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Whitening Porcelain Veneers

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My coffee drinking habit seems to have stained my porcelain veneers. Would having teeth whitening done get them to look as white as they used to? If not, is there something I can do? I used to be so proud of this smile.

Becky

Dear Becky,

A porcelain veneer being placed on a tooth.

The type of glaze used with porcelain veneers is glass-like and quite stain resistant. Even drinking coffee should not have affected them. If they are picking up stains, it means they are damaged in some way. There are a couple of ways this could have happened.

First, if you’ve been using something abrasive on them while brushing your teeth, such as baking soda or over-the-counter whitening toothpaste. Because of their abrasiveness, these will scratch the glaze that protects your porcelain veneers, leaving them vulnerable to stains. A second possibility is that your hygienist used something to damage the glazing, such as a power prophy jet or acidulated fluoride. If it was something your dental office did, they are responsible to make this right. As such, they should replace them so that you have the glaze back.

If you are the one responsible, then you will need to be the one that fixes this. Teeth whitening will not whiten anything except your natural tooth structure, so that won’t help you. What can be done is either to replace them or to have your dentist polish them up. This will remove the stains and make them more stain-resistant. But, you’ll have to be careful because they will not be as stain-resistant as they were originally.

Your dentist should have talked to you about proper maintenance. It does not sound like that happened. The best toothpaste for cosmetic dental work of any kind is Supersmile Toothpaste. It is specifically designed for porcelain type work. Rather than using an abrasive to help whiten your teeth the way over the counter whitening toothpaste does, it removes the stains chemically using a protein pellicle. I highly recommend it.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Does Smile Direct Club Work?

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I keep seeing advertisements all over my facebook page for Smile Direct Club. I have always wanted to straighten my teeth but haven’t had quite enough money to jump on the Invisalign train. I looked into the smile direct cost and it is enough cheaper that I could do it. I do worry about safety with these do it by mail medical things though. Have you by any chance looked into Smile Direct or had patients that used them? If so, what impression did you get?

Lacey

Dear Lacey,

Smile Direct Club Ad

I am glad you wrote. I’ve actually looked into Smile Direct Club quite extensively. I want to be up to date on as much as possible. This treatment has worked for some people. For others, it has been a disaster. Let me go over the things that concern me about their process and then you can make a decision from there.

No Pre-Exam

The first thing that worries me is that they are beginning orthodontic treatment without a complete exam. In order to safely begin orthodontics you need x-rays, a full dental exam, as well as careful checking for periodontal disease. Without that, you risk serious complications. If you have periodontal disease and start moving your teeth around they can begin to come loose. This is a basic safety measure.

DIY Impressions

Another issue is the impressions. When a dentist does these for a company, such as Invisalign, they have to be perfect. That means no bubbles, no tears, or any other type of defect. This is such an important part of treatment that most dentists do not even let their dental assistants do it. With Smile Direct, you’re just given a home DIY kit and they make the best out of whatever you send them.

Inadequate Monitoring

With Invisalign or another invisible braces brand, your dentist follows up with you every two weeks. This is important because the human bodies are as unique and varied as personalities. Things do not always go exactly as planned and adjustments have to be made to keep the treatment on track. You will not get that with Smile Direct, nor does the average customer of theirs even have the training to recognize if something is not following the prescribed protocol.

Crowding

Most cases that need orthodontics are because of overcrowding in their bite. When that is the case, the patient will sometimes need an extraction in order to make space for your teeth to be in proper alignment. In some cases where not much space is needed, a dentist can carefully shave away some tooth structure to make the necessary room. With Smile Direct, there is no personal care and this process is short cut out.

If You Don’t Have Money for Invisalign

My suggestion is to wait and save to have this done right. You can also call around and see what brand of invisible braces other dentists use. Invisalign is not the only brand and some of them cost less and give great results all under the care of a dentist.

By the way, if you want to, your dentist can provide you with teeth whitening gel. The Invisalign aligners can double as bleaching trays allowing you to straighten and whiten your teeth at the same time.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Tanda Pearl Teeth Whitening System

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I have TMJ disorder and have noticed that my jaw hurts more when I am whitening my teeth. I recently read about the Tanda Pearl Ionic Teeth Whitening System. It touts to work in 5 minutes a day. I think that would really help my jaw pain. Have you seen this system? Is it legitimate?

Mary Grace

Dear Mary Grace,

teeth bleaching trays

Teeth Bleaching Trays

I am sorry you have been having jaw pain. One thing I am wondering is whether you are doing your teeth whitening through your dentist? If so, did he make a custom-fitted bleaching tray for your procedure? If not, that is the very first thing I would talk to him or her about.

As for the Tanda Pearl System, I looked into this. Its main ingredient is a peroxide gel. That is a viable teeth whitening solution and the same basic ingredient you would get with any other whitening system. There are some differences to consider before making your decision.

The “Ionic” Technology

Something that niggles at me about this is that they provide zero information about their special technology. There does not seem to be anything special about it. If it did work, they’d make more money marketing it to dental offices, but they don’t do that. This makes me wonder if they don’t want it looked at too closely because it is only there for psychological reasons. I don’t like it when companies or even medical practitioners manipulate patients. They could leave that light out altogether and save their customers money.

The Whitening Period

They say it will whiten your teeth in five minutes use each day. Sure, that could happen. It could happen equally with another system as well. Essentially, the longer you wear the whitening gel, the faster your teeth will whiten. There is nothing magical about the amount of time. If your jaw aches, I would wear your current trays for less time until you have a chance to visit your dentist about your bleaching trays.

The Tanda Tray

I placed a picture above of the type of bleaching trays your dentist should have provided for you. Notice there is a separate tray for each arch of your teeth. The Tanda system is different. It uses a single tray for both arches of your teeth. You have to bite down on it in order to keep it in place. In my opinion, that will increase the pain you are experiencing in your jaw, not help it.

Another thing to consider is you bite down to “create” your trays with Tanda Pearl. This will not be a tight fit. That means that whitening gel will leak out, which weakens its effectiveness. Saliva will also leak in, which (again) weakens the gel.

Your safest option is to talk to your dentist about the pain you are feeling and see if you can get to the bottom of it.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Bleach Your Teeth With Clorox?

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My dentist has this Zoom machine for whitening teeth, but I want to whiten my teeth at home and wondered if it is possible to use Clorox Bleach to do it. I was considering rinsing my teeth with it. Will that work?

Dan

Dear Dan,

teeth bleaching trays

Teeth Bleaching Trays

That is interesting. While it could probably whiten your teeth, one thing you should be aware of is that Clorox is a base, such as lye. It’s a rather powerful base at that. This means it can burn living tissue. Believe it or not dentists use it in root canal treatments to do just that.

The active ingredient in household bleach is sodium hypochlorite. This can be used to clean out the organic debris left in a tooth canal all while simultaneously disinfecting it. Rinsing with it regularly inside your mouth is a bad idea because it can burn or damage your gums and inside of your cheeks.

If your goal is to bleach at home, talk to your dentist. There are professional teeth bleaching trays that will allow you to do this. Your dentist will custom-fit them to your bite and provide you with the professional strength whitening gel. You will have all the benefits of at-home whitening without the inherent danger that comes from using Clorox or another household bleach.

I hope this helps.
This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Can’t I Just Rinse with Peroxide to Whiten My Teeth?

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If the teeth whitening gel is made from peroxide, can I just rinse with the hydrogen peroxide I get at the store? Aren’t they the same thing?

Carl

Dear Carl,

teeth bleaching trays

While it is true you could get some mild whitening effect from the peroxide you buy in the store, it will be very mild. There are two reasons for this. First is the strength. The peroxide you get at the store is 3% in strength. The minimum strength you should be getting from professional teeth whitening is 22%. Some are even stronger.

The second issue is absorption. In order for the gel to make any real difference, it would have to stay on your teeth for a minimum of 15 to 20 minutes. That is a long time to try to rinse. It is also the reason dentists will provide you with bleaching trays. You can put the gel in the whitening trays and wear them for as long as is comfortable. The longer you wear them, the more effective they are.

Many patients will wear them overnight because this gives the most bang for their buck. In addition to having them on for many more hours than you would normally tolerate during the day, you also will gain effectiveness. Because your saliva production goes down at night there will be less dilution.

Just remember, no matter what type of teeth whitening you do, it will only whiten your natural tooth structure. If you have any dental work, such as a dental crown, that will stay the same color. After you reach the level of whitening you want, if the dental work is visible, you’ll want to replace the crown. This way your crown can match your new brighter, whiter color.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Expert Tips on Teeth Whitening

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A few years ago, I had my teeth whitened, but they have since picked up more stains. I’m a heavy coffee drinker and knew that would be an issue. Now I need a dental crown on one of my teeth and my dentist wants to schedule me for next week. It’s visible when I smile so I did some research. It seems like it is better to whiten them again before I get the crown placed, but I can’t tell how long I need to get them the right color again. Can you advise me?

Amanda

Dear Amanda,

teeth bleaching trays

While I am going to give you some advice on teeth whitening, I am a little concerned about a couple of things I’m inferring from what you wrote. First, you are having to do this research on your own to figure out what to do. This is unfair to you. Your dentist is supposed to have this training already. He should have advised you that if you wanted to touch up your teeth whitening to do it before getting the dental crown made. One thing we can be grateful for is you figured it out. That’s fantastic! Too many patients don’t and end up having to pay for their crown to be re-done to match the teeth they whiten after the procedure.

A second concern I have is your dentist can’t advise you on the best way to touch up. These two things combined lead me to conclude that he doesn’t have the cosmetic training and skills to do a porcelain crown on your front teeth. These take a lot of skill to not only get to look beautiful, but to blend in with the remainder of your teeth. You may want to ask to see some before and after pictures of cases he’s done similar to yours to see what type of results he gets. If he doesn’t have a smile gallery with photos of his work, then he doesn’t do much cosmetic work and you should see someone else for this procedure.

How Long to Whiten Your Teeth

The basic principle is the longer you can wear your bleaching trays (with the gel in them, of course), the faster your teeth will whiten. The minimum you should leave them in is 15 minutes. The maximum is overnight. While you sleep, your saliva flow goes down which allows the gel to stay in the trays longer, giving you maximum whitening. Some dentists will tell you that you need a special gel made for nighttime whitening, but that isn’t the case. They all contain peroxide. You can wear them during the day as long as you want as well, as long as you are not developing sensitivity.

Once you’ve reached the level of whitening you want, give your teeth a week or two to settle before having the crown made. Oxygen bubbles will still release in your teeth for this amount of time after you stop whitening.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.