Surface Stains vs. Deeper Discoloration
Whitening works best on stains sitting within the outer enamel layer, typically caused by coffee, tea, red wine, or tobacco use over time — these tend to lighten noticeably and relatively quickly. Discoloration that comes from deeper inside the tooth, such as from certain medications taken during childhood, an old injury to the tooth, or a previous root canal, is much more resistant to standard whitening and sometimes doesn't respond to it at all. Knowing which type of staining you're actually dealing with, which is assessed during a proper exam, sets realistic expectations well before you start any treatment. A dentist can usually tell the difference just by looking closely, sometimes with the help of an X-ray if internal discoloration from an old injury or a dead nerve is suspected, which changes the recommended approach entirely.