Tag Archives: Teeth Whitening

Cosmetic Dentist

Does Teeth Whitening Require a Specialist?

I think I’m ready to get my teeth whitened. I keep hearing you have to go to a certain expert dentist for cosmetic work. Is that right? What type of dentist do I need?

Caryn

Dear Caryn,

Teeth Whitening trays
Teeth Whitening Trays

While it’s true in some cases you have to choose your cosmetic dentist carefully, teeth whitening isn’t one of those procedures. It’s fairly simple. The dentist is their mostly to design custom-fitted trays along with keeping an eye on the health of your teeth and gums throughout the procedure so no complications pop up.

As we get older, we accumulate stains. That gives our smile an aged appearance. Teeth whitening is a fantastic way to brighten up your smile and give you a much more youthful appearance.

When is an Expert Cosmetic Dentist Necessary?

There are procedures which sincerely need to be done by a dentist with significant post-graduate training. But, beyond that, they need to be artistic. The procedure that is the most important is porcelain veneers. These require some significant training both in technique and artistry.

It’s hard for patients to know which dentists are artistic and which aren’t. You can have two dentists do the very same smile makeover and achieve vastly different results. There are many horror stories about cosmetic dentists ruining a patient’s smile.

How Can a Patient Find an Expert Cosmetic Dentist?

The easiest way to find an expert cosmetic dentist is to go to the American Academy of Cosmetic Dentistry (aacd.com) and look for an accredited dentist in your area. Accreditation is completely different from membership.

To reach accreditation, dentists have to pass stringent oral and written exams. In addition to that, they have to demonstrate a large number of cases they’ve personally done to demonstrate their artistry. They’re among the best cosmetic dentists in the country. You’d be pretty much guaranteed a gorgeous smile.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Dentist Blamed My Mouthwash for My Veneers Falling Off

I had porcelain veneers placed on about a month ago. Two of them have fallen off. I went in to see my dentist about it. He agreed to bond them back on free of charge. When I asked them why they fell off, he got offended and blamed my mouthwash. Is that accurate? Am I damaging my porcelain veneers?

Betsy B.

Dear Betsy,

Porcelain Veneer being placed on a tooth

There are certain mouthwashes that could (eventually) cause a problem with your porcelain veneers. I doubt any of them would cause them to fall off that quickly. It sounds like your dentist is passing the buck for his poor bonding technique.

Most mouthwashes are fine to use with your dental implants. The ones to watch out for containing alcohol. Listerine is the biggest culprit. It can contain up to 21% alcohol. If you avoid that ingredient, you should be fine and there are plenty of brands to choose from. Crest Pro-Health and Breath-Rx are two alcohol-free brands. Many dental offices even sell it in-office.

I’m a little concerned with the response your dentist gave you. I don’t like it when professionals don’t take responsibility for their mistakes. The bonding on porcelain veneers is quite strong and, when properly done, lasts the lifetime of the veneers. Yes, there are things which can damage it, but rarely is that seen to wear down so quickly. Is your dentist one who does a lot of cosmetic procedures or just a family dentist who dabbles in cosmetic work? That can make a huge difference in their technical skill, artistry, and even knowledge of their work.

In case they’re not an office with expertise in porcelain veneers, I want to warn you about something before your next check-up. Under no circumstances should your hygienist use any power polishing equipment, such as a prophy jet. This will take the glaze right off your porcelain veneers. Then they’ll become dull looking and pick up stains quickly. In short, it will ruin them. If this isn’t a practice that knows a lot about cosmetics, their hygienist may not be trained in these procedures.

Caring for Your Porcelain Veneers

  • Choose a soft toothbrush

Often, we encounter patients who use hard toothbrushes thinking the firmness means it cleans better. The opposite is actually the case. All the hard brush will do is scratch your veneers and wear down your gums. Even brushing hard can damage your gums, so brush gently.

  • Choose Your Toothpaste Carefully

While we’re on the subject of toothbrushes, let’s talk about toothpaste. First, avoid whitening toothpaste. They have abrasives in it which is supposed to attack stains. They do. But, they also attack the glazing on both natural tooth structure and dental work, like porcelain veneers and porcelain crowns. This will cause them to actually pick up stains more readily. While teeth whitening can help with natural tooth structure, it can’t do anything for dental work.

The best brand of toothpaste for any kind of cosmetic dental work is Supersmile. It’s specifically formulated for cosmetic dental work.

  • Floss every day

This one is pretty self-explanatory. You need to keep healthy gums.

  • Avoid using mouthwash which contains alcohol

We’ve already gone over this in-depth so we won’t rehash it here.

  • Get cleaning from an experienced cosmetic practice

We’ve discussed above the damage power polishing equipment can do. The same is true of a pumice. The problem is there are many things a dentist or hygienist can do to ruin your veneers. That’s why it’s important to go to a clinic who doesn’t need additional training.

  • Consider getting a mouthguard

This is only necessary if you happen to be someone who grinds or clenches their teeth. Those habits can do serious damage not only to your cosmetic work but to your teeth in general. It can lead to chipped or broken teeth and even TMJ Disorder. The problem is most people don’t even realize they’re doing it because they only do it in their sleep. A good dentist keeps an eye out for that and checks for the signs. If you’re not sure, ask your dentist. A mouthguard isn’t very expensive and can protect you from additional harm.

This blog is brought to you by Dr. Mike Malone.

CEREC

Can a CEREC Crown Look Natural?

I’ve had a CEREC crown before, but only on a bottom tooth which wasn’t very visible. I didn’t really care what it looked like. Now I’ve got a front tooth which needs a crown. I like the convenience of a CEREC crown, but want something that looks natural and will match the adjacent tooth very well. Can a CEREC crown do that?

Anthony

Dear Antony,

A tooth receiving a CEREC crown
Which is better for a Front Tooth a CEREC or Traditional Crown?

So, this is a mixed bag. CEREC crowns are great and Dr. Malone does them as well. They’re made of all-porcelain. While porcelain looks very natural and does a great job mimicking natural tooth structure. However, a CEREC crown is milled out of a single block of porcelain. That won’t have the same subtleties as a traditional crown which can be milled from various blocks which, with the right dentist can make it look exactly like the tooth it’s replacing.

If you’re talking about one of your two center front teeth, then I’d go with a traditional crown. A front tooth further back you could get away with using a CEREC crown. It’s still porcelain and the convenience of one appointment is generally worth it.

Teeth Whitening and CEREC Crowns

If you’re planning on getting any kind of dental crown on your front tooth you may want to consider whitening your teeth first. Once the crowns are made, the color can’t be changed. If you’re perfectly happy with the color of your teeth, there’s no need to do anything. But, if you’ve considered getting them whitened doing it before the crown is made saves you money.

It’s also okay if you want to do it, but just not now. In the future, you can get them whitened. You’ll just want to change the crown after you do. It’s completely up to you when and even if you do it. I just wanted to let you know in case this could save you money in the long run.

This blog is brought to you by Dr. Mike Malone.

Uncategorized

CEREC vs. Traditional Crowns

I’m considering getting a CEREC crown. Are they as good as their traditional counterparts?

Matt.

Dear Matt,

A tooth receiving a CEREC crown
Which is better a CEREC or Traditional Crown?

In one corner we have traditional porcelain crowns. Tried. True. Proven. Strong. Beautiful (with the right dentist). Though, they do take a couple of appointments. They’re milled from more than one block of porcelain.

In the other corner are the CEREC crowns. Tried. True. Proven. Strong. Beautiful (with the right dentist). Made in one appointment. Though, they’re milled from one solid block of porcelain.

Each time I type “Though”, I’m showing the downside of that particular type of crown. While two appointments aren’t horrible, it is definitely more convenient to have it done in one. You miss less work. You use less time. You have your permanent crown from the beginning. So, it would seem that the CEREC crown would be the better bargain. After all, the other features seem to be the same.

So, what’s the big deal about the “Though” for CEREC crowns? Why does it matter if you mill a crown from one block of porcelain or more than one block?

The difference comes from a cosmetic standpoint. Your teeth aren’t of identical translucency from top to bottom. The edges, especially at the bottom, are less opaque than the rest of the tooth. It seems to “thin out” a bit as you move down. There’s also a whiter color in the center than you’d find as you move down.

When you mill from a single block of porcelain, the crown will seem the same from top to bottom. They can look a little flatter because there aren’t those subtle varieties.

When a dentist can draw from more than one block and craft them together, you get the subtleties that reflect light a smidge better in natural teeth.

When to NOT Get CEREC Crowns

In most cases, CEREC crowns are fantastic. They’ll still look beautiful. They’ll still match your teeth. They’ll still hold up to the stresses of daily use. The one exception is on a very front tooth. If you’re getting a crown on one of your very visible front teeth, that’s when I would opt for a traditional crown. This will allow the dentist to use his artistry and make sure every subtle variety of light and color comes through.

Other than in that case, you will get a gorgeous crown with CEREC AND save yourself an additional appointment.

One word of caution. No matter which you decide on, once the crown is completed and bonded on, the color cannot be changed. If you’re going to get your teeth whitened, do it before getting your crown designed.

This blog is brought to you by Dr. Mike Malone

Invisalign

Doubling Invisalign Trays for Teeth Whitening

I’m getting Invisalign which I’m very excited about. My dentist also offers teeth whitening. It appears that the trays for teeth whitening and the trays for Invisalign are quite similar. I noticed that I can buy the gel online. This will allow me to get both procedures done for so much less. Could I use the aligners as whitening trays?

Miranda D.

Dear Miranda,

A woman placing in her Invisalign aligners

I’ll start by telling you that, yes, your Invisalign aligners can double as whitening trays. The caveat being, you need to make sure you’re a good candidate for teeth whitening. I would not recommend just purchasing whitening gel online to use in the aligners, especially if this is your first time whitening your teeth.

You’ll want to be under the observational care of your dentist during your first whitening because there are complications that could arise which you won’t know the warning signs for. He (or she) can spot them and take helpful steps before any complications become more serious.

Secondly, you have no way of knowing whether the gel you’re purchasing is reputable or even equally strong as the gel your dentist can provide. Even worse, it could be material that will damage your teeth.

Teeth Whitening Only Works on Natural Teeth

If you have dental work, such as fillings or dental crowns, they will not whiten with the whitening gel. Instead, your teeth will whiten and the dental work will remain the same color. So, if they’re visible when you smile, you’ll want to replace them when the procedure is done. The same goes for dental bonding.

You will likely find that once your Invisalign and Whitening are done, you will have a stunning smile. You’ll gain confidence and smile more. In turn, you’ll appear more positive and successful to others, which will bring you opportunities previously hidden.

Also, keep your final pair of aligners. Keep them clean and stored carefully, then once a year or so, you can ask your dentist for another tube of whitening gel for a touch-up. Many dentists are willing to provide that if you keep up regularly with your cleanings and check-ups.

This blog is brought to you by Dr. Mike Malone.

Lafayette LA Dentist

Do I Get a Dental Implant or a Dental Bridge?

I lost a tooth. It’s my own fault. I waited too long to deal with it and now I have to replace it. My dentist is suggesting a dental implant, but I’m not too keen on the idea of surgery. Would a dental bridge do something close?

Kevin C.

Dear Kevin,

It depends on how close you’re wanting to get. Both a dental implant and a dental bridge are acceptable tooth replacement options. Both are permanent and secure. There are important differences though. I’ll explain both options. Then, you can discuss with your dentist what fits your situation best. His job isn’t to pressure you into an option, but rather to give you your options and a recommendation. The final decision is yours.

Dental Implants

Dental Implant DiagramYou already knew that a dental implant required surgery. The diagram on the left shows why.

As you can see, the implant is placed directly into your jawbone. The benefits to this are it’s like having your own natural tooth back, it preserves your jawbone, and no other teeth need to lose tooth structure for its placement.

Dental Bridge

Illustration of a dental bridgeA dental bridge is also permanent however, in order to bond them, it requires grinding down the adjacent teeth. Additionally, if part of it breaks the whole unit will have to be redone. They also do nothing to preserve the bone underneath.

When Does a Dental Bridge Make More Sense?

While it may sound like I’m suggesting dental implants are the better option, there is a time when a dental bridge makes more sense. For instance, if the adjacent teeth need to be crowned anyway then it’s like getting two procedures in one. Then, you’re not grinding healthy tooth structure.

The key is good communication with your dentist. He or she knows your teeth. If finances are a consideration as well, many dentists will let you pay out a procedure like dental implants which are a little more costly than simple procedures like a filling.

Who Should Do Your Tooth Restorations?

When you’re looking at replacing teeth, it’s important you choose the right dentist. The especially important when the tooth is in a visible part of your smile. You want it to look natural and beautiful. Not every dentist can pull that off.

Look for a dentist who’s accredited with the American Academy of Cosmetic Dentistry (AACD). These are the top cosmetic dentists in the country. One other thing to consider. Once your implant crown or dental bridge is made, the color cannot be changed. If you want a whiter smile, be sure to have your teeth whitened before your tooth replacement procedure is done. That way your restoration will match your bright white smile.

This blog is brought to you by Dr. Mike Malone.

Cosmetic Dentist

Can a Cosmetic Dentist Fix Spaces Between My Teeth?

I have some spaces between my teeth that I want fixed, but I don’t want metal braces. Are there cosmetic options?

Fiona L.

Dear Fiona,

A woman with a gorgeous smile created by cosmetic dentist Dr. Mike Malone
A gorgeous smile created by cosmetic dentist Dr. Mike Malone

You have quite a few options to fix the spaces between your teeth. If you want to close the spaces, you have options other than traditional metal braces. Invisalign is a brand of orthodontics which uses invisible aligners to straighten your teeth. They’re very effective, working in less time than traditional braces.

The aligners have the benefit of being able to double as teeth whitening aligners. That way you can whiten your teeth and straighten them at the same time.

Cosmetic Dentistry Options for Closing Teeth

  • Tooth bonding: Depending on the size of the gaps between your teeth, dental bonding is a fantastic, fairly inexpensive option for you.
  • Porcelain veneers: If there are other things you want to change about your teeth, then veneers are your best option. They can change anything—the shape, size, color, and character.

Choosing your Cosmetic Dentist

If you choose the cosmetic option over the orthodontic option, it’s important you choose your cosmetic dentist carefully. You want to make sure the smile you get will be a beautiful one. Not every dentist can pull that off. It takes both technical knowledge as well as an artistic eye. It’s very challenging for patients to know who is capable of that type of advanced cosmetic work.

Because of that, the American Academy of Cosmetic Dentistry (AACD) started an accreditation program. It’s designed to test dentists on their technical skill and their artistic ability. There are stringent oral and written exams and they have to show a series of cases they’ve done of specific procedures to make sure they create not just technically proficient but gorgeous as well.

If you want a beautiful smile, go to an AACD accredited dentist.

This blog is brought to you by Dr. Mike Malone.

CEREC

Dentist Won’t Let Me Get a CEREC Crown on Front Tooth

One of my front teeth needed a dental crown. I am tired of going to the dentist’s office and told him I’d prefer the one visit crown. But, he told me he never does those on front teeth. Shouldn’t that be my choice?

Mel

Dear Mel,

Machine for CEREC Crowns

I realize you said you’re tired of going to the dentist. But, let me ask you if going one more time meant the difference between a beautiful, natural-looking smile or something that looked good but just a bit off, would you be willing to make the extra trip?

CEREC crowns are wonderful. They’re attractive, they’re strong. But, they’re milled from a single block of porcelain. Your front teeth are so visible and receive much more light than the rest of your teeth that they need all the natural subtleties that you can only get by using different porcelains. Traditional all-porcelain crowns don’t have that problem because your dentist can craft them using more time.
image of a tooth Notice that as you go down the tooth it becomes more translucent but at the edges it’s a little more opaque. You can’t get that without baking different layers on. To accomplish that with a CEREC machine, you’d need an expert cosmetic dentist.

How to Find a Dentist Who Can Give You a Gorgeous CEREC Crown

Very few dentists can give you a stunning CEREC crown on a front tooth. But, if you absolutely cannot handle the idea of two appointments, you’ll need to go to the right dentist. Ideally, you’ll want a dentist who is accredited by the American Academy of Cosmetic Dentistry (AACD). These dentists have past stringent exams and demonstrated their artistry in creating beautiful smiles.

Something you should also be aware of is any type of dental work, such as dental crowns, white fillings, or porcelain veneers will not whiten like your natural teeth. The color your dentist makes them is permanent. If you’re considering whitening your teeth, you’ll want to do so before you get your crown so it can be made to match your new whiter teeth.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Why Does an Overbite Prevent Me From Getting Porcelain Veneers?

Can you help me understand something? I really wanted to have porcelain veneers placed, but my dentist said because I have an overbite, I’d have to get crowns. He wants to place six porcelain crowns on my front teeth. Is there another option? Also, if I go with the crowns, do I whiten my bottom teeth? Both arches have tetracycline stains.

Amanda L.

Dear Amanda,

Lafayette Porcelain Veneers

I’m very glad you wrote before moving forward with this procedure. It sounds like you went to your family dentist instead of someone with expertise in cosmetic work, and he’s not as comfortable with doing advanced cosmetic procedures. Rather than admit that, he came up with a rather creative (though completely untrue) excuse for why you can’t have it. Then recommended porcelain crowns because he is comfortable doing that.

Porcelain veneers are actually a better solution for an overbite. Crowns have to grind down your teeth. Porcelain veneers do not. Why would you want to grind down healthy tooth structure?

In fact, the two pictures below will demonstrate the difference in preparing for the two procedures.

Lafayette Porcelain Veneers
Tooth Preparation for Porcelain Veneers
porcelain crown prep
Preparation for a Porcelain Crown

As you can see, you save much more tooth structure with porcelain veneers.

Another thing to consider is the number of crowns he said to get because it’s equally applicable to porcelain veneers. Six is not enough. Most smiles show between eight and ten teeth. Some wider smile show even more. Take a close look at your teeth when you’re smiling broadly. How many are visible? You want each visible tooth covered.

So, who should you have do this smile makeover? Your particular case is especially advanced. Tetracycline stains are among the most difficult to deal with. You need an expert cosmetic dentist. In your position, I’d look for a dentist who’s accredited with the American Academy of Cosmetic Dentistry (aacd.org). Bear in mind accreditation is very different from membership. Any dentist can be a member. Accreditation requires a great deal of knowledge, skill, and artistry.

Your bottom arch can be whitened. Traditionally, teeth whitening isn’t the ideal for tetracycline stains, but if your dentist uses KöR Whitening, you should get decent results.

This blog is brought to you by Dr. Mike Malone.

Invisalign

How Invisalign Helped Celia Get a Date

We received a funny note we thought we’d pass on.

Lafayette Invisalign brings love.

Dear Dr. Malone,

I love my Invisalign treatment. It’s been fantastic seeing my smile get prettier with each pair of aligners. But, I love them even more now. I was meeting a friend for dinner. I went into the restroom to remove my aligners and place them in their case. No problem, except I didn’t realize I’d entered the men’s room instead of the lady’s room. I’d just gotten my aligners out when a man walked in. That’s when I saw the urinals and realized what I’d done. I went into complete panic mode and took off.

Once I was in the hallway again, I realized I’d left them. Feeling absolutely humiliated, I walked back in. The man was standing there holding my case. He said, “I assume this is yours?” He had a cocky smirk on his face. The worst part was how cute he was. It just made it more embarrassing somehow. He then asked if it was Invisalign. I told him it was. He’d been thinking about getting that himself and asked me some questions about it.

We talked for about ten minutes about the treatment. The whole time still in the men’s room. By the time we left, he asked me to meet him for coffee the next day. So, Invisalign actually got me a date.

Thanks!
Celia

Dear Celia,

We’re thrilled for you. If for some reason this fella’ doesn’t work out, you could always come by for some teeth whitening. That gives you two sets of trays you can leave somewhere, doubling your chances!

This blog is brought to you by Dr. Mike Malone.