Posts for tag: cosmetic dentistry

EndtheEmbarrassmentofStainedTeethwithWhitening

You have a beautiful smile, but you hesitate to show it because of your stained teeth. Fortunately, whitening techniques could take away that embarrassment.

There are two basic types of tooth staining or discoloration: extrinsic, in which the stain is on the surface of the teeth and mostly caused by substances like coffee, wine or tobacco; and intrinsic, which occurs deep within the tooth, caused by such factors as aging, previous dental treatments and fillings, the use of antibiotics (tetracycline, predominantly), or over-exposure to fluoride.

Whitening or bleaching is an effective and relatively affordable solution for many instances of both intrinsic and extrinsic staining. Bleaching solutions are available in over-the-counter (OTC) home kits or as a professional application in the dental office.

Most bleaching solutions use carbamide peroxide, a chemical compound that is effective in removing most stains. OTC home applications contain carbamide peroxide (or an equivalent) in concentrations of about 10% as opposed to 15-35% found in professional solutions. Though less costly than a professional application, OTC products take longer (usually up to three weeks) to achieve desired results. With its stronger solution, a professional application in our office can achieve the same level of brightness in only one or two visits. We may also use special lighting to accelerate the chemical process, as well as rubber dams or gels to protect gums and soft tissues from solution irritation during the procedure.

Although effective, whitening isn't a permanent solution — over time the effect will fade, usually six months to a year depending on how you care for your teeth. Matching tooth color can also be difficult in some cases, especially if you have a mix of natural teeth and artificial crowns or bridges. And, whitening may not be adequate for some types of staining.

Regardless of which application you wish to use — OTC or professional — it's a good idea to visit us first for a professional consultation. We can recommend whether whitening is a good choice for your particular type and level of staining, or if some other option like porcelain veneers might be the better choice. Regardless, there are solutions to the problem of staining, and a way to gain a brighter smile.

If you would like more information on bleaching, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teeth Whitening.”

PlanningYourWeddingDaySmileMakeover

You're planning for one of the most important days in your life — your wedding — and you want everything to be perfect. You've chosen the outfits, the setting, the flowers... but there's one more thing to think about. Is your smile just as bright as your hopes for the future? Do you wish you could improve its appearance in time for the big date?

Here's good news: You can! Depending on how much advance notice you have — and what level of enhancement you need — your wedding day smile makeover can range from a thorough dental cleaning to a full-scale orthodontic treatment program. Let's look at a few options that can help you look and feel your best on this very special day.

Getting your teeth thoroughly, professionally cleaned can help remove some surface stains and tartar in just one appointment! Depending on the level of discoloration, and how long it's been since your last cleaning, more than one session may be needed. You have this basic and effective treatment done every three to six months anyway — right? So, be sure and schedule one before your wedding!

Sometimes your smile needs more than just routine maintenance. If that's the case, there are many other options to help it look its best. Tooth whitening is a safe, effective and economical way to lighten teeth by several shades. In-office treatments are quicker and more predictable, but dentist-supervised at-home bleaching kits are also an option if you have more time.

Porcelain veneers offer a more striking and more permanent solution for discolored teeth. To get the optimum “wow” effect from this treatment, figure from two to four office visits, and a total treatment time of at least three months.

Cosmetic bonding is a great way to hide those little chips in the front teeth, or discolored old fillings in back. Using the newest high-tech materials and a dose of old-fashioned artistry, we can restore the shiny, translucent look of your natural teeth — only with fewer imperfections. After a thorough evaluation, cosmetic bonding can often be performed as a one-visit procedure.

If your smile needs even more help, don't despair — there are still plenty of ways to improve it.

Teeth that are damaged or missing can be restored by crowns or bridgework. When the roots are intact, a crown replaces the visible part of the tooth above the gum line. If the tooth is missing, a bridge is used to secure a false tooth to two abutments on either side. Properly done, these restorations may last a decade or more, and generally require two or more visits.

Dental implants are a great way to restore missing teeth. They offer a permanent, natural-looking tooth replacement with numerous advantages over other restorative treatments. Achieving these results requires careful planning and takes a bit more time. If you need tooth restoration, be sure to ask us whether dental implants might be right for you.

If you would like more information about a wedding-day smile makeover, don't hesitate to contact us or schedule an appointment to discuss your treatment options. You can learn more in the Dear Doctor magazine article “Wedding Day Smiles.”

SpruceUpYourSmileWithTeethWhitening

Clothing and hair styles may come and go, but a dazzling smile is always in fashion! If you're considering options for perking up your appearance, brightening your pearly whites is a quick and affordable way to achieve eye-catching results.

You have several choices when it comes to teeth whitening. But to get the safest, most appropriate, and most satisfying results, you should start with a proper dental examination. A professional assessment of your oral health can determine the cause of your tooth discoloration and may reveal the need for a particular treatment before, or in addition to brightening the color of your teeth.

Brightening Options

When we talk about teeth whitening, we generally are referring to “bleaching,” which actually returns your teeth to their natural tooth color. A thorough cleaning — generally part of a routine checkup — often can remove surface discoloration/staining (such as coffee, tea, tobacco or red wine).

There are basically three approaches for external bleaching/whitening of your teeth. They vary based on the strength of the bleaching solution, method of application, duration of treatment, and cost considerations.

Professional In-Office Whitening. This approach involves the carefully controlled application by a dental professional of a powerful and fast-acting concentration of hydrogen peroxide gel. Professional whitening can achieve the most significant color change in the shortest amount of time, but it is pricier than the other options.

Professionally Dispensed Take-Home Whitening Kits. These include a lower-strength peroxide gel applied via flexible plastic bleaching trays custom made by our office specifically for your teeth. The tailored fit of the trays helps ensure an even and thorough coating. A more affordable option than the in-office procedure, it also requires more time to achieve similar results.

Over-the-Counter Products. These feature the lowest-concentration bleaching gel, which is applied to the teeth using one-size-fits-all trays or strips, or a paint-on applicator. While they are the least expensive option, they take the longest to achieve maximum results and may not reach all teeth.

If you have questions about teeth whitening, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”

By Dr. Manson
April 27, 2013
Category: Dental Procedures
GetaWhiterBrighterSmile

If your teeth are not as bright as they used to be, or as white as you'd like them to be, then whitening or bleaching them may be the solution. Surface stains from coffee, tea, red wine or tobacco may be the most likely culprits. Internal staining can also be the result of root canal treatments, large fillings, too much of a good thing, like fluoride — or just plain aging. In some cases taking an antibiotic (tetracycline) during tooth development can cause permanent staining. In most cases bleaching stained or yellow teeth can really make a difference, helping to make them brighter and whiter.

The active ingredient in whitening products is hydrogen peroxide, which is also the breakdown product in carbamide peroxide. If a good regular dental cleaning doesn't remove your stains, then these products can bleach stains that are either superficial (on the surface) or deeper within the tooth structure. “In office” professional tooth whitening speeds the process along with the use of specialized lights or lasers, so that your teeth will whiten after only one or two office visits. Professional whitening or bleaching, which uses up to 35% peroxide solutions, may cause transient tooth sensitivity, but this will fade away quickly within a few days. Gum protection is also necessary to prevent irritation.

The effects of bleaching usually last six months to a year, at which time all that may be necessary is a minor touch up or refresher. And your whiter, brighter teeth will last longer if you avoid the habits that caused them — like avoiding smoking and foods that cause staining.

Whitening products for home use are an alternative to professional whitening systems that we apply in the office. Products for home use have a lower concentration of the active bleaching ingredients. We can make you custom fitted “trays” that exactly fit your teeth, and provide you with home strength whiteners, so that you can whiten at your own pace and stop at the brightening level of your choice.

And finally there are over-the-counter (OTC), whitening products, at even lower strengths for safety, but they are slower to work.

If whitening doesn't give you the smile you want, and deserve, then you may need to consider veneers or crowns to improve your smile.

Make an appointment to have a consultation with us about your personal cosmetic needs. We will review all the risks, benefits and alternatives to bleaching. You can learn more about teeth whitening by reading the Dear Doctor magazine article “Teeth Whitening: Bleaching is an effective method with minimal side effects.”

By Dr. Manson
February 03, 2013
Category: Dental Procedures
AreDentalImplantsOkayForTeenagers

Worldwide it is generally accepted that the best method for permanently replacing a missing tooth is with a dental implant. However, one fact that can affect the timing of placement of dental implants is that the person should be fully mature. In this case, it means that growth is complete, in particular the jawbones have completed growing. And while we are sensitive to teens who may beg for a dental implant to replace a missing, damaged or traumatized tooth, parents or caregivers should know that research and experience have shown that it is better to wait.

The main reason it is best to wait is because natural teeth grow and move with the jaws as they mature whereas implants don't. Natural teeth change positions and move with the jaws as the jaws grow, implants don't. They are fused to the bone in one position and as the jawbone grows, they get left behind and appear to sink as the adjacent teeth and jawbone grow in harmony.

Although it is not really possible to determine exactly when a person has finished growing, it is generally best to wait until the jaw is fully matured and developed. However, we are the most qualified, along with our orthodontic colleagues to “guesstimate” based on family history, age and genetics. Specialized radiographs (x-rays) of the skull and jaws may also be helpful in determining the timing of jaw growth completion and when implants can be placed.

Dental implants are a permanent solution to a dental problem and thus should not be used until all growth is complete. Think about it. Your young child gets a beautifully restored smile through a dental implant...and for a year or two it looks fantastic. However, as your child's jaws continue to grow, everyone begins to notice gaps between the implant and adjacent teeth. So it makes sense to avoid this eventuality; by just waiting until late teens when beautifully restored crowns on properly positioned dental implants should last for many many years.

To learn more on this subject, read the Dear Doctor article, “Teenagers & Dental Implants.” You are also welcome to contact us to discuss your questions or to schedule an appointment.



Contact Us

Steven B. Manson, DDS, FAGD

Long Island City, NY General Dentist
36-01 31st Street
Astoria, NY 11106
(718) 729-8383
Manhattan, NY General Dentist
136 East 57th Street
         Suite 1604
New York, NY 10022