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Personalized Whitening Profile

Personalized Teeth Whitening Advice

Get instant free advice and suggestions on how to handle your particular case by our panel of teeth whitening experts. Please allow approximately 5 minutes to complete the form below. All questions are optional; however, filling out the entire questionnaire will provide you with the most advice. Once you've filled out the form you'll be given teeth whitening advice to help you achieve white teeth that's unique to you.

What is your age?

Under 12
12 - 14
14 - 18
18 - 25
25 - 40
40 - 55
55+

What is your general level of oral health?

No problems, check-ups are always good
Occasional cavities, some gum sensitivity
Frequent cavities, regular gum sensitivity
Diagnosed dental conditions such as gingivitis etc., underlying stain issues such as tetracycline staining

Have you tried to whiten your teeth in the past?

Yes
No

What types of whitening have you tried in the past?

OTC whitening toothpaste
Whitening Pen
Whitening Strips
Laser Whitening
In-Office Whitening Solution
At-Home Custom Tray Whitening

Which whitening treatments are you considering?

Whitening Toothpaste
Whitening pen
Whitening strips
Laser Whitening
In-Office Whitening Solution
At-Home Custom Tray Whitening

How often do you whiten your teeth?

Once a year or less
Twice a year
3+ times a year

How many shades are you trying to achieve with a single method?

More than 8 shades whiter
More than 4 shades whiter
Brightening and polishing

How important is cost to you?

Very Important
Somewhat Important
Not very Important

How important is convenience to you?

Very Important
Somewhat Important

Do you have sensitive teeth?

Yes
No

Are you a smoker?

Yes
No

Are you a regular consumer of cola, wine, or coffee?

Yes
No

Do You Have Tetracycline Staining or Other Antbiotic or Genetic Staining?

Yes
No
Teeth will appear grey or brown. This may also come from genetic discolorations.
See example images of how this may look: Example 1 Example 2

Do you have any cosmetic bonding, veneers, or caps on your teeth?

Yes
No
Please answer at least 2 questions before proceeding.
Disclaimer: Information from this questionnaire should not replace necessary medical consultations with a qualified health professional to meet your individual health or medical needs, or those of your loved ones. The information provided at Teeth Whitening Reviews is with the understanding that Teeth Whitening Reviews is not engaged in rendering professional medical services or advice.