While certainly not necessary for good oral health, many patients want a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours.
Many people are satisfied with the sparkle they get from brushing twice daily with a fluoride-containing toothpaste, cleaning between their teeth once a day and the regular cleanings at our office. If you decide you would like to go beyond this to make your smile look brighter, we are happy to help you investigate all of your options.
You can take several approaches to whiten your smile:
Start by speaking with Dr. Hanselman or his staff. They can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. Likewise, bleaching may not enhance your smile if you have had bonding or tooth-colored fillings placed in your front teeth. The whitener will not affect the color of these materials, and they will stand out in your newly whitened smile.
There are several types of products available for use at home, which can either be dispensed by your dentist or purchased over-the-counter.
Bleaching solutions: These products contain peroxide(s), which actually bleach the tooth enamel. These products typically rely on percent carbamide peroxide as the bleaching agent; carbamide peroxide comes in several different concentrations (9%, 16%, 22%).
Peroxide-containing whiteners typically come in a gel and are placed in a custom mouthguard. Usage regimens vary. Some products are used for about twice a day for 2 weeks, and others are intended for overnight use for 1-2 weeks. If you obtain the bleaching solution from your dentist, he or she can make a custom-fitted mouthguard for you that will fit your teeth precisely. Currently, only dentist-dispensed home-use 9% carbamide peroxide tray-applied gels carry the ADA Seal.
You also may want to speak with us should any side effects become bothersome. For example, teeth can become sensitive during the period when you are using the bleaching solution. In many cases, this sensitivity is temporary and should lessen once the treatment is finished. Some people also experience soft tissue irritation—either from a tray that doesn't fit properly or from solution that may come in contact with the tissues. If you have concerns about such side effects, you should discuss them with Dr. Hanselman.
Toothpaste: All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes in the ADA Seal of Acceptance program have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these ADA Accepted products do not alter the intrinsic color of teeth.
When selecting a whitener or any dental product, be sure to look for the ADA Seal of Acceptance; your assurance that they have met ADA standards of safety and effectiveness. All of our whitening products have met this standard.
© 2019 Mark R. Hanselman, D.D.S.