Posts for tag: teeth whitening

StainingWithinaToothRequiresaClinicalWhiteningApproach

Home whitening kits are a popular way to turn a dull smile into a dazzling one. But these self-applied products only work for teeth with outer enamel stains — if the discoloration originates inside a tooth, you’ll need professional treatment.

Known as “intrinsic staining,” this type of discoloration most often occurs within a tooth’s pulp or dentin layers. There are a number of causes like tooth trauma or tetracycline use at an early age. A root canal treatment used to remove infection from deep within a tooth can also cause discoloration: sometimes blood pigments left after tissue removal or the filling materials themselves can stain a tooth’s interior.

Intrinsic staining can often be treated by placing a bleaching agent, usually sodium perborate, into the tooth’s pulp chamber. But before undertaking this procedure on a tooth that’s undergone a root canal treatment, we want to first ensure the filling is intact and still adequately sealing the tooth from infection. We also want to make sure the supporting bone is also healthy.

If all’s well, we access the pulp in the same way as the root canal treatment, and preferably through the same access hole. We then clean out the pulp chamber of any stained matter and then ensure the root canals remain filled and sealed off from the pulp chamber.

We can then place the bleaching agent into the pulp, a process that will need to be repeated every three or four days to achieve the desired level of brightness. After each session we place a cotton pellet over the opening and held in place with a temporary adhesive; we can easily remove and re-apply this covering during subsequent sessions. Once we’ve achieved the desired color change, we seal the tooth with a permanent filling and restore the access cavity with a tooth-colored composite resin material bonded to the enamel and dentin.

There are other options for an intrinsically stained tooth like veneers or crowns that outwardly cover the discoloration. Internal bleaching, however, is a more conservative approach that causes less alteration of the tooth. If successful, it can restore a stained tooth to a brighter, more attractive shade.

If you would like more information on internal bleaching, 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 “Whitening Traumatized Teeth.”

DeterminingtheRightWhiteningApproachisKeytoBrighteningaDullSmile

Bright, naturally white teeth are a key component in a beautiful smile. But the opposite is also true: nothing diminishes an otherwise attractive smile more than stained or discolored teeth.

There is good news, however, about tooth staining: it can be greatly reduced with the right whitening technique. But before taking action we need to first uncover the cause for the staining — whether from the outside or inside of the tooth, or a combination of both.

If it’s an external cause — known as extrinsic staining — our diet is usually the source. Foods and beverages that contain tannins, like red wine, coffee or tea fall in this category, as do foods with pigments called carotenes as found in carrots and oranges. Besides limiting consumption of stain-causing foods and maintaining daily oral hygiene, you can also diminish extrinsic staining with a bleaching application.

There are two basic ways to approach this: with either a professional application at our office or with a home kit purchased at a pharmacy or retail store. Although both types use similar chemicals, the professional application is usually stronger and the whitening effect is obtained quicker and may last longer.

Discoloration can also occur within a tooth, known as intrinsic staining, and for various reasons. It can occur during tooth development, as with childhood overexposure to fluoride or from the antibiotic tetracycline. Poor development of enamel or dentin (the main sources of natural tooth color), tooth decay, root canal treatments or trauma are also common causes of intrinsic discoloration.

There are techniques to reduce the effects of intrinsic staining, such as placing a bleaching agent inside the tooth following a root canal treatment. In some cases, the best approach may be to restore the tooth with a crown or porcelain veneer. The latter choice is a thin layer of dental material that is permanently bonded to the outer, visible portion of the tooth: it’s life-like color and appearance covers the discoloration, effectively renewing the person’s smile.

If you’ve been embarrassed by stained teeth, visit us for a complete examination. We’ll recommend the right course of action to turn your dull smile into a bright, attractive one.

If you would like more information on treatments for teeth staining, 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 “Teeth Whitening.”

By George Salem and Associates, PC
May 24, 2018
Category: Dental Care
Tags: teeth whitening  

Teeth WhiteningIf you want a whiter smile fast then you should turn to our cosmetic dental team.

 

No matter whether your wedding day is fast approaching or you have a big job interview coming up, one thing is certain: you want a smile that will look vibrant and radiant rather than yellow and dull. This is where our Braintree, MA, cosmetic dentists come in. If you want a whiter smile fast, we can make that possible.

Why do people choose in-office teeth whitening?

While some people may not relish the idea of sitting in the dentist’s chair for an hour or coming into the dental office when they don’t need to, if you want to get a significantly brighter smile in one day then the only approach is our professional chairside teeth whitening system.

Before your whitening treatment begins we will use a shade guide to determine the current color of your teeth. Once the whitening treatment is over, we will pull out the shade guide again to show you just how much your smile changed after just one session. Depending on the severity of your stains, you may only need one whitening treatment; however, those with more deep-set or dark stains (e.g. smoking stains) may require more than one session in order to get the results they want.

How does professional teeth whitening work?

The goal of our Braintree, MA, dentists is to make sure that we remove yellowing and dental stains and to give you an evenly brilliant and whiter smile. Professional teeth whitening is the only system that removes dental stains while also altering the actual color of your teeth to make them whiter.

Whitening gels across the board contain either hydrogen peroxide or carbamide peroxide, the two most common active ingredients used to break up and destroy stain molecules within the hard outer layers of your teeth. The whitening gel that we use contains the highest percentage of active ingredient, which means that we don’t have to leave the whitening gel on your teeth nearly as long as over-the-counter whitening gels in order to achieve visible results. In just one trip to our office, we could get your smile up to seven shades whiter!

Do you want to find out if you are an ideal candidate for professional teeth whitening in Braintree, MA? If so, then it’s the perfect time to call our office today to schedule an appointment with one of our fantastic cosmetic dentists.

By George Salem and Associates, PC
April 17, 2017
Category: Dental Procedures

When you have stains on your teeth, teeth whitening in Braintree, Massachusetts from Dr. Georgeteeth whitening Salem and Associates can solve your problem. Our teeth rarely stay as white as we would like them too. However, with the help of this in-office teeth whitening procedure, you can get a brighter smile in a safe way. This cost-effective procedure offers dramatic results in just one visit.

More About Teeth Whitening

Ultimately, professionally supervised teeth whitening works faster than at-home options. They also protect the gums and surface of the teeth a lot better too. Patients must have an oral exam before embarking on teeth whitening in Braintree MA. Dr. Salem will examine the teeth and gums closely in order to determine whether or not teeth discoloration is the result of a dental condition first.

Professional teeth whitening uses high-concentration bleach gels in order to give a powerful treatment. The gums and surface of the teeth are covered with a barrier to keep them protected. Next, a thin plastic device holds the teeth and cheeks away from the teeth where the gel will be applied. The gel is left on for about an hour at a time. After it is removed, results are obvious almost immediately.

Caring for your teeth following a teeth whitening procedure is important. Following a regular oral hygiene routine of brushing (at least twice daily) and flossing (at least once daily) will help keep your teeth looking their best. Avoid any food or beverages that stain such as tea or coffee. Follow-up sessions are encouraging to maintain optimal results.

Schedule a dental examination in order to determine whether or not you're a viable candidate for this helpful dental treatment option. In order to learn more about teeth whitening options in Braintree, MA with Dr. George Salem and Associates, call his dental office at 781-843-0660 today.

KathyBatesPlaysItSmartWithProfessionalTeethWhitening

Academy Award-winning actress Kathy Bates knows how important it is to present your best face to the world — and one of the most important features of that face is a beaming smile. But there came a point when she noticed something was a little off. “I've always had good teeth, but it seemed to me as I was getting older that they weren't looking as good,” Kathy explained in a recent interview with Dear Doctor magazine.

That's when she decided it was time to take action. Kathy had orthodontic treatment when she was in her fifties, and she keeps her smile bright with tooth whitening treatments. She uses a kit provided by her dentist with a safe, effective whitening solution.

Of course, a bright, healthy smile looks great anywhere — whether you're on the red carpet or “off the grid.” And you don't have to be a Hollywood star to have professional whitening treatments. In fact, teeth whitening is one of the most popular and affordable cosmetic treatments modern dentistry offers.

The basic options for professional teeth whitening include in-office bleaching or take-home kits. Both types of dentist-supervised treatments offer a safe and effective means of getting a brighter smile; the main difference is how long they take to produce results. A single one-hour treatment in the office can make your teeth up to ten shades lighter — a big difference! To get that same lightening with at-home trays, it would take several days. On the plus side, the take-home kit is less expensive, and can achieve the same results in a bit more time.

It's important to note that not all teeth can be whitened with these treatments. Some teeth have intrinsic (internal) stains that aren't affected by external agents like bleaches. Also, teeth that have been restored (with bonding or veneers, for example) generally won't change color. And you can't necessarily whiten your teeth to any degree: Every tooth has a maximum whiteness, and adding more bleach won't lighten it beyond that level. Most people, however, find that teeth whitening treatments produce noticeable and pleasing results.

What about those off-the-shelf kits or in-the-mall kiosks? They might work… or they might not. But one thing's for sure: Without a dentist's supervision, you're on your own. That's the main reason why you should go with a pro if you're considering teeth whitening. We not only ensure that your treatment is safe — we can also give you a realistic idea of what results to expect, and we will make sure that other dental problems aren't keeping you from having a great-looking smile.

How often does Kathy Bates see her dentist for a checkup and cleaning? “I go about every four months,” she noted. “I'm pretty careful about it.” And if you've seen her smile, you can tell that it pays off. If you would like more information about teeth whitening, please contact us or schedule an appointment. You can learn more in the Dear Doctor magazine articles “Important Teeth Whitening Questions Answered” and “Teeth Whitening.”



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Dr. George Salem and Associates, P.C.

Braintree, MA Dentist
Dr. George Salem and Associates, PC
60 Adams Street
Braintree, MA 02184
(781) 843-0660
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