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Teeth Whitening |
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Please contact us to setup a consulation for your teeth whitening. ___________________________________________________________________________________________________________________________ Here is a summary of various Teeth Whitening Systems available for teeth whitening:
BriteSmile™ OverviewYour Most Brilliant, Healthy Smile
________________________________________________________________________________________________________________ Zoom!™ Teeth Whitening
Zoom teeth whitening is a very effective method for teeth whitening that can only be done at the dentist’s office. It is similar to the laser treatment method as it employs a gel and a special light wave for the whitening process. The dentist first separates the lips with a retractor and then applies the gel on the outer surfaces of all the teeth that need treatment. The dentist has to be very careful to ensure that the gel does not unduly come in contact with the gums as this might result in lesions or irritation.
Apart from sensitivity for
a day or two in some patients, Zoom teeth whitening has no side effects
and it is fast and efficient. If you want to regain your beautiful smile,
the best option for you is to go in for Zoom teeth whitening.
Comparison of Zoom with Chair side Whitening System
Zoom! Advanced PowerZoom! Advanced Power is the newest generation of Zoom! smile whitening. First, there was Zoom!, then there was Zoom! 2, and now there is Zoom! Advanced Power. Zoom! It is a very fast procedure (about 90 minutes) that dramatically whitens your smile. It is performed in the office, with no shots or anesthesia. After applying protective barriers to your gums and lips, we apply a special light for about an hour, which activates the whitening gel. The second part of the procedure involves take-home follow-up. Advanced Dental Care Center provides you with custom-fit trays and tubes of whitening gel, so after your visit, you wear these trays about ten times, or according to your specific directions. This provides followup and finalization to your smile whitening. Zoom! Advanced Power is a very intense procedure. Now in it's third generation, the special light is very powerful, and the whitening gel is also very powerful. If any sensitivity occurs during the procedure, simply ring the bell that we provide, and we will shut the light off. Afterward, about ten percent of people report post-operative sensitivity. Your take-home kit includes dental trays of desensitizer, which provide soothing relief if this occurs. The good news is that, if whitening sensitivity occurs, it will always, always go away. There has never been a reported case of the sensitivity persisting.Zoom! Advanced Power contains no sugar, so it will not give you cavities or damage your teeth. The special light does contain a component of UV light (like a tanning bulb), so we provide eye protection and do a very good job of protecting your lips and gums with a combination of liquid damand zinc and cotton and paper single-use barriers. Zoom! Advanced Power is suitable for almost everyone. With that being said, we need to have a quick consult to ensure that it is right for you, prior to performing the procedure. Some reasons that Zoom! Advanced Power may not work for you are: if you have Dentures, if you have Porcelain Fused to Gold crowns on your front teeth, or if you have extensive composite restorations on your front teeth. Existing crowns or porcelain veneers do not tend to whiten from gel or light sources. If you have old crowns or veneers, you may want to consider Permanent Whitening. Additionally, if you have moderate-to-severe "notches" on your teeth right at the gumline, or have existing dental sensitivity, then Zoom! Advanced Power would probably result in increased sensitivity (for a period of time). Common questions people have about Zoom! Advanced Power What kind of results can you expect? This is the most common question that we get asked. The short answer is that, if your teeth are very "dark", then they will whiten to about "average". If you are currently about "average", then they will whiten to about "very white". If you are currently "very white", then you may not see as dramatic of a result, because the starting shade and the ending shade would be so similar. A quick consult will reveal the specific results and applicability for your specific situation. Can I do it more than once? Yes, especially if your starting shade is very dark, or if the staining is deep within the core of your teeth. The first sitting would take your smile from dark to average, and subsequent sittings would take your smile sequentially lighter. Most people utilize one or two sessions. Our current record-holder is eight sessions, which took the recipient to ultra-ultra-ultra bright white. There is no charge for subsequent sittings within the first month or so (we are not strict about the timeline). Subsequent sittings that are six months later do incur a charge. Some people like to do Zoom! twice a year, with their cleanings, for the ultimate white smile, which does incur a charge each time. How long does it last? At least a year. Zoom! Advanced Power whitens the enamel of your teeth. It removes some internal stains and many external stains. If you have behaviors that stain your teeth, then your teeth will re-stain. Of course, if you are doing things that would stain your teeth, then they would stain anyway, whether or not you had whitened in the past. Zoom! Advanced Power does not provide any kind of protective barrier or stain-shield for your smile to protect against future staining. _______________________________________________________________________________ Rembrandt™ Whitening Overview.
______________________________________________________________________ TOOTH WHITENING FAQHow Does The Bleaching Process Work? Bleaching gels usually contain
either hydrogen peroxide or carbamide peroxide. When applied to human
teeth, peroxide molecules go into the tiny pores of the enamel and dentin,
break down into oxygen molecules and break up the stains that block out
the light. More and more light passes through the teeth and they appear
lighter. What
are the Treatment Options? Yes. There are two types of
bleaching procedures to choose from: One performed in the dentist’s
office (Power Bleaching) and gives you immediateresults, and the other
is a take¬home, self¬administered treatment (Gradual Bleaching)
that produces results slowly over time. “Power Bleaching”
can only be performed in a dentist’s office. A hydrogen peroxide¬based
bleaching solution is applied to the teeth and activated by a high intensity
light or laser that causes the solution to release oxygen molecules. Treatments
for both power and laser bleaching can take as little as 45 minutes, but
usually last somewhere between one and two hours. “Gradual Bleaching "is a take¬home treatment administered under the supervision of a dentist. Impressions of the patient’s teeth are made and a custom¬fitting mouthpiece is created to protect the rest of the mouth from contact with the bleaching chemicals. The active chemicals used are not as strong as those used in Power Bleaching, and provide a more gradual lightening of the teeth. Gradual Bleaching takes 1 hour per day for anywhere from 1¬3 weeks to achieve maximum results, and often requires follow¬up checks by your dentist. What Causes Tooth Discoloration? Tooth discoloration can be caused by many factors, including genetics, aging, staining (e.g., tobacco, coffee, tea, soft drinks), and chemicals (e.g., tetracycline). Professional dental cleanings and the regular use of whitening toothpaste can usually remove tooth stains on the outside of the teeth (extrinsic staining). Deeper stains, including the yellow color teeth take on as we age (intrinsic staining) require specialized treatment by your dentist¬ called “tooth bleaching”. Tooth bleaching was first used on healthy, live teeth in the mid¬1970's. When done professionally it is simple, effective, and has few side effects. Recent long¬term studies have shown bleaching to be a safe and amazing way to get whiter teeth. How can you brighten
your smile? Is
bleaching for you? What's
involved? Step two: At the next appointment, the dentist or hygienist will take impressions of your teeth to fabricate your mouth guard appliance. The mouth guard is custom made for your mouth only and is very lightweight, so that it can be conveniently worn. It is fabricated so that it can be comfortably worn while sleeping or while awake. You should even be able to talk with your mouth guard. Along with the mouth guard, you'll receive the bleaching materials. You'll be instructed to wear the mouth guard for two to four hours a day until your next appointment, generally within one to two weeks. Generally this type of system requires three to six weeks to complete, and works best on patients with sensitive teeth. Other systems recommend bleaching at night while you sleep with their mouth guard. This bleaching treatment usually requires only 10-14 days to complete. How
long does it last? How
does it work? Is
it safe? Any side effects? What
are realistic expectations? What About Home
Bleaching Systems I Can Buy At The Store? Store¬bought bleaching systems are not
as effective, and can cause painful sensitivity to untreated dental cavities.
Why? First, the active chemicals are not as strong as those you can get
from your dentist. They may eventually lighten your teeth some (5¬6
shades: much less than a dentist¬provided system), but who wants to
wait 6 months to a year for results? Second, without a custom mouthpiece,
the likelihood of severe gum irritation is dramatically increased. In
addition, a poor fitting mouthpiece can lead to ingesting the active chemicals
— and stomach upset, nausea, and vomiting. Third, individuals using
store¬bought bleaching systems can over¬bleach their teeth —
and cause damage to the enamel. Dentist¬provided systems are backed by
scientific studies that prove their safety and effectiveness when administered
by a highly skilled professional like those at Advanced Dental Care Centre.
What Kind Of
Results Can I Expect With A Dentist¬Provided System? Both Power Bleaching and Gradual Bleaching
provide whitening results as much as 12 – 15 shades lighter than
the original tooth color. Results vary depending on the condition of the
individual patient’s teeth. Patients should avoid all tooth¬staining
foods and tobacco for 1¬2 days after Power Bleaching. Gradual Bleaching
patients should do the same both during treatment and for up to 2 weeks
after treatment. Tooth bleaching lasts an average of 2¬3 years depending
on diet and tobacco habits. How Much Does
Bleaching Cost? Who
are the best candidates for teeth whitening? Who
are not good candidates for teeth whitening? Age and pregnancy issues. Bleaching is not recommended for children under the age of 16. This is because the pulp chamber, or nerve of the tooth, is enlarged until this age. Teeth whitening under this condition could irritate the pulp or cause it to become sensitive. Teeth whitening is also not recommended for pregnant or lactating women. Sensitive teeth and
allergies to products. People with sensitive teeth and gums,
receding gums and/or defective restorations should consult with their
dentist before using a tooth whitening system. Anyone allergic to peroxide
(the whitening agent) should not use a bleaching product. Gum disease, worn enamel,
cavities, and exposed roots. People with gum disease or teeth
with worn enamel are generally discouraged from undergoing a tooth whitening
procedure. Cavities need to be treated before undergoing any whitening
procedure. This is because the whitening solutions penetrate into any
existing decay and the inner areas of the tooth, which can cause sensitivity.
Also, whitening procedures will not work on exposed tooth roots because
roots do not have an enamel layer. Fillings, crowns,
and other restorations. Tooth-colored fillings and resin composite
materials used in dental restorations (crowns, veneers, bonding, bridges)
do not whiten. Therefore, using a whitening agent on teeth that do and
do not contain restorations will results in uneven whitening—in
this case, making the teeth without restorations appear lighter than those
with restorations. Any whitening procedure should be done before the placement
of composite fillings, bonding, veneers, crowns, dentures, or porcelain
restorations in order to best match the degree of whitening to your new
tooth color. A minimum of 2 weeks following a whitening procedure should
be allowed before crowns, bondings, or veneers are completed. This will
allow enough time for the enamel to remineralize and optimize the bonding
strength. Tooth-colored fillings will need to be replaced after the bleaching
process is complete. People who have numerous restorations that would
result in uneven whitening may be better off considering bonding, veneers,
or crowns rather than a tooth whitening system. Ask your dentist what
strategy may be best for you. Unrealistic expectations.
Individuals who expect their teeth to be a new "blinding white"
may be disappointed with their results. Smokers need to be aware that
their results will be limited unless they stop smoking, particularly during
the bleaching process. A healthy guide as to a reasonable degree of whiteness
to achieve with a whitening process is a slightly whiter color than the
whites of your eyes. What
teeth whitening options are available? There are 2 general approaches: Whitening toothpastes (dentifrices) At-home bleaching
How
do whitening toothpastes work? How effective are they at whitening teeth? All toothpastes help remove surface stains through the action of mild abrasives. Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain hydrogen peroxide (a bleaching substance) that helps remove stains on the tooth surface as well as stains deep in the tooth. None of the home use whitening toothpastes can come even close to producing the bleaching effect you get from your dentist’s office. Whitening toothpastes can lighten your tooth’s color by about one shade. In contrast, light-activated whitening conducted in your dentist’s office can make your teeth three to eight shades lighter.
How do whitening gels and whitening strips work? Whitening gels. These clear, peroxide-based whitening gels are applied with a small brush directly to the surface of your teeth. Instructions generally call for application twice a day for 14 days. Initial results are seen in a few days and final results are sustained for about 4 months. Whitening strips. These are very thin, virtually invisible strips that are coated with a peroxide-based whitening gel. The strips are applied twice daily for 30 minutes for 14 days. Initial results are seen in a few days and final results are sustained for about 4 months. Both of these products contain peroxide in a concentration that is much lower than the peroxide-based products that are used in your dentist’s office. Although some teeth lightening will be achieved, the degree of whitening is much lower than is achieved with in-office or dentist-supervised whitening systems. Additionally, use of over-the-counter products do not benefit from the close supervision of your dentist -- to determine what whitening process may be best for you, to check on the progress of the teeth whitening process, and to look for signs of gum irritation. On the positive side, the over-the-counter gels and strips are considerably less expensive than the top-of-the-line in-office whitening procedures, What’s
involved in the typical tray-based, tooth whitening procedure? For the more traditional types of procedures using tray-based whitening systems purchased over-the-counter or through your dentist’s office, the first step involves filling a mouth guard-like tray with a gel-like whitening solution, which contains a peroxide-bleaching agent. This tray is then placed over the teeth and worn for a period of time, generally a couple hours a day or every day during the overnight for up to 4 weeks and even longer (depending on the degree of staining and desired level of whitening). (For more information, see section about mouthpiece trays below.) What’s
involved with an office-based tooth whitening procedure? Bleaching procedures performed in the dentist’s office involve a few different or additional steps. A protective gel or guard is positioned over the gums before the bleaching agent is applied, the bleaching agent is applied directly to the teeth, and the whitening process is hastened with the use of heat, a special light, or laser light that is directed at the chemically coated teeth.
What are the main differences between in-office bleaching procedures and at-home and over-the-counter tray-based bleaching systems? Strength of bleaching agent.
Over-the-counter home use products and dentist-supervised at-home products
usually contain a lower strength-bleaching agent (from 10% carbamide peroxide—equivalent
to about 3 percent hydrogen peroxide -- up to 22% carbamide peroxide).
In-office, professionally applied tooth whitening products contain hydrogen
peroxide in concentrations ranging from 15% to 43%. Mouthpiece trays. With dentist-supervised
at-home bleaching products, your dentist will take an impression of your
teeth and make a mouthpiece tray that is customized to fit your teeth
exactly. This customization allows for maximum contact between the whitening
gel, which is applied to the mouthpiece tray, and the teeth. A custom-made
tray also minimizing the gel’s contact with gum tissue. Over-the-counter
whitening products do contain a mouthpiece tray, but the "one-size-fits-all"
approach means that the fit will not be exact. Ill-fitting trays can irritate
the gum and soft tissue by allowing more bleaching gel to seep onto these
tissues. With in-office procedures, the bleaching agent is applied directly
to the teeth. Additional protective measures.
In the office setting, your dentist will either apply a gel to the gum
tissue or use a rubber shield (which slides over the teeth) before treatment
to protect your gums and oral cavity from the effects of the bleaching.
Over-the-counter products don’t provide these extra protective measures.
Speed of the bleaching process.
Dentist-supervised at-home bleaching and over-the-counter bleaching products
typically need to be applied every day for 1 or 2 hours or every overnight
for up to 4 weeks. In-office bleaching provides the quickest and most
effective way to whiten teeth. With in-office bleaching, the whitening
product is applied directly to the teeth. These products can be used in
combination with heat, a special light, and/or a laser. The light and/or
heat accelerate the whitening process. Results are seen in only one 30-
to 60-minute treatment. To achieve dramatic results, however, several
appointments are usually needed. With laser-enhanced bleaching, however,
dramatic results can be seen after the first treatment. Supervised versus unsupervised
process. Dentist-supervised at-home bleaching and in-office treatment
offer additional benefits compared with over-the-counter procedures. First,
your dentist can perform an oral examination and consider your complete
medical history, which can be helpful in determining how your teeth became
discolored and if bleaching is an appropriate course of treatment based
on your type of stains and number, type, and location of restorations.
Your dentist can then better match the type of stain with the best treatment,
if appropriate, to lighten those stains. With dentist-supervised bleaching
procedures, your dentist will likely want to see you a couple of times
to ensure you are following directions, to make sure the customized tray
is fitting properly, to inspect your gums for signs of irritation, and
to generally check on how the teeth whitening process is proceeding. With
over-the-counter bleaching products, you are on your own. What
follow-up is needed? After in-office whitening, your dentist may want to see you in a few days to check on your gums. If whitening your teeth at home under a dentist-supervised process, your dentist may want to check your gums and your teeth whitening progress after about a week of applications and again a couple weeks later. How
often does the teeth whitening need to be touched up? Whitening is not permanent. People who expose their teeth to a lot of foods and beverages that cause staining may see the whiteness start to fade in as little as 1 month. Those who avoid foods and beverages that stain may be able to wait 1 year or longer before another whitening treatment or touch-up is needed. What
can I do to maintain my brighter smile? Tips for maintaining your newly whitened teeth include the following:
Are
there any risks associated with teeth whitening? The two side effects that occur most often are a temporary increase in tooth sensitivity and mild irritation of the soft tissues of the mouth, particularly the gums. Tooth sensitivity often occurs during early stages of the bleaching treatment. Tissue irritation most commonly results from an ill-fitting mouthpiece tray rather than the tooth-bleaching agent. Both of these conditions usually are temporary and disappear within 1 to 3 days of stopping or completing treatment. If you do experience sensitivity, you can reduce or eliminate it in the following ways:
Are
these products safe and effective? Some bleaching products dispensed through dentists’ offices as well as professionally applied (in-office) bleaching products have received the American Dental Association (ADA) Seal of Acceptance, which indicates that the product has meet ADA guidelines for safety and effectiveness. Currently, only dentist-dispensed home-use products containing 10% carbamide peroxide and office-applied products containing 35% hydrogen peroxide have received the ADA Seal of Acceptance. No over-the-counter products have received the Seal of Acceptance. Over-the-counter bleaching products are not endorsed by the ADA because the organization believes that professional consultation is important to ensuring safe and effective use. No whitening products using lasers currently are on the ADA’s list of accepted products. Several whitening toothpastes that are available over-the-counter have received the ADA Seal of Acceptance. For a list of specific toothpastes that have gained the ADA’s Seal of Acceptance, visit: www.ada.org/ada/seal/sealsrch.asp. It should be noted that not all manufacturers seek the ADA’s Seal of Acceptance. This is a voluntary program that requires considerable expense and time on the part of a manufacturer. Just because a product does not have the ADA Seal of Acceptance does not necessarily mean that the product is not safe and effective. You can be assured, however, that products that do carry the seal have meet the ADA’s standards for safety and effectiveness when used as directed. Teeth whiteners are not drugs and therefore are not regulated by the FDA. Other frequently asked questions about teeth whitening procedures: Do teeth whiteners damage tooth enamel? Studies of whitening products
using 10% carbamide peroxide showed little to no effect on the hardness
or mineral content of a tooth’s enamel surface. Do teeth whiteners damage existing dental restorations? More than 10 years of clinical
use of whitening products containing 10% carbamide peroxide have not shown
any damage to existing fillings. The issue is not "damage" to
existing restorations; rather, keep in mind that existing restorations
such as tooth-colored fillings, crowns, bonding, veneers, and bridges
do not lighten. This means that any preexisting dental work may need to
be replaced to match the new tooth shade achieved in the natural teeth,
should a bleaching process proceed. Do teeth whiteners damage a tooth’s nerve? There’s no evidence to
date that the tooth whitening process has a harmful effect on the health
of a tooth’s nerve. One study reported that at both a 4.5 and 7-year
follow up, no individual who used a tooth whitening system needed a root
canal procedure on any teeth that had been whitened.
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