Archive for the ‘Uncategorized’ Category

Teeth bleaching is making my teeth look worse.

Wednesday, June 16th, 2010

I am in a really frustrating position. I am 24 years old, and ever since my adult teeth came in, they have had brown spots on them. I take really, really good care of my teeth, but my dentist said that they are like that because I had a very high fever as a young child, and that episode caused the discoloration.

I just graduated from college, and am trying to start my new professional life. I feel like these ugly teeth are really making a bad impression, but don’t know what to do about them. Under the guidance of my dentist, I have tried just about every over the counter teeth whitening product there is. I don’t have very much money, and though the kits are not individually expensive, they are starting to add up. So far, all that has accomplished is to make my teeth look even worse. The spots seem even darker than they did before.

Now my dentist wants to “try an experiment” (her words). She wants to use a grinder to wear away the front of my tooth until the discoloration is gone. I do not claim to be any kind of dental expert, but this sounds like a really bad idea! She admits that she does not know how much she might have to take off, and I am having horrible visions of what the end result of this might look like.

There has to be another way. What about professional whitening? I am tired of making a bad first impression. I am hard-working, well educated and meticulous, but my teeth send exactly the opposite message! Please help me get this figured out.

Thanks a lot,

Gretta in Belhaven, North Carolina

Dear Gretta,

You are smart to be cautious, especially when your dentist uses a phrase like “try an experiment”. From the sounds of things, you need to seek a new dentist. Your dentist clearly does not understand the basic principles behind teeth bleaching, and letting her conduct her “experiment” with grinding could lead to catastrophe.

I strongly suggest you seek the services of an experienced, expert cosmetic dentist, even if you have to drive a fair distance to do so. Please trust me that it will be very worth your time and effort to put this matter in the right hands.

As you have noticed, your smile is a huge part of the first impression you make on people, and you are at a point in your life where that first impression is incredibly important. If at all possible, I would advise you to invest in porcelain veneers. You do not mention any issues with any of the rest of your teeth, so it is possible that getting veneers for only those teeth that are discolored could make a dramatic difference in your smile.

If porcelain veneers are not a possibility, dental bonding may work just as effectively to deal with the discolored spots on your teeth.

You need the advise and guidance of an expert cosmetic dentist to make the decision about which course of treatment to pursue. Use caution, and ask about the dentist’s training and credentials. A truly expert cosmetic dentist will be a member of the American Academy of Cosmetic Dentists at the very least, and preferably accredited through them.

I need an implant, but want to wait.

Tuesday, December 15th, 2009

One of the molars in my lower jaw is going to have to come out. My dentist and my endodontist say there is no help for it, because it has decayed below my gumline. My budget is tight, so I don’t want to get an implant right after the tooth comes out. How long can I wait?

Lily from Tulsa

Dear Lily,

You’re making a good choice to replace your missing tooth with a dental implant. While you do need to give the infection in the socket time to heal, you should not wait too long to get the implant placed.

When a tooth is removed, the teeth that surround the empty socket start moving into that space in just a couple of weeks. The neighboring teeth begin to tip in. The corresponding tooth in your upper jaw (the one that would line up with the missing tooth with your mouth closed, called the “opposing tooth”) will super-erupt. That means that it will grow to try and meet a tooth that is no longer there. These are all natural tooth movements. Your teeth naturally shift so that they are touching each other, and so that they meet when you bite down. That missing tooth can really cause serious problems that could turn into headaches, TMJ issues or serious bite discrepancies. If you let the situation continue too long, your cost to fix the problem goes up a lot. I strongly recommend that you don’t put this off.

Another thing to consider is that the root form of the implant will need time to heal and become integrated with the bone of your jaw. This can take several weeks, on top of the healing time for the infection. In the meantime, then, your dentist should give you some kind of temporary partial denture (called a “flipper”) to wear to keep your other teeth from drifting. When the surgical site has healed, your permanent crown can be placed on the root form.

If you would like to read more about the dental implant procedure, see our website page on dental implants. We also have a page that talks about dental impants vs. bridges that you might find helpful.