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Sep 102014

Facts About Teeth Whitening

Your smile creates an immediate, subconscious, visual impact on people you meet. A brighter smile gives the impression of youth, vitality, radiant health, happiness, and warmth. A bright smile is perceived as a healthy smile.

Be sure to consult with your AACD member cosmetic dentist to learn which whitening treatment is best for you. Teeth whitening remains one of the most economical ways to enhance your smile.

Smiles Are Valuable

Statistics reveal that we place a high value on our smiles. According to an American Academy of Cosmetic Dentistry survey:

  • Virtually all adults (99.7%) believe a smile is an important social asset. 96% of adults believe an attractive smile makes a person more appealing to members of the opposite sex.
  • Three-quarters (74%) of adults feel an unattractive smile can hurt a person’s chance for career success.
  • And when respondents were asked, “What would you like to improve most about your smile?” The most common response was: Whiter & brighter teeth. If you are not happy with your smile, teeth whitening may be a good first step.

Causes of Tooth Discoloration

Deciduous (baby) teeth are typically whiter than the adult teeth that appear later. As we age, our adult teeth often become darker, yellower, or stained. This is partly why white teeth make people appear more youthful.

Just as there are a number of ways to lighten or brighten teeth, there are also several different ways for teeth to become discolored. The main causes of darkened teeth are genetics, antibiotics, and certain foods, plus teeth tend to darken as we age. Internal tooth discoloration is caused by changes in the enamel of the tooth and the dentin. The main causes of internal tooth discoloration are exposure to high levels of fluoride, tetracycline, use of antibiotics as a child, developmental disorders, tooth decay, restorations, root canal issues, and trauma.

External tooth discoloration is caused by factors outside the body, mainly foods and tobacco. The main causes of external tooth yellowing are smoking, foods with tannins, coffee, tea, carrots, oranges, and other foods.

Types of Teeth Whitening

There are various ways to whiten your teeth, but the two most common are in-office treatment and the do-it-yourself approach, with over the counter products.

In-Office Teeth Whitening

Professional tooth whitening in a dental office is the preferred whitening method because even though stronger agents are applied, the rest of the mouth, including the gums, is protected from these materials. The best whitening systems feature a buffer in the gel that protects the tooth enamel from damage, are extremely effective, and can transform teeth in a single office visit. Your teeth can literally brighten up to 10 shades in about an hour.

In-office whitening affects only the front eight teeth and is a great jump start for take-home whitening, which is always part of an effective whitening program.

Your dentist is best qualified to handle any issues that may arise from whitening treatments, such as tooth sensitivity. Today most tooth sensitivity cases are easily managed.

Tooth whitening can last for one or more years, depending on how well you take care of your teeth, and if you’re following up regularly with a home whitening product for regular maintenance.

Over-the-Counter (OTC) or Home Tooth Whitening Systems

Commercially available tooth whitening systems have become popular, mainly because they’re relatively inexpensive and easy to use.

There are a few over-the-counter tooth whitening methods that can be purchased without your dentist’s supervision. They include whitening strips, paint-on tooth gel, mouth trays with gel, whitening toothpaste, and even whitening gum. These are typically safe products, but if you have oral concerns, it’s a good idea to ask your AACD member dentist if these products are safe to use.

While over-the-counter tooth whitening products are available, dentist-supervised tooth whitening remains the safest, most effective method for brightening your smile. Here are some key reasons why you should always consult with your AACD dentist.

Properly Fitting Mouth Trays. Often, over-the-counter tooth whitening trays do not fit the patient’s mouth properly. Improperly fitting trays may cause the tooth whitening gel to leak, which can result in gum irritation and a less effective treatment.

Sep 012014

What is Tooth Whitening?

What Is It?

Tooth whitening lightens teeth and helps to remove stains and discoloration. Whitening is among the most popular cosmetic dental procedures because it can greatly improve how your teeth look. Most dentists perform tooth whitening.

Whitening is not a one-time procedure. It will need to be repeated from time to time if you want to maintain the brighter color.

What It’s Used For

The outer layer of a tooth is called the enamel. The color of natural teeth is created by the reflection and scattering of light off the enamel, combined with the color of the dentin under it. Your genes affect the thickness and smoothness of the enamel. Thinner enamel allows more of the color of the dentin to show through. Having smoother or rougher enamel also affects the reflection of light and therefore the color.

Every day, a thin coating (pellicle) forms on the enamel and picks up stains. Tooth enamel also contains pores that can hold stains.

The most common reasons for teeth to get yellow or stained are:

  • Using tobacco
  • Drinking dark-colored liquids such as coffee, cola, tea and red wine
  • Not taking good care of your teeth

Aging also makes teeth less bright as the enamel gets thinner and the dentin becomes darker.

It is also possible to have stains inside the tooth. These are called intrinsic stains. For example, intrinsic stains can be caused by exposure to too much fluoride as a child while teeth are developing. Other causes include tetracycline antibiotics. They can stain a child’s teeth if taken by a mother during the second half of pregnancy or by a child who is 8 years old or younger. Teeth are still developing during these years. Trauma may also darken a tooth.

Tooth whitening is most effective on surface (extrinsic) stains.

Preparation

Other dental problems can affect the success of tooth whitening. For example, cavities need to be treated before teeth are whitened. That’s because the whitening solution can pass through decayed areas and reach the inner parts of the tooth. If your gums have receded, the exposed roots of your teeth may appear yellow or discolored. Whitening products will not make them whiter.

If you have tooth decay or receding gums, whitening may make your teeth sensitive. Whitening also does not work on ceramic or porcelain crowns or veneers.

Whitening can be done in the dental office or at home. For in-office whitening, your dentist probably will photograph your teeth first. This step will help him or her to monitor the progress of the treatment. Your dentist also will examine your teeth and ask you questions to find out what caused the staining.

Next, the dentist or a dental hygienist will clean your teeth. This will remove the film of bacteria, food and other substances that build up on your teeth and contribute to the staining. Once this is done, the whitening procedure begins.

For whitening at home, your dentist can make trays to hold the whitening gel that fit your teeth precisely. Home whitening gel usually needs to be applied daily for two to three weeks. Over-the-counter kits also are widely available for home use. They provide trays to hold the gel, or whitening strips that stick to your teeth. Talk to your dentist if you want to use these home products. Be sure to follow directions to avoid overuse and possible damage to your teeth and mouth.

How It’s Done

There are two main types of whitening procedures. Non-vital whitening is done on a tooth that has had root-canal treatment and no longer has a live nerve. Vital whitening is performed on teeth that have live nerves.

Non-Vital Whitening

Vital whitening may not improve the appearance of a tooth that has had root-canal treatment because the stain is coming from the inside of the tooth. If this is the case, your dentist will use a different procedure that whitens the tooth from the inside. He or she will place a whitening agent inside the tooth and put a temporary filling over it. The tooth will be left this way for several days. You may need this done only once, or it can be repeated until the tooth reaches the desired shade.

Vital Whitening

The most common type of vital tooth whitening uses a gel-like whitening solution that is applied directly to the tooth surface. This product contains some form of hydrogen peroxide.

Tooth whitening can be done in the dentist’s office or at home. In-office (chairside) whitening allows your dentist to use a more powerful whitening gel. A specialized light or laser activates the gel and allows bleaching to happen faster.

In-office whitening usually takes 30 to 90 minutes. You will need one to three appointments. The number will depend upon the method used, how severe your stains are and how white you want your teeth to be. Different types of stains respond differently to the treatment.

First, your dentist will apply a substance that covers and protects the gums around the teeth. Then, the whitening agent, usually hydrogen peroxide, will be placed on the teeth.

Some whitening agents are activated by a laser light, special lights or by the heat from these lights. After the whitening agent is applied, the dentist will shine the light on your teeth. If your teeth are badly discolored, your dentist may suggest that you continue the bleaching process at home for a few days or weeks.

For in-home whitening, your dentist will take impressions of your upper and lower teeth and will make custom mouthpieces to fit you. The mouthpiece needs to fit well. A close fit helps the whitening agent remain in contact with your teeth.

At home, you will fill each mouthpiece with a whitening gel your dentist provides. You will wear the mouthpiece for several hours every day. Many people achieve the amount of whitening they want within a week or two. However, you may need to wear the mouthpiece for four weeks or longer.

You also can buy whitening products over the counter. They contain a weaker whitening agent than the products you can get from your dentist. Therefore, whitening may take longer. The whitening agent is applied as a gel placed in a mouthpiece or as a strip that sticks to your teeth. Over-the-counter mouthpieces fit less securely than the kind you get from your dentist.

Whitening toothpastes are available as well. They contain abrasives that remove stains on the enamel. They do not actually change the overall color of your teeth.

Follow-Up

If you find that your gums are white or sore, follow up with your dentist.

Whitening is not a permanent solution. The stains will come back. If you smoke or consume a lot of staining foods or drinks, you may see the whiteness start to fade in as little as one month. If you avoid these sources of staining, you may not need another whitening treatment for 6 to 12 months.

Re-whitening can be done in the dentist’s office or at home. If you have a custom-made mouthpiece and whitening agent at home, you can whiten your teeth as frequently as you need to. Discuss your whitening schedule with your dentist. You can talk about what whitening products would work best for you.

Risks

Whitening is unlikely to cause serious side effects, although some people’s teeth may become more sensitive for a short while. You may get mild gum irritation as well. Women should not have their teeth whitened while pregnant. The effect of the whitening materials on the development of the fetus is not known. Since the procedure is cosmetic, it should be postponed until after delivery.

When To Call a Professional

If you feel your teeth would benefit from whitening, contact your dentist to discuss the procedure.

Apr 172014
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Email: info@aventferryfamilydentist.com
Call: (919) 372-3400