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Medical Forum / General / Dentistry / June 2005

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how accurate are dental shade guides used by dentists?

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Borashi - 14 Jun 2005 22:58 GMT
The reason why I ask is because I just got a cleaning done yesterday,
in which I explained my concerns about my teeth needing to be whitened,
the dentist brought out the shade guide and said I was a B2. Is this
any good? I see a lot of people these days in public with movie star
white smiles , and that's what I'm looking for. Do you think it'd be
wise to do britesmile if my shade is already at B2? See the reason I
can tell my teeth are not at my whitest is because in the middle of one
of my big front teeth there is a super clear white speck and then the
rest is very light light yellow, so I want my teeth to be as clear as
that speck on my front tooth so I don't have to compare it to anyone
elses smile anymore.
Thanks for any opinions or advice offered.
Theo
Steven Bornfeld - 14 Jun 2005 23:19 GMT
> The reason why I ask is because I just got a cleaning done yesterday,
> in which I explained my concerns about my teeth needing to be whitened,
[quoted text clipped - 9 lines]
> Thanks for any opinions or advice offered.
> Theo

    The most commonly used shadeguides are very consistant.  That doesn't
mean it is easy to duplicate the shade in a real-life situation.
    B2 is a fairly light shade in the gray range.  You are less likely to
get a really noticeable change from B2 than you are to get if you are a
dark yellow A4.  The white speck is probably an area of focal
hypocalcification (an imperfection in the enamel) and this is very
unlikely to disappear with any kind of bleaching.

Steve

Signature

Cut the nonsense to reply

Steven Fawks - 15 Jun 2005 14:24 GMT
Totally agree.  All of the bleaching hype may have gotten more people
to think of their teeth and perhaps help dentistry in the long run, but
it seems to have created a lot of patients who come in wanting instant
Hollywood smiles for a few hundred dollars.

It takes me 10 minutes to tell them the truth about bleaching (IOW's
what they can honestly expect).  TV and advertizing make it sound like
a miracle.  It's pretty neat *sometimes* but mostly it's a waste of
time and money.

JMO,
Fawks

>     The most commonly used shadeguides are very consistant.  That
> doesn't mean it is easy to duplicate the shade in a real-life situation.
[quoted text clipped - 5 lines]
>
> Steve
NOYB - 15 Jun 2005 21:18 GMT
> The reason why I ask is because I just got a cleaning done yesterday,
> in which I explained my concerns about my teeth needing to be whitened,
[quoted text clipped - 7 lines]
> that speck on my front tooth so I don't have to compare it to anyone
> elses smile anymore.

I have my shade guide arranged according to "value".  The higher the value,
the brighter/whiter the tooth.  B2 is the third "whitest" shade (out of 16
shades) on the Vita shade guide.  Only B1 and A1 have a higher value
(ie--whiter). There are shade guides out now, however, that have teeth up to
5 or 6 shades whiter than B2.  These guides were made to keep up with the
demand for artificially bright white veneers and bleached teeth.

My experience with teeth that have a white "spec" (known as a
hypocalcification) in the front is that the rest of the tooth typically
bleaches very well and "catches up" with the hypocalcified area.  After 2
weeks of bleaching, the spec is almost completely invisible relative to the
rest of the tooth.

When you first start bleaching, the white spec will appear even whiter and
more noticeable than it does now.  Don't panic.  The rest of the tooth will
usually catch up as you proceed with the bleaching.
Mark & Steven Bornfeld - 15 Jun 2005 22:27 GMT
>>The reason why I ask is because I just got a cleaning done yesterday,
>>in which I explained my concerns about my teeth needing to be whitened,
[quoted text clipped - 14 lines]
> 5 or 6 shades whiter than B2.  These guides were made to keep up with the
> demand for artificially bright white veneers and bleached teeth.

    The Kohler shadeguide?

Steve

> My experience with teeth that have a white "spec" (known as a
> hypocalcification) in the front is that the rest of the tooth typically
[quoted text clipped - 5 lines]
> more noticeable than it does now.  Don't panic.  The rest of the tooth will
> usually catch up as you proceed with the bleaching.

Signature

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

W_B - 15 Jun 2005 22:32 GMT
>These guides were made to keep up with the
>> demand for artificially bright white veneers and bleached teeth.
>
>    The Kohler shadeguide?
>
>Steve

Don't forget the American Standard guide.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
NOYB - 16 Jun 2005 00:30 GMT
>>>The reason why I ask is because I just got a cleaning done yesterday,
>>>in which I explained my concerns about my teeth needing to be whitened,
[quoted text clipped - 17 lines]
>
> The Kohler shadeguide?

Liquid Paper.
 
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