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Frustrated DDS
by Lisa Mitchell on 

 After an older patient asked to do the Nitewhite 2 week whitening custom tray system after 2 weeks he still did not get results so we then gave him the 15 min Daywhite for 2 more weeks.  He stopped into the office today and said his teeth did not whiten (they didn't look much whiter) and wanted his $250 back because he was not satisfied.  How would you approach this patient when he comes back on Wed for a color consultation.

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by Mina on 


Not all of the patients are aware that there are special techniques for cleaning of your tongue; it has to be done once every couple of days and usually is done with the regular toothbrush ot with small holders called tongue cleaners. The tongue cleaner is a over the counter product and can be found in any drug store.


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Oral health and pregnancy
by Mina on 

If you are planning to become pregnant or suspect you are already pregnant, it's important you see a dentist right away. Pregnancy may cause unexpected oral health changes due to hormones - particulary an increase in estrogen and progesteron - which can exaggerate the way in which gum tissues react to plaque. Research continues to show that overall health and oral health coincide, so it is especially important for you to maintain good oral hygiene during your pregnancy. Visiting your dentist will allow him or her to assess your oral condition and map out a dental plan for the remainder of your pregnancy.


When plaque isn't removed, it can cause gingivitis  - red, swollen, tender gums that are more likely to bleed. So-called "pregnancy gingivitis" affects most pregnant women to some degree and generally begins to surface as early as the second month of pregnancy. If you already have gingivitis, the condition is likely to worsen during pregnancy. Untreated gingivitis can lead to periodontitis, a more serious form of gum disease that includes bone loss.


Research suggest a link  between pre-term delivery, low birthweight babies, and gingivitis. Excessive bacteria can enter the bloodstream through your gums; the bacteria can travel to the uterus, triggering the production of chemicals called prostaglandins, which are suspected to induce premature labor.


You can prevent gingivitis by keeping your teeth clean, especially near the gumline. You should brush with toothpaste at least twice a day and after each meal when possible. You also should floss each day. Good nutrition keeps the oral cavity healthy and strong; in particular, you should get plenty of vitamins C and B12. More frequent cleanings from  the dentist also will help control plaque and prevent gingivitis.


Pregnant women are at risk for developing pregnancy tumors - inflammatory, non-cancerous growth that develop between the teeth or when swollen gums become irritated. These localized growths or swellings are belived to be related to excess plaque. Normally, the tumors are left alone and will shrink on their own after the baby's birth; however, if a tumor is uncomfortable and interferes with chewing, brushing, or other oral hygiene procedures, your dentist may decide to remove it.


Routine exams and cleanings can be performed throughout pregnancy; however, non-emergency procedures should only be performed during the second trimester of pregnancy. Dental emergencies that create severe pain can be treated during any trimester, but your obstetrician should be consulted during any emergency that requires anaesthesia or whenever medication is prescribed. X-rays should only be taken for emergency situations. Lastly, elective and cosmetic procedures should be postponed until after the baby's birth. Because every woman is different, it's best to discuss and determine treatment plan with your dentist.

Please e-mail us if you have any questions about your oral health during pregnancy,



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Teeth Whitening
by Nick Levi on 

It used to be that your only option for whitening your teeth involved a visit to your dentist. Today, there are many options available, some even over-the-counter. However, your dentist may still be the best choice for whiter teeth.

Believe it or not, some time in a dentist’s chair might actually be the most convenient way to whiter smile. Most of the over-the-counter options take weeks to work. This is because most of them use carbamide peroxide, a weak bleaching agent. The usual amount, 10%, is only equivalent to 3% hydrogen peroxide, and most over-the-counter whitening systems top out at around 22%. Your dentist, however, has access to systems that include up to 43% hydrogen peroxide, which means they can usually achieve dramatic results in just one visit. In addition, a dentist can boost the whitening power of some products through the use of lasers.

If you’ve already had veneers or crowns placed on your teeth, over-the-counter whitening is not suggested. Because these veneers and crowns are not made of the same stuff as your teeth, they won’t react the same way to the bleaching agent, and you’re likely to end up with uneven whitening that looks even worse than an even yellow color.

Even at the weaker concentrations, the over-the-counter whitening systems can irritate your gums and the soft tissues of your mouth. Your dentist has access to protective gels and rubber shields that can protect your mouth.

Finally, while most over-the-counter whitening programs can be effective against yellowed teeth, they’re not very effective against darker stains. If teeth are stained brown, bluish-gray, or purple, simple whitening treatments might not be very effective. Only a dentist can tell what will and won’t work, and can outline all the options available to you.

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