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Medical Forum / General / Dentistry / May 2006

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Smoke stain on 2 upper front teeth can this be permanently removed?

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nobody@hotmail.com - 24 May 2006 21:15 GMT
I do not smoke any more and would like to know if the bleach
treatments can permanently remove the stains. I am caucasion and my
teeth are very porous. I have had my teeth clean and they look ok
except the smoke stain seems to be below the surface. Would the laser
whitening treatment remove this. If not what are the options to get
rid of this appearance? If the stains can be removed can the front
teeth be sealed with the method used for the molars of young to
prevent cavities in order to protect and maintain the whiten
appearance.
My teeth need straightening also. The uppers are just a little off on
one side, but the lowers came in at a pushed back angle. I can
tolerate a lot of pain, I have had cavities drilled without anesthetic
with out a problem at dental schools where the clamp on the gum was
there for a hours and also had the cord shoved deeply into the gums
for crown molds that were in for hours no problem. Can I have the
orthodontics done in a shorter period of time by applying more
pressure and at a lower price as I am in the lower income bracket?
Thanks for the help
Mark & Steven Bornfeld - 24 May 2006 22:46 GMT
>  I do not smoke any more and would like to know if the bleach
> treatments can permanently remove the stains. I am caucasion and my
[quoted text clipped - 14 lines]
> pressure and at a lower price as I am in the lower income bracket?
> Thanks for the help

    If you're sure the teeth were cleaned thoroughly and they are still
stained, it is likely that bleaching will help.  Cannot say how much
whitening you'll get, but you should get some--whether laser whitening,
plasma light, take-home trays, or strips (Crest white strips).  All
these bleaching methods use the same active ingredient.  Laser will be
quicker, but more expensive.  Crest white strips are by far the least
expensive, and may be worth a shot.
    You will not shorten orthodontic treatment by applying more than
optimal force--you will just damage or loosen your teeth.

Steve

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

anonamous@hotmail.com - 25 May 2006 03:12 GMT
>>  I do not smoke any more and would like to know if the bleach
>> treatments can permanently remove the stains. I am caucasion and my
[quoted text clipped - 26 lines]
>
>Steve

Do I understand this correctly that in order for the the tooth to look
even just the stained part should be treated (only the lower third of
the 2 front teeth is stained)? Which method would be best for just
treating the stained area. Thanks for the help:)
Steven Bornfeld - 25 May 2006 03:44 GMT
> Do I understand this correctly that in order for the the tooth to look
> even just the stained part should be treated (only the lower third of
> the 2 front teeth is stained)? Which method would be best for just
> treating the stained area. Thanks for the help:)

    Teeth are not naturally one color--most are yellower nearer the
gumline.  I've never heard of spot bleaching being done--generally the
bleach is applied to the entire facial surface of the teeth--in the case
of trays the entire tooth is exposed.  This usually works well for
cigarette staining--less well for antibiotic staining, fluorosis or
focal hyperplasia (poorly formed enamel).  Though bleaching may be of
some help  in these other cases to lighten the overall shade, usually
the tooth surface must be covered with (for example) porcelain laminate
veneers for the best results.

Steve
 
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