voco perfect bleach for whitening my teeth. he didn't told me, but i noticed i have 2 untreated cavities. can i use it then?

18 doctors weighed in across 11 answers

Whitening: Your whitening products will have a decent shelf life. If they require refrigeration, go place them in the butter drawer and hop on over to your dentist to have your cavities filled. Most likely your trays will still fit and you'll then get to bleach. It's nice to have white teeth in your mouth but not in your hand.

Answered 3/8/2013

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Proceed with caution: Best to have all cavities and gum disease treated and under control before whitening. But, yes you can. See your general dentist pronto for cavities.

Answered 10/4/2016

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Dr. Jeffrey Collura answered

Specializes in Cosmetic Dentistry

No.: I would not recommend bleaching with active cavities. The acid from the bleach could possibly reach the nerve and cause damage, resulting in a need for a root canal. You should really contact your general dentist and have an exam before any bleaching. I would leave bleaching to the general dentist, the orthodontist really should not be providing that service.

Answered 10/4/2016

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Dr. Louis Sterling answered

Specializes in Prosthodontics

After treatment: Have your dental examination first (with your general dentist). Have a cleaning, have any cavities treated, then you can proceed with your bleaching.

Answered 12/30/2016

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Dr. Gary Sandler answered

Specializes in Dentistry

Not yet!!!!: It is essential that all your necessary basic dental treatment completed prior to any whitening procedure. Your teeth and gums need to be healthy first. See your general dentist first and also discuss all your tooth whitening options. It's nice that your orthodontist gave you a kit but heed advice of general dentist.

Answered 3/8/2013

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No, cavities first!: The bleach may irritate your cavities or your gums around it. Bleaching should be the last step after all other dental treatments are completed.

Answered 12/29/2016

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You shouldn't: Get the cavities fixed first. The chemicals on the bleaching can cause irritation to the nerve endings on the deeper layers of your teeth with cavities. These are now exposed because of the cavities, and at higher risk. Get the fillings done, then you can start the bleaching.

Answered 8/4/2014

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Treat decay first: Bleaching is a cosmetic solution and is secondary to the health of your teeth and gums. I would treat the cavities first to make sure that you are preventing further damage to the teeth before bleaching. Bleaching in of itself, used properly, won't hurt teeth--but neglecting untreated cavities would.

Answered 2/10/2017

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Treat cavities first: It would be best to have the cavities treated first for many reasons.

Answered 8/4/2014

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Wait: Treat the cavities, then use the whitening.

Answered 8/4/2014

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Resolve infections: Infections (cavities) should always be resolved before doing any other treatment. Please see your General Dentist for advice as to fixing your cavities and then whitening your teeth. If you have braces in place, the tooth enamel to which the braces are attached will not whiten, and when braces are removed will appear darker than the surrounding enamel.

Answered 9/29/2016

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