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BBC investigation uncovers illicit teeth-whitening industry

An investigation by the BBC has uncovered kits being sold that contain bleach exceeding the permitted limit by over 500 times.

A BBC investigation has uncovered the widespread practice of illegal teeth-whitening treatments being sold in secret, often with devastating consequences for consumers, including severe gum burns and tooth damage.

A stock image of a woman in a dentist chair wearing mouth guards and protective glasses.

Social media platforms are being used to advertise and sell teeth-whitening gels that exceed the legal limit of bleaching agents by over 500 times, posing a significant risk to public health.

As part of its investigation, a BBC North West reporter obtained a fake teeth-whitening qualification and was provided with "extreme" bleach, highlighting the lack of regulation and oversight in the industry.

The British Dental Association (BDA) has expressed its strong disapproval of the BBC's findings, emphasizing the need for stricter enforcement of existing regulations.

One seller claimed that the illegal teeth-whitening trade is highly lucrative, with substantial profits to be made by those willing to flout the law.

In the UK, only registered dentists and dental professionals are permitted to administer teeth-whitening treatments using products containing more than 0.1% hydrogen peroxide, as regulated by the General Dental Council (GDC).

Dentists are only allowed to use products with a maximum hydrogen peroxide concentration of 6% for teeth-whitening treatments.

Laboratory tests conducted on products purchased by undercover BBC reporters revealed hydrogen peroxide levels of up to 53%, significantly exceeding the permitted limits.

Kellie Howson, a 54-year-old woman who lost four teeth after undergoing a whitening treatment at a beauty salon in Lancaster, is speaking out to warn others about the dangers of illegal teeth-whitening treatments.

Howson described the excruciating pain she experienced during and after the treatment, which eventually led to the removal of four teeth to alleviate her suffering.

She recalled the intense agony she endured, emphasizing the need for greater awareness about the risks associated with these treatments.

Howson's dentist informed her that the hydrogen peroxide gel used in the treatment had caused irreparable damage, resulting in the loss of four teeth.

Kellie Howson is sitting in her living room. She has dark hair scraped back into a ponytail, and sunglasses on the top of her head. She is wearing a leopard print-style blouse.
Hospital worker Kellie lost four teeth after undergoing a hydrogen peroxide treatment

The incident, which occurred in 2015, has taken years and tens of thousands of pounds to partially rectify, with Howson still dealing with the aftermath.

Howson stated that the experience had a profound impact on her confidence, causing her to become reclusive and avoid social interactions.

She emphasized the need for increased public awareness about the dangers of illegal teeth-whitening treatments, which are often advertised on social media platforms.

The beautician responsible for Howson's treatment was prosecuted for practicing dentistry without a license and was ordered to pay £250 in compensation.

The BBC's North West investigation was prompted by a concerned beautician who contacted the team about the widespread use of illegal teeth-whitening treatments in the region.

The investigation quickly uncovered evidence of beauticians in the Manchester and Merseyside areas advertising and selling kits containing high levels of chemicals, often exceeding safe limits.

Some of these gels were marketed as "extreme bleach" and claimed to be unavailable for purchase in the UK, highlighting the lack of regulation and oversight in the industry.

A BBC undercover journalist made contact with salons and agreed to purchase whitening kits, gathering evidence of the illicit trade.

White n Bright, a company based in Droylsden, Manchester, advertised kits containing 35% carbamide peroxide, which is equivalent to approximately 12% hydrogen peroxide, far exceeding the permitted limits.

This level of bleaching agent is 120 times the legal limit for non-dentists and twice the strength permitted for use by dentists.

The company owner claimed that the treatment was "safe and non-sensitive" despite the high concentration of bleaching agents, and sold the kits for £55.

A teeth-whitening kit containing syringes of chemicals, rubber gloves, cotton buds, tissues, a pair of false teeth to practise on, and the pink, sparkly bag in which it all came.
The £300 training kit came in a sparkly pink party bag and included syringes, gloves, tissues and false teeth to practise on

When the BBC reporter collected the kit, it was handed over in a plastic bag on the seller's doorstep, with no instructions or safety advice provided.

The transaction highlighted the lack of oversight and regulation in the industry, allowing unqualified individuals to sell potentially hazardous products.

On Merseyside, the BBC found a beautician advertising illegal whitening products and training courses, which included fraudulent qualifications.

Pearly White Diamonds offered a £300 online training course, including a kit containing high-strength hydrogen peroxide gels, described as up to 35% and 53% in strength.

The company owner directed the undercover reporter to meet her in a car park to collect the kit, demonstrating the clandestine nature of the trade.

Three syringes on a blue background with black text.
A social media post advertising teeth-whitening products

Before the meeting, the owner acknowledged the change in regulations in 2012, which restricted teeth-whitening treatments to licensed dentists, but claimed it had no impact on her business.

The company owner downplayed the significance of the regulatory change, suggesting that it did not affect her operations.

In the car park, the owner handed over unlabelled gels, a pre-signed qualification certificate, and a set of plastic teeth to practise on, highlighting the lack of oversight and regulation.

Over the following days, the company owner provided a series of messages via WhatsApp, purporting to be a training course, which included advice on applying the gel and ensuring patient safety.

The instructions, which were provided over three messages, emphasized the importance of practising on friends and family to gain experience.

The company owner encouraged the undercover reporter to "practise on friends and family" after completing the training, demonstrating the lack of concern for public safety.

The owner also offered to connect the reporter with a dental manufacturer to brand their own teeth-whitening products, highlighting the potential for substantial profits in the illicit trade.

The BBC found a Wirral-based beautician, Hannah Louise Aesthetics, who had undertaken one of the training courses offered by Pearly White Diamonds.

A certificate from Pearly White Diamonds, being held by our undercover reporter. On the left-hand side is the right-hand side of a woman's face, bearing a big grin, and on the remainder of the certificate the following is written: "Teeth Whitening Course. This is to certify that Laura O'Neill has attended all modules on the course on Cosmetic Whitening Theory and Application. Conducted by Pearly White Diamonds Training. Date 15/09/2025." The instructor's signature, which is pixelated in the image, is on the right-hand side.
A certificate that came with one of the kits was pre-signed by an "instructor"

The owner of Hannah Louise Aesthetics posted a picture of a certificate similar to the one received by the BBC reporter, claiming to be qualified to provide teeth-whitening treatments.

The company used the certificate to advertise its services and take bookings, demonstrating the ease with which unqualified individuals can operate in the industry.

Hannah Louise Aesthetics also advertised teeth-whitening treatments using "extreme" strength gels and "hybrid gels" containing high levels of hydrogen peroxide and carbamide peroxide.

White n Bright, Pearly White Diamonds, and Hannah Louise Aesthetics did not respond to the BBC's requests for comment on the findings.

In England and Wales, using hydrogen peroxide above the permitted limit can result in an unlimited fine and a criminal record, a law that has been in effect since 2016.

However, the General Dental Council's (GDC) ability to investigate is dependent on customer complaints, with the last successful prosecution taking place in October 2021.

According to a GDC spokesperson, the organization's investigative approach is "reactive, rather than proactive," aligning with its statutory objectives and remit.

In recent years, the GDC has shifted its focus towards promoting "education, engagement, and encouraging compliance" as an initial approach.

Laboratory tests conducted at the University of Lancashire analyzed the kits purchased by the BBC.

The test results confirmed that the gels contained the advertised levels of hydrogen and carbamide peroxide.

Dr. Shalini Kanagasingam, a representative from the University of Lancashire, warned that using higher concentrations of these substances without professional dental supervision can lead to irreversible tooth damage and chemical burns.

Dr Kanagasingam, who has dark, shoulder-length hair and is wearing blue/grey medical scrubs, is sitting in a laboratory.
Dr Shalini Kanagasingam said she was shocked by the BBC's findings

Dr. Kanagasingam, who oversaw the testing at the university's school of medicine and dentistry, characterized the gels acquired by the BBC as posing a significant risk.

She acknowledged the public's desire for whiter teeth but emphasized the importance of consulting a dentist before opting for bleaching agents, as a simple cleaning and polishing may be sufficient.

Dr. Kanagasingam advised the public to prioritize a dentist's consultation to determine the best course of action, rather than resorting to high-level bleaching agents.

The British Dental Association (BDA) called for immediate government action to address the issue.

A BDA spokesperson expressed concern over the sale of high-concentration hydrogen peroxide and the offering of unauthorized "training" via social media.

The spokesperson suggested that the potential profits from these activities outweigh the risks for those involved.

A government representative advised the public to contact their local Trading Standards department or Citizens Advice if they have concerns about teeth-whitening products being sold in their area.

For more news from the region, visit the BBC website, watch BBC North West Tonight on BBC iPlayer, or follow BBC North West on social media.

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Study Explores if Brain Stimulation Can Reduce Selfish Behavior

Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.

Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

The image shows a brain scan seen from the dront of the head. The lobes of the brain are artifically coloured in bright red and you can see the pink outline of a person's skull around the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.

The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.

According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.

Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.

The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.

Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.

However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.

Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.

This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

A participant receiving non-invasive brain stimulation during an experiment in a laboratory setting. The volunteer sits in the foreground with another person, whose hands can be seen, holding a scanning device over the person's head. A scan of their brain is visible on a screen behind.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.

These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.

When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.

The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.

One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.

The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.

The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.

Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.

Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.

By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.

Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.

The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.

Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.

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NHS Workers to Receive 3.3% Pay Increase

Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.

The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

Nurses on a ward, checking patient notes

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.

Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.

However, several health unions have expressed disappointment with the announced pay award.

Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.

Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."

She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."

Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.

The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".

Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."

Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."

"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.

In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.

A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."

The pay increase is expected to be implemented by the start of April.

However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.

The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.

Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.

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NHS Waiting List Hits Three-Year Low

In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.

England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

A group of surgeons operating on a patient in theatre

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.

However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.

In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.

This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.

According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.

Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.

Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.

Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.

Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.

Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".

Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.

Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.

A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.

Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.

According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.

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