Abdolutely, place for both!
Unfortunately many people can not/want not take advice from medical professionals, seek help to late so it is really difficult to help.
The bleaching trays, the edges, are they placed very, very close to the end of the gingiva? You see, it the edge sits on the gingival edge it will ‘scratch’ or basically cut the gingiva, and the whitening agent ( 3-10% buffered Hydrogen Peroxide or similar) will chemically burn it.
Does happen. I always provide new trays if the assistant cuts them to short and the patient gets these problems.
Check and tell your doc. You paid good money so you want it to work!
Also if you have a low production of saliva, the gingiva is more sensitive. In yhis case the trays should be cut so the rdge stops around 0.5 to 1 mm from the gingival margin, on the toith itself.
The sensitivity is because the whitening agent ’super cleans’ the tooth, including the exposed dentine with its myriad of tiny canals ( dentine tubuli)
The nerve endings at the dnd if the tubuli start reacting.
Sensodyne tiith paste applied and left overnight helps a lot.
The Amalgam malarkey started in my homecountry, Sweden, just when I had qualified. To cut a long story short, we all stopped using it. About 30 years ago.
It all was based on one guy’s totally false research, assumptions, wrong conclusions.
We experienced what can be closest described as Hysteria, people started attributing all their problems, real and imagined, of the Mercury.
We all had patients like that. Some even never had one Amalgam filling placed in their mouth, but they still perceived being ill from it.....
We worked our backsides off to make patients happy and remove their fillings before new recommendations were issued.
A filling or restauration (any material) should only be removed if faulty ( broken, decay, whatever) because each time we remove a it, we need to remove a little bit of the sound tooth which weakens the it, stresses the pulp and increases the chances for necrosis of it.
Of course aesthetics are a reason too.
Yes we caregivers do inhale the Amalgan particles and have a higher Hg level in our bodies, but none of the research done the last three decades has shown any increase of any problems amongs dentists or assistants.
Patients show a slight increase for a very short period of time, so you guys do not need to worry!
I know that NHS dentists want and need to do only the minimum, the easiest and the most neccessary treatment as the fee system punishes them.
I never worked within the NHS system with adults as it is incompactible with the way the Swedish trained dentist works, I only treated children of my (private) adult patients, but have plenty of friends that do, so I know the system very well.
Sorry to be off topic on your thread, Darryl of Sussex, buy I think I gave you people some good and useful advice here.