Posts for category: Dental Procedures
If you're looking to improve the appearance of your smile, tooth whitening treatments — whether done at home or in our office — are a popular option. Here are the answers to some questions that many people ask before they begin the process.
Q: Are commonly used tooth-whitening methods safe?
A: Yes — provided they are used as directed. A large body of research has shown that using the correct concentration of peroxide — the bleach that whitens teeth — for the proper amount of time is not known to cause any major health problems. However, there have been cases where poor-quality bleaching solutions and/or excessive usage have caused deterioration of tooth enamel and extreme gum sensitivity. Always follow our office's recommendation.
Q: Does this mean I have to have in-office treatments to whiten my teeth?
A: No. But you should come in for a thorough dental examination, with x-rays, before you begin whitening treatments. Why? Because if there is trouble with the underlying tooth structure, then whitening the tooth is like painting over rusty metal: It hides the symptom, but doesn't fix the problem. Abscesses and root-canal problems are just two of the underlying causes of tooth discoloration that should be treated before teeth are whitened.
Q: What are some different methods for whitening teeth, and how long do they take?
A: The fastest is in-office whitening treatments, using a strong bleaching solution and appropriate gum protection. Next comes the cost-effective method of at-home bleaching with custom-made flexible plastic trays (sometimes called nightguard vital bleaching.) If you're not in a hurry, over-the-counter (OTC) products can do the same thing — given enough time. One study comparing different whitening treatments found that a six-shade improvement in whitening was accomplished by three in-office treatments. A week was needed for custom-tray bleach applications, or 16 daily applications of OTC products, to achieve comparable results.
Q: Can any tooth be made bright white?
A: No. Every tooth has a maximum level of whiteness, beyond which it can't get any lighter. Furthermore, fillings, crowns and other dental restorations can't be lightened with bleach — another reason to talk to our office; we can help you achieve the best possible look for your particular smile.
Q: How long will my white teeth last?
A: It depends. No whitening method is permanent, but the typical result lasts for up to two years. To preserve that bright smile, you can take some positive steps: Avoid tobacco and beverages that stain, like red wine, tea and coffee; keep up with regular cleanings in our office; and, practice good oral hygiene at home. You can also have a touch-up treatment once or twice a year.
If you need more information about tooth whitening, or you're ready to start the process, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Important Teeth Whitening Questions Answered.”
Clothing and hair styles may come and go, but a dazzling smile is always in fashion! If you're considering options for perking up your appearance, brightening your pearly whites is a quick and affordable way to achieve eye-catching results.
You have several choices when it comes to teeth whitening. But to get the safest, most appropriate, and most satisfying results, you should start with a proper dental examination. A professional assessment of your oral health can determine the cause of your tooth discoloration and may reveal the need for a particular treatment before, or in addition to brightening the color of your teeth.
When we talk about teeth whitening, we generally are referring to “bleaching,” which actually returns your teeth to their natural tooth color. A thorough cleaning — generally part of a routine checkup — often can remove surface discoloration/staining (such as coffee, tea, tobacco or red wine).
There are basically three approaches for external bleaching/whitening of your teeth. They vary based on the strength of the bleaching solution, method of application, duration of treatment, and cost considerations.
Professional In-Office Whitening. This approach involves the carefully controlled application by a dental professional of a powerful and fast-acting concentration of hydrogen peroxide gel. Professional whitening can achieve the most significant color change in the shortest amount of time, but it is pricier than the other options.
Professionally Dispensed Take-Home Whitening Kits. These include a lower-strength peroxide gel applied via flexible plastic bleaching trays custom made by our office specifically for your teeth. The tailored fit of the trays helps ensure an even and thorough coating. A more affordable option than the in-office procedure, it also requires more time to achieve similar results.
Over-the-Counter Products. These feature the lowest-concentration bleaching gel, which is applied to the teeth using one-size-fits-all trays or strips, or a paint-on applicator. While they are the least expensive option, they take the longest to achieve maximum results and may not reach all teeth.
If you have questions about teeth whitening, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”
If a glance in the mirror reveals stained or discolored teeth that are detracting from your self-confidence, it's time to do something about it. The first step is to make an appointment for an office visit to find out how we can help you.
External (extrinsic) stains that form on the surfaces of teeth are usually caused by beverages such as red wine, tea, coffee as well as unhealthy habits like tobacco use. Extrinsic stains generally come in shades of browns, black or grays, but may even be orange or green from color producing bacteria.
Internal (intrinsic) stains are part of the structure of the tooth and cannot be removed by polishing. Among their causes are excessive fluoride levels or tetracycline antibiotics given in childhood and during tooth formation. Teeth do become more yellow and discolored as we age. Discoloration of individual teeth may be indicative of tooth decay, or teeth that have had root canal treatment and have literally lost their vitality tend to darken over time. Internal discoloration comes in a variety of shades and hues from yellows, grays, browns, and even some reds or pink.
Five Ways to lighten, whiten and brighten stained or discolored teeth
- Change your habits. Reduce or stop consuming or using foods, drinks or tobacco if they are staining your teeth.
- Improve your daily oral hygiene. Make sure to brush your teeth well, twice a day. Change to a toothpaste that contains a mild abrasive. Some toothpastes also contain tooth whiteners.
- Visit our office for a professional cleaning and polish. Routine scaling and polishing will remove most superficial external stain and discoloration. Sometimes ultrasonic cleaning (by high frequency vibration) and polishing with slightly abrasive pastes may just do the trick.
- Treatment for internal stain and discoloration. Brown colored decaying teeth need to have the decay removed and the teeth restored. Stained old and leaking fillings may also need to be replaced.
- Tooth whitening by bleaching. Bleaching or tooth whitening is a safe and effective way to brighten stained teeth. Internal tooth bleaching can whiten even discolored root canal treated teeth. Ask us for more information about this technique.
If your mirror tells you that your smile needs attention, there's no time like the present to get started. Get back your bright, white smile and your self-confidence as well.
Some of the most popular smile enhancers on the market today are both over-the-counter (OTC) and professional teeth whitening products. And while studies indicate that bleaching can successfully achieve noticeable increases in whitening of stained teeth, there are some facts you need to know about these products and the results that they can deliver.
- Nearly all bleaching products contain the same basic ingredient, carbamide peroxide or its breakdown product, hydrogen peroxide. However, the products our office uses to professionally whiten your teeth are much stronger without compromising the health and safety of your teeth, gums, and mouth.
- OTC bleaches typically contain no more that 10% carbamide peroxide while professional bleaches can contain between 15% and 35%. And to make professional bleaching even more effective, we may use them in combination with specialized lights or lasers.
- Bleaching is NOT a permanent solution and thus results will diminish over time. The “fade rate” begins to occur 6 to 12 months after treatment.
- While you can't avoid the fading process, you can extend your bleaching results by avoiding foods and drinks that stain your teeth, such as red wine, red (tomato-based) sauces, coffee, tea, sodas/colas, and blueberries to name a few.
- Another method for extending your results is to use a straw when drinking beverages that can stain your teeth so that the liquid does not come in contact with your teeth.
- If you have visible crowns and/or veneers mixed with your natural front teeth, it may be quite difficult for you to bleach your natural teeth so that they perfectly match your veneers or crowns. Remember, tooth whitening is not effective on crowns, veneers, bridgework, or any type of artificial tooth.
- One of the most common side effects of whitening teeth is tooth sensitivity and irritation of the gum tissues. They both are usually temporary and often occur when you start bleaching; however, they generally subside after a few days.
Overall, bleaching your teeth is an effective way to brighten your smile with minimal side effects. If it is something you are interested in pursuing, talk it over with us first — even if you plan to use OTC products — so that you have a clear understanding about your specific options and projected outcomes. Or, learn more by reading the Dear Doctor article, “Teeth Whitening: Brighter, Lighter, Whiter....”
Dental implants are a fascinating treatment option that can be life changing when used properly. They have also experienced tremendous scientific advancements and press over the years making them highly desirable by people of all walks of life. See how much you really know about dental implants by taking our quick and easy true/false self test.
- Dental implants can produce lifelike results that are indistinguishable from natural surrounding teeth.
True or False
- Many dental professionals consider dental implants as a “third set of teeth,” as they can last a lifetime when properly maintained.
True or False
- A dental implant is a safe option that is suitable for all patients regardless of age.
True or False
- When properly placed and maintained, dental implants have a 90% success rate.
True or False
- If you do not have enough bone to support a successful dental implant, there is not much that can be done.
True or False
- When teeth are missing, the face tends to have a sunken-in appearance called, “posterior bite collapse.”
True or False
- One of the positives of dental implants is that they do not affect adjacent teeth.
True or False
- Dental implants typically cost significantly more than other options, such as a bridge, over the course of a lifetime.
True or False
- Dental implants are always more desirable than bridgework or other treatment options for missing teeth.
True or False
- Dental implants can lead to improved health due to better nutrition and proper digestion.
True or False
- True. Dental implants can appear as beautiful, natural teeth.
- True. When properly maintained, implants provide the same function as natural teeth roots.
- False. Dental implants are not suitable for replacing primary teeth or permanent teeth in young children or teenagers. They are best used when facial and jaw development is complete.
- False. They have a 95% success rate.
- False. If you do not have enough bone for a dental implant, you may be a candidate for a bone graft — a process in which we “grow” the bone we need for the implant.
- True. This condition is often totally reversible once teeth have been restored through implants or bridgework.
- True. Unlike bridgework, dental implants do not affect surrounding teeth.
- False. They are less expensive in the long run.
- False. Sometimes a bridge is better than an implant.
- True. Once teeth are restored, chewing and digesting food is easier; thus health improves.