Tag Archives: teeth whitening

CEREC crowns

Why Are My Crowns Turning Yellow?

I had two CEREC crowns done and am a bit frustrated. I’ve only had them a few months and they’re already picking up stains. I do drink coffee, but no one told me not to. Is this something I am going to have to give up drinking coffee? If so, I wish they would have told me that. Is there a procedure I can have that will allow me to drink coffee? Will I be able to whiten them back to their original color?

Stan

Dear Stan,

A CEREC Machine
When Should You Get a CEREC Crown?

Teeth whitening will only work on natural tooth structure, so I would not count on that to do any good. Sometimes people are told they are getting porcelain crowns, when their dentist actually gives them a composite resin. This will pick up stains very quickly. I would not think that is what happened to you because you mentioned that you had it done with CEREC crowns which mills from blocks of porcelain.

The porcelain has a protective glaze which protects it from staining. In fact, it should be more stain resistant than your natural teeth. If they are picking up stains, then something happened to damage the glazing. Some possibilities are if your hygienist used something like a power prophy jet or acidulated fluoride. If this happened then, they should bear the responsibility of repairing this.

If they didn’t do this, it is possible you used something that caused some damage to your porcelain crowns. Most whitening toothpastes use abrasives to remove the stains on your teeth. While it does remove some surface stains, the abrasives scratch both your tooth enamel as well as any dental work you have. This means they will quickly begin to pick up stains.

As for your coffee drinking, as long as you get the protective glaze back on your dental crowns, you should have no problem drinking coffee. I do recommend you use a safe whitening toothpaste, however, designed specifically for dental work. Supersmile whitening toothpaste will remove all the surface stains without causing any damage to your teeth or dental work.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Pediatric Dentistry

Discolored Baby Teeth

My five year old son has two front teeth that have become discolored. Is there something I can do? They used to be so white and beautiful. Will teeth whitening work?

Donna

Dear Donna,

Happy girl in pediatric dental chair

I don’t know of a dentist that would do teeth whitening on a child that young. In fact, he would probably resist it anyway because the whitening gel doesn’t exactly taste like a peppermint candy. Plus, he would have to keep the whitening trays on for a minimum of fifteen minutes. Good luck with that unless you want to sit by him the entire time. Additionally, messing with his teeth like that could cause them to fall out prematurely.

There is good news, though. Your son is five years old. It will only be a year or two before those front teeth fall out. Then, he will have nice shiny white adult teeth in there.

If it is surface stains and your regular toothpaste isn’t working, you could try Supersmile Toothpaste. This does a fantatic job in removing surface stains in a safe way. Do not use over-the-counter whitening toothpaste. These contain abrasives that actually damage tooth enamel, leading to more stains.

Other than that, make sure he is brushing after each meal and flossing his teeth before bed. It sounds like you really care about your son’s oral health, so you are probably already doing all of this.

Children at his age rarely pay attention to the appearance of their peer’s teeth. while kids like to make fun of each other, they are more likely to find something else to tease him about than some tooth discoloration.

If after his adult teeth come in there are still stains, then I would speak with his pediatric dentist to get to the root cause of the problem. With baby teeth, they’ll just let nature take its course.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Sedation Dentistry

Dentist Wants to Crown All My Teeth

I haven’t been to the dentist is seven years because of anxiety. I finally plucked up the courage because I was tired of being embarrassed by my yellow smile. I told him I wanted to clean them, make sure they’re healthy, and improve how they look. After the exam, which was discouragingly painful, he told me I have 5 cavities. In order to treat the cavities and improve my smile he wants to crown all my teeth. I feel weird about that because not only are the other teeth healthy, but this is quite an expense he is recommending. I don’t have much experience with dentistry. Is this my only option?

Cal

Dear Cal,

woman asleep in the dental chair from dental sedation

The short answer is no, this is not your only option. You are wise to be concerned. The first thing I want to do is address your anxiety and then we’ll talk about your options. It took a great deal of courage for you to go to the dentist. After such a long period, it would be easy to just find excuses not to go. You are certainly not alone in your dental anxiety.

There is dental sedation available for patients in your situation. They can give you a pill that will completely relax you. In fact, some people call it sleep dentistry because patients almost always just sleep through their procedure. This will not only give you pain-free appointments, but it will also allow you to catch up on your dental work much quicker.

As for crowning every tooth, while I have not examined you, nothing you mentioned indicates the need for such a drastic treatment. You have five cavities and you want whiter teeth, is the way I understood what you wrote. If that is the case, all you need to do is have fillings placed on the teeth with the five cavities. Make sure your dentist gives you mercury-free composite fillings, and then get your teeth whitened.

That is faster, cheaper, and much more conservative with your tooth structure.
This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Invisalign

Can a Dental Flipper Make Teeth Look Straight?

I have crooked teeth but feel I am too old for braces. I’ve heard about a dental flipper that can snap onto your teeth and make them look straight. Will this really work?

Theresa

Dear Theresa,

A dental flipper

A dental flipper

I think whoever told you this had a dental flipper confused with the snap-on smile. A dental flipper is used to replace a missing tooth. It does not fit over a tooth. In case someone reading this is looking into tooth replacement options, a flipper is considered a temporary replacement. It’s inexpensive and people use it to give themselves a “tooth” while they save up for a permanent replacement, such as a dental implant.

Having a Straight Smile Without Braces

Snap-on Smile is something that will snap over your teeth in order to make them look better. They will not look stunning, like they would with porcelain veneers but they will look okay. They are more suitable for something like a photoshoot or one-night class reunion. They are made of acrylic and would need to be replaced every few years.

An image of Invisalign aligners

These days we have better options than ye olde fashioned traditional braces. Now, there is Invisalign. Instead of metal wires and brackets, it uses clear aligners. These are invisible, even at a conversational distance. These are more comfortable than braces and work in significantly less time.

You can go with the snap-on smile and it will give you a decent temporary solution. My suggestion, however, would be to plan long term and get Invisalign. It has an additional hidden benefit of enabling you to whiten your teeth at the same time as you straighten them. The aligners can double as teeth whitening trays. It is like getting a mini smile makeover at a fraction of the cost.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.
Click here to learn about sleep dentistry.

Emergency Dentist

Is a Cracked Crown a Dental Emergency?

I have five porcelain crowns. They have served me well for just over 15 years. With one, there has been a slight defect in it from the beginning. It was never before visible, but could only be felt by my tongue. Lately, it has changed. I can now see it and it feels more like a crack. I am assuming I have to replace the crown, which I am fine with. I am just wondering if it requires an emergency appointment. I don’t want it to break in public.

Allie

Dear Allie,

Gilbert CEREC Crown

While I would not consider this a dental emergency, I would not put it off either. Based on the changes you described, I would expect it to go sometime soon. It has had a good life. Given the amount of time you’ve had all of these crowns, I would expect that others will start to show their age soon too. You have a couple of choices here. You could replace the dental crowns all at once, or you can just replace them one at a time. There are benefits to both.

If you get them done all at once, you will be done with it. Though, of course that is a bigger chunk of money at once. If you do them one at a time, you can pay a little at a time, but you will be making trips to the dentist more often, possibly at unexpected and inconvenient times. It really is six of one; half a dozen of the other. It’s just which inconvenience is the least problematic for you.

One thing to be aware of is that you don’t want a dentist saying you have to replace them all at the same time in order for them to match. That tells me the dentist does not have adequate cosmetic skill. Speaking of aesthetics. If you want to whiten your teeth, the time to do it is now before you have the new crown made. This way, the crown can be made to match the new whiter color. It is certainly not required. I just wanted you to be aware that teeth whitening only works on natural tooth structure so the crowns themselves will not whiten.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Invisalign

Options for a Tooth Gap

I have an 8mm gap in my front teeth. My dentist is suggesting I get Lumineers to fix that but I’m a bit nervous about that. I see the Lumineers have mixed reviews. Are there other options for me that do not include 3 years in metal braces?

Cameron

Dear Cameron,

An image of Invisalign aligners

Whatever you do, please do not allow your dentist to do Lumineers on your teeth. For one, 8mm is enough space for a whole other tooth. This is a very complicated case for any brand of porcelain veneers and you are correct that Lumineers is touch and go at best. This is due to two factors.

1. They are highly advertised to inexperienced cosmetic dentists. You would need one of the top 1% of cosmetic dentists for your particular case.
2. The company that owns Lumineers insists dentists use their lab, which is not known for having excellent results.

My suggestion would be for you to get Invisalign. This can straighten your teeth and close that gap in half the time of traditional braces. Not only that, they can do it invisibly. There are no metal wires and brackets. Instead, Invisalign uses clear aligners. These are much more comfortable and, because they are removable, it is simple for you to brush and floss your teeth.

They have an additional hidden benefit of allowing you to whiten your teeth at the same time. This is because the aligners can double as teeth whitening trays. It is like getting a mini smile makeover at a fraction of the cost.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Invisalign

Invisalign and Retainers

I am on my last pair of aligners and need to move out of state. It is rather sudden, but my mother had a stroke and will need a lot of care. I can work from anywhere so I’m going to move there to be closer to her. I don’t know if I will need to find a new Invisalign dentist or if any dentist can give me the retainer I need. I was told it is important to wear a retainer for a while. How do I handle that?

Amanda

Dear Amanda,

An image of Invisalign aligners

I am sorry to hear about your mother. It is wonderful how you are stepping up to take care of her. You will not have to find another Invisalign dentist to finish out your treatment. You are already on your last pair of aligners so you won’t need any further aligners.

Your dentist is correct that you will need a retainer. It is important in order to get your teeth used to their proper alignment. Without that, they will begin to shift again. The good news is, your final pair of aligners can double as a retainer for you. This will take one burden off of your shoulders while you care for your mother. Follow these directions carefully and you shouldn’t have any problems.

Using Invisalign as a Retainer

  • Step One: Wear them as you have been for your treatment for about a month, only taking them out to eat as well as brush or floss.
  • Step Two: Wear them only at night for a month
  • Step Three: Wear them every other night for a couple of months, doing a shift check after the first few days.
  • Shift Check: If when you try to place your aligners in, they seem a tad more difficult than before, it means your teeth have shifted and you need to go back one step.
  • Step Four: Back off a tad more by wearing them once every three or four days for a month or two, being careful to do shift checks.
  • Step Five: Wear them once a week for a month.
  • Final Step: Leave them out completely.

One word of caution here. Make sure you keep your aligners around and periodically give your teeth a check.

Cosmetic Double Duty with Invisalign

There is another benefit to having your Invisalign aligners around. They can double as teeth whitening trays. This will allow you to whiten your teeth while keeping them straight. All your dentist will have to provide you with is the professional strength gel, which will save you a lot of money.

Best of luck to you and your mother.
This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Sedation Dentistry

Must I Go to an Oral Surgeon to Get Dental Work Done?

My dentist tried to numb me for two different procedures. Neither time worked. I’ve always ended up having to go to an oral surgeon and have my work done with an I.V. that knocks me out. That makes getting any dental care quite expensive. Am I condemned to spending a fortune and still not having healthy teeth? Have you heard of someone in my situation before? Is there a different solution?

Matt

Hi Matt,

Someone asleep from dental sedation

Yes, I think I know exactly what is going on here. The great news for you is there is a solution. One thing I’ve found is that patients with dental anxiety have trouble getting numb. Sometimes it will seem like the numbing medication is working but once the work starts, they can feel pain. However, if they can be relaxed with something like nitrous oxide before the Novocain is administered, then when they are relaxed give them the numbing medicine, it works almost every time.

Some patients have such a high level of anxiety that they need a stronger level of sedation. For those patients, I recommend oral conscious sedation.

For either of these, you will not have to see an oral surgeon. Just do an internet search for a “Sedation Dentist”. They are able to help you in the office, saving you a good amount of money. You will also find that if you use oral conscious sedation, your dentist will be able to do a lot more work in each sitting. This will allow you to catch up on your work more efficiently. In fact, you’ll probably sleep through all the work.

One thing to be aware of, however, is oral conscious sedation, though administered with a simple pill, is so strong you will need someone to drive you to and from your appointment.

Once you’ve caught up with your work, if you’re looking for a quick, inexpensive way to improve the appearance of your smile quickly, I’d consider teeth whitening. That one procedure takes years off the appearance of your smile.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Dentist

How Much is Too Much Dental Work to Get at One Time?

Hello,

My dentist recommended I get a lot of dental work – both cosmetic and general work. I need some cavities filled, one tooth filed down, and several root canals done. I’d also like to get my teeth whitened at this time. Can I get all of this done at once? Or will it take multiple visits?

Tammy, from Mesa, Arizona.

 

Hi Tammy,

To get the most work done at once, you’ll need a sedation dentist. The dentist will put you under oral conscious sedation. Without the sedation, it varies from dentist to dentist how much they will do at one time.

The procedures you need done are not complicated. However, it depends on where in your mouth you need the root canals done. It will take double the time if the root canals are needed in the back of your mouth, versus the front. Your best bet may be to see an endodontist for the root canals, as they are the most experienced and can work fastest.

If you have an experienced root canal dentist or endodontist that can work quickly, your appointment can be completed in about four hours. However, this also depends on your endurance. Without sedation, it may be best to break up the appointments.

This blog post is brought to you by Gilbert dentist, Dr. Roper, of Vista Dorada Dental.

 

Dental Bonding, Teeth Whitening

Can I whiten a bonded area on my tooth?

I had a little black space near my gums covered with dental bonding a few weeks ago. I love having that space filled because I really self-conscious about it. It looks like my bonding is turning yellow, though. My husband says it’s not, but I swear it’s more yellow than it was when I got it put on. I typically brush with baking soda and that’s not helping.  I have a tooth whitening tray from my dentist a year ago. Should I try it on my bonding?

Amelia, Four Corners area

Amelia,

Baking soda is not your best option on dental bonding or porcelain veneers. It is very abrasive and can cause damage to the glaze on the bonding or veneers. The baking soda may be what has made your bonding turn yellow. If the polish has been compromised, that area may be more susceptible to stains from food or drinks, such as berries, coffee, or tea.

The problem could just be the bonding material itself.  If your dentist wasn’t experienced in cosmetic dentistry, there’s a chance that the materials he used weren’t quality materials. It may have caused the area to yellow.

How do I fix my yellowed bonding?

As you said you had this bonding done a few weeks ago, you should return to your dentist and ask about the coloration of your bonding.  Ask if they can repolish that area. Unfortunately, as with porcelain veneers, no whitening will work. Actually, with bonding, whitening can actually make that area look worse because it will whiten the tooth around the bonding and leave the bonded area the color it is.

If you can resolve the coloring issue with your bonding with your dentist, look for a specialty toothpaste designed specifically for bonded areas or porcelain veneers, such as Supersmile toothpaste. If your dentist can’t remedy this, you may need to see another cosmetic dentist. That area may not need to be completely redone, but may be corrected with just better materials.

This post is sponsored by Vista Dorada Dental in Gilbert, AZ.