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What are the effects of whitening your teeth? Can it damage the teeth?
If by whitening you mean a dentist-administered bleaching treatment, it is currently thought to present little risk except for some short-term soreness of the gums and a transient increase in tooth sensitivity to heat, cold, contact, and sweets. It is a relatively new technology, and the long term cumulative effects, if any, are not known. This may be significant, since bleaching may need to be repeated at indefinite intervals to maintain the whitening.
Why do some people's teeth discolor a yellow to brownish color upon aging? There are no injuries to the teeth. I have been told that it is just a part of aging?
Often it is just a part of aging. The surface enamel becomes worn and thin during a lifetime of chewing, allowing the underlying dentin (which is a darker color) to shine through, or even become exposed to the surface. The central pulp tissue becomes increasingly calcified and the surrounding dentinal tissue becomes sclerotic, darkening and opacifying the teeth. Recession of the gum exposes the root surfaces, which are often darker than the crowns of the teeth.
Of course, some people become less motivated to clean their teeth, or may become physically incapacitated. This can cause their oral hygiene to suffer, allowing the accumulation of extrinsic staining. All of this can contribute to darkening of teeth with age.
Can existing porcelain crowns or laminates be bleached?
No, porcelain does not change color when exposed to dental bleach.
How long should bonding last?
Bonding lasts 3-5 years, depending on wear and tear.
How long do porcelain laminates last?
In excess of 10 years, when properly maintained.
Why do people choose porcelain laminates over bonding?
Laminates look more realistic, do not stain, feel more natural, and are stronger.
When do you need to see a periodontist?
When local gum inflammation cannot be controlled by a hygienist and residual pockets that cannot be maintained are left around the teeth.
Can porcelain laminates or crowns give me lip support?
Yes, if they are built out with bulk, provided it does not interfere with function and local biology.
How do you get rid of spaces between teeth?
With porcelain laminates or bonding. Crowns may be used on more severe cases.
Does it hurt to have teeth prepared for laminates?
No, it is a painless, two-visit procedure. Local anesthesia can be given to highly sensitive patients, but is usually not necessary.
What are the advantages of laminates versus orthodontic treatment?
Orthodontic treatment takes 18 months to 2 years while porcelain laminates correct crooked teeth in two visits.
Are cosmetic procedures covered by insurance?
Dental insurance usually does not cover cosmetic dental procedures.
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