FAQ’s

Bleaching

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Frequently Asked Bleaching Questions

Q. How can I lighten the color of my teeth?
A. There are a variety of methods that can be used to lighten teeth. Probably the most cost-effective, safest technique available is professional, dentist-dispensed whitening. Your dentist can decide what type of whitening is best for you based on the origin of discoloration, your esthetic needs, the condition of your teeth, and your lifestyle. Your dentist can devise a special carrier (also called a nightguard or tray) to fit your mouth. Then, you insert the whitening agent into the custom carrier, and wear it over your teeth all night, or for several hours.

Q. How long does it take for my teeth to become white?
A. That depends on the type of discoloration of your teeth. It may take only 3 to 5 days to lighten your teeth, or it may take several weeks or months. The average treatment time for moderately stained teeth is 2 to 6 weeks, although for some people it may take less time. Teeth stained by nicotine or by drugs such as tetracycline may require 2 to 6 months, depending on the nature of the staining.

Q. How long does the whitening last?
A. Although some stain removal may be permanent, the average duration of the color change is from 1 to 3 years before any darkening is noticed. After that time, there is some color lapse, but not back to the original stained color. Recovering the whitened color generally takes only a few days of re-treatment. Some teeth have remained color stable for more than 7 years. If the cause of the staining is continued (such as smoking), the teeth will discolor more rapidly.

Q. What is the material used in the whitening process?
A. The most popular and extensively researched material is a 10%m carbamid peroxide, which is a mild form of 3% hydrogen peroxide.

Q. Is it harmful to my teeth?
A. No, not if the proper material is used after a proper diagnosis by a health professional who will devise a treatment plan. The effect on the teeth seems to be no different from commonly-ingested foods or regular dental procedures.

Q. What is the whitening process doing to my teeth?
A. The carbamide peroxide soaks into the tooth’s dentin and enamel. It removes stains that have also soaked into the tooth, as well as changes the color of the inside of the tooth by an oxidation process.

Q. How white will my teeth get?
This depends on the nature of the staining and length of treatment. You may see up to 13 shades of color change. Some people lighten 7 shades in 7 days.

Q. Are there any reasons I should not whiten my teeth?
A. Yes. Restorations (fillings such as tooth-colored composites and crowns) do not change color. If you have many fillings on your teeth that show when you smile, they may become more noticeable (look darker) after the teeth get lighter. Your dentist will examine you and advise you as to whether the improvement from whitening is worth the cost and risk of replacement of those restorations.

Q. What does the whitening procedure cost?
A. The dental office will discuss the fee for whitening either one arch or both. Generally for at-home tray bleaching the cost will be from $195 for one arch to $500, depending on where you live.

Q. Do I have to wear the carrier all night?
A. No, although all night wear is the best way to get the most benefit from each application of the material. People who have severely discolored teeth find that they are more consistent with application if they make it a part of their regular nightly routine. However, your dentist may prescribe daytime wear of 1 to 2 hours, which will also work, it just may take longer.

Q. Are there any side effects or precautions?
Yes, some people may have episodes of tooth sensitivity during treatment. These are generally mild, and will stop when treatment is completed. However, your dental office will work with you to determine the best wearing time to minimize sensitivity. There are also medications available that can be used to reduce sensitivity which can be applied using the same carrier. People who have a history of sensitive teeth can use a desensitizing toothpaste containing potassium nitrate and fluoride during treatment. Occasionally, gingival (gum) irritation can occur from wearing the tray and is relieved by removing tissue contact from the tray.

Q. How is this dental whitening technique different from those kits sold on television or at the stores?
The 10% carbamide peroxide whitening materials approved by the American Dental Association have passed many clinical and laboratory tests to show how well they work and how safe they are. Over-the-counter products are not recommended because of their lack of proof of safety and effectiveness. Also, the OTC products place the consumer in the position of having to self-diagnose their discoloration without benefit of professional input or possible x-rays. This may result in improper treatment with a material not shown to work well or be safe. The custom-fitted carrier or tray is a very important component: it holds the material in place long enough to work and is fitted in the right position to avoid problems with the bite or jaw joint (TMJ). The professional carrier can be adjusted in several ways to minimize or eliminate side effects, which consumers cannot do with OTC products.

Q. Don’t whitening toothpastes do the same thing as the professional dental whitening technique?
A. No. Toothpaste is primarily intended for stains on the outside of the tooth. The dramatic change in tooth color inside the tooth has not been duplicated by whitening toothpastes. Some of the toothpastes that contain peroxide may be used to help maintain white teeth after they have been whitened by the dental whitening technique. Other toothpastes are merely cosmetic and add white “paint” to the teeth, or are abrasive and actually remove good tooth structure. Your dentist will work with you to find the best fluoride-containing toothpaste and proper toothbrush habits to maintain your whiter teeth.

Read more about our Bleaching services here.

Mouth Guards

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Your dentist can create a special mouth protector just for you – one that will provide comfort and proper fit. A custom-made mouth protector is individually designed and constructed in the dental office or according to your dentist’s specifications in a professional dental laboratory. First, the dentist makes an impression of the patient’s teeth. Using a special material, the dentist constructs the mouth protectors over a model of the teeth. Custom-made mouth protectors have an exceptionally good fit, comfort, and overall quality. A custom-made mouth protector is easily retained in the mouth and does not interfere with speech or breathing. For these reason, custom-made devices are often preferred by sports enthusiasts and recommended by dentists. So give your smile a sporting chance – call (716) 823-2898 and ask about mouth protectors.

Will my treatment be painful?

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You won’t have to feel any pain during dental treatment. We always tell you about the procedures involved in detail and give you the options we offer for pain control. We give you time to understand and make your own decisions.

For most patients, a numbing gel (topical anesthetic) is given before local anesthetic is injected into the area to be treated. After the local anesthetic takes effect, your mouth becomes numb as the anesthetic will block nerves that ordinarily transmit pain signals.

Our dentist tests the area gently to make sure it’s fully numb before beginning. At this point if you feel some irritation, tell the dentist and he will apply additional local anesthetic.

If the patient requests something for nervousness, we can prescribe a mild tranquilizer to ease anxiety. We also offer radio with stereo headphones to help the patient relax — or you can bring your own music player.

Can you save a badly decayed tooth?

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If the tooth is badly broken down, we may be able to restore it with a white crown (also called a cap). If the decay has worked its way into the nerve, the tooth may require some root canal treatment.

Read more about our crowns and bridges services here.

How often should I make an appointment?

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For most people after they have taken care of all their dental needs, a visit twice a year for a cleaning and a check up is sufficient. Patients with severe gum or mouth problems may require more frequent visits.

At the very least you’ll want to come in for an annual checkup so the dentist can evaluate your teeth’s condition and make sure you’re free of cavities and your gums are healthy. Regular dental appointments help you maintain an attractive smile and optimum dental health.

You should always discuss your teeth’s health with your dentist and the hygienist in order to decide the best schedule for you personally.

What is gum disease?

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Gum disease (periodontal disease) is a bacteria infection of the gums. As it advances it can lead to dissolving of bone that supports the teeth.

Here are some warning signs of gum disease:

• bleeding gums after brushing and/or flossing your teeth
• tender, swollen, or reddened gums
• gum recession around the teeth
• roots of teeth are exposed
• sensitivity to hot and cold temperatures
• loose teeth or teeth that are drifting apart
• unpleasant taste in mouth or bad breath odor
• dry or burning sensation in mouth
• deep pockets developing around the teeth

Be sure to let the dentist know if you experience any of these symptoms.

Read more about gum disease here.

Can you give me whiter looking teeth?

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We provide several procedures for whitening your teeth. A safe, dental bleaching solution (peroxide gel) is one of the most effective methods to whiten dull, darkened, or stained teeth. We first make a molded impression of your teeth. This produces a thin, custom tray. This personalized tray holds the whitening gel, that’s then positioned over your teeth.

The tray can be worn for a couple of hours per day, or at night while you sleep. You can expect to see results right away. The biggest difference will be seen after you’ve worn the trays for around 2 weeks.

Read more about our tooth whitening services here.

How can a dental implant benefit me?

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When one loses a tooth, they have to replace it with either a bridge, a partial denture, or an implant. Often an implant is the best alternative. An implant is a metal cylinder that is surgically placed in the area of the missing tooth.

The implant may take a few months to fuse to the jawbone before a restoration can be placed. Once the implant is stable, a post and crown (cap) are attached. One advantage of an implant is the dentist doesn’t have to grind on the teeth on either side of the space — as with a bridge.

Also, dental implants do not feel bulky like a partial denture.

Read more about of dental implant services here.

Are veneers a good choice?

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If your teeth are misshapen, crooked, or you have really off-color problems with your teeth, porcelain or composite veneers will help restore them to a natural, attractive appearance. Veneers are perfect for full smile makeovers and they’ll correct chipped surfaces, uneven teeth and poorly formed teeth.

Read more about our orthodontic services here.

What are the costs of your dental procedures?

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Every patient has different dental care needs. In order to provide a proper diagnosis of your condition, we would need to do a thorough examination with all the necessary x-rays.

Your treatment costs will depend on the condition of your teeth and gums, the treatment recommended and the options you choose.

Before any treatment begins, we will give you an estimate of what the insurance company will pay and an estimate of your portion of the fee.

Read more about our financing and insurance here.

Will my dental insurance cover everything?

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Unlike medical insurances, dental insurances have several limitations. They usually have a maximum they will pay per year such as $1500-$2000.

They will pay a percentage of each dental procedure ranging from 50% to 100% of the listed fee. This means that for many procedures there is a portion of the treatment fee for which the patient is responsible.

There are some procedures, such as cosmetic work, that the insurance companies do not cover. Before treatment begins, we will provide you with an estimate of the total cost of each procedure and the amount of your estimated payment. And you can be sure we will file your insurance claim promptly and at no charge to you.

Read more about our financing and insurance here.

Do you take dental emergencies?

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Yes we do. Broken teeth and toothaches are not fun for anyone to deal with. Give us a call so we can get you in as soon as possible; usually we can see you the same day.

Can you put me to sleep for my dental treatment?

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We understand that most people do not like going to the dentist. While we are not set up to put people to sleep in our office, we strive to make our patients feel comfortable, relaxed and well cared for. If patients want more than local anesthetics, we offer oral sedation medication, which is a relaxing tablet taken one hour before your appointment time.

Is there more than one way to treat my teeth?

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Yes. Some dentists may say there is only one way to treat a patient and often that way is the most expensive treatment. But there are options and we are always happy to explain those to you.

Do you take my insurance plan? Do you have payment plans?

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Yes. Visit our Finance & Dental Insurance section for more details.

Can I get all my work done in a couple of visits?

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That is going to depend on how much dental work you have to do and how often you can come in. If a patient can comfortably sit for long appointments, we can reduce the number of visits.

Do you have any special offers for those with no dental insurance?

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Yes. We know financing dental work can be a hardship for some families. Visit our Finances & Dental Insurance section for ways that can help you save some money.

Read more about our financing and insurance here.

How do I decide which dental office to go to?

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Feel free to look through our website to see photos of the work we do, to read what patients say about us, and to find answers to your dental questions. If you are still undecided, come in for a Free Consultation to get some treatment ideas, see the office, and meet our staff.

What is the capability of a crown?

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Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases, or wear and tear. Major problems can usually be corrected using these techniques. Materials used in these repairs are either high-grade porcelain or porcelain bonded to gold. The higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred resulting in lost teeth, or teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.

Dental Bridges

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Call of your teeth play an important role in speaking, chewing, and maintaining proper alignment of other teeth. Tooth loss doesn’t necessarily have to occur as you age. But if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss.

Bridges

A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges) or they can be removable.
Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.
If you’re missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it’s difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.

What is a bridge/fixed partial denture?

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A bridge (fixed partial denture) is a device that fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges offer more stability than their removable counterparts.

Why do I need a bridge?

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Oral functionality and appearance are important reasons for wearing a bridge. A bridge helps support your lips and cheeks. The loss of a back tooth may cause your mouth to sink and your face to look older.

Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the gums and other oral tissues when teeth are missing, causing a number of potentially harmful disorders.

Increased risk of gum disease has proven to be one of the worst side effects of missing teeth and can be minimized with a bridge.
Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly.

How is a bridge attached?

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The attachment procedure usually takes two or three appointments to complete. At the first appointment, our Doctors will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.
Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and sent to the lab where the bridge will be constructed.
Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth. Crowns, which are cemented onto the natural teeth, provide support for the bridge.

What is gum disease?

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Gum disease is an infection of the gums and bone that support teeth. It usually starts early in life, then progresses as a person ages. Gum disease starts when plaque hardens into tartar (also called calculus) below the gum line. This irritates vulnerable soft tissues and infection can set in. Combined with decaying food particles lodged between teeth and bacteria emitted by plaque, the infection can spread quickly. Symptoms are so mild in the early phase, many patients don’t recognize them, such as red, tender, swollen gums, bleeding when brushing teeth.

As the condition progresses, gums recede from teeth and pockets of bacteria form. The bacteria can destroy gum tissue and bone, causing tooth and bone loss.