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Please remember there are no guarantees as to the amount of lightening that can be achieved with the whitening treatment.

Please discontinue the bleaching if problems occur, and contact the surgery during our normal working hours for advice.

Alternatives to tooth whitening include micro-abrasion (this will only remove extrinsic surface staining), veneers and crowns (this is an invasive procedure that involves removal of tooth enamel/dentine which can result in irreversible damage to the nerve of the tooth).

We are planning to whiten your teeth using a carbamide peroxide solution. Please read the following instructions carefully.

The active ingredient is carbamide peroxide in a glycerine base. If you know of any allergy or are aware of an adverse reaction to this ingredient, please do not proceed with this treatment.

As with any treatments there are benefits and risks. The benefits are that teeth can be whitened fairly quickly in a simple manner. Research indicates that using peroxide to bleach teeth is safe. The long-term effects are as yet unknown. Although the extent of the risk is unknown, acceptance of treatment means acceptance of risk.

This type of whitening treatment has been used by dentists for over 40 years.

The amount of whitening varies with the individual. Most patients achieve a change within 2-5 weeks. It is advisable not to smoke during the course of bleaching treatment for at least 5-8 weeks. Sensitivity may result after a few days. This is usually slight and temporary.

Do not use the bleaching treatment if you are pregnant. There have been no reports of adverse reactions, but long-term clinical effects are unknown.

Some teeth do not bleach evenly particularly around gum recession on the lower premolar teeth. The enamel bleaches well but the exposed dentine does not bleach as well.

When the treatment is completed, please keep the trays so that they can be used for a top-up maintenance treatment. It may be necessary to do a top-up treatment in 18-24 months depending on the amount of staining.

Instructions for tooth whitening

  • Brush your teeth thoroughly and floss as normal.
  • Remove the tip from the syringe containing the gel and extrude a little of the contents of the syringe into the appropriate part of the tray towards the deeper and front part of the tray. About half of the syringe will normally be necessary for your top and bottom trays.
  • Seat the tray over the teeth and press down firmly.
  • A tissue or a cotton wool roll should be used to remove excess gel that will flow beyond the edge of the tray. The tray is usually worn whilst sleeping, (the bleach is active up to 8 hours.
  • In the morning remove the tray and brush the residual gel from the teeth. Rinse out the tray with COLD water only. Store your trays in a safe container. Do not brush the trays.
  • Do not eat, drink or smoke while wearing the whitening tray.
  • The gel should be stored in the fridge and not exposed to heat or sunlight.

The fee for the bleaching treatment cannot be waived if we decide that this treatment is voluntarily discontinued due to side effects, or if you decide to voluntarily discontinue the treatment.

The photographs taken of my teeth will be referred to for clinical purposes relating to my treatment and kept with my confidential dental records.

I agree to the photographs being taken by my dentist and consent to their use for the purposes described above. I understand that their use will be in accordance with the 1998 Data Protection Act.

I have read and understood the above information and agree to return for review appointments after the treatment begins and at any recommended time afterwards. I have read and received a copy of this information sheet. I consent to the treatment and accept the risks described above.

If you have any questions, please ask a member of our team.

Please sign (electronically) and date at the bottom of the form to authorize treatment

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Comments from G.B

“First class treatment and care through out. Many thanks”

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Comments from H.I

“I am completely satisfied with the treatment I receive. My dental maintenance is very challenging for you due to my ongoing medical situation. I appreciate…”

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Comments from B.E

“My family is relatively new to the practice, under the care of Deborah and Luciana, for which we would like to take this opportunity, to…”

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Comments from N.W

“Saw Lucy the hygienist today she is a very affable lady and immediately puts me at my ease. She is very informative and explains each…”

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Comments from P.T

“"Dear Doctor Olga, and Dear Doctor Stern, I would like to express my sincere gratitude for the excellent dental treatment affected by your selves. You…”

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Comments from D.F

“"Just wanted to thank you for all your kindness, for been so professional and the same time so friendly. I never feel anxiety when I…”

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Comments from P.P

“"I was fortunate to discover Chase Side Dental when I developed a terrible abscess a year ago and was referred to Sharon Stern who is…”

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Collected from our comments box in reception area.

“Reliable friendly and excellent treatment. I have Olga and Sharon. I like honest approach to every situation.”

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Comments from J.B

“I was receiving chemotherapy when an abscess brought that to a close. I came to Olga in great pain and she treated me with respect…”

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SB on Dr Olga Argyros

“Just to say that I am really pleased with your practice. Everything is always efficient, sparkling clean and all the staff and friendly and cheerful.”

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10.01.2019 on Dr Olga Argyros

“"I just wanted to say thank you for your diagnosis of the lump on my thyroid, during your examination. I have had an operation and…”

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Mrs RS on Dr Stern

“"I thought Dr Stern was amazing and am grateful that I had the treatment there."”

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Mrs NR on Dr Sharon Stern

“"I was simply amazed at the wonderful painless experience I had this week with Sharon. Wow! This was undoubtedly the best ever dental experience. No…”

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Mrs PL on Dr Olga Argyros & Lucy (Hygienist)

“I am a new patient and so impressed with the expert treatment I have received from Olga and her team. The atmosphere is helpfully calm…”

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Mr BA on Dr Olga Argyros

“At this examination on the 16th November Dr Olga discovered a lump under my chin. Dr Olga wrote a letter of referral to a consultant…”

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Mrs K.T. on Dr Olga Argyros

“Very detailed explanation, very patient. Excellent service!”

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Mr A.A. on Dr Sharon Stern

“I recently was treated by Dr Stern. The procedure sounded like it could be painful and tricky, but my experience was the opposite! From the…”

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Mrs M.P. on Dr Olga Argyros

“I cannot praise Olga and her team enough. If there is anyone that goes the extra mile with her patients it is definitely her. Nothing…”

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Mrs S.P. on Dr Sharon Stern

“Of lately I visited Dr. Sharon Stern for my root canal treatment. Till the visit I was sceptical whether the procedure will go smooth or…”

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Mrs A.W. on Dr Olga Argyros

“I have nothing but praise for this practice, Olga is great and very gentle but thourough in her care. The reception staff are always helpful…”

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Comments from Mr J.F

“Throughout Chase Side Dental Practice, you unfailingly meet the same calmness from Reception to Olga in surgery and Lucy the hygienist. That calmness underpins the…”

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Comments from Mrs S.G

“The current Dental Practice is very special, state of the Art. The Staff are very kind, attentive and patient; from reception to practitioners! I feel…”

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Comments from Mrs J.W

“I am very happy with the treatment I get from your practice. All staff are pleasant and efficient, your new premises are always clean and…”

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Comments from Mr D.K

“I had a very good session Sharon explaining what she was doing throughout the treatment, and I would like to thank you all for your…”

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Dr Olga Argyros

Practice Principal

Dr Sharon Stern

Specialist Endodontist

Dr Deborah Lipman

Associate Dentist

Miss Luciana Visintin

Dental Hygienist

Mrs Karen Brown

Dental Nurse

Mrs Runak Nasir

Dental Nurse

Ms Narvada Hurdoyal

Dental Nurse/Receptionist

Jehona Xhameta

Trainee Dental Nurse

Mrs Lisa Statham

Receptionist

Ms Phoebe Licheri

Receptionist

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