Teeth Whitening Archives - Susan M. Dennis, D.D.S

Review of Premium Home Whitening Tooth Products

Posted on August 31, 2023 by writeradmin.

I received an advert for a something called Premium Home Whitening Tooth Products. It’s cheaper than what my dentist charges. Do you know anything about this product? If so, will it actually work?

Trish

Dear Trish,

I did a little investigating into this product. First, the good news. Its teeth whitening ingredient is 35% carbamide peroxide. This will whiten teeth. The light they offer seems to be bogus to me, which does give me pause about the integrity of the company. If you get it, don’t expect the light to do anything.

There are two big differences here, though, about what you get with Premium and what you’d get with your dentist. Obviously, you wouldn’t be doing this under the supervision of a dentist so you’d have no way of knowing if something hinky was going on until it was too late. This leads me to the second issue, their whitening trays. This can lead to problems.

When your dentist provides teeth whitening trays for you, he makes them custom fit to your bite. This keeps the whitening gel on your teeth and away from your gums and saliva. Why is this important? Premium Home Whitening is different. Their’s are not professionally fit and will have serious leakage issues.

When you have leakage there is a three fold problem. First, the gel can reach your gums, which will be an irritant. If you have any exposed areas from your gums wearing down, it can lead to more serious issues. Second, any leaked gel means your teeth are not getting whitened by it. This is a waste of the gel. Thirdly, if gel is leaking out that means your saliva is leaking in, which dilutes the gel making it significantly less effective.

If cost is the only issue keeping you from doing this with your dentist, my recommendation is that you talk to him about it. Most dentists are willing to work with their patients as long as they are upfront about what is going on.

This blog is brought to you by Kalmazoo Cosmetic Dentist Dr. Susan Dennis.

Whitening Touch Up Before a Dental Crown

Posted on May 15, 2023 by writeradmin.

I whitened my teeth a couple of years ago. Recently, I got in a bike accident that caused me to need a dental crown on a front tooth. I want to touch up my teeth to get them back to the white they were a couple of years ago. I asked my dentist how to go about that, for instance how long will I need to whiten each day and for how many days to get it back to shape. Also, will I need to wait between whitening and getting the crown? He wasn’t sure how to answer me so I’m left with the Internet. Do you have any advice for me?

Cathy

Dear Cathy,

Tooth bleaching trays

I’m a little surprised your dentist could not advise you and that is something we will be talking about in a moment. Only one of your questions has a cut and dry answer, but there are certainly general guidelines he could have given you.

When it comes to teeth whitening, everyone has a different “final color” they’re looking for. The general principle is to whiten until you reach that. You get there faster by whitening for longer periods of time each day. The fastest option is to wear them overnight until you are happy with the color. If you have senstive teeth, you may have to wear them less than that. You will still reach the whitening you want, it will just take longer.

The one definitive is that once you reach that level, you will want to wait a minimum of one week before choosing the color of your dental crown. This is because the whitening keeps releasing the oxygen for that amount of time so there will be some more mild whitening take place while that finishes off. With front teeth, you want an exact match.

This brings me to your dentist. If your dentist could not tell you these basic principles of teeth whitening. I have serious doubts that he can do a great job in matching your crown to your existing front tooth. I wonder if you shouldn’t look for an expert cosmetic dentist to do your crown. It’s up to you, but I’m not impressed by what I’ve heard thus far.

This blog is brought to you by Kalamazoo Dentist Dr. Susan Dennis.

Did Teeth Whitening Hurt My Baby?

Posted on March 14, 2023 by Dr. Dennis.

I’ve had two miscarriages. I was discouraged and my husband suggested I do some fun things for me. I’d planned a spa week, which included teeth whitening. I had no idea I was pregnant again at the time. I just found out that teeth whitening is not recommended for pregnant women. Now I’m absolutely terrified I’ve done something which could hurt this baby. I don’t think I could take a third miscarriage right now.

Melanie

Dear Melanie,

I want to express my condolences to you on the loss of your first two babies. I know how hard miscarriages are. Before we go any further, take a deep breath. It’s very likely this bit of teeth whitening did nothing to harm your baby.

The reason the ADA doesn’t recommend it for expectant women is there is no documentation on its safety. The reason for that is there hasn’t been any testing done on the effects of teeth whitening on unborn children. As you can imagine, there aren’t many moms lining up to let companies test on their children.

None of that means it is unsafe. It only means we haven’t determined it is safe.

Now that You’re Going to be a Mom

I’m going to go on the assumption that this pregnancy progresses and everything goes smoothly. How do you know when your precious little one needs to see a dentist? Many new parents make the mistake of thinking young children don’t need to see a dentist in their early years.

Unfortunately, that means they make the mistake of waiting until there’s an actual problem. That makes their child’s first visit with a dentist an emergency visit, giving them a lifetime of fear of the dentist.

It’s better for them to see a pediatric dentist around two years old. They can sit them in the chair, introduce them to the instruments, and make it a fun visit. This way they look forward to seeing the dentist and can have a lifetime of preventative care without fear. These appointments cost less than traditional adult checkups.

This blog is brought to you by Kalamazoo Cosmetic Dentist Dr. Susan Dennis.

Teeth Whitening with Cavities?

Posted on March 4, 2023 by Dr. Dennis.

I went to the dentist for the first time in two years. I wasn’t having a problem, but the dentist said I had a cavity on my front tooth. They suggested I get my teeth whitened before getting it filled because the color can’t be changed after they make it. I scheduled the appointment for both procedures. But, now I’m confused because when I got home my husband said you shouldn’t get your teeth whitened when you have cavities. I looked it up and it turns out he was right. Why would my dentist tell me to do something I shouldn’t? Is he just trying to get money out of me?

Lauren J.

Dear Lauren,

Teeth Whitening Trays

I don’t think it is that your dentist is trying to get money out of you with complete disregard to your health and safety. This is one of those catch-22 situations in the dental industry. First, your dentist was right about the fact that your filling color can’t be changed once it’s done. You basically have three choices.

Teeth Whitening Choice Number One

Get your white fillings done first, trying to guess the approximate color you’ll end up with after you do whiten your teeth.
Pro: You won’t have any of the cons the next two options have.
Cons: The likelihood of you actually matching the true color of your teeth will be slim to none. Because these are front teeth, you may not be happy with those results.

Teeth Whitening Choice Number Two

Get your fillings done first, then whiten your teeth. Once you’ve settled on the level of whiteness you want your teeth and reach that, re-do the fillings.

Pros: You won’t have to deal with the possibility of the other two options, and everything will match perfectly.
Cons: You’re spending money on the same filling twice, which seems like an unnecessary expense to me.

Teeth Whitening Choice Number Three

Get your teeth whitened, then fill the cavity.
Pros: Perfectly matched teeth without spending extra money.
Cons: You risk tooth sensitivity during the teeth whitening process.

The reason for that is the chemicals used in professional teeth whitening are strong. With a cavity, the chemicals will be closer to the nerves of your teeth. People with sensitive teeth will find that a little uncomfortable.

One way to help with this is to take some ibuprofen before your whitening appointment. It will ease the sensitivity issue. Most people find Zoom Whitening causes more sensitivity than the take-home whitening your dentist can provide. So, that might be another way to go. However, Zoom gets the whitening done in one appointment and take-home can last a few weeks.

Ultimately, none of these are “wrong” choice; neither are they dangerous. It’s just a matter of preference.

This blog is brought to you by Kalamazoo cosmetic dentist Dr. Susan Dennis.

Teeth Whitening Working on Every Tooth Except One

Posted on February 20, 2023 by Dr. Dennis.

What’s going on with my teeth whitening? I’ve got these custom trays from my dentist which are supposed to fit all my teeth evenly. All of my teeth are whitening except one which looks really gray. I called my dentist’s office and they said to give it time. But it really does look weird. Can I buy a whitening strip and put it on just that tooth to give it some extra?

Corey T.

Dear Corey,

You’re correct that your teeth should be whitening evenly. The fact that they’re not, means one of two things.

It’s not a natural tooth

Even professional strength teeth whitening will only work on natural tooth structure. It may appear gray looking next to your natural teeth because they’re whitening and it’s not. Is it possible this tooth has a dental crown on it? If so, your dentist should have warned you that it wouldn’t whiten.

The tooth has been traumatized

A graying tooth is usually a sign the tooth has experienced trauma and is either dead or dying. In this case, it’s not whitening because it’s not stains that are the problem.

How to Whiten Your Gray Tooth

First, if it’s dead or dying, the tooth needs a root canal treatment. Otherwise, the problem will spread and you could lose the tooth to brittleness. You need to deal with this sooner rather than later. Tell your dentist you need an emergency dental appointment.

I have to tell you, though, I don’t have a great deal of confidence in your dentist. You may be better served going to a different one. The moment you told him that the teeth weren’t whitening evenly, especially with it being just one tooth, he should have clued in something is off. Telling you to give it time was the absolute worst advice you could have received.

Secondly, after your root canal treatment or if it’s a crowned tooth, the only way for it to get whiter is to replace the crown. If your other teeth have already reached the level of whitening you want then you can get it crowned immediately to match your new color. Be certain your dentist uses an all-porcelain crown and not a metal based one. The all-porcelain crowns are much more beautiful and natural looking.

If you still want to get your other teeth even whiter, finish your whitening treatment. When you get to the level of whiteness you want, then you can get your crown. There’s one exception to that. If you needed a root canal treatment, you’ll want a temporary crown placed so the graying tooth doesn’t disintegrate. Then, when you’re finished you can have a permanent crown placed.

This blog is brought to you by Kalamazoo cosmetic dentist Dr. Susan Dennis.

Teeth Whitening Store Ruined My Smile

Posted on February 8, 2023 by Dr. Dennis.

Please tell me you can help me. I’m in absolute agony. My gums feel like they’re on fire and my teeth are dark and splotchy everywhere I had fillings done. I think all this happened because I went to a mall teeth whitening store instead of a dentists office, but thought I did my research. I talked to the lady in charge. She said all their employees are certified teeth whitening specialists. That put my mind at ease. They were also half the price of my dentist so I felt like it was a win/win. This has been the worst win of my life. I’m such an idiot! Can it be fixed?

Ashley P.

Dear Ashley,

Please don’t be so hard on yourself. I’m sure the saleswoman talked a good game. They’re obviously more trained in marketing and sales than they are in actual teeth whitening. You should know off the bat that there is no such thing as a certified teeth whitening specialist. At best, it may be a certificate they give out in-house to their employees. It sounds good, but it’s meaningless.

They missed several important steps here. First and foremost during the procedure, it sounds like they didn’t protect your gums. If they did an in-office teeth whitening, such as Zoom Whitening a dentist might use, they should have placed a gel on your gums to protect them from both the light and the tooth whitening gel. Even at-home trays that your dentist gives you to do at your convenience are custom designed to protect your gums. They left you unprotected.

You’ll want to take some ibuprofen if you can to try to help with the pain. I’m sorry you’re going through this.

Fixing Your Teeth Whitening Disaster From Here

Thankfully, your smile can be fixed. Another thing they dropped the ball on was evaluating your current smile. Once they saw you had fillings they should have told you that whitening will not have any effect on your fillings. So, while your surrounding natural tooth structure will whiten, the fillings stay the same, creating a blotchy smile, as you’ve seen on your teeth.

There are two ways to go about fixing this. The first is simply to replace your filling to match the new color. This is sufficient if all you want to change is the blotchiness.

There’s another option, but it is significantly more expensive. I’d only do it if you want a complete smile makeover. By that I mean there are other things you want to change about your smile like its shape, size, or character. In that case, you could get porcelain veneers. But make sure your dentist has some expertise in the area.

This blog is brought to you by Kalamazoo Dentist Dr. Susan Dennis.

Can You Hurt Your Teeth By Whitening A Lot?

Posted on January 13, 2023 by Dr. Dennis.

I like to whiten my teeth. I do it every year. My sister-in-law says if I continue doing that every year it will damage my teeth. Is that true?

Kandace O.

Dear Kandace,

Once a year is no big deal when it comes to teeth whitening. Some people, who are heavy coffee drinkers, will even do touch-ups every month. That being said, you should only need a touch-up. You shouldn’t need to do a full round of in-office whitening, such as Zoom.

Most dentists provide their patients with teeth whitening trays for touch-ups. If your dentist didn’t, you can ask him to. Then, you’ll just need to purchase a tube of gel and you are good to go. Not only will that keep your teeth shining, but it’s more affordable than the in-office alternative.

How Much is Too Much Teeth Whitening?

Let’s say you decide to whiten more often, though. How will you know how much is too much? There are some warning signs. If you notice your teeth growing more translucent or becoming sensitive, that would be a red flag. In all honesty, excessive whitening tends to work against you.

When you whiten, the microscopic pores in your teeth open up a little bit. It takes them a couple of days to completely close, so if you drink a lot of staining beverages, such as coffee, tea, or colas, it can make your teeth stain more quickly.

If you find you have to whiten a lot. You may consider getting porcelain veneers. They’re more stain resistant than your natural teeth. If you keep up well with your oral hygiene, they should stay stain resistant for their lifetime. Not to mention veneers can totally remake your smile, including their shape, color and size simultaneously.

This blog is brought to you by Michigan Cosmetic Dentist Dr. Susan Dennis.

Kicked Off Teeth Whitening for Life Program

Posted on December 30, 2022 by Dr. Dennis.

I’m a tad frustrated and wondering if I’m right. My dentist retired. I didn’t like the dentist who took over so decided to look for another one. One had a free teeth whitening for life program for patients. I checked him out and liked the office, then signed up for the program. You paid for the original teeth whitening, kept up with your checkups, and he would provide new whitening gel every year for free. I go to the dentist regularly anyway so it seemed like a no-brainer. I signed up. I’m also in the military. Shortly after I received my whitening I was deployed overseas. As soon as I returned, I scheduled my normal checkups, including the dentist. That’s when they informed me because I wasn’t in for my six month, I was kicked off the program. I explained I was deployed (serving the country) and scheduled as soon as I returned, but she insisted there was nothing they could do. Am I right in feeling this is unreasonable?

Mark

Dear Mark,

You are not wrong for feeling slighted here. It was a remarkably short-sited thing to do to someone who puts their life on hold (as well as in danger) to serve our country.

It’s possible if the dentist knew about the situation, he’d quickly add you back to the teeth whitening program. It may be as simple as an employee not feeling like they had the authority to make exceptions. I wish they’d have thought to ask the dentist in this type of circumstance.

Therefore, the first thing I’d recommend is you call the dentist directly. Explain the situation. If he is as inflexible as his employee, then sadly, there is no recourse. However, your teeth whitening trays will still be good.

I would find another practitioner and explain what happened at your last one. Ask them if they’d be willing to sell you (at a reasonable price) just the gel to go in the trays once a year. It shouldn’t be very expensive at all. Plus, given what the last dentist did, I’m certain most would volunteer to even give you a discount.

I’d also leave a review about the dentist and warn other military personnel not to trust this dentist. It will also serve to let the general public know that this isn’t someone who supports our soldiers. I don’t think that will make his practice very popular with many people.

I’m sorry this was your experience and want to personally thank you for your service.

This blog is brought to you by Michigan Cosmetic Dentist Dr. Susan Dennis.

My Dental Crown is Too Dark!

Posted on November 30, 2022 by Dr. Dennis.

I need some help. I needed a crown on the tooth next to my two front teeth. My temporary was darker than the rest of my teeth, but my dentist assured me that he’d pick the whitest shade for my permanent crown. I went ahead with the order. Unfortunately, when the crown came back it was much darker than the rest of my teeth as well. My dentist assures me that he ordered the whitest shade possible. How can this be accurate? Yes, I whiten my teeth, but I can’t possibly be the only person who whitens their teeth to need a dental crown to match? Is there anything I can do?

Jessica

Dear Jessica,

I think I know exactly what happened here. It sounds like you go to a decent family dentist who doesn’t do much in the way of cosmetic work. That’s okay. Everyone has their passions. For your dentist, it is more the engineering side of dentistry than the artistic side. Here is where the colored wires got crossed.

Dentists use a shade guide when it comes to matching tooth colors. Below I have an example of what was a great shade guide back before teeth whitening took off.

As you can see, this is a great variety of natural tooth colors. The problem is many people, like yourself, prefer teeth which are whiter than typical natural shades. Dentists started having problems matching their patient’s teeth. That’s when companies started upgrading their guides. Below is the extended shade guide which includes shades for teeth which have undergone bleaching.

It sounds like your dentist still goes by the old basic shade guide. Go ahead and show him this post, so he knows there are now brighter options for him to match your dental crown. Replacing this crown is the only way to match it to your other teeth. Unfortunately, teeth whitening does not work on anything but natural tooth structure.

One other word of caution. Because this tooth is visible when you smile, make sure when your dentist replaces it, he uses an all-porcelain crown and not a metal-based one. It will look more natural and you’ll never have to worry about the unsightly gray line which metal-based crowns develop.

This blog is brought to you by Cosmetic Dentist Dr. Susan Dennis.

Tanda Pearl Ionic Teeth Whitening

Posted on November 6, 2022 by Dr. Dennis.

Do you know if the Tanda Pearl Ionic Teeth Whitening is a safe option? Does it really work? I keep seeing that you only have to wear it for 5 minutes at a time in order to get professional results. I have teeth whitening trays and gel from my dentist but when I wear it for the 20 minutes he suggests it aggravates my TMJ. The idea of getting results in 5 minutes sounds appealing. The reviews seem to be mixed, though.

Misty

Dear Misty,

Traditional Teeth Whitening Trays

Traditional Versus Tanda Teeth Whitening Trays

Above you see an image of a teeth whitening tray which your dentist would custom design for you. The Tanda Peral System is very different. For one, it is much bulkier. You can’t put it in and go on with your business. It requires you to bite down on the tray until it hardens and then for the whitening you have to keep your mouth closed while wearing it. This is because it fits your upper and lower teeth simultaneously.

Because of that, you could not sleep with it in and you’d certainly feel weird wearing it in public as it is quite noticeable. The professional trays are different. They’re made out of thin clear plastic and have separate trays for your upper and lower teeth. You could comfortably sleep with them as well as be seen in public without anyone knowing that you are wearing teeth whitening trays.

Traditional Versus Tanda Teeth Whitening Wearing Time

Your dentist recommended a 20 minute wearing time and Tanda Pearl says 5 minutes. Those times could be flipped if you wanted. You could wear your dentist’s trays for 5 minutes and the Tanda Pearl for 20. The duration you wear the trays affects how quickly your teeth whiten. If you wear them for fewer minutes a day, you just have to wear them more days. The reverse is true as well. My guess is the 5 minutes a day quoted is because of how difficult it is to keep your top and bottom arch closed together for any lengthy period of time.

If the traditional trays aggravate your TMJ problems, the Tanda trays will feel significantly worse. I’d talk to your dentist about your trays to make sure the tray is fitted properly. If it is, you can simply cut back on the time you whiten each day.

I hope this helps.
This blog is brought to you by Portage, MI Dentist Dr. Susan Dennis.