The number of shades the patient's teeth will lighten depends on many factors, including the starting shade and cause of discolouration. If the patient has crowns or bridges, these materials cannot be lightened by any tooth whitening gel. Any restorations can be re-created to match the new shade following treatment.

A difference can be usually seen after three to four days. Most patients are satisfied with the results after seven to ten days of wearing whitening trays for one to two hours per day.

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Visit your doctor or health care professional for regular checks on your progress. You will need to have your blood checked regularly to make sure you are getting the right dose of Coumadin. When you first start taking Coumadin, these tests are done often. Once the correct dose is determined and you take your medicine properly, these tests can be done less often.

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Coumadin can cause birth defects or bleeding in an unborn child. Women of childbearing age should use effective birth control while taking Coumadin. If a woman becomes pregnant while taking Coumadin, she should discuss the potential risks and her options with her health care professional.

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If you have an illness that causes vomiting, diarrhea, or fever for more than a few days, contact your doctor. Also check with your doctor if you are unable to eat for several days. These problems can change the effect of Coumadin.

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