Tag Archives: teeth whitening

In Office Whitening Treatment I did today.

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Professional results—in about an hour

For a brighter, whiter smile without the wait, choose Opalescence Boost, an in-office, chemically activated whitening treatment that offers results in less than an hour. It’s ideal for people who want instant whitening gratification or those who have that special event coming up that requires a bright, white smile.

  • Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride), which helps maintain the health of enamel throughout the whitening process.
  • Chemically activated, so no hot, uncomfortable light is needed
  • Dentist-applied treatment
  • Provides dramatic results in less than one hour
tooth-whitening
Tooth whitening treatment

Here’s a very detailed video, intended for the dentist, that explains the procedure:

 

Dr. Gentry’s list of 15 foods that stain teeth.

Article published in The University of Maryland Magazinephilfoods

  1. Coffee

Your morning cup of Joe might be a necessity that you cannot live without. However, coffee contains dark pigments and healthy but acidic polyphenols, and tannins that can lead to staining and discoloration. Plus, coffee is also very acidic, and acidic foods lead to tooth decay.

  1. Tea

Tea has stain-causing tannins. If you’re constantly sipping on tea throughout the day, avoid Earl Grey and choose a lighter colored variety such as an herbal or green tea. To fight against tea stains, research published in the International Journal of Dental Hygiene says to add a little milk to your cup! The casein in milk was found to significantly prevent and reduce tea-induced stains.

  1. Red Wine

Those same troublesome tannins exist in your favorite glass of vino, too. Try pairing your glass of Pinot Noir with a handful of almonds to help counteract staining. The act of chewing hard foods like nuts can help scrub away plaque from teeth and mitigate staining. Swish out with water immediately after drinking wine.

  1. Berries

Blueberries, raspberries, and strawberries are very healthy and packed with antioxidants, but due to their darker hues, berries will cause staining of the teeth. Eat berries and brush right after.

  1. Curry

Although the exotic spices taste amazing, those yellow and red yummy spices also tint your teeth, thanks to their deep pigmentation. The best way to prevent staining here is to make curry an “every once in awhile” treat. Your smile will thank you.

  1. Hard Candies

Hard candies like Jolly ranchers might be one of the worst foods for your teeth. They are both sticky and acidic. Choose non-sticky dark chocolate instead.

  1. Tomato Sauce and Ketchup

Anything that can stain your clothes can stain your teeth. Tomatoes are also acidic. Brush after your spaghetti and meatballs.

  1. Cherry and Cranberry Juice

All fruit juice puts your teeth at risk of discoloration, especially when the fruits are richly pigmented like cherries or berries. Not to mention, fruit juice is often stacked high in sugar, which can act as a breeding site for bacteria in your mouth and lead to more dental damage and discoloration.

  1. Soda

Regular and diet soda is very acidic to the body and, as a result, is damaging to your dental health. Drinking plain water is the best choice for your teeth. Drinking through a straw may help a little.

  1. Balsamic Vinegar and Soy Sauce

Salads are healthy for you, but that balsamic may do a number on your teeth. Not only is balsamic dark in color, but it’s rather sticky and will latch onto teeth, which can lead to staining if it’s not brushed away soon after eating. Avoid too much soy sauce, it stains and contains too much sodium anyway.

  1. Beets

Whether you enjoy them in your morning veggie juice or consume them whole, beets can be incredibly staining to the teeth. Brush your teeth after eating beets. You can also try pairing them with foods that are less damaging to your mouth—like cheese! Studies show that cheese can reduce acids in the mouth.

  1. Popsicles

Popsicles may be lower in calories than other dessert options, but due to their sugar content and fruit juice base, and will stain your teeth. Chew sugarless gum instead to increase your saliva production, which helps to neutralize and counteract those acid attacks.

  1. Gatorade

Some research suggests sports drinks are even more harmful to your smile than sodas. Researchers from New York University found that excessive consumption of these types of drinks can weaken and damage the tissue in your teeth because of a combination of acidic components, sugars, and other additives.

  1. Grapes

If wine will turn your smile dark, then you better believe its main ingredient will do the same. Grapes are deeply pigmented fruits and may cause staining when eaten often. Brush after eating grapes.

  1. Lemon

Hot water with lemon in the morning has become a popular with celebrities. But citrus fruits like lemon or lime are highly acidic and can erode the enamel on your teeth—in turn, revealing yellow dentin tissue below. Avoid acids, drink water.

Coffee-Smile-Picture

Dr. Philip A. Gentry, DDS 
Fellow, Academy of General Dentistry
Dean’s Faculty, Advanced Education in General Dentistry,
Department of General Dentistry,
University of Maryland School of Dentistry
Private Practice in Arlington, Virginia
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Two patient’s smiles I made happy today.

The first patient was concerned about his broken down front upper teeth and the gap between the teeth.

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before
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after

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The next patient broke her lateral incisor tooth. It is very dark since it was traumatized and had a root canal many years ago.

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before
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after

Porcelain Veneers

Porcelain Veneers

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Porcelain veneers are thin pieces of porcelain used to recreate the natural look of teeth, while also providing strength and resilience comparable to natural tooth enamel. It is often the material of choice for those looking to make slight position alterations, or to change tooth shape, size, and/or color.

VENEER CONSULTATION

The first step is to schedule an appointment with Dr. Gentry to determine if veneers are the right option for you, or if there are alternate solutions available. Communication about what you want corrected is critical for a successful result. Spend time clearly identifying what cosmetic improvements you want to accomplish.

You’ll often hear people say that celebrities have veneers and this may seem like the best way to replicate picture-perfect teeth, but each mouth is different and veneers need to be carefully researched. We begin with a smile analysis and diagnostic wax mock-up that will allow you to see if the final result is actually what you’re looking for. Deciding that porcelain veneers will create the look you want is only one step in the process. There is much more to learn before proceeding further.

THE HOWS AND WHYS OF PORCELAIN VENEERS

Porcelain laminate veneers consist of a compilation of several thin ceramic layers which replace original tooth enamel, and an adhesive layer. To apply a veneer, a very small amount of the original tooth enamel must be removed, usually about a millimeter. This is essential as it creates room for the porcelain veneer to fit within the mouth and most accurately restore natural tooth function while creating an even better appearance than the original tooth.

The bond between original tooth and porcelain veneer is critical as it not only provides the esthetic perfection desired, but also a strong bond which is essential for correct veneer function. Light-sensitive resin is placed between the original tooth and the veneer and then hardened using a special curing light.

Porcelain veneers are a very successful option in many situations where the original tooth has developed poor color, shape, and contours. It is also a good choice for fractured teeth, gaps between teeth, and in some situations where the tooth position is compromised and there are minor bite-related problems. For some people, superficial stains do not respond well to tooth whitening or bleaching. In these situations, a porcelain veneer may be the best option.

THE BENEFITS OF VENEERS

Since veneers are individually sculpted for each patient, it is nearly impossible to tell the difference between a veneer and a natural tooth. Unlike natural teeth, custom-made veneers resist coffee and tea stains, and cigarette smoke because they are made of high-tech materials.

With veneers—as opposed to crowns—your natural teeth remain largely intact with only a minimal amount being altered to fit the veneer.

For teeth that resist whitening, veneers can make even the darkest teeth appear bright white.

Dentists may also recommend veneers to quickly fix minor twists, overlaps, and small gaps.

POTENTIAL VENEER DOWNSIDES

Because a portion of the original tooth enamel is reduced, a veneer is not considered a reversible treatment. Although adjustments and even new veneers can be made, you can never reliably return to the original condition of the tooth.

Creating porcelain veneers requires some laboratory time, so expect at least a week before they’re ready to be applied.

After the porcelain veneers are attached you will probably have some sensitivity to hot and cold temperatures due to the removal of that thin layer of enamel. This typically disappears within a few days. In a healthy mouth properly treated with porcelain veneers—and where destructive forces are minimized or eliminated—a patient should be able to use porcelain veneers like his or her own teeth. Although they’re very strong, veneers are also brittle. You should avoid the same excessive stresses you would avoid with non-veneered teeth: don’t bite your fingernails, chew ice, or open beer bottles with your veneers!

MAINTENANCE OF A PORCELAIN VENEER

Maintaining porcelain veneers is actually quite simple: Treat them as you would your original teeth, with routine brushing and flossing. Using non-abrasive fluoride toothpaste will typically be suggested by your dental professional.

One week after your veneers are placed, you will be required to return to the office for a follow-up visit and evaluation so the dentist can see how your mouth is reacting to the veneers. Even if you feel the veneers are a success, this appointment is vital to your future oral health.

If you have a habit of grinding or clenching your teeth, we will make you a nighttime bite guard so you do not damage your veneers.

You should also return for regular professional maintenance because porcelain veneers should be polished with a specially formulated, non-abrasive paste, and because we need to inspect your dentistry for any sign of potential failure.

One of Dr. Gentry’s Veneer Patients from last week

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Before
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After. She is numb so it’s difficult to smile.
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Before
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After

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teeth whitening

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For home teeth whitening, Dr. Gentry recommends Opalescence Go.

Professional results—to go

Opalescence Go is the professional alternative to over-the-counter whitening options that Dr. Gentry recommends, and has for sale in his office for only $50 per kit. It’s a simple, fast, and great-tasting way to start a whitening treatment, or for whitening touch-ups. With no impressions or custom trays necessary, Opalescence Go is ready to use right out of the package!

  • Opalescence tooth whitening gel contains PF (potassium nitrate and fluoride). Potassium nitrate has been shown to help reduce sensitivity. Fluoride has been shown to help reduce cavities and strengthen enamel. Together they help to improve the overall health of the teeth.
  • No impressions, no models, no lab time
  • Sleek and comfortable; adapts to any smile
  • Discreet, clear tray material
  • 10% – wear 30-60 minutes
  • 15% – wear 15-20 minutes
  • Peach, Melon, and Mint flavors

 

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