Teeth Whitening Archives - Philadelphia Cosmetic Dentist

Pain with Teeth Whitening

Posted on October 9, 2023 by writeradmin.

For the last three weeks I have been using an over the counter teeth whitening kit. I had not had any problems until today. Out of the blue, I had this zing of pain that lasted half a minute. It was on a tooth that had some dental bonding done a few years ago. Could that be the problem? Will the teeth whitening damage the bonding or is it just a matter of the bonding nearing the time it needs to be replaced?

Avery

Dear Avery,

Professional Teeth Whitening Trays

I do not believe that the teeth whitening is damaging the bond. If it did, the repair would just fall off. It would not cause pain the way you are experiencing. The pain tells me you have a sensitive part of the tooth. It may be that the dental bonding is not completely covering the area that it should be, either from age or from the beginning.

Hopefully, you are doing this under the supervision of a dentist. Either way, you need to be seen. Your dentist can put something over the sensitive area that will enable you to begin your whitening again without pain.

You should be aware that over the counter whitening will work, depending on which brand you purchased, but it will take significantly longer than professional teeth whitening done through your dentist. No matter which method you choose, however, the dental bonding itself will not whiten. Teeth whitening only bleaches natural tooth structure. If you are going significantly whiter than what your bonding is, you will want to replace it to match your teeth once you have reached the color you want.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.
Click here to learn about how to get a complete smile makeover.

Can I Bleach My Non-Veneered Teeth?

Posted on July 28, 2023 by writeradmin.

I have four porcelain veneers placed on my teeth. I asked for them to be really white, which they are, but wasn’t thinking about how dark the teeth next to them would look. Is there a way for me to whiten them with something like Crest Whitestrips?

Evie

Dear Evie,

Professional Teeth Whitening Trays

I have a solution for you but I want to address your smile makeover first. Most smiles are eight to ten teeth wide, so four porcelain veneers will make your non-veneered teeth quite obvious. Because of the difference in color, it can even make the veneered teeth look fake. Don’t beat yourself up about not knowing this. It was your dentist’s job to point this out. When a patient cannot get enough teeth to cover their smile, teeth whitening is recommended before the veneers are placed. That is too late for you now, but that doesn’t mean this can be worked around.

Though, Crest Whitestrips will whiten teeth, I do not recommend them in this situation. First, the gel that they use are much weaker because they are over-the-counter. Second, they are only designed to cover your front four to six teeth, depending on the size of your teeth. Those are the veneered teeth and not what you want to whiten. It won’t damage them, but it is pretty useless.

My suggestion is that you go to your dentist and have him custom design teeth whitening trays to fit around your porcelain veneers. This will allow you to whiten your teeth much more quickly while protecting your gums and avoiding your veneers.

I hope this helps.
This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Luster Premium Teeth Whitening System

Posted on April 16, 2023 by writeradmin.

I saw an advertisement for Luster Premium At Home Teeth Whitening System. There seem to be some positive reviews that said they saw an almost immediate difference. Do you know if this is safe for my teeth?

Drew

Dear Drew,

After looking into this product, I have come to the conclusion that they are swindling people. Starting with the light, it doesn’t have any real power to do anything so I believe they have put it there as a psychological trigger to make patients think the light is the reason their teeth look whiter. It’s not.

You may be wondering why I say it is a swindle if their teeth are whiter. Good question! The whitening results are coming from a pigment in their “Super Whitener”. The pigment, zinc oxide, sticks to your teeth and makes them look whiter, but fades away. My guess is the positive reviews were written when the pigment was first placed on the teeth. I would not waste your money on this because you will have to keep buying it often in order to keep the pigment on your teeth. That isn’t whitening your teeth; it is painting them.

The Best Way to Whiten Your Teeth at Home

If you want to truly whiten your teeth, the best way to do that is with bleaching trays from your dentist. He can custom fit trays to your specific bite. Then he or she will give you some whitening gel to wear in the trays. You can wear it at a time that is convenient for you from about 20 minutes up to overnight.

This gives you complete control over how fast, as well as how white your teeth get. This truly whitens your teeth, oxidizing them from the inside out. The change is permanent, though teeth can pick up new stains. If you’re diligent with your oral health, you can get rid of those while they are surface stains. Some people do like to “touch up” their teeth every few years.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Teeth Whitening Before a Dental Crown

Posted on August 10, 2022 by writeradmin.

I am getting a dental crown on a white tooth and I want to do a touch-up on my teeth whitening before I get it. I asked my dentist how long I would have to whiten my teeth each day and for how many days to get them back to their original color when I first whitened them three years ago. He couldn’t tell me so I am wondering if there are some tips you have.

Bethany

Dear Bethany,

I am going to help you with this, but before I do I want to let you know that I am concerned that your dentist was unable to answer these type of questions. Teeth whitening is a fairly straightforward procedure. If he can’t deal with that I would not trust him to place a dental crown on your front teeth. We’ll go over how to find a dentist who can in a moment.

The Basic Principles of Teeth Whitening

The main idea behind whitening your teeth is the longer you wear the whitening gel, the faster your teeth will whiten. You can wear them one hour a day, but they whiten faster than if you wear them several hours a day or overnight. Because each person’s teeth are different in the amount of staining and how white they want them, there is no way to quantify a number of days/hours. The one constant is you want to leave a week between when you stop your teeth whitening and when you begin the procedure for your dental crown. This is because the teeth will continue to whiten during that time period.

Getting a Crown on a Front Tooth

Crowns on back teeth are no big deal. The color doesn’t have to match exactly. However, matching a single crown to a front tooth is a completely different story. All the light hits your front teeth making all the differences much more visible. Even the best cosmetic dentists will do a couple of try-ins before settling on it being just so.

Ideally, you would want an expert cosmetic dentist to do this. Look for a dentist who is AACD accredited. Then you can be certain they will get it right. If your dentist cannot tell you about teeth whitening, I would not let him near this crown.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Do Whitening Strips Work?

Posted on July 24, 2022 by writeradmin.

I went to my dentist to price teeth whitening. He uses this special light machine that whitens your teeth right there in the office. The cost was way above what I could do. I was wondering if those over-the-counter teeth whitening strips do any good. Ideally, I’d like something I can do at home.

Ben

Dear Ben,

It sounds like your dentist offers Zoom Whitening. There are options that will allow you to whiten your teeth at home with professional strength gel, but before we go into that, let’s go over your question about over-the-counter whitening strips. The only one of these I would recommend is Crest Whitestrips, but before you run out to the store, I want you to understand its limitations.

Crest Whitestrips are Much Weaker

As a means of consumer protection, over-the-counter whitestrips you purchase will not be nearly as strong as what you would get through a dentist. For instance, Crest Whitestrips, which does work, only has a 6% concentration. What you’d get with your dentist has around 33%. This means you would have to purchase significantly more kits to get the same level of whitening.

Crest Whitestrips Only Covers Your Front Six Teeth

In addition to being weaker, the strips will only cover your front six teeth. Most smiles are eight to ten teeth wide. This means you will have to use more strips with each use, costing you even further.

Crest Whitestrips Tend to Whiten Unevenly

Unless you have just completed a cleaning with your dentist the results are going to be spotty. The cleaner areas are going to get more of the whitening gel than those which have some film over them. This film is often invisible to the human eye so you won’t be aware of it.

You Can Get Professional Whitening at Home

Your best option is to have take-home teeth whitening done by your dentist. If he doesn’t offer it there are plenty who do. They can make you custom-fitted trays that will allow you to whiten your teeth at your convenience. They’re discreet enough where you can wear them while running your errands or just overnight while you sleep if you prefer.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Discolored and Crooked Teeth

Posted on June 28, 2022 by writeradmin.

I finally have money to do something about my hideous smile and wanted to find out what my options are. My teeth are both stained and crooked. What are some ways I can approach this?

Mindy

Dear Mindy,

You actually have a couple of good options. The first is porcelain veneers and the second is Invisalign combined with teeth whitening.

Option One: Porcelain Veneers

A skilled cosmetic dentist can use porcelain veneers to do a total smile makeover. This can make your teeth look straight while making them any shape, size, and color you want. The key to this is the dentist who does the procedure. You need someone who has advanced training in cosmetic dentistry. This would need to be post-doctoral training because it is not adequately taught in dental school. Unfortunately, it is not a recognized specialty. This means any dentist can call themselves a cosmetic dentist regardless of the amount of training they have invested in. So, how is a patient supposed to know whether or not a dentist is truly qualified to give them a smile makeover?

The simplest way is to look for a dentist who is AACD accredited. This is different than just being a member of the American Academy of Cosmetic Dentistry. To receive accreditation, they not only have to pass difficult exams on the procedures and technique but also have to demonstrate their artistry in a demanding number of cases with visual evidence of their results. These are among the top 1% of cosmetic dentists in the country.

Option Two: Invisalign and Teeth Whitening

Invisalign uses clear aligners to straighten your teeth. They are a huge improvement on braces. No one will even know you are straightening your teeth because they are even invisible at a conversational distance. Additionally, the aligners can double as teeth whitening trays, which means you can do them simultaneously instead of one at a time.

This is something I would recommend if you can’t afford (or don’t want) porcelain veneers. They don’t need someone with special cosmetic training. You simply have to find a dentist that offers Invisalign.

Enjoy your new beautiful smile whichever procedure you decide on.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Crowns Versus Veneers for Tetracycline Stains

Posted on December 29, 2021 by writeradmin.

I have tetracycline stains on my teeth and really want a pretty smile. I spoke to one dentist who has a good reputation in cosmetic dentistry, name Dr. —–[name withheld]. He wants to charge me $42, 000 for upper and lower full mouth veneers. Another dentist is suggesting porcelain crowns and is only $28,000. I really only have $30,000 to budget for this, so I should probably go with the crowns. However, I wanted to double check with someone not invested in getting my business as to crowns versus veneers for tetracycline stains. Is one better than the other for this? Plus, you should know I have a tooth grinding problem, which may impact your answer.

Carla

Dear Carla,

The first dentist you mentioned, who is suggesting porcelain veneers is one of the top cosmetic dentists in the country. If you decide to go with him, he will provide you with a stunning smile. You didn’t give the name of the second dentist, but I am cautious about recommending him either way because he is suggesting dental crowns.

Tetracycline stains are some of the trickiest to deal with when it comes to a smile makeover. You have to get the teeth opaque enough to cover the stains, while still creating a natural looking translucency to the teeth. To compensate for the difficulty, some dentists will suggest dental crowns instead of porcelain veneers thinking the added thickness will make it easier for them. It doesn’t. I find porcelain veneers to be the superior treatment. As for your bruxism (teeth grinding), if you get a nightguard to wear while you sleep it will protect you from the grinding damage. So that will not be an issue.

If your budget is the main reason for going to the cheaper dentist, I am going to suggest a different approach. I know the quality you will get with the first dentist. Why don’t you have him just do your upper arch and use a strong teeth whitening, such as Kor Whitening to do on your lower teeth. It will take a bit to get the lower teeth to match, but if you are persistent they will. Then, you are only paying $21,000, which is below budget and will have a stunning smile.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Dentist Wants to Crown My Tetracycline Stains

Posted on September 15, 2021 by writeradmin.

I mentioned to my dentist how much I hate my smile because of my tetracycline stains. He said the best solution is to put crowns on all my visible teeth. While my teeth are ugly, they are also healthy. I hate the idea of grounding them all down. Will they look natural if I do? Would teeth whitening solve the problem instead?

Miranda

Dear Miranda,

It is difficult having a smile you are embarrassed by, especially when our smile is the first thing people notice about us. I agree with you that dental crowns is not the way to go for this. If you have healthy teeth, it is always best to keep them as intact as possible. While teeth whitening could help IF you were very persistent. Even then, they would never be completely gone. Because of that, it is not the best solution for tetracycline stains.

My recommendation is that you use porcelain veneers. These remove hardly any tooth structure. Unlike dental crowns, which have to fit around the entire tooth, porcelain veneers go on the front of the tooth. One important word of caution. I am going to recommend you do not go to your dentist for this.

Tetracycline stains are one of the most difficult to address. It takes advanced cosmetic dentistry training to do it properly. Training that is not available in dental school. The trick comes in getting the veneers opaque enough to cover the stains, but still translucent enough to look beautiful and natural. A dentist has to invest in that instruction post-doctorally. The fact that your dentist is suggesting crowns instead of veneers tells me he does not have the right training for this. Many dentists think they can make up for that lack of training by using dental crowns, which are thicker. But that is not enough to make them look beautiful.

When dealing with tetracycline stains, I would only go to a dentist who is AACD accredited. You can find them on aacd.com. Accreditation is different than membership. Any dentist can join the American Academy of Cosmetic Dentistry. To become accredited, however, requires passing extensive examinations as well as proving your artistry to a board of examiners.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Will Tooth Mousse Get Rid of My White Spots?

Posted on August 30, 2021 by writeradmin.

I have some white spot lesions. My dentist provided me with some tooth mousse. When it is done, we’ll start teeth whitening. What type of results should I expect from this?

Casey

Dear Casey,

Your dentist is way off here. Tooth Mousse can help some by remineralizing your teeth, but the company that made it has never suggested it be used on its own. There is normally some microabrasion that needs to be used with it.

His suggestion of teeth whitening is even worse. Any type of teeth whitening will whiten your teeth evenly. That means that you will still have the white spots. In fact, they will be even more noticeable.

Your best option to get rid of these spots is to have dental bonding done on the affected teeth. However, this will require an expert cosmetic dentist and I don’t feel your current dentist is up to the task. I am going to suggest that you look for an AACD accredited dentist to advise you on this. They will get a good look at your teeth and give you the best course of action.

The good news is, because they are in the top 3% of cosmetic dentists worldwide, you will get a beautiful result. My recommendation would be to go that route. Have your teeth thoroughly examined by the right dentist. Then let him or her suggest the best course of action for it. You will love the results.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Micahel Weiss.

Zoom Whitening and Uneven Teeth

Posted on June 4, 2021 by writeradmin.

My daughter got her braces off not too long ago and there were a bunch of white spots around her teeth. The orthodontist said this was fairly common in teenagers and that our dentist could take care of it. When we went to see our dentist, she suggested we try Zoom Whitening. She had just gotten the equipment and would even give us a discount as her first patient using it. I liked the idea of getting a discount for the treatment that she would need anyway and agreed. When we were done, the teeth seemed worse, not better. Is it possible because this is a new thing for our dentist she did something wrong?

Sally

Dear Sally,

I am very glad you wrote and believe I can be a great help to you and your daughter. Zoom Whitening is an effective teeth whitening procedure that can produce remarkable results in just one appointment. The problem wasn’t with her not understanding how to do Zoom Whitening. The real problem was her not understanding the principles behind how teeth whitening works.

No matter what method of teeth whitening you do, it will always whiten the teeth evenly. That means the white spots will get whiter along with the remainder of her teeth. The good news is there is a solution.

The white spots your daughter is dealing with are actually decalcification spots. Decalcification is a precursor to decay. My guess is your daughter used traditional wire and bracket braces. Those can be very hard for patients, whether adults or teenagers, to really get in there and brush well around all the metal clutter. This leaves food and other bacteria trapped, which in turn leads to the decalcification which your daughter is dealing with now.

There are two possible ways to fix this. One only works sometimes but is less expensive, so I’ll make sure you know about it in case it works for her.

Repairing White Spots on Teeth

The first thing I would try is a product called Tooth Mousse. This is applied topically and can sometimes remineralize the teeth. You can purchase it over the counter. It doesn’t always work so if you don’t start seeing results, I would move on to the next option before decay sets in.

The second solution is dental bonding. This needs to be done by an expert cosmetic dentist. I’ll tell you how to find one in a moment. With this repair, the dentist will gently remove the decalcified spots and then fill in the area with the composite bonding material. The dentist will use a variety of colors, textures, and translucencies to match her tooth structure and appearance perfectly.

As I mentioned, she will need an expert cosmetic dentist. This has to be done freehand and is one of the most difficult cosmetic procedures. I cannot stress enough that I do not think your current dentist is up to the task. In your place, I would look for an AACD accredited dentist or one who has been recommended on the mynewsmile.com website. Any of those dentists will be able to give your daughter a beautiful result.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.