Family Dentistry of Ocean City
Robert W. Yaskin, D.M.D. LLC
421 15th Street
Ocean City, NJ 08226
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If you’re considering tooth whitening, you may be torn between using a home product and undergoing a professional application in our office. Here’s a brief comparison of both approaches to help you in your decision process.
It helps first to know what we’re trying to correct — that dull, discolored tooth stain. Tooth staining comes in two varieties: intrinsic, which occurs deep within the tooth and can be caused by aging, old root canal treatments, tetracycline antibiotic use or excessive fluoride intake during childhood development; or extrinsic, which occurs mainly on the tooth surface and is caused by substances like coffee, tea, wine or tobacco. Intrinsic stains can only be treated through an in-office procedure — the comparison we’re making between home and professional whitening refers only to extrinsic staining.
Whitening, then, is the use of a chemical agent to bleach those stains. The majority of both home and professional products use hydrogen peroxide or carbamide peroxide (which also contains hydrogen peroxide) as its primary bleaching agent. Depending on the application, either of these chemicals can effectively bleach extrinsically stained teeth. The two approaches differ, however, in the strength of the bleaching agent: home products usually contain a 10% or less concentration, while professional solutions usually contain between 15% and 35%. As a result, the home application takes longer than a dentist’s treatment to achieve desired results — two to three weeks as opposed to one or two office visits.
Whichever option you choose, remember teeth whitening isn’t a permanent solution. The brightness will fade over time — six months to a year if you restrict foods and habits that stain teeth. You can also receive a touch-up once or twice a year to help extend brightness.
There’s also a middle of the road option — you can use a home application with guidance from our office. It’s also a good idea to visit us for an examination beforehand — we can then advise you on what options will work for your particular type of staining and teeth condition.
If you would like more information on teeth whitening options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Teeth Whitening” and “Tooth Staining.”
One of the many reasons for dental implant popularity is their reliability — studies have shown 95% of implants still function well after ten years. Still, on rare occasions an implant will fail. We can minimize this risk by taking precautions before, during and after installation.
Long-term success begins with careful planning before surgery. We thoroughly examine your teeth and jaws, using x-rays or CT scanning to map out the exact location of nerves, sinus cavities and other anatomical structures. Along with your medical history, this data will help us develop a precise guide to use during implant surgery.
We’ll also assess bone quality at the intended implant site. The implant needs an adequate amount of bone for support — without it the implant will not be able to withstand the biting force of normal chewing. It may be possible in some cases to use bone grafting or similar techniques to stimulate growth at the site, but sometimes other restoration options may need to be considered.
The surgery can also impact future reliability. By precisely following the surgical guide developed during the planning stage, the oral surgeon can increase the chances of success. Still, there may be an unseen variable in play — a pre-existing or post-operative infection, for example, that interferes with the integration of the implant with the bone. By carefully monitoring the healing process, we can detect if this has taken place; if so, the implant is removed, the area cleansed and the implant (or a wider implant) re-installed.
Even if all goes well with the implantation, there’s still a chance of future failure due to gum disease. Caused mainly by bacterial plaque, gum disease infects and inflames the supporting tissues around the teeth; in the case of implants it could eventually infect and weaken the surrounding bone, a condition known as peri-implantitis. This calls for aggressive treatment, including plaque and infected tissue removal, and possible surgery to repair the bone’s attachment to the implant. Without treatment, the implant could eventually detach from the weakened bone.
Maintaining your implants with good oral hygiene and regular dental checkups is the best insurance for long-term reliability. Taking care of them as you would natural teeth will help ensure a long, happy life for your “third set” of teeth.
If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants.”
Have you heard the news about red wine? Every so often, the fruit of the vine is touted for some potential health benefit. Several studies over the past few years have suggested that it could help prevent heart disease and even certain types of cancer — only to have their conclusions called into question by new research. Just recently, newspapers trumpeted a new study from the Journal of Agriculture and Food Chemistry suggesting that certain chemicals in the vino might one day be used to help prevent cavities!
So is red wine good for your health, or isn’t it?
The jury’s still out. But there’s one thing we do know: Regardless of whether it has any affect on cavities, red wine is one of the major culprits in tooth staining.
Of course, it’s not the only offender: Coffee and tea, tobacco in any form, certain foods and some types of medications can all cause extrinsic stains on teeth — that is, stains that affect the exterior surface of the tooth. In addition, intrinsic stain — those that arise from the interior of the tooth — may be caused by root canal problems, or by certain dental filling materials.
If you have stained teeth — whether from red wine or another cause — can you do anything to make them whiter?
Oftentimes, the answer is yes — but finding the best way to do so can be challenging. You can begin by identifying habits and dietary factors that could cause staining. Then, reduce or eliminate the stain-causing factors, and enhance the beneficial ones. For example: stop smoking, modify your diet, practice regular, effective oral hygiene… and come in to the dental office twice a year for a professional cleaning and check-up. In addition, check whether any of your medications could cause staining or reduced saliva flow — a major contributor to the problem.
If making these changes isn’t enough to control teeth staining, the good news is that a number of treatments are available that can help bring your teeth back to a pearly shine — or even give you the “Hollywood white” smile you’ve always wished for. Depending on the cause of your teeth staining, and your desired level of brightening, these treatments can range from professional bleaching to porcelain veneers.
If your smile needs a little help to look its brightest, contact us or schedule an appointment to find out what we can do. For more information, see the Dear Doctor magazine articles “Tooth Staining” and “Important Teeth Whitening Questions Answered.”
Q: Is there much of a difference between fixed and removable dentures?
A: There’s a BIG difference! Removable dentures are the type your grandparents might have had — and possibly their grandparents, too. They work well enough after you get used to them, but there’s always the issue of slippage, poor fit, limited function… and potential embarrassment. Modern fixed dentures, however, get their stability from today’s state-of-the-art system for tooth replacement: dental implants. They won’t loosen or slip, they function and “feel” like your own natural teeth, and they can last for years and years to come.
Q: How are fixed dentures supported?
A: Each arch (set of teeth comprising the top or bottom jaw) of a fixed denture is anchored into the jaw bone by four or more dental implants. These small screw-like devices, made of titanium metal, are placed into the jawbone in a minor surgical procedure. Once set in place, they remain permanently attached by both mechanical forces and osseointegration — the process in which living bone cells actually become fused with the metal implants themselves.
Q: What is the procedure for getting dental implants like?
A: Before having any work done, you will receive a thorough examination and have a set of diagnostic images made. Implant surgery is normally performed in the dental office, using local anesthesia or conscious sedation. If any failing teeth must be extracted (removed), that will be done first. Next, small openings are made in the gums and the jawbone, and the implants are placed in precise locations. Sometimes, a set of temporary teeth can be attached to the implants immediately; other times, the implants will be allowed to heal for a period of time.
Q: Besides added stability, are there other advantages to fixed dentures?
A: Yes! As they become integrated in the jaw, dental implants actually help preserve the quantity and quality of bone in the jaw; removable dentures, on the other hand, decrease bone quantity and quality. This is important because the jawbone plays a vital role in supporting facial features like lips and cheeks. When the facial features lose support, it can make a person look prematurely aged. Also, people who wear removable dentures often have trouble eating “challenging” foods like raw fruits and vegetables (which are highly nutritious), and opt for softer, more processed (and less nutritious) foods. With fixed dentures, however, you can eat the foods you like.
Q: Aren't fixed dentures with dental implants more expensive?
A: Initially, the answer is yes — but in the long run, they may not be. Unlike removable dentures, which inevitably need to be re-lined or remade as the jawbone shrinks, fixed dentures can last for the rest of your life. They don’t require adhesives or creams, and you will never have to take them out at night and clean them. In fact, you can think of them as a long-term investment in yourself that pays off with a better quality of life!
If you’d like more information on fixed dentures, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Dental Implants: Your Best Option for Replacing Missing Teeth.”