PAP Teeth Whitening Explained

What PAP is, why most home whitening kits in the UK and EU use it, what the research says about how well it works, and how it compares with hydrogen peroxide.

What Is PAP?

PAP stands for phthalimidoperoxycaproic acid. It is a whitening ingredient used in many home kits, strips and pens instead of hydrogen peroxide or carbamide peroxide, the bleaching agents used in dentist whitening. Researchers describe it as a non-hydrogen-peroxide whitening agent.

Why UK and EU Kits Use PAP

In the UK and EU, products sold to the public may contain or release no more than 0.1% hydrogen peroxide. Products from 0.1% to 6% can only be supplied through a dental professional after an examination, and not to under-18s (General Dental Council, EU Directive 2011/84/EU). So home kits sold there use PAP or very low peroxide levels.

The rules differ elsewhere. In Australia, products with up to 6% hydrogen peroxide can be sold to the public with safety warnings (Dental Board of Australia, Australian Dental Association). That is why the same brand can sell a peroxide kit in Australia and a PAP kit in the UK, as SmilePro does.

Diagram comparing PAP and hydrogen peroxide, with the UK and EU whitening rules
UK and EU rules: products sold to consumers may contain or release up to 0.1% hydrogen peroxide. 0.1% to 6% is supplied only through dental professionals and is not for under-18s. Sources: GDC, EU Directive 2011/84/EU.

Does PAP Work? What the Research Says

The evidence is limited and mixed. Most studies so far were done in the laboratory on extracted or animal teeth rather than in people, and they disagree:

Results also depend on the exact product, its strength and how it is used, and most PAP products do not state their strength. Until there are more trials in people, it is fair to say PAP can whiten, but how much varies by product.

PAP vs Hydrogen Peroxide

PAPHydrogen peroxide
What it isPhthalimidoperoxycaproic acid, a non-hydrogen-peroxide whitening agentThe bleaching agent used in dentist whitening and many home products
Sold to the public in the UK and EUYesOnly up to 0.1%; more through a dental professional
Sold to the public in AustraliaYesUp to 6%, with safety warnings
Strength on the packOften not statedOften stated (for example 6%)
EvidenceLimited, mostly laboratory studies, mixed resultsWidely studied; the ADA describes its effects and side effects
Effect on enamelLess change than peroxide in two laboratory studies; none found in a thirdChanges to the enamel surface in some laboratory studies
SensitivityNot yet well studied in peopleTemporary sensitivity is common, more so at higher strengths (ADA)

Choosing a PAP Kit

Look for the strength on the pack or product page, a clear session time and course length, and a money-back guarantee. If your teeth are already sensitive, talk to a dentist first.

Our UK and EU whitening kit guide compares the PAP kits sold there, and our whitening strips comparison covers PAP strips. See also whitening with sensitive teeth.

Compare UK and EU whitening kits

Compare the at-home whitening kits sold where you live

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