Articles on tooth whitening

If and But's of Teeth Whitening

Dr. Swasti Jain, Dentist
What is tooth whitening?Tooth whitening can be a very effective way of lightening the natural colour of your teeth without removing any of the tooth surface. It cannot make a complete colour change, but it may lighten the existing shade.What does tooth whitening involve?Professional bleaching is the most usual method of tooth whitening. Your dental team will be able to tell you if you are suitable for the treatment, and will supervise it if you are. First the dental team will put a rubber shield or a gel on your gums to protect them. They will then apply the whitening product to your teeth, using a specially made tray which fits into your mouth like a mouthguard.The ‘active ingredient' in the product is usually hydrogen peroxide or carbamide peroxide. As the active ingredient is broken down, oxygen gets into the enamel on the teeth and the tooth colour is made lighter.Why would I need my teeth whitened?There are a number of reasons why you might get your teeth whitened. Everyone is different; and just as our hair and skin colour vary, so do our teeth. Very few people have brilliant-white teeth, and our teeth can also become more discoloured as we get older.Your teeth can also be stained on the surface by food and drinks such as tea, coffee, red wine and blackcurrant. Smoking can also stain teeth.‘Calculus' or tartar can also affect the colour of your teeth. Some people may have staining under the surface, which can be caused by certain antibiotics or by tiny cracks in the teeth which take up stains.What are the side effects?Some people may find that their teeth become sensitive to cold during or after the treatment. Others may have discomfort in the gums, a sore throat or white patches on the gum line. These symptoms are usually temporary and should disappear within a few days of the treatment finishing.If any of these side effects continue you should go to your dentist.

Tooth Whitening in Pediatrics

Dr. Rohan Bhatt, Dentist
Tooth discolouration in childhood is significant  problem in psychosocial development of children.1  It leads to cosmetic impairment in children.  There is development of various non invasive treatment for tooth whitening. Most of them are used in adults with satisfactory results. These article provides information of history , various tooth whitening agents , their uses in paediatrics and their safety consideration as well as their contraindication I children and adolescence. HISTORY:In 1966 Schneider et al  documented use of peroxide gingival strip for healing periodontal tissue tooth whitening was seen as unintentional effect.In late 1960s Klusmier have noticed  whitening effect when glyoxide is used in orthodontic positioners.In 1989, Heyman and Heywood introduced night guard vital bleaching.In 1989 Fischer created opalescence carbamide peroxide in gel formulation which is basis for most of night time gel use and wasfirst ADA approved  system of tooth whitening.5 Very first  walking bleech  description by mixture of sodium perborate with distilled water was introduced by Marsh and published by Salvas.6BLEACHING IN CHILDREN AND ADULTSIn general patients candidates for bleaching are above age of 10 but if primary teeth are causing embracement it is better to do bleaching . the only indication for bleaching in pedo patient is when there is discolouration due to trauma without any pathology.7 bleaching is rarely done in children under age of 10 years.8  under supervision  bleaching is successful even in 6-10 years of age with commercial bleaching trays or strips available.9MECHANISM OF BLEACHING AGENT:It involves degradation of extracellular matrix and oxidation of chromophore located within enamel and dentine10. Sensitivity problem after bleaching is probably due hydrogen peroxide access to pulp space which causes transient inflammatory response 11.in addition senior author has hypothesized that sensitivity occourd due to fluid dynamics. Oxygen molecules diffuses through interstitial space and accumulates at DEJ which causes pressure on dentinal tubules is another mechanism suggested for sensitivity after bleaching.12MATERIAL AND TECHNICQUES USED FOR PEDIATRIC PATIENT:Whitening can be accomplished by professional or at home technique.13 In younger children due to poor compliance at home whitening is not popular. Brantley DH used night guard technique for bleaching using 10% carbamide peroxide with non scalloped non reservoir bleaching tray fabricated from thermoplastic material.14  Walkman bleach is also used successfully in children15. 10%  H2O2  gel tray system and 6.5% gel H2O2  strips are also used successfully in teenagers16.  Vital guard night whitening using 10% carbamide peroxide is most researched and successful method for tooth whitening in children.1SAFETY CONSIDERATION IN CHILDREN:Due to thinner enamel , dentine and higher pulp horns in primary and young permanent teeth sensitivity will be more compared to permanent teeth acc. To theory but due to large apex as well pulp will recover faster comparatively9.Acute cytotoxic effects are seen with  doses over 5g/Kg/day for product containing 10% carbamide peroxide.10% H2O2  polythene strips and 10% carbamide peroxide  gel containing tray can be safely use in teenagers.16ADVERSE EFFECTS OF BLEACHING:Sensitivity and tissue irritation are two most common side effect of of bleaching vital teeth.13 Microhardness of sound enamel and both sound and demineralized dentintine is compromised due to bleaching17. Bleaching increase solubility of glass ionomer and other cements also decrease bond strength. H2O2   residues within enamel and dentin inhibit polymerization of resins and reduces  its bond strength.18REFERENCES:Bryan RA,WelburycRR. Treatment of aesthetic problems in pediatric dentistry. Dent Update 2003;30(6):307-13Schneider HG, Birkholz C, Hampel W. Clinical experience with peroxide containing gingival strip from the Leipziger Arzneimttelwerk . Dtsch Stomol 1966;16:656-67Goff S. Getting the white right. Dental products Report 2005:14-9Haywood VB, Heymann HO.  Nightguard vital bleaching. Quintessence Int 1989;25:324.Fasanaro TS. BLEACHING TEETH: history , chemical and methodsused for common tooth discolorations. J Esthet Dent 1992;4:71-8Salvas CJ Perborate as a bleaching agent. J Am Dent Assoc 1938;25:324Brantley DH , Barnes KP, Haywood VB. Bleaching primary teeth with 10% carbamide peroxide. Pediatr Dent. 2001;23(6):514-6Lee SS, Zhang W, Lee HD, Li Y .Tooth whitening in children and adolescents: a literature review . pediatric dent 2005;27(5):362-8.Croll TP. Tooth bleaching for childrens and teens : A Protocol and examples. Quintessence. International 1994;25:811-17Goldberg M Grootveld M , Lynch E  undesirable and adverse effect of tooth whitening products a review.clin oral Investig 2010;14(1):1-10Bowles WH , Ugwuneri Z. Pulp chamber penetration by hydrogen peroxide following vital bleaching procedures. J Endo 1987;13(8):362-8Croll TP. Bleaching  sensitivity. (letter). J American Dental Association 2003;134(9):1168Amarican academy of pediatric dentistry. Council on clinical Affairs. Policy on dental bleaching fir child and adolescent patient. Reference manual 2204-05. Pediatr Dent 2004;26:45-7Brantly DH, Barnes KP, Hatwood VB, Bleeaching primary teeth with 10% carbamide peroxide. Pediatr Dent 2001;23(6):514-6.Sharma DS, Barjatya K, Agarwal A. intracoronal bleaching in young permanent and primary teeth with biological  perspectives. J Clin Pediatr Dent 2011;35(4):349-52Donly KJ, Baharloo L et al. tooth whitening in children. Compend  Cont Educ Dent 2002;23:22-8Thicket E, Martyn T, Cobourne MT. new development in tooth whitening . the current status  of external  bleaching in orthodontics, J Orthod 2009;36:194-201.Tredwin CJ, Naik S, Lewis LJ et al. hydrogen peroxide tooth whitening (bleaching)  products: reviews of adverse effect and safty issues. Bri Dent J 2006;200(7):371-6.

Common Causes of Teeth Sensitivity

Dr. Himani Sanwaria, Dentist
Here are probable causes why you have sensitivity:Mouthwash: Mouthwashes are great and they are made for a reason, to have a refreshing breath. However if you overdo it, they are not so great for your teeth and mouth. This is because they contain acidic substances that can cause sensitivity in teeth.Foods with high acid content: Too much consumption of acidic foods such as tomatoes and other citrus fruit juices leads to erosion of top layer of teeth called enamel making them thinner. This causes the exposure of your second outermost layer dentin causing teeth sensitivity.Teeth bleaching/ Whitening: Excessive use of whitening products, even in your toothpaste can cause enamel erosion that will eventually cause tooth sensitivity.Teeth grinding: This otherwise called Bruxism often happens when you are asleep. Reasons could be misalignment of teeth, stress, habit etc. If you do this, there is a chance that your teeth will become sensitive as its natural structure worn down with the frequent grinding of teeth. You need a night guard to prevent frictional attrition of upper and lower teeth.Gum recession: Gum recession can also bring about teeth sensitivity. This is because the roots of your teeth are actually protected by your gums and if your gums recede, the roots gets to be exposed which cause the sensitivity of your teeth.Dental work: Teeth sensitivity often is one of the effects of the recent dental procedures. This is nothing to worry about as these are just the temporary effect that often goes away after a week or so.              When you encounter teeth sensitivity, contact your dentist for proper diagnosis and treatment plans. Because there can be other serious causes of teeth sensitivity like hidden dental decay which is not noticeable with naked eyes, deeply decayed tooth requiring root canal treatment etc. Tooth sensitivity is tooth discomfort in one or more teeth that is triggered by hot, cold, sweet or sour foods and drinks, touching the teeth with other teeth or the tongue or even by breathing cold air. The pain is often sharp and sudden, but it is temporary. Teeth sensitivity can mean significant pain and it often impacts daily activities, such as eating, drinking, and brushing your teeth.While you can often self-treat generalized tooth sensitivity, see your dentist if:Your teeth are persistently sensitive when pressure is applied.A single tooth which is persistently sensitive, could indicate that its pulp is infected or dying.Sensitivity doesn't decrease even after two weeks of using desensitizing toothpaste.You have dental pain that lasts more than an hour.The gums around a sensitive tooth change color.You have any obvious decay.

Fed Up of Tooth Discoloration?

Dr. Akanksha S.D, Oral Medicine and Radiology
What makes tooth loose its color?*Tobacco use*Drinking tea,coffee,cold drinks *Red wine                                                                                   *Plaque/Tartar deposits*Tooth Trauma*Cavities6 Home remedies to naturally whiten your teeth...*Brush after drinking or eating-Most food does not stain teeth, but if you are a coffee drinker or if you smoke, you can pretty much count on having discoloured teeth from staining. If this is the case then having your teeth cleaned every three months may be in order, besides trying some of the natural remedies listed here.*Coconut oil pullingSimply put a spoonful of coconut oil in your mouth & swishing it between your teeth for 5 to 20 minutes. Or adding a few drops to your toothbrush and brushing with it can be helpful. You can also add the coconut oil to a corner of a clean wash cloth and rub it on.  Also, coconut oil has antimicrobial properties so it’s great for your gums as well.                                             *Apple cider vinegarIt makes sense that apple cider vinegar would eventually work as a mouth gum cleaner & remove stubborn stains on the teeth, especially from coffee and nicotine. It has been proven that it does work as a natural teeth whitener but you have to be consistent and it takes at least a month of continuous usage to see results. *Lemon & Orange peelThere have been reports that lemon or orange peels will also help you in  whitening your teeth. Guess you don’t know until you try.  Here again, these food products are very healthy & good for your stomach but the acid content might eventually wear away the enamel or the teeth.*Baking soda & hydrogen peroxideThis works great as a natural teeth whitener. Many people confirm to the fact that it does make their teeth look whiter *StrawberriesSimply mash up about two three strawberries and rub this yummy mixture all over your teeth. Finally, you can always go to your dentist for Oral Prophylaxis to get instant results!

Teeth Whitening

Dr. Deepak Balaji, Dentist
              Bleaching or teeth whitening is a simple, painless way to make your teeth whiter and brighter.How long does whitening last?                                                                                                                                   Teeth whitening will last for upto 12-24 months depending on the lifestyle and the type of teeth. For some people,drinking lots of coffee and red wine can cause the teeth to get darker. A combination of good dental care including brushing and flossing and regular visits to the dentist will increase the length of time that whitening can last.A top up treatment can make the teeth look beautiful.                 What are the side effects of whitening?                                                                                                                       Most people experience some kind of sensitivity either during and/or after the initial treatment.This should settle down after approximately 48 hours though.                                                                                                                                                 How Does Bleaching Work?                                                                                                                                       The bleaching gel releases oxygen into your teeth to deeply penetrate them and break down stains.The bleaching gel will be removed, and the process will be repeated 2-3times. The process will take about an hour and a half.                                                                                                                                                                                                                                                                                                                                                                When it’s complete, you’ll be amazed with how bright your teeth are!                                                                                                                                                                                    

Teeth Whitening

Dr. Vijay Deshmukh, Dentist
What is tooth whitening?Tooth whitening can be very effective way of lightening the natural color of your teeth without removing any of the tooth surface. It cannot make a complete color change, but it may lighten the existing shade.What it is used for?There are number of reasons why you might getvyour teeth whitened. Everyone is different and just as our hair and skin color vary so do our teeth. Our teeth become more discolored as we get older. Your teeth can also be stained on the surface by food & drinks such as tea,coffee,red wine and black-current. Smoking can also stain teeth. Calculus and tarter can also affect the color of your teeth.What does teeth whitening involve?Whitening can be done in dental office or at home. Professional bleaching is the most usual method of tooth whitening. Your dental team will be able to tell if you are suitable for the treatment.Firstly, the dental team will put a rubber shield or gel on your gums to protect them. They will then apply whitening product to your teeth using a specially made tray which fits into your mouth like a mouthguard. The active ingredient of the product is usually hydrogen peroxide or carbamide peroxide as active ingredient broken down, oxygen gets into the enamel on the teeth and the tooth color is made lighter.For whitening at home your dentist can make a tray to hold the whitening gel that fit your teeth precisely. Home whitening gel usually needs to be applied daily for two or three weeks.When tooth whitening might not work?Tooth whitening can only lighten your existing tooth color. Also it only works on natural teeth. It will not work on decayed teeth or any type of false teeth such as dentures, crowns, veneers.How to maintain newly whitened smile?Over time exposure to foods,drinks(especially tea,coffee coals) and tobacco will gradually darken your newly whitened teeth. Here are some tips to maintain your newly whitened teeth.Use whitening tooth paste to remove surface stains and prevent yellowingBrush or rinse immediately after consuming stain causing beverages or foods.Depending upon whitening method you may need touch up in six months or after a year or two. If you smoke or drink a lot of coffee you may need a touch up more often.

Importance of Brushing With Tooth Paste

Dr. Pankaj Rao, Dentist
Brushing with toothpaste is important for several reasons. First and foremost, a toothpaste and a correct brushing action work to remove plaque, a sticky, harmful film of bacteria that grows on your teeth that cause cavities, gum disease, and eventual tooth loss if not controlled. Second, toothpaste contains fluoride, which makes the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the damage can even be seen. Third, special ingredients in toothpaste help to clean and polish the teeth and remove stains over time. Fourth, toothpaste help freshen breath and leave your mouth with a clean feeling.What type of toothpaste should I use? As long as your toothpaste contains fluoride, the brand you buy really does not matter, neither does whether or not it is in the paste, gel or even powder form or containing a certain flavor. All fluoride toothpaste work effectively to fight plaque and cavities and clean and polish tooth enamel. Your toothpaste brand should bear the ADA (American Dental Association) seal of approval on the container, which means that adequate evidence of safety and efficacy have been demonstrated in controlled, clinical trials.If your teeth are hypersensitive to hot or cold, consider trying a toothpaste designed for sensitive teeth. These "desensitizing" toothpaste, which contains strontium chloride or potassium nitrate, protect exposed dentin by blocking the tubes in the teeth that are connected to nerves. Desensitizing pastes must be used for at least one month before any therapeutic effects are felt.Toothpaste containing baking soda and/or hydrogen peroxide (which are both good cleansing agents) give the teeth and mouth a clean, fresh, pleasant feeling that can offer an incentive to brush more, but fluoride is the true active ingredient at work protecting your teeth. Some prefer a tartar-control toothpaste containing pyrophosphates to prevent the build-up of soft calculus (tartar) deposits on their teeth. New pastes offer advanced whitening formulas aimed at safely removing stains to make teeth brighter and shinier, although they can't nearly match the effectiveness of a professional bleaching formula administered or prescribed by a dentist.How much should I use?Contrary to what toothpaste commercials show, the amount of paste or gel needed on your brush for effective cleaning does not have to be a heaping amount. Simply squeeze a pea-sized dab of paste on the top half of your brush. If you brush correctly, holding the toothbrush at a 45-degree angle and brush inside, outside and between your teeth, the paste should foam enough to cover all of your teeth. Children under age 6, however, should be given a very small, baby pea-sized dab of toothpaste on their brush. Is brushing with toothpaste enough to fight cavities and gum disease?No. Although brushing thoroughly after each meal helps, flossing your teeth every day to remove plaque and food particles between teeth and at the gumline is just as important. Studies show that plaque will regrow on teeth that are completely clean within three to four hours of brushing.

Teeth Whitening: - Do’s /Don’ts

Dr. Vijita Mehta, Dentist
After you have your teeth whitened you want to follow the after-care instructions to ensure that you do not have to go back every three months to correct the problem. One teeth whitening procedure may be all it takes – if you follow the instructions given by your dentist. There could be many reasons why your teeth were stained prior to the treatment and avoiding these reasons for at least the first 24 hours is able to ensure that you’re not back in the office within a couple of months.Instructions for After-Care• Do not smoke for at least 12 hours, 24 if you can help it. There are many ingredients inside cigarettes that are able to stain the teeth – especially in the 24 hour time period after treatment. • Eat only white foods. This is a rule of thumb since you do not want to go out and eat bright red tomatoes that might stain but rather stick to white chicken, pasta, potatoes and cauliflower. • Do not drink coffee, tea, soda, colored juices or red wine. Any of these deeply colored drinks can stain the teeth. Water is the best to drink for the first 24 hours after whitening. • Do not put lipstick or lipgloss on during this time. Lipstick is a known cause for staining teeth since the color is semi-permanent. • Do not use an at home whitening kit on your teeth for at least a month or two, and if you decide to use one after this time – be very cautious since you can weaken your teeth and may over-whiten. • Rinse your mouth after each meal to ensure that you do not leave staining food and drinks in your mouth for too long. • Brush and floss regularly to ensure that you remove harmful buildup that could be staining your teeth. This is also good oral hygiene and can keep your teeth whiter for a longer period of time. • Use a straw as much as possible when drinking anything. This minimizes contact from the liquid to your teeth which can minimize staining. • Sensitivity can happen, although uncommon for the first one to two days after the procedure. Brush your teeth until the sensitivity goes away. If you have previous dental problems such as cracked, missing, broken teeth or cavities, sensitivity from the procedure can be intensified so it is recommended that you have these problems fixed prior to the teeth whitening in Antioch process.Speaking with your dentist about this procedure will give you more information regarding having it done that is custom to your unique needs and the severity of the staining on your teeth. The dentist is able to provide valuable information, make you feel more comfortable with the procedure and allow you to understand what to expect once the procedure is completed.

All About Teeth and Oil Pulling

Dr. Swasti Jain, Dentist
For the record, a regular oil-pulling routine should not replace routine dental visits and traditional at-home oral care. Oil pulling does not reverse the effects of tooth decay, and it’s important that patients are made fully aware of that. That being said, I do believe that it is a great supplemental therapy. The phrase “oil pulling” comes from the process of the oil being “worked” in the mouth by pulling, pushing, and sucking it.Here’s how to do it:Put about a tablespoon of oil in your mouth.Swish the oil around your mouth for about 15-20 minutes.Spit out the oil, then brush your teeth.If you use coconut oil , then you may have to chew on the oil for a minute or so to let it melt, because it is solid at room temperature.It is best to do this on an empty stomach, before you brush your teeth. I prefer to do it while I take a shower in the morning.TOP  BENEFITS of oil pulling: WHITENS TEETHThere is no need for chemical teeth whitening strips when oil pulling works just as well! The oil possesses natural antibiotic and antiviral properties that brighten and cleans teeth, keeping them pearly white. Try it for two weeks and you will see difference.Oil pulling is highly effective at reducing tooth cavities and at eradicating bad breath. Removing the Streptococcus mutant bacteria (an important player in tooth decay) as well as other microorganisms, oil pulling is great for oral health. It also helps with plaque-induced gingivitis.Kills bad breathHeals bleeding gumsPrevents heart diseaseReduces inflammationSoothes throat drynessPrevents cavitiesHeals cracked lipsBoosts Immune SystemImproves acneStrengthens gums and jawWHY ONLY COCONUT OILBecause coconut oil has been shown to:Balance HormonesKill CandidaImprove DigestionMoisturize SkinReduce CelluliteDecrease Wrinkles and Age SpotsBalance Blood Sugar and Improve EnergyImprove Alzheimer’sIncrease HDL and Lower LDL CholesterolBurn FatBecause it is highly absorbable, you can experience many of these benefits simply by oil pulling!** “Oil pulling will not and cannot loosen properly placed crowns or fillings. "** Within one week, most people notice a cleaner mouth and change in their breath. Within a month, some people have experienced dental repair or healthier gums.** Because you spit out the toxins that are “pulled” out when swishing, there should not be any harm in oil pulling while pregnant. In fact, it can be a soothing way to clean your teeth if you experience any gum sensitivity.2. PROMOTES ORAL HYGIENE

Natural Ways to Whiten Teeth at Home

Dr. Sudarshan Patil, Dentist
Whiter teeth, is something that most people desire today. In fact, people pay huge amounts of money for teeth whitening products every year. Whitening or bleaching may work for a bit, but it makes our teeth extremely sensitive. Let's look into more natural alternatives:Natural Ways to Whiten Teeth at Home- without using harsh chemicals1. Strawberry, Salt and Baking Soda ScrubStrawberries are high in Vitamin C, which can help break-down plaque that is causing your teeth to look yellow. You will need:-1-3 large strawberries-A pinch of seat salt-1/2 teaspoon of baking soda (optional)Directions: Mash the berries into a pulp, and add a pinch of sea salt and ½ teaspoon of baking soda, if you’re using it. Wipe any extra saliva off your teeth with a paper towel, and then apply a generous portion of the mixture to a toothbrush and apply. Let the mixture sit for 5 minutes, then rinse. Do this nightly.strawberry tooth pasteusing strawberry to whiten teeth2. Baking Soda and Lemon Juice PasteBaking Soda , Sodium bicarbonate is mildly abrasive remove surface stains to return teeth to a whiter shade. It will also reduce the acidity of the lemon juice, which acts as a natural bleach. Directions: Mix several teaspoons of baking soda with enough fresh lemon juice (or water) to make a paste. Wipe your teeth and any extra saliva off of them with a paper towel. Put a good amount of paste onto your toothbrush and apply. Leave the paste on for 1 minute, then rinse, so as to avoid the acid effecting enamel. If you are using just water you can leave it on for up to 3 minutes.baking soda paste for teethbrushing teeth with baking soda3. Coconut Oil Rinse Lauric acid in coconut oil can rid your teeth of bacteria found in plaque that can make them yellow. It is also supposed to promote gum health, and help keep your breath fresh. You will need:-About a tablespoon of coconut oilDirections: In the morning, before you brush your teeth, scoop out a tablespoon or a little less (depending on the size of your mouth) of coconut oil. You can either soften it, or just put it in your mouth (I usually do the latter, and just let it soften.) Push, swish, and “pull” the oil through and around your teeth for 10-15 minutes, then spit it out, rinse with water, and brush your teeth4. Apple Cider Vinegar (ACV)It makes sense that apple cider vinegar would eventually work as a mouth gum cleaner and remove stubborn stains on the teeth, especially from coffee and nicotine. It has been proven that it does work as a natural teeth whitener but you have to be consistent and it takes a least a month of continuous usage to see results.