Teeth Whitening Archives

Whitening or Filling First?

Posted on October 25, 2022 by writeradmin.

I have amalgam fillings and I want to get rid of them and replace them with the nice mercury-free fillings. I’m excited to finally have white fillings, but I’d also like to whiten my teeth. Is there a particular order to getting this done? Do I get the fillings first and then whiten my teeth or the other way around?

Milo

Dear Milo,

Sanitary Amalgam Removal

There are actually two things to consider here. The first is who will replace your amalgam fillings. It requires a special procedure in order to be done safely. You will need to go to a dentist who has the equipment and understands the procedure. This is because the mercury will liquify during the procedure unless handled properly. As it is a known neurotoxin you don’t want to swallow or even inhale the mercury vapors. I would look for a mercury-free dentist. They only do white fillings and will be much more likely to know how to do a sanitary amalgam removal.

Matching Your Composite Fillings

As for the whitening versus the fillings. I would do the teeth whitening procedure first, especially if you have visible fillings. You can’t quite predict a perfect match with teeth whitening, but a dentist with some cosmetic skill can match the composite fillings to the color of your teeth.

This blog is brought to you by East Cobb dentist Dr. Cristi Cheek.
Click here to read about our free virtual smile makeover consultation.

Tetracycline Stains and No Money

Posted on August 15, 2022 by AllSmiles.

I have had tetracycline stains on my teeth since childhood. All the research says to put porcelain veneers on your teeth to cover them but my dentist doesn’t do porcelain veneers. He does do crowns, which he has suggested we use. Even that, however, is out of my reach. Are there any other alternatives?

Callie

Dear Callie,

I am very glad you wrote. For the benefit of others reading, who may not know what tetracycline stains are (pictured above), I am going to give a brief explanation. Tetracycline is a prescription medication. If you take it before your permanent teeth are formed, which generally happens at the age of twelve, it will deposit in the dentin of your teeth and show up as a dark brown or gray stains.

The best solution to this is porcelain veneers, which would need to be done in the hands of an expert cosmetic dentist. Covering tetracycline stains is one of the most advanced and tricky procedures dentists have to do. They have to make the cover opaque enough to cover the dark stains, but still translucent enough to look sparkling and natural.

Some family dentists who are not skilled in cosmetic dentistry try to make up for this by doing porcelain crowns. I will be honest with you, any dentist that suggests dental crowns for this is a big red flag. They are telling you, “I can’t do porcelain veneers, but I’m totally willing to grind down healthy tooth structure to rake in money for what I do know.” If they don’t do porcelain veneers, they are not skilled enough in cosmetic work to make these crowns look good. Even most dentists who do porcelain veneers don’t have the skills for tetracycline stains.

Tetraycycline Stains and No Money

You have a few options. First, you can leave the teeth as they are while saving up for the high-end (and higher priced) procedure. This obviously would depend on how long it would take you to reach your goal.

Second, you can have teeth whitening done. When you do this, know that it won’t be done in one tube of gel. In fact, you will have to be persistent, but if you are, it will work. One thing to note is I don’t recommend Zoom Whitening for this. It is more expensive than the take-home trays whitening. It is a fantastic whitener, but you will need too many sessions for it to be financially do-able for you. Of course, you could do one zoom appointment to get a jump start and then do the rest with trays. As far as tray teeth whittening goes, see if your dentist offers or is willing to purchase kör whitening for you. This is the most potent gel available.

Your final option is to have the teeth whitening done while saving up. This allows you to make some progress if it is going to take you a long time to get to the cost goal. If you choose this, you may even find you are happy enough with your whitening results that you no longer feel the need for porcelain veneers. Just bear in mind it will take a while for the whitening to really make a difference.

This blog is brought to you by East Cobb Dentist Dr.Cristi Cheek.

How Long is Whitening Gel Viable?

Posted on July 30, 2022 by writeradmin.

I received a free teeth whitening kit with custom trays and some gel when I started with a new dentist. I was so busy with my move, that I completely forgot about them. I was going through an old purse and found the gel. Is that still good? I’m assuming the trays are good forever. It’s been about a year since I moved and had the appointment. I’d like to use it if it is still good, but don’t want to put anything dangerous in my mouth.

Kelli

Dear Kelli,

Life sure does get busy sometimes, doesn’t it? This is especially true after you’ve moved. I have to say I am impressed that you got a new dentist so quickly. That shows you really do care about the health of your teeth. Let’s start with the trays. These can stay fine for many, many years. The most important thing is that they are kept in a temperate climate. If it is left in the heat, it will warp and that will not be good for your teeth’ alignment. You also don’t want it to have any cracks and such. Other than that, you should be fine.

As for the gel, that is a bit of a different story. Typically, they are good for one year. If your dentist gave them to you immediately after they were manufactured, you should be fine. This is especially true if they were refrigerated which will prolong its life span. I don’t think there will be an expiration date on the tube itself. Generally, that will be stamped on the box that carries the lot. However, you can check. If it is there, go by that.

The good news is most dentists will give you refills on the gel as long as you are keeping up with your cleaning and checkup appointments. So, even if the gel is expired, you can still get your teeth whitened. You would not want to whiten them without having a cleaning first anyway because the results would be spotty.

This blog is brought to you by Marietta Dentist Dr. Cristi Cheek.

Can Teeth Be Bleached to Match My Eyeballs

Posted on May 2, 2022 by writeradmin.

I want to whiten my teeth to where they are as white as my eyeballs. Is that possible or am I being unrealistic?

Percy

Dear Percy,

I find some of the questions I get to be fascinating. This is one of them. The answer would depend on how white your eyeballs are. At some point, whitening hits a wall. Additionally, it is hard to pinpoint a specific color with teeth whitening. When you think you have reached the level of whitening you want and stop whitening, there is always some oxygen released that changes the color a bit.

The best way to get a specific color and match your teeth to something is with porcelain veneers. These are more expensive than teeth whitening. I will caution you against price shopping on them though. Porcelain veneers are used for complete smile makeovers. This skill is not taught in dental school. Because of that, dentists have to invest in post-doctoral training to learn to do them well. To make it even more challenging, there is a need for artistry in order for the results to look both natural and beautiful. Artistic skill takes time. Not all dentists are created equally in this. You will often find that those dentists who are significantly cheaper than the standard, there is a reason. You don’t want to end up as a cosmetic dentistry horror story.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.
Click here to learn about our free virtual smile makeover consultation.

Tooth Mousse and Teeth Whitening for White Spots

Posted on March 1, 2022 by writeradmin.

I’ve developed some white spots on my teeth. I went to see my dentist and he prescribed me to use some tooth mousse. After that, he says I will need to do some teeth whitening. Will I need anything else after this or will this take care of the white spots?

Emily

Dear Emily,

Teeth whitening trays

If I were grading your dentist, I would give him about a 45%. The white spots you are dealing with are precursors to decay. They show spots where your teeth are demineralized. If not dealt with, these will become cavities. Tooth Mousse will help with the remineralization and should prevent the decay. However, the company doesn’t make any claims about the appearance of the tooth.

As for the teeth whitening, that is way off base. One basic fact about teeth whitening is that it whitens your teeth evenly. That means the white spots will get whiter along with the remainder of your teeth. There will be no evenness of color.

The only way to get the color the same would be with microabrasion and dental bonding. I would not have your dentist do this. Teeth whitening is the most basic of the cosmetic dentistry procedures. He has a profound lack of understanding with how this works. Microabrasion and dental bonding are much more advanced. I would look for a skilled cosmetic dentist to do this for you.

This blog is brought to you by Marietta Dentist Dr. Cristi Cheek.

Is Taking Tetracycline as An Adult Bad for Your Teeth?

Posted on December 21, 2021 by writeradmin.

My doctor has me on tetracycline for acne. My dentist recently noticed the brownish lines on the back of my teeth. My mother thinks these might be from the tetracycline. Is this medicine bad for my teeth? Is there a way to get rid of the stains?

Maggie

Dear Maggie,

You did not mention how old you are, so I am not going to make any assumptions. Generally, tetracycline only stains your teeth if they are still forming. So, if you are over thirteen years of age (and your writing certainly indicates that) then it is unlikely that tetracycline is the culprit. That being said, there is one study that did indicate a specific variety of tetracycline, called minocycline, can stain adult teeth after they are formed. That would be the first thing I would check.

A great toothpaste to help remove surface stains is Supersmile toothpaste. Please don’t try and use any other over-the-counter whitening toothpaste that you can get. They use abrasives to scrub off stains. While it will make your teeth temporarily whiter, the abrasives damage your enamel and make it much easier for them to pick up stains.

If these are true tetracycline stains, and you are in the early stages, you can try teeth whitening, but you will have to be persistent with it. Other than that, you would have to fix them by covering them with porcelain veneers, though veneers do not go on the back of teeth.

This blog is brought to you by Marietta Dentist Dr. Cristi Cheek.
Click here to learn how to get a free virtual smile makeover consultation.

White Spots on Teeth

Posted on October 8, 2021 by writeradmin.

I’ve had white spots on my two front teeth my whole life. I like how they look, but my other teeth are dingy in comparison. My dentist is suggesting Lumineers, but I think that is more than I am wanting to pay. Can I not just whiten my teeth without whitening the two front teeth?

Laurie

Dear Laurie,

Teeth whitening trays

I am glad you decided not to go with Lumineers. If all you want to do is whiten your teeth, that would be a massive, not to mention expensive, overtreatment. Additionally, Lumineers in particular are highly marketed to inexperienced cosmetic dentists. That is the last person you would want to have do a smile makeover for you. It takes significant post-doctoral training, not to mention an artistic eye, to do it well.

In your case, I would go with teeth whitening. However, teeth whitening works on teeth evenly. Ask your dentist to provide you with at-home bleaching trays. These should be custom fit to your bite. However, because of your two front teeth, you’ll want him or her to cut out the front teeth from the trays. This way the only thing being whitened are the teeth without the white spots.

For the benefit of others, I want to mention there is another type of white spots that takes a completely different treatment. If someone has white spots, they could have been there from childhood, as Laurie; but, often white spots appear after braces. These spots are different. They are decalcification spots, which are a precursor to tooth decay. Those who are wearing braces, often don’t realize how difficult it is to adequately brush around all those wires and brackets. This is why we recommend Invisalign whenever someone is a candidate. These are removable and make it super easy to upkeep your dental hygiene.

The solution for the type of white spots from braces, requires a skilled cosmetic dentist. The white spots have to be gently removed and then they can be recovered with composite bonding.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.

What Else is Needed with Porcelain Veneers?

Posted on September 1, 2021 by Alex.

I had planned on getting a smile makeover with porcelain veneers but my dentist keeps adding other procedures I need before I can get the veneers. Getting a full checkup and cleaning I understood. Getting Invisalign and teeth whitening seems excessive. Are these really necessary? I was under the impression that porcelain veneers can make your teeth look straight. The only thing I have that could “possibly” need some orthodontics is one canine tooth that is a little in front of the adjacent tooth. It seems unnecessarily expensive to do that for one tooth.

Letticia

Dear Letticia,

I’m glad you wrote and can help give you some direction here. Let’s start with the teeth whitening. How much of this you need will depend on how many porcelain veneers you plan on getting as well as how wide your smile is. Let us say, just as an example, that you only plan on getting four porcelain veneers. However, when you smile, you can see ten teeth. If the veneers are very white, but your natural teeth are more of a taupe it will be very obvious that you have four “fake” teeth on your front teeth. If however, you whiten your teeth first, then the adjacent teeth will blend more naturally with your new smile makeover. If you are getting plenty of porcelain veneers on your top teeth, then the only teeth you may want to whiten is your bottom arch so it is not a stark contrast to your top arch. This is much more affordable.

The Invisalign is a completely different story. Based on what you described to me, you should not have to have any orthodontics before getting porcelain veneers. Your understanding of a smile makeover and what porcelain veneers can do is more solid than your dentist’s. The fact that your dentist does not know how to make those teeth look straight tells me he is not skilled enough in porcelain veneers. Don’t force him to do this. You will be unhappy with the results. Instead, find a dentist with more expertise. Look at some before and after pictures of work they’ve done to ensure you would be happy to have those results.

This blog is brought to you by East Cobb Dentist Dr. Christi Cheek.
Click here to learn about our free virtual smile makeover consult.

Whitening Non-Veneered Teeth

Posted on August 18, 2021 by writeradmin.

Will you give me some advice? I recently got porcelain veneers. I wanted them very white but did not think about how different the color would be from my natural teeth. When I smile, it is very obvious there are two different colored teeth. Could I use Crest Whitestrips to whiten the non-veneered teeth? Will it damage my porcelain veneers?

Brooke

Dear Brooke,

Teeth whitening trays

I’m surprised your dentist did not advise you to have some teeth whitening done before getting your porcelain veneers. It is pretty standard procedure when someone is planning on getting veneers that are a different shade than their natural teeth, but are not getting enough veneers to cover all their visible teeth when they smile. This is usually between eight and ten veneers. You did not mention how many you had placed, but I am guessing it was less than that.

While Crest Whitestrips will not damage your porcelain veneers, there will be some difficulties in using them. First, they are only designed to cover the front six teeth you have. In all likelihood, all or most of those teeth are now veneered. That means the bleaching gel won’t reach the teeth you actually need to be whitened. Additionally, the gel is so weak that it will take an extended amount of time to get them to match your veneers. It is possible that you could cut the strips so that they can be placed on just the teeth you need them, but that is a lot of trouble to go through for weak results.

I am going to suggest you have your dentist make you custom bleaching trays for you to whiten your teeth. He or she can even make them where they go around any teeth that have veneers on them. This will focus the whitening gel on your natural teeth.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.

Premium Home Whitening

Posted on August 4, 2021 by Alex.

I keep seeing advertisements for something called Premium Home Whitening. If you are familiar with this product, would you mind letting me know what you think of it? I don’t want to waste my money, but I am interested in whitening my teeth. My dentist doesn’t do any cosmetic work, but I’ve been with him for years and would feel bad leaving.

Lorraine

Dear Lorraine,

Teeth whitening trays

I looked at this kit. Here’s what I found. First, the whitening ingredient is 35% carbamide peroxide. That is a good teeth whitening ingredient. That’s a real plus and better than I see in most over-the-counter whitening kits. There are some things that lessen its value to you, though.

One of the biggest issues is the tray. The trays you see in the image above are custom-fitted by a dentist. This ensures that the teeth whitening gel stays in the trays and your saliva stays out. The trays with Premium Home Whitening are DIY, that means you’ll bite down to create the fit of the trays. These will not be custom fit. You’ll find that your saliva will get into the trays, which will dilute the whitening gel, making it less effective. In addition, your gel will leak out, not only will that not whiten your teeth, but it will put your gums at risk. There have been cases of someone needing a root canal treatment because of over-the-counter teeth whitening.

While this will whiten your teeth, I think in the long run it will cost you more to get equal results than you could from a dentist. I do realize your dentist does not do teeth whitening. You don’t have to leave him to get your teeth professionally bleached, though. You could go to your dentist for your general dental care and another for your cosmetic work. It is a common practice and your dentist would not be offended at all. If he wanted your teeth whitening business, he’d offer the service.

This blog is brought to you by East Cobb Dentist Dr. Kristi Cheek.