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Medical Forum / General / Dentistry / February 2009

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Whitening -- Effective? Safe? Recommendations?

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Sesquipedalian Sam - 24 Feb 2009 16:42 GMT
My daughter politely suggested that I ought to consider getting my
teeth whitened. She said she has been using some over-the-counter
strips that she puts on at night.

To me, my teeth don't look "discolored", but they are not bright
white. Some areas have a bit of an off color (yellow or brown?) that
is probably the result of years of tea drinking. It's more noticeable
on the lower teeth, especially in between the teeth and at the gum
line.

Anyway, if I decide to do something, does it make a difference what
product I use?

My dentist has handouts on the counter about teeth whitening. Are
there any benefits to having the dentist do it vs OTC?

Are there any health benefits to whitening? I would think not.

Are there any risks?

Are any of the OTC products better that any others?

Thanks
Mark & Steven Bornfeld - 24 Feb 2009 18:33 GMT
> My daughter politely suggested that I ought to consider getting my
> teeth whitened. She said she has been using some over-the-counter
[quoted text clipped - 19 lines]
>
> Thanks

    All the bleaches use some form of peroxide.  Most aren't too stable, so
if you're using an OTC product the newer the better.
    I do tray bleaching in my office.  I try to get patients to use
something like the Crest White strips first.  If the stain doesn't
respond to the white strips it likely won't do much better with my
trays.  You should have a thorough cleaning at your dentist first--any
stain on the surface of the teeth will interfere with penetration of the
bleach.
    Light-activated bleaching "systems" that are heavily promoted, such as
"Zoom" and "Britesmile" are quick and convenient, but are most likely to
cause significant tooth sensitivity (which usually remits on its own,
though it may take some time).  The other risk is burning of the gums if
a concentrated bleach is used and it gets on the soft tissues.
    The Crest White strips have been around longest.  I believe they make a
"professional strength" formula too--don't know if it requires a
prescription.  But generally they all work the same, and less
concentrated bleaches may just need a few more days to work.
    Don't let your kid push you around (at least she was polite)!

Steve
dad to Lauren (age 12)

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Sesquipedalian Sam - 24 Feb 2009 18:50 GMT
>> My daughter politely suggested that I ought to consider getting my
>> teeth whitened. She said she has been using some over-the-counter
[quoted text clipped - 37 lines]
>prescription.  But generally they all work the same, and less
>concentrated bleaches may just need a few more days to work.

It sounds like trying the Crest White Strips would be a good first
step.

>    Don't let your kid push you around (at least she was polite)!

Well, my "kid" is 42 and I think she was trying to be helpful. She
gets on me from time to time to throw out some old comfortable pair of
pants or ratty sweatshirt or something. ;-)

>Steve
>dad to Lauren (age 12)
Mark & Steven Bornfeld - 24 Feb 2009 19:25 GMT
> It sounds like trying the Crest White Strips would be a good first
> step.

    That's what I would do.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

 
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