Dental Blog

5 Things to Know About Getting a Brighter Smile

Brushing and flossing are everyday ways to keep your teeth bright, white, and healthy. Still, if you might feel like your smile is lacking some sparkle or is more yellow than it used to be, you’re not alone. When the American Academy of Cosmetic Dentistry asked people what they’d most like to improve about their smile, the most common response was whiter teeth. The American Association of Orthodontists also found that nearly 90% of patients requested tooth whitening.

Thinking about teeth whitening? Get the facts first. Here are five of the most commonly asked questions about the process.

Why Did My Teeth Change Color?

Over time, your teeth can go from white to not-so-bright for several reasons:

Food and Drink:

Coffee, tea and red wine are some major staining culprits. What do they have in common? Intense color pigments called chromogens attach to the white, outer part of your tooth (enamel).

Tobacco Use:

Two chemicals found in tobacco create stubborn stains: Tar and nicotine. Tar is naturally dark. Nicotine is colorless until it’s mixed with oxygen. Then, it turns into a yellowish, surface-staining substance.

Age:

Below the hard, white outer shell of your teeth (enamel) is a softer area called dentin. Over time, the outer enamel layer gets thinner with brushing, and more of the yellowish dentin shows through.

Trauma:

If you’ve been hit in the mouth, your teeth may change color because it reacts to an injury by laying down more dentin, which is a darker layer under the enamel.

Medications:

Tooth darkening can be a side effect of certain antihistamines, antipsychotics and high blood pressure medications. Young children who are exposed to antibiotics like tetracycline and doxycycline when their teeth are forming (either in the womb or as a baby) may have discoloration of their adult teeth later in life. Chemotherapy radiation for the head and neck can also darken teeth.

How Does Teeth Whitening Work?

Teeth whitening is a simple process. Whitening products contain one of two tooth bleaches (hydrogen peroxide or carbamide peroxide). These bleaches break stains into smaller pieces, which makes the color less concentrated and your teeth brighter.

Does Whitening Work on All Teeth?

No, which is why it’s important to talk to your dentist before deciding to whiten your teeth, as whiteners may not correct all types of discoloration. For example, yellow teeth will probably bleach well, brown teeth may not respond as well and teeth with gray tones may not bleach at all. Whitening will not work on caps, veneers, crowns or fillings. It also won’t be effective if your tooth discoloration is caused by medications or a tooth injury.

What Are My Whitening Options?

Talk to your dentist before starting. If you are a candidate, there are four ways to put the shine back in your smile:

Stain Removal Toothpaste:

All kinds of toothpastes help remove surface stains through the action of mild abrasives that scrub the teeth. Look for a whitening toothpaste that has earned the ADA Seal of Acceptance for stain removal (it will tell you on the package). These kinds of toothpaste have additional polishing agents that are safe for your teeth and provide stain removal effectiveness. Unlike bleaches, these types of Ada-accepted products do not change the color of teeth because they can only remove stains on the surface.

In-Office Bleaching:

This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect your gums. Bleach is then applied to the teeth.

At-Home Bleaching from Your Dentist:

Your dentist can provide you with a custom-made tray for at-home whitening. In this case, the dentist will give you instructions on how to place the bleaching solution in the tray and for what length of time. This may be a preferred option if you feel more comfortable whitening in your own home at a slower pace, but still with the guidance of a dentist. Out-of-office bleaching can take anywhere from a few days to a few weeks.

Over-the-Counter Bleaching Products:

You may see different options online or in your local grocery store, such as a paste or strips that whiten by bleaching your teeth. The concentration of the bleaching agent in these products is lower than what your dentist would use in the office. If you are thinking about using an over-the-counter bleaching kit, discuss options with your dentist and look for one with the ADA Seal of Acceptance. That means it has been tested to be safe and effective for teeth whitening. Get a list of all ADA-accepted at-home bleaching products.

Are There Any Side Effects from Teeth Whitening?

Some people who use teeth whiteners may experience tooth sensitivity. This happens when the peroxide in the whitener gets through the enamel to the soft layer of dentin and irritates the nerve of your tooth. In most cases the sensitivity is temporary. You can delay treatment, and then try again.

Overuse of whiteners can also damage the tooth enamel or gums, so be sure to follow directions and talk to your dentist.

5 Ways to Care for Your Mouth When You’re Sick

When you have a cold or the flu, taking care of your body is your top priority and that includes your mouth. 

Here are some simple ways to care for your dental health when you’re not feeling well: 

Practice Good Hygiene

When you’re sick, you know to cover your mouth when you cough and sneeze. Don’t forget to keep up your dental and toothbrush hygiene as well.

According to the Center for Chronic Disease, the flu virus can live on moist surfaces for 72 hours. The number one rule is not to share your toothbrush anytime, especially when you are sick.

You also probably don’t need to replace your toothbrush after you’ve been sick. Unless your immune system is severely compromised, the chances of reinfecting yourself are very low. But if you’re still in doubt, throw it out. Especially if you’ve had your toothbrush for 3-4 months then it’s time to replace it anyway.

Choose Sugar-Free Cough Drops

Read the label before you pick up a bag at the drugstore intending to avoid ingredients like fructose or corn syrup. Many cough drops contain sugar, and it is like sucking on candy. Sugar is a culprit when it comes to cavities. The longer you keep a sugary cough drop in your mouth, the more time cavity-causing bacteria has to feast on that sugar, which produces the acid that can weaken tooth enamel and cause cavities and decay.

Swish and Spit After Vomiting

One unfortunate side effect of the stomach flu, among other illnesses, is vomiting. You might be tempted to brush your teeth right away, but it’s better to wait. When you vomit, stomach acids are coming in contact with your teeth and coating them. If you brush too soon, you’re just rubbing that acid all over the hard outer shell of your teeth.

Instead, swish with water, a diluted mouth rinse or a mixture of water and 1 tsp. baking soda to help wash the acid away. Spit, and brush about 30 minutes later.

Stay Hydrated to Avoid Dry Mouth

When you’re sick, you need plenty of fluids for many reasons. One is to prevent dry mouth. Not only is it uncomfortable, but dry mouth can also put you at greater risk for cavities. The medications you might be taking for a cold or flu, such as antihistamines, decongestants or pain relievers can also dry out your mouth, so drink plenty of water and suck on sugarless cough drops, throat lozenges or candies to keep that saliva flowing.

Choose the Right Fluids

The safest thing to drink is water. Sports drinks might be recommended to replenish electrolytes when you’re sick, but drink them in moderation and don’t make them a habit after you’ve recovered because unless they are a sugar-free version, they contain a lot of sugar. You might also want something to warm you up. When you have a cold or the flu, you may want something comforting to get through it, like tea. Try not to add sugar or lemon. Sugar can help to fuel cavity-causing bacteria, and lemon is acidic. It’s something to keep in mind once you’re feeling a 100% again, as well.

Dental Tips During Pregnancy

Did you know that a baby’s teeth begin to develop between the third and sixth months of pregnancy? That’s why making smart food choices early in pregnancy can help set your child up for healthy teeth throughout their lives. During your pregnancy, a sufficient quantity of nutrients especially vitamins A, C, and D, protein, calcium and phosphorus are needed.

To assist you in making healthy eating choices, the National Maternal and Child Oral Health Policy Center have compiled this list of tips to follow during pregnancy:

• Eat a variety of healthy foods, such as fruits, vegetables, whole-grain products such as cereals, bread and dairy products like milk, cheese, cottage cheese or unsweetened yogurt.
• Eat fewer foods high in sugar, including candy, cookies, cake, and dried fruit and drink fewer beverages high in sugar including juice, fruit-flavored drinks, soft drinks.
• For snacks, choose foods low in sugar such as fruits, vegetables, cheese, and unsweetened yogurt.
• Read food labels so you can choose foods lower in sugar.
• If you have trouble with nausea, try eating small amounts of healthy foods throughout the day.
• Drink water or milk instead of juice, fruit-flavored drinks or soft drinks.
• Drink water throughout the day, especially between meals and snacks. Drink fluoridated water (via a community fluoridated water source) or if you prefer bottled water, drink water that contains fluoride.
• To reduce the risk of birth defects, get 600 micrograms of folic acid each day throughout your pregnancy. Take a dietary supplement of folic acid and eat foods high in folate and foods fortified with folic acid, including:
  • Asparagus, broccoli and leafy green vegetables such as lettuce and spinach
  • Legumes (beans, peas, lentils)
  • Papaya, tomato juice, oranges or orange juice, strawberries, cantaloupe and bananas
  • Grain products fortified with folic acid (bread, cereals, cornmeal, flour, pasta, white rice.)