Teeth whitening

 

What is teeth whitening ?

 

It involves a variety of procedures that aim to make your teeth look  lighter and brighter.

Demand for whiter teeth has massively  increased over the past decades due to increased media attention to dental health and cosmetic procedures. 

 

How does  teeth whitening actually  work?

 

The whitening products available nowadays are based on a chemical called  hydrogen peroxide which has the potential to degrade to free oxygen species. They then pass  through tiny pores in the  enamel and dentine and  reach the stains causing the dark color of the tooth. The stains represent  large units(molecules)that  these oxygen species break down  to smaller elements which leads to  lighter appearance of the tooth.

 

When is teeth whitening required ?

 

It is used to lighten teeth which have darkened and  therefore look unsightly . This could have happened naturally (insufficient calcium in the tooth structure)or due to smoking, drinking too much tea or coffee,antibiotic use(tetracycline staining),exposure to high level of fluoride(fluorosis).

 

Is it safe to have a teeth whitening procedure?

 

Bleaching products that you get  from  your dentist are safe to use but some side effects could occur. Some of the are:

 

1/ Increased sensivity to hot or cold

2/ Irritation to gums and other soft tissues in the mouth

3/Change in taste

4/Irritation to stomach

5/Changes to  structure and translucency of the teeth

 

Can everyone have teeth whitening ?

 

No,there are certain limitations and considerations. This procedure is not suitable for:

 

1/Pregnant women and nursing mothers

2/Young individuals  under the age of 18

3/People who are allergic to the components of the bleaching agents

4/Problematic teeth- caries,failing restorations or root infections

5/Existing restorations – they will not change their shade

6/Heavy smokers

 

Are there different ways for  bleaching teeth ?

 

Yes and one way is to  use over the-the counter products such as  bleaching strips,paint-on gels or whitening toothpastes. The outcome of using this method is hard to predict and is outside your control.

 

The  way that we,at Irby Dental Practice, recommend   is for the  whitening to be supervised by a dental professional. This is much safer as the treatment  will be guided and monitored all along. The most popular techniques using this method   are home bleaching and power (in-office)bleaching. 

 

With the home bleaching based on  impressions  bleaching trays are manufactured and handed to patients to use at home alongside the bleaching gel. It usually takes longer to achieve a satisfactory outcome but control is better.

 

During the power bleaching high intensity light is in use. This comes  from curing light or  laser  and  speeds up the whitening process.It leads to  faster results but patients have no control over the process.

 

Is it expensive to have teeth whitening?

 

It varies but home bleaching is generally cheaper . Here at Irby Dental Practice we charge £300  for this procedure but you can take advantage of  our regular promotions.

 

 

Gum recession

 

 

What is gum recession?

 

Gum recession is a drift of the gum tissue away from the tooth that leaves the  underlying root exposed.That in turn makes the tooth more sensitive and  prone to damage from tooth decay.

 

When gums recede, what causes it?

 

This problem can occur because of  variety of factors, including:

 

1/ Trauma resulting from overenthusiastic teeth brushing,nail picking,deep bite or poorly designed denture. Chemical agents such as topical cocaine could also lead to gum recession

 

2/Gum disease or treatment of gum disease

 

3/Smoking

 

4/ Local plaque retention factors such as high muscle attachments,pull by the small piece of skin connecting upper lip to upper gum or tartar build-up

 

5/ Orthodontic movements- excessive  forward tooth drift or teeth arch expansion

 

6/ Complete absence of the thin bony plate covering the  facial  side of root surface(dehiscense)

 

What could  the consequences of gum recession be?

1/ Sensitivity and pain  to heat,cold and sweets because of the exposed main tooth substance(dentine)

 

2/ Aesthetic concerns because of the unsightly appearance of the teeth and smile

 

3/ Retention of plaque and subsequent gum inflammation

 

4/Increased vulnerability to caries of the root surface

 

5/Loss of tooth structure because the root cement is not as strong as the enamel of the tooth

 

What can I do about  gum recession ?

 

Firstly you should pay attention to  the causes of this problem:

 

1/ Oral hygiene needs improfing  by regularly  and gently  using electric  or manual toothbrush as well as interdental brushes or floss

 

2/ Smoking cessation should become a priority

 

3/ Gum disease  must be diagnosed timely and treated effectively

 

4/ You need to break habits causing trauma to the gums such as nail picking . Lip and tongue piercing could also make the gums pull away from the teeth

 

5/ Orthodontic treatment needs careful planning  and then  regular reviews 

 

6/ Design of the dentures must ensure good support and maintenance is essential

 

Secondly you  need to deal with the symptoms of the recession:

 

1/ Sensitivity and pain

 

Desensitizing products  could help reduce the discomfort arising from exposed roots(eg. Colgate Pro Relief  or Sensodyne toothpaste)

 

Dentist could also apply  topical agents containing  fluoride such as Duraphate

In some occasions restorations may have to cover the exposed sensitive surface

 

2/ Caries and abrasion

 

Adequate dietary advice (such as low-sugar diet)should be given as well as oral hygiene instructions,fluoride applications and fillings

 

3/ Aesthetic concerns

 

Veneers using pink porcelain or composites can be a good solution

 

When spaces between teeth have been created(black triangles) Bioclear method proves to be very effective to deal with this consequence.

Sometimes surgical techniques are  the only way to restore aesthetics and manage  cases of permanent and significant sensitivity. Such procedure is the graft surgery.It consists of  bringing a piece of tissue from another site in the mouth that is then placed over the  root and stitched up. 

 

If you have concerns regarding gum recession please contact Irby Dental Surgery and we’ll take care of your problem. 

Book your dental appointment with Irby Dental Practice today to boost your confidence and smile.

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