Below are frequently asked questions about Cosmetic Dentistry :

How Can I find a good cosmetic dentist?

Call local or state dental societies or state dental schools, dental specialists, i.e. orthodontists, oral surgeon, etc. Specialists and professionals in other fields, surgeons, cosmetologists, models, actors and / or agencies often refer patients, for a recommendation.

Is it possible for me to picture how I would look cosmetic dental treatment ?

Yes, you're in luck! Many dental offices can use the latest technology to offer your computer imaging giving you a good idea of what you can look like after cosmetic improvements.

Is there a good book about cosmetic dentistry that I can buy ?

Yes, "Change Your Smile" (Quintessence Publishing Company, 800/621-0387) is excellent source of consumer information on every phase of cosmetic dentistry.

Below are frequently asked questions about tooth whitening :

How Can I get the yellow out of my teeth?

The first step is to get a cleaning using a "prophy jet" with a baking soda spray and tooth polishing as the last step. This will help your dentist evaluate the type and amount of real discoloration present in your teeth. Then, a two-step in-office bleaching technique heat / lamp or the new laser approach is combined with the usual "matrix home bleach" for the safest, quickest way to whiter teeth. Subsequent follow-up is recommended to maintain your new tooth color.

I have dark stains, what can be done ?

A good cleaning in the dental office with the "prophy jet" using baking soda spray is a good start. In-Office bleaching using heat/lamp or the new laser technique especially when combined with matrix home bleaching can also help. If your teeth are very dark it may take several treatments in office plus up to 3 months at home. You may also want to consider replacing old fillings with tooth colored bonded restorations and / or porcelain laminate veneers. If the stains are bright orange, they may be caused by chromogenic bacteria and may need polishing and / or antibiotics to correct the condition. Another technique called micro abrasion which involves polishing the stains with a mild acid in combination with bleaching may be useful especially for white stains. The most important thing is for you to have a consultation with your dentist who will help you make the correct decision and avoid problems.

My old filling in the front have turned dark. Can they be bleached?

Bonding and composite resin fillings do not bleach. Usually, polishing may help but if not, you can have the surface of the fittings redone. Otherwise, it's time to replace with newer bonding or porcelain laminates for longer lasting results. Remember, only replace filling after bleaching in order to match the new improved color of your own new tooth.

How long does bleaching last?

Each person is different. It depends on many factors including your diet, the original color of your teeth, and each person's ability just to absorb the bleaching products.

Is there more than one way to bleach?

Yes. In-office using an external heat/lamp or new laser techniques. An at-home matrix or night guard used with a carbamide peroxide gel will also bleach teeth, but not as quickly. In office followed by at-home seems to provide the best results.

I have one dark tooth in the front. Will regular at-home bleaching make it lighter?

External bleaching may not help. Internal may be the solution if the tooth has had the nerve removed (root canal treatment). If not, consider bonding, laminating, or capping the tooth to mask the darkness.

I have been smoking for years -- can my teeth be whiter?

Yes. External bleaching may or may not help. If not, the teeth can be covered with a light composite resin bonding or beautiful "stick on" porcelain laminates. However, continued heavy smoking will unfortunately shorten the longevity of any treatment result.

Does a special whitening toothpaste really lighten teeth?

Most "whitening toothpastes" remove some surface stains but they will not bleach the teeth as effectively as bleaching gels or solutions do that contain the bleaching agent carbamide peroxide. Even if the toothpaste does contain some bleaching chemicals, the time the paste is in contact with the teeth is insignificant compared with using a bleaching solution and a form fitted matrix or especially an in-office treatment. Also, these toothpastes may have harmful abrasives that can wear away tooth structure over time.