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Pain with Teeth Whitening

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I’ve been whitening my teeth for several weeks with a home whitening kit. The last few days, though, I’ve started having a zing of pain that lasts for several seconds and then stops. It is always on the tooth where I had a dental bonding repair quite a few years ago. Could the teeth whitening be eating away at the dental bonding?

Nadia

Dear Nadia,

teeth bleaching trays

Teeth Bleaching Trays

I am sorry for the pain you are experiencing. The good news is I do not think teeth whitening is damaging the dental bonding. There has never been any evidence that whitening gel does any damage to bonding agents and it both have been around for a while, as well as used together. The more likely scenario is that a part of your dental bonding has come off leaving part of the tooth exposed and sensitive.

I am assuming that you are doing this home teeth whitening under the supervision of your dentist. My recommendation is you pause the whitening for a few days, call your dentist and let him know what is going on. He can track down where the exposure is and place a protective agent there to re-cover the spot. Then you can continue with your teeth whitening as you normally would, but this time pain free.

You should be aware that dental bonding doesn’t last as long as something like porcelain veneers. For something like a small chip repair, that is fine. Just know that you will need to replace it at some point or it will begin to pick up stains. When it does, teeth whitening won’t fix it. The whitening agents only work on natural tooth structure. The bonding will just have to be replaced.

I hope this helps.
This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

White Spots After Braces

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My daughter had braces for almost three years. When they were removed, we noticed white spots on her teeth. We spoke to our dentist about it and he suggested we just have her teeth whitened to even it out. The problem is, it didn’t even them out. Her teeth are whiter, but so are the spots. What do we do now?

Lacey

Dear Lacey,

A professionally-made take-home custom tray for teeth whitening.

While I am certain your dentist meant well, he does not really understand how teeth whitening works. As you have discovered, teeth whitening will whiten the tooth structure evenly. It is not designed to even out color.

Let’s start with what those white spots are and then I will give you the next step to take. When you have white spots after braces, those are decalcification spots— pre-cursors to decay. This is fairly common after braces, especially in children and teenagers because those metal wires and brackets are difficult to get around when you are brushing your teeth. That is just one of the reasons I often recommend Invisalign to my patients instead of braces. These do not have any metal wires and brackets. Plus, they are removable, which makes oral hygiene a breeze.

The correct way to deal with these is to have a cosmetic dentist gently remove the white spots with some microabrasion. Then, he or she will recover the area with a composite dental bonding. I am going to suggest you don’t go to your regular dentist for this. It is a rather advanced cosmetic procedure, way more advanced than teeth whitening. Plus, it has to be done freehand. You really need someone who has expertise to do this. One thing to do is check out their smile gallery. Look specifically at their dental bonding cases. If you like the results you see, that will be a safe dentist for you to see. One word of caution. Double check that the images are cases the dentist has done and not just stock photos.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Porcelain Veneers or Invisalign?

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I have been saving up for quite some time to get my smile makeover done. There’s nothing too major. I want the color whiter, there are some chips here and there, and I have one slightly crooked front tooth. It’s not crooked enough where I ever considered braces. However, my dentist is suggesting I have Invisalign done before getting the porcelain veneers. He said that way there wouldn’t be any need for tooth preparation because he’s using Lumineers. I am not too keen on the idea of adding another 9 months to my smile makeover. Is this completely necessary? I thought porcelain veneers could make a tooth look straight. Am I misunderstanding anything?

Patricia

Dear Patricia,

invisible braces

Bear in mind that I haven’t examined you, but I am skeptical of what your dentist is telling you. In almost all cases, you would either do porcelain veneers or Invisalign–not both. You had the right idea that porcelain veneers can make your teeth look straight. My guess is your dentist is trying to get you to do the Invisalign because he doesn’t know how to shape teeth with porcelain veneers.

He also suggested Lumineers for your case, which is a brand of porcelain veneers highly marketed to inexperienced cosmetic dentists as being “easy to place” because they don’t require tooth preparation. However, in most cases, Lumineers end up looking bulky without some tooth prep. Not to mention inexperienced cosmetic dentists do not generally know how to produce beautiful results. Smile makeovers aren’t taught in dental school.

At this point, you have two choices if you want to get porcelain veneers, I would get them but with a different dentist. Look at their smile galleries to make sure you like the type of results they get. You want to know that they can produce beautiful, natural-looking smiles. Also, make sure they have some type of beautiful smile guarantee.

A second option is to do get Invisalign or another brand of invisible braces to straighten your teeth and whiten your teeth simultaneously using the clear aligners as teeth whitening trays. This will be significantly less expensive than porcelain veneers, but will take longer. You mentioned a few chips on your teeth. You didn’t mention how many or how large, but in most cases, these are repaired with some dental bonding.

Truthfully, wanting all three things repaired, which is what would be necessary for a complete result, the porcelain veneers will be a better idea. I just don’t think your current dentist is the one to do it. He sounds to be in over his head but not wanting to admit it.

This blog is brought to you by Duluth, GA Dentist Dr. David P. Marion.