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Medical Forum / General / Dentistry / February 2007

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Teeth whitening laser treatment?

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JimSocal - 29 Jan 2007 19:38 GMT
I once tried to whiten my teeth with a custom made plastic thing that
fit over my teeth, which held gel that I wore at night. After I
increased the dosage of the gel it hurt like hell so I quit using it.

Meanwhile a friend of mine just had his whitened using some new laser
method, all in one quick sitting.

I would rather get it done in one quick sitting.

Is this safe? Effective? Does it last?
Please give me the scoop on this laser whitening.

Thanks in advance for your feedback!
Mark & Steven Bornfeld - 29 Jan 2007 19:52 GMT
> I once tried to whiten my teeth with a custom made plastic thing that
> fit over my teeth, which held gel that I wore at night. After I
[quoted text clipped - 9 lines]
>
> Thanks in advance for your feedback!

Compared to traditional tray bleaching, laser whitening is:
Quicker
More convenient
More expensive
More likely to cause severe (if transient) dentinal hypersensitivity.

Effectiveness seems to be about the same as bleach whitening, from what
I've seen and heard.

Steve

Signature

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

John & Ninetta - 29 Jan 2007 23:51 GMT
> Compared to traditional tray bleaching, laser whitening is:
> Quicker
[quoted text clipped - 4 lines]
> Effectiveness seems to be about the same as bleach whitening, from what
> I've seen and heard.

I 100% agree with Dr. Steve.  Complete and to the point....Good post.

J Suljak DDS
Dartos - 30 Jan 2007 15:26 GMT
The only thing that was left out, is that most laser whitening
treatments include take home trays to maintain the results.

If you're going to use trays anyway, and the results at 6 months
are identical, why pay through the nose for laser whitening?

CRA did a study on bleaching and found that the laser (and other
special lights) had no effect on the bleaching process except for
a very small increase in the temperature of the bleach.

IOW's, an in office power bleach is great if you are getting
married tomorrow and forgot about your teeth.  If you're
getting married in a couple of weeks, save some money for the
honeymoon.

:-)
D

>>Compared to traditional tray bleaching, laser whitening is:
>>Quicker
[quoted text clipped - 8 lines]
>
> J Suljak DDS
Newbie - 30 Jan 2007 23:09 GMT
>The only thing that was left out, is that most laser whitening
>treatments include take home trays to maintain the results.
[quoted text clipped - 13 lines]
>:-)
>D

Well as a Zoom ! provider, in this day and age of instant gratification,
the in office systems fill a niche.

And how much money are we talking about here?
My fee for Zoom ! is $450 and you get take home trays
and your first touch up kit.
Dartos - 31 Jan 2007 16:39 GMT
Sounds fair.

Have you tried the Zoom procedure with and without the light
to see if there is any detectable difference?

CRA claims the results are in the bleach, not the light/laser.

I haven't been involved with any of the testing, so I don't
know from personal experience.

D

> Well as a Zoom ! provider, in this day and age of instant gratification,
> the in office systems fill a niche.
>
> And how much money are we talking about here?
> My fee for Zoom ! is $450 and you get take home trays
> and your first touch up kit.
Newbie - 31 Jan 2007 20:07 GMT
>Sounds fair.
>
>Have you tried the Zoom procedure with and without the light
>to see if there is any detectable difference?

Haven't tried this,  but the light is so intense that it would
really surprise me that there is no effect, supposedly there
is an activator in the bleach that the light initiates that speeds
up the process.

>CRA claims the results are in the bleach, not the light/laser.

Wouldn't try the Zoom ! bleach in just a tray, this stuff will
burn tissue. Gingiva is masked during bleaching with
a light cured covering called LiquiDam.

>I haven't been involved with any of the testing, so I don't
>know from personal experience.
[quoted text clipped - 7 lines]
>> My fee for Zoom ! is $450 and you get take home trays
>> and your first touch up kit.
JimSocal - 30 Jan 2007 09:40 GMT
>Compared to traditional tray bleaching, laser whitening is:
>Quicker
>More convenient
>More expensive
>More likely to cause severe (if transient) dentinal hypersensitivity.

By "severe dentinal hypersensitivity" do you mean Pain?
If it would be MORE painful than the gel I used at night, I want no
part of it. It was like having a toothache in most of my mouth, for
days!

>Effectiveness seems to be about the same as bleach whitening, from what
>I've seen and heard.
>
>Steve
Mark & Steven Bornfeld - 30 Jan 2007 15:00 GMT
>>Compared to traditional tray bleaching, laser whitening is:
>>Quicker
[quoted text clipped - 6 lines]
> part of it. It was like having a toothache in most of my mouth, for
> days!

    It is the same active ingredient (carbamyl peroxide) activated by light
for accelerated action.  If you had severe pain last time, I would
discourage laser whitening for you on that basis alone.

Steve

>>Effectiveness seems to be about the same as bleach whitening, from what
>>I've seen and heard.
>>
>>Steve

Signature

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

JimSocal - 30 Jan 2007 23:59 GMT
>>>Compared to traditional tray bleaching, laser whitening is:
>>>Quicker
[quoted text clipped - 17 lines]
>>>
>>>Steve

Thanks a lot - I guess I'm just not a candidate for teeth whitening
until they figure out a painless way...
JimSocal - 31 Jan 2007 00:00 GMT
>>    It is the same active ingredient (carbamyl peroxide) activated by light
>>for accelerated action.  If you had severe pain last time, I would
>>discourage laser whitening for you on that basis alone.
>>
>>Steve

>Thanks a lot - I guess I'm just not a candidate for teeth whitening
>until they figure out a painless way...

Let me clarify - I'm not that averse to some temporary pain in order
to get my teeth whitened. BUT, as I mentioned in an earlier post, the
pain I suffered with the gel and appliance method was severe and long
lasting.
RR - 31 Jan 2007 12:58 GMT
> >>        It is the same active ingredient (carbamyl peroxide) activated by light
> >>for accelerated action.  If you had severe pain last time, I would
[quoted text clipped - 9 lines]
> pain I suffered with the gel and appliance method was severe and long
> lasting.

Jim, it's not very uncommon that some people develop sensitivity when
they bleach their teeth. If I am not mistaken, about 60-70% may
develop a sensitivity. Of them, a small fraction may experience a
severe form. The pain is transient and there are ways we can try to
overcome this problem.

But I suggest letting a dentist have a check up on your teeth to
exclude obvious causes for sensitivity before you proceed with
whitening.

Good luck
Bill - 02 Feb 2007 17:54 GMT
> Thanks a lot - I guess I'm just not a candidate for teeth whitening
> until they figure out a painless way.
____________________________

In my experience, the amount of sensitivity in home-tray bleaching is
often related to two factors: the strength of the whitening gel, and
the length of time it is applied to the teeth.

Many patients get less sensitivity by using a stronger gel, but for a
much shorter time. Other patients do well with a weaker gel, worn up
to an hour, or even two hours, at a time.

How long did you use the bleach for each wearing? What strength of gel
was used -- 10%, 15%, or 20%?

- dentaldoc
JimSocal - 05 Feb 2007 21:01 GMT
>> Thanks a lot - I guess I'm just not a candidate for teeth whitening
>> until they figure out a painless way.
[quoted text clipped - 12 lines]
>
>- dentaldoc
I can't find the gel nor the appliance; I may have thrown it out,
although I doubt it.

Anyway, they had me wear it at night while I was sleeping, so 6-8
hours at a time.
Woke up in severe pain once I increased the strength of the gel as
they told me to do. (So, I had 2-3 different strengths of gel.)
kingdowdenis@yahoo.com - 07 Feb 2007 10:04 GMT
I personally don't like any whitening stuff. Most of them are
accomplished by
abrade off some enamels. whitening just has short term cosmetic
effects, but
saving enamel could benefit your whole life.
JimSocal - 14 Feb 2007 20:03 GMT
>I personally don't like any whitening stuff. Most of them are
>accomplished by
>abrade off some enamels. whitening just has short term cosmetic
>effects, but
>saving enamel could benefit your whole life.
I agree. But my teeth are very very discolored and I'd definitely like
to bleach them if I could find a safe and non-painful way!
 
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