Conscious Sedation

Cosmetic Dentistry Corrections: Bleaching, Bonding and Dental Veneers

Maybe you've thought about cosmetic dentistry, but felt it was a little vain to consider it. Or the appearance of your teeth never bothered you much, because your dental health is pretty good.

Well, like it or not, "cosmetic" is more than skin deep. Most people form biases about others based on appearance. And, one of the critical factors in such judgments, is the teeth.

Because new cosmetic dental techniques give your dentist the means to fine-tune virtually anyone's teeth, most people need not go without the advantage of a white bright smile. Consider the options.

Teeth bleaching is a simple, inexpensive way to lighten stains and discoloration on certain teeth, front teeth are the more obvious candidates, without altering the natural structure of enamel. If you've had a root canal procedure, there may be some darkening. Some people suffer staining from medications, like tetracycline. And teeth naturally change as we age, or if we indulge in too much coffee, tea or smoking.

In any case, whiter teeth can be achieved with external or internal bleaching. The most common treatment involves cleaning the teeth thoroughly, applying a bleaching solution, and then curing it with a gentle heat source. The procedure takes just 30 to 45 minutes. After three to five sessions, you, and everyone else, will really notice the difference.

Cosmetic corrections for gaps, misshapen or chipped teeth are achieved with tooth bonding. New dental bonding materials can work wonders using a little art, and lots of science. Your cosmetic dentist can literally sculpt tooth form, or replace a gold crown with natural-colored restorations. The result is stronger than ever and makes a dramatic impact on your appearance.

Dental veneers are an option too, for teeth that need lengthening or reshaping. Veneers cover the front of a tooth entirely and work especially well where there is less stress on the teeth involved. Veneers are a durable, beautiful solution to dental imperfections.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Cosmetic Dentist: Do Teeth Bleaching Before Dental Crowns

If you require a dental crown to be placed, it is a good idea to talk to your cosmetic dentist about how you feel about the color of your existing teeth before beginning the process. If you like the color of your teeth, your cosmetic dentist will then find a color that matches the crowns.

On the other hand, teeth bleaching may be an option for you. If you feel you would like to whiten or lighten your teeth, it is a good idea to communicate this to your cosmetic dentist beforehand. Once the final restorations are made, it will not be possible to change their color without redoing them.

At-Home Teeth Bleaching

If you desire whiter teeth before the cosmetic crowns are placed, the best way to achieve this is to talk to your cosmetic dentist about at-home teeth bleaching. With this procedure, custom-fitted plastic trays will be made for your teeth and you will be given some small tubes of teeth bleaching material.

Your cosmetic dentist will show you how to place a small amount of teeth bleaching material in the tray and then place the tray in your mouth. If any excess material squirts out of the tray onto your gums, you will want to remove it with your finger or a toothbrush.

The tray is then worn for one to two hours in the evening, depending on the type of teeth bleaching material. The biggest advantage of this method of teeth bleaching as compared with procedures that are done in your cosmetic dentist's office is that you are the one that can control how white you want your teeth to be.

Since you are the one in control, you can stop the teeth bleaching whenever you feel you have achieved the desired color. The typical teeth bleaching time is one and one-half to two weeks, but it may be longer.

Sensitivity to Tooth Bleaching

You may experience that your teeth become sensitive to cold air or liquids during the teeth bleaching process. This is normal and will subside and finally go away when you stop the teeth bleaching.

There are a couple of things you can do to decrease this sensitivity if it arises during the teeth bleaching process. One is to only bleach every other night. By taking a break after each night of teeth bleaching, your teeth will not be as sensitive.

The other is to have your cosmetic dentist prescribe you a fluoride gel that you can place in your custom teeth bleaching trays every other evening. The fluoride acts to decrease the sensitivity by coating or sealing the tooth surface and it will not affect the color of your teeth. This is the most reliable way to decrease sensitivity while you bleach.

Once you get your teeth to the desired color , your cosmetic dentist will have you wait about three to four weeks before taking a color match of your teeth in order to make the final restoration. During this time, the color of your teeth is stabilizing.

Once the Restorations Are Placed, What Can You Expect?

Teeth bleaching is very predictable, but the results will not last forever. Since the restorations were placed when your teeth were at their whitest, you will most likely find that in one and one-half to two years, the restorations may begin to appear lighter than your natural teeth.

This result is to be expected. It is not caused by a change in color of the restorations, but rather by your own teeth getting darker. At this point, all that is required is to, once again, bleach your natural teeth until the color is evened out. Usually, this only requires teeth bleaching a couple of times.

After the color is evened out, you can then expect to have the color stability last for another one and one-half to two years. On the other hand, if no restorations were placed by your cosmetic dentist after your teeth bleaching, you will most likely not notice the teeth changing color because there is no reference to help judge this change.

By Greggory Kinzer, DDS, MSD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.