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My wife may be addicted to teeth whitening. Is it ruining her enamel?

Posted on by smiles4u.

I’ve jokingly call my wife a teeth whitening addict, but I’m starting to worry that’s she’s getting out of hand with it. Don’t get me wrong, she has a beautiful smile — it’s one of the reasons she caught my eye. But, she really obsesses over it. About two years ago, she had in-office teeth whitening done, where they put her under the lights and everything. Right after it, she started using the take-home kit. When her take-home kit ran out of gel, she switched to whitening strips. Now, she buys more gel every six months when she gets a checkup, and uses it right away, and then she uses the strips about once a month between visits. She started talking about going back in for another in-office teeth whitening procedure and I think it’s just nuts. I’m afraid she’s going to destroy her enamel and wind up with serious problems. Are my worries justified? — William

William,
Your wife is probably ok  with the amount she’s using teeth whitening products. Some people do touch up every month or so, but these are usually people who do a lot of things that stain their teeth, like drink coffee daily or smoke. Most people only tend to want to boost their color after a year or so. Bear in mind, the gel she gets in the office is stronger than the over-the-counter stuff, so when she isn’t using that, it’s harder for her to achieve the shade she wants.

Excessive treatments can cause problems, like translucent teeth or sensitivity. If she isn’t experiencing these issues and her dentist thinks her teeth are healthy enough for another round of in-office treatment, she should be good to go.

On the other hand, she could be inadvertently sabotaging her own results. Teeth have microscopic holes in them, but they’re normally closed up. As part of the bleaching process those spaces open. It can take a few days to weeks for them to close entirely up again. So, if she’s prone to doing things that stain (drink coffee, cola or wine or smoke), then the teeth will absorb the stains fairly easily right after treatment. If she can avoid these things, she’ll probably stay happier for longer. Regular brushing right after or even rinsing her mouth, can help slow down the staining process. Over time, her teeth will regain the stains, but her habits play a big role in how quickly this occurs.

The bottom line is that if she isn’t experiencing issues and her dentist has given her the green light, her current schedule is fine.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

My dentist won’t use Zoom… can I buy it and use it on my own?

Posted on by smiles4u.

Over the last year, I have gone through a personal transformation of sorts. I’ve lost nearly 100 pounds and I feel great. Now I’d like to tackle my smile. I’ve always wanted to have a bright, white beautiful smile like the ones I see on those makeover shows. When I went to my dentist to request Zoom whitening, he told me that he uses another product similar to Zoom. He called it Kor? I’m afraid it’s some knock-off of the real thing and it won’t give me the results I want. I don’t know how it compares cost-wise, but I offered to pay for Zoom even if it was more expensive. He wouldn’t go for it. Where can I buy Zoom and just do it myself? — Erika

Erika,
WOW… that certainly is a transformation and one you should be commended for! And it sounds like the teeth whitening will just be icing on the cake after all your hard work.

There are several choices for whitening products and oftentimes it’s personal preference which one a dentist chooses. And that is likely the case with your dentist because Kor and Zoom are very similarly priced. He simply may prefer the results he has seen with Kor and wants to stick with it. The product is known to offer very consistent results on tough-stained teeth, and the company also takes great care in preserving the quality of their product during shipment (i.e. they ship in chilled packaging).

Zoom is recommended only under a dentist’s supervision, so doing it yourself should be out of the question even if you can find someone to sell it to you (assuming it’s really Zoom product). You’re dealing with a high-powered, professional strength whitening product that can do more harm than good to your teeth and gums if they are not used correctly.

Give the Kor brand a try. One thing that might help you in realizing your results better is to have your dentist tell you what shade you started at and what your final shade will be. Sometimes you can’t see the difference immediately, but if you can compare the shades side-by-side, I think you’ll be dazzled by the end result.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Does in-office teeth whitening work?

Posted on by smiles4u.

I’m considering professional whitening at my dentist office. I’ve tried the over-the-counter whitening strips and the only thing they seem to do is damage my enamel. I don’t have any friends or family who’ve done in-office whitening to truly know if it works. I’m also concerned about cost and how frequently I’d have to go back to have it done. Any advice? — Cheryl

Cheryl,
Professional in-office whitening is a great, long-term solution to whiten your teeth. As for damaging your enamel, keep in mind that any whitening products (over-the-counter or in office) can be harmful if used too much. Over-the-counter products are designed to whiten a couple of shades lighter, however, it’s really only temporary because they are not as strong. Plus, they must be used frequently to maintain your desired result.

If you’re interested in professional whitening, check with your dentist, because he probably has a couple of options:

  1. An in-office procedure where he will apply a bleaching agent to your teeth and then use a light to activate the gel (this bumps your color several shades, and you’ll need to plan on about two hours at a cost of several hundred dollars)
  2. Take-home trays for bleaching at home which is less expensive (and works just as well over a longer period of time)

Talk with your dentist about whether or not you’re a good candidate for whitening and what might work best. Professional, in-office whitening can leave your teeth bright white for many years. Touch-ups are typically recommended every couple of years, depending on whether or not your eating, drinking or smoking habits discolor the teeth sooner. The good news is that periodic touch-ups are fairly inexpensive.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Sharp tooth pain while whitening

Posted on by smiles4u.

I started using a home whitening kit a couple of weeks ago and up until this morning, I didn’t notice any problems. Today, I experienced a sharp pain in my front tooth that was chipped several years ago and repaired with bonding. I think the bonding was done about ten years ago, so I am wondering if it is at a point where it needs to be replaced, but I also worry that the whitening has weakened it. — Aneesa

Aneesa,
Bleaching gel hasn’t been known to weaken bonding. If that were the case, the repaired part would probably fall off and not just be a sharp pain like you are describing.

Your tooth probably has a sensitive spot that used to be covered by bonding agent and the whitening gel is affecting it. This is a good example of the importance of a dentist’s supervision when you are whitening. Stop bleaching for now and make an appointment with your dentist so you can determine the exact root of the problem. If it is a sensitive spot, it can be coated with a product that will help with the sensitivity/pain so you can continue on with your regimen.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

I shop at the mall, why not whiten my teeth there, too?!

Posted on by smiles4u.

I wanted to get my teeth bleached, but I called around to a few offices and it’s out of my budget. A few of them said they’d give me stuff to use at home for a couple hundred bucks, and the offices that did Zoom whitening charged much more. I’ve been checking out a place at the mall and I’m pretty sure it’s the brand name, but they’re offering it for about $100. Is it safe to do and how can I be sure it’s the real deal? — Amber

Dear Amber,
More than likely, the product you’re seeing isn’t really Zoom whitening, because they sell a professional-grade product. It’s designed for a true dental office, in which a doctor oversees the procedure. Since we don’t know what type of bleach the place at the mall uses, it’s tough to say whether the active ingredient is the same. However, the brand name uses hydrogen peroxide, and many others use carbamide peroxide, which works similarly. If their formula uses one of those in a powerful concentration, it’s probably effective.

The main problem people run into with mall kiosk bleaching is that the technicians aren’t usually dental experts. In an office setting, you’ll have the doctor to oversee your treatment, and will have a highly-skilled assistant performing it. Because the active ingredient is super-strong, safety protocol must be followed, or you can wind up with nasty burns on your gums, the equivalent of sunburn on your face, and very sore teeth. You really need an expert to perform the procedure, not just an average mall employee who took a class and may or may not understand the human body, as well as the chemistry and biology involved.

Cleanliness is also a huge factor. These kiosks may or may not have the equipment on hand to sterilize items before you use them and, again, the person responsible for sanitization may or may not have been properly trained in infection control.

Even if the mall company has managed to secure brand-name Zoom whitening, it’s only safe and effective in the hands of someone who is skilled. In other words, it’s really a gamble to have bleaching done outside the dental office and most dental professionals don’t recommend it.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Will teeth whitening hurt my baby?

Posted on by smiles4u.

I have been planning my smile makeover for forever. I literally got the treatment plan from my dentist two years ago, but because insurance won’t cover most of it, I’ve had to save. My plan was to start with teeth whitening and then replace my metal fillings and then do some veneers. Well, I got the teeth whitening done a couple weeks ago and my appointment to start the rest of the work is next week. I just found out I’m pregnant. I don’t even know how far along I am, but I’m sure I must have been when I had my teeth whitened. Everything I can find says that you shouldn’t bleach your teeth while you’re pregnant, but nothing tells me why. Could I have hurt the baby?  — A Terrified Mama to Be

Dear Terrified Mama,
Relax and take a couple of deep breaths. There is no evidence to suggest any harm will come to your little one. In order for any kind of drug, medical material, or piece of medical equipment to be deemed safe during pregnancy, it has to get FDA clearance. The only way to get this is by having controlled trials in which healthy babies are born after the product has been used on the expectant mother. Naturally, there isn’t a whole lot of interest in the medical community, or with moms-to-be, in pursuing clinical trials. That doesn’t mean it will cause harm. It simply means it hasn’t been proven to be safe.

While this might seem like a slight nuance in language, it’s everything to the FDA and to manufacturers. This is why each one will tell you to either consult your doctor or not to use it if you’re expecting. There have been no reports whatsoever recognized by a reputable agency of babies being harmed by tooth whitening products. The warnings are simply a protective measure.

If you’re still concerned, have a chat with your OB/GYN. She’ll likely set your mind at ease. With that said, you may want to hold off on the additional cosmetic work until after you’ve delivered. Restorative treatment needed due to decay is generally ok after the first trimester and with clearance from your OB, but cosmetic work is usually on the no-no list because of the anesthetic and stress. Your OB may advise you otherwise, though, so always defer to her for treatment going forward. You can pick up where you left off with the cosmetic work after the baby is born. If need be, a few days of whitening at home should be able to boost your color back up to where it is now.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Can I whiten my bonding?

Posted on by smiles4u.

About 14 years ago I had bonding done on my two front teeth. I really need to have it replaced because it is no longer white, but I am still saving up the money to do it. Until then, will bleaching help with returning it to its original color?  — Sara in Texas

Sara,
Unfortunately, you cannot whiten dental bonding – not even with those high-powered whitening procedures that are done in the dental office. If you try to do it, it will only make your natural teeth look whiter and the difference in color will probably be even more noticeable. Have you talked with your dentist about polishing the bonding? If the discoloration is from external staining it’s possible that the discoloration could be polished away. If the staining is internal, you’ll get the best results by having the bonding replaced.

Be patient and continue to save your money. When it comes to bonding, the worst thing you could do is go bargain shopping for the best price. You’ll want to be sure your dentist has the expertise, artistry and skill to do it right.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about Find out why many consider Dr. Delaune to be the best dentist in New Orleans.

Can I whiten my teeth inexpensively at home?

Posted on by smiles4u.

A few years ago, I was able to save up so I could afford an in-office bleaching procedure. I was very happy with the results, but I really can’t afford to do it again. I’d love to find a cheaper alternative that I could do at home, but will I be able to achieve the same results?
–Sam

Sam,
Just imagine living in during 17th or 18th century where teeth whitening meant saving down your teeth and bathing them in acid. Thankfully, for us, teeth whitening has come a long way since then and you now have all sorts of options to choose from depending on your budget, how quickly you want to get the job done or how white you want to go.

Today, most dental offices offer custom-made whitening trays. While you’ll get similar results as the in-office treatments, it takes longer. The trays are yours to keep for later use, so that means only a one-time expense as long as you take good care of them and there are no changes to your mouth. The only thing you need to do is purchase the whitening gel from your dentist as needed.

If you’re lucky enough, some dentists offer free bleaching trays and gel on a regular basis at your first visit as in incentive to continue with routine cleanings and check-ups.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about Find out why many consider Dr. Delaune to be the best dentist in New Orleans.

Why won’t my implant whiten?

Posted on by smiles4u.

I recently started whitening my teeth, but I’ve noticed that my implant – which used to match my teeth – is darker. Why is my implant not getting whiter along with the rest of my teeth? — Rick in Arkansas

Rick,
There’s good news and bad news with your situation. The good news is that the color you originally chose for your dental implant crown is sealed in, meaning it is very resistant to stains. The bad news is that it makes it impossible to whiten. This is because most at home whitening systems only work to remove surface stains and professional whitening systems permeate below the tooth’s surface to oxidize the stain. There are no dental restorations on the market today that work with either of these options. That is why whitening should be done prior to having any dental restorations, and your dental office should have offered it to you upfront and given the color time to stabilize before deciding on a shade.

Unfortunately, your only real option now is replacing the crown. If you’re satisfied with the shade you have achieved with the rest of your teeth, allow a few weeks for the color to stabilize before setting up an appointment. If you are looking to go whiter and want to do it faster, find a good cosmetic dentist who can help you determine what whitening options best suit your situation before you have the crown remade.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about Find out why many consider Dr. Delaune to be the best dentist in New Orleans.

Can I Whiten My Teeth Too Much?

Posted on by smiles4u.

I need some advice on retouching my bleached teeth — I used Opalescence 20% PF. How many weeks should I touch up and how many hours each day? I don’t want a “glow-in-the-dark” white smile, but I do want to maintain my desired whiteness. I will also be having some crowns placed in the near future and wonder if I should stop whitening a certain length of time before my appointment to ensure a correct color match?

Sara in Georgia

Sara,
As with Opalescence 20% PF and most other brands of bleaching gel, there are no specific answers on how long you should touch up. When talking about crown matching, your dentist should be able to answer these questions for you, and if not, you should have some concerns. Many dentists today are not true cosmetic dental artists, so your desire to achieve a beautiful smile could be in jeopardy if your dentist lacks the skills needed for true cosmetic dentistry.

Can you whiten your teeth too much? There is no clear answer on that because the pace of whitening slows the more you do it, but the teeth will keep getting whiter. Your dentist should ask you several questions in determining what is best option for you:

  • How satisfied you are with the current color?
  • How much did you bleach them?
  • Have your teeth darkened much since the initial whitening?
  • What would you consider to be their ideal whiteness?

Teeth sensitivity will more often than not determine when and how long you whiten your teeth. If you are not experiencing sensitivity, bleach as long as you can. Bleaching overnight is ideal because the gel will typically last all night since your mouth produces less saliva. If you have to bleach during the day, you’ll have to add gel several times because saliva can get into the trays and wash it out. Just be sure you can get at least 20-30 minutes of bleaching time in because that is now long it takes for the gel to soak into the tooth.

Before any color-matching is done on your new crowns, you’ll want to be sure to have stopped whitening approximately two weeks prior. The secret to teeth whitening is in the peroxide gel releasing tiny bubbles of pure oxygen within your tooth, oxidizing the stains and darker colors. These little oxygen bubbles need time to disperse in order to get a true color. If you are doing eight front teeth, the color of the back teeth and the lower teeth just need to be a close match, so a week would be sufficient. If you need an exact color match of a front tooth with a crown matched to another front tooth with natural enamel, you need to wait the full two weeks. If your dentist cannot easily articulate this information to you, you should rethink whether or not f this is the best dentist to give you a new smile.

Remember, your teeth will pick up stains from food or drinks like coffee, tea, berries, etc. Typically, whitening for 2-3 days for an hour/day once every year or two should help you maintain that bright white bleached color.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Find out why many consider Dr. Delaune to be the best dentist in New Orleans.