Saturday, February 2, 2013

A Bright White Smile


                                  
 
Robert Follweiler D.D.S.    Periodontology       
901 East Ocean Boulevard   Stuart,  FL 34994   772-283-1400

 

Patients ask us everyday about teeth bleaching. It appears that white teeth are now another symbol of youth and attractiveness. Believe it or not folks have been trying to lighten their teeth for over 100 years. Tooth whitening procedures were first documented in dental literature in 1872.  Although everyone would like to achieve that movie star smile there are a few things to keep in mind when it comes to whitening your smile. 

First and foremost is to have realistic expectations. While tooth bleaching creates white smiles, people are sometimes disappointed with the results. Many people expect their teeth to be as white as copy paper after the procedure. Even with the most favorable outcome your teeth cannot approach this degree of whiteness. Teeth this white look unnatural.  The best results are achieved when the shade you select fits your overall look and coloring.

The second thing that you should be aware of is the type of staining and discoloration that you are attempting to remove. There are two main reasons for stained or darkened teeth. One is extrinsic, (from the outside) and the other is intrinsic (from the inside).
 
Extrinsic stains are the yellow to brown discolorations that result from years of consuming highly colored beverages, (coffee, tea & wine) smoking or poor oral hygiene. Discoloration can also be the result of the aging process and thinning of the enamel.  This type of staining usually responds well to the various types of bleaching techniques.
 
Beaching is often less predictable in situations where the origin of the stain comes from within. These stains can be the result of trauma, congenital abnormalities (situations you are born with) and medications such as tetracycline. Understanding the origin of the stain will help form realistic expectations.

Finally, it is important to become an informed consumer. Learn about the various types of bleaching techniques that are available.  There are four basic methods of whitening your teeth; in office power bleaching, laser bleaching, take home dentist supervised bleaching and over the counter bleaching systems. The two main categories of bleaching agent are peroxide- based whitening and nonperoxide based stain removal.

The in office power bleaching uses a powerful light source and a bleaching agent. The lips, gums, and inside of your mouth are isolated to protect them from the chemical agent used.  This process takes about 1-2 hours. The laser bleaching takes about the same amount of time as the power bleaching but a laser is the light source that activates the bleaching agent.
 
The take home dentist supervised bleaching systems uses custom made trays that fit very snuggly over the teeth. The bleaching agent is loaded in the trays and can be worn for a few hours or overnight. This system requires 2-3 weeks to achieve the desired response. 

 Several over the counter bleaching systems are also on the market. One type of bleaching system comes as a kit with trays (one size fits all) and bleaching agent included. This technique also requires 2-3 weeks to whiten the teeth. There are also paint on gels, whitening strips and whitening toothpaste. Many of the over the counter methods have not undergone the same amount of testing that the professionally recommended products have and their results may vary quite a bit. 

There are several precautions to take before you bleach your teeth. First, remember that the bleaching agent will NOT lighten your fillings and crowns. Talk to your dentist before bleaching if your have fillings and crowns that will show when you smile.

Next, remember that these bleaching agents can make your teeth and gums very sensitive.  Usually this sensitivity is only temporary. If you have sensitive teeth talk to your dentist before you proceed.
 
Finally, according to the American Academy of Dentistry, bleaching has not been proven to be harmful to your teeth and gums. No matter what technique you chose to get that “Hollywood Smile”, even if you use over the counter products, have a dentist examine your mouth before you begin a program.  With proper planning a bright white smile may be just right for you!

 

Please call our office with any questions.     Dr. Robert Follweiler D.D.S.   772-283-1400