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A Smile is the universal language we all share.  Having a smile you are happy with allows you to exude self confidence and self esteem. This makes you feel more attractive to others and appear more successful. According to recent surveys, about 1/3rd of all Americans are unhappy with their smile. Luckily, for most of us this situation is easily correctable with some simple and some more involved cosmetic dentistry procedures.

Easy Cosmetic Dentistry Fixes For That Perfect Smile

For many of us, the imperfections that bother us can be quite small and easily correctable with cosmetic dentistry. These simple cosmetic dentistry procedures can include:

Teeth Whitening. This is the most popular cosmetic dentistry procedure in the U.S. and the world. It can dramatically alter ones smile and also ones perception of themselves. Teeth whitening can be achieved in a variety of ways with varying results. One of the most popular ways to whiten is, the use of teeth whitening strips. These strips can give your smile a brighter look for very little cost but they do not work for everyone, and may not get your teeth as white as you’d hoped.  The dentist can offer an at home teeth whitening kit or a one hour procedure in office. Professional whitening is very effective but comes at a higher financial cost. Professional whitening procedures can whiten your smile by as much as 4-6 shades in as little as an hour.

Dental Bonding. While a bit more extensive than teeth whitening. Dental bonding can usually be completed in under an hour and give a dramatic effect if one or more teeth are affected by tooth decay or fractures. A good cosmetic dentist will be able to make the dental bonding appear natural and no one should be able to tell you have any dental bonding present. This has been a staple of cosmetic dentistry for many years.

Tooth and Gum Recontouring. Many people are unhappy with one or two teeth which may be out of alignment. The dentist can recontour one or more teeth to give them the look of being more in line with one another. Uneven gums can also make teeth appear to be longer or shorter.  You would be amazed at how simple it is to reshape and contour teeth and gums to give a beautiful appearance. Recontouring is often overlooked by patients and by many general dentists. A good cosmetic dentist will look at the teeth and face as one big picture allowing them to make adjustments in the big scope of things.

Snap-On Smile. This is a fairly recent advancement in cosmetic dentistry. It allows for a prosthetic to be fabricated that fits over the existing teeth. This procedure requires little to no tooth preparation and can be a cost effective option. This procedure is far less expensive than permanent changes to teeth, and can be completed in just a short time. Snap on Smile patients are happy to leave with  the smile they wanted at reduced cost and chair time.

More Complex Cosmetic Dentistry Fixes For An Imperfect Smile

Porcelain Veneers. When you see an “A” list celebrity in magazines or in movies, chances are they have had porcelain veneers placed on their front teeth.Porcelain veneers are wafer thin custom fabricated shells made of modern dental porcelain that are adhered to the outer surface of your natural teeth.  Porcelain veneers are also referred to as “instant orthodontics”. This is because the cosmetic dentist is able to change the shape, width, length, and alignment of your teeth. In extreme cases of misalignment, your cosmetic dentist may recommend a porcelain crown or orthodontics prior to doing porcelain veneers.  When completed properly, no one but you and your dentist should know that you have porcelain veneers.

Orthodontics. This is not just for kids any more. Adults are often turning to orthodontics to get the smile they dream of. Having straight teeth helps in chewing function, decreases wear and fracture, and has the benefit of being cosmetic. Straight teeth are beneficial for optimum hygiene,  it allows you to be able to clean your teeth more effectively since you will not trap as much food particles when they are properly spaced.

Dental Implants. Many do not consider dental implants to be a part of cosmetic dentistry but they play a very big role in modern dentistry. Replacing a lost tooth will not only improve function but will also return your smile to its original form. A lost tooth, to many, is a sign of old age, poor hygiene, and low dental priority. Having a full complement of teeth can give someone a youthful, healthy looking appearance.

Periodontal Plastic Surgery. Many of us have a smile that shows too much gums or might have some areas with receding gums. This can be corrected with surgical addition of or removal of  gingival tissues to the areas of concern.

Cosmetic Dentistry Conclusion

It is so important to feel good about smiling. There are so many options to help with most of your dental concerns. Cosmetic dentistry has come a long way over the last 10-15 years, making the procedures more affordable to many. Choosing a good cosmetic dentist along with the use of high quality modern dental materials you can assure yourself of getting the smile you have always dreamed of. A good cosmetic dentist will be able to advise you of what cosmetic dentistry procedures would be best for you to fulfill your wants and desires.  You can achieve your perfect smile, and confidently show it off to the world!



Teeth Whitening is a common procedure in general dentistry but especially so in the field of cosmetic dentistry. There are different types of teeth whitening including in

Internal Bleaching Marielaina Perrone DDS

Internal Bleaching Can Make You Smile Again!

office and at home options like the use of teeth whitening strips. But did you know there was a procedure available to perform a deeper teeth whitening from the inside of the tooth out? This procedure is commonly known as internal teeth whitening or internal bleaching. Internal bleaching is used to lighten a discolored tooth that has had root canal treatment.

Internal bleaching is a more conservative option compared to restoration with veneers or crowns, but is sometimes used to lighten teeth before the application of these techniques to prevent the discoloration of the natural tooth from showing through. In addition, porcelain veneers or crowns may be required not only to achieve improved color, but also to strengthen a root canal treated tooth.

How is Internal Bleaching Performed?

Internal bleaching is a dental method of whitening a single tooth from the inside out. First, root canal therapy is performed to remove any dental pulp that is infected. Then, a safe sodium perborate paste is placed deep inside of the tooth. This sodium perborate reacts with stains and dissolves their particles, making the teeth appear whiter.

Internal bleaching is a dental technique that is used to lighten the color or whiten the appearance of a tooth or teeth. Internal bleaching is only to be done under the direct supervision of a dentist. This is because the procedure involves inserting a chemical oxidizing agent directly into the tooth.

Internal Bleaching Before Marielaina Perrone DDS

Internal Bleaching Before

The internal bleaching procedure is performed on a non vital tooth that has received root canal treatment. The root canal treatment could have been the result of infection or dental trauma. Whatever the reason, the tooth in question did not require a crown and has maintained its natural tooth structure. When a tooth dies or becomes non vital it loses the blood and nutrient flow to it. This sometimes results in a changing of tooth color to a darker shade than the surrounding teeth.

Following completion of root canal treatment, the dentist will place a chemical oxidizing agent into the chamber of the tooth and leave it there for about 2 weeks time. This process can be done a few times over that 2-3 week period until the tooth achieves the level of whiteness desired by dentist and patient. Once the color is correct, the opening is sealed closed with a white tooth colored composite filling to keep out foreign matter and bacteria that could cause further problems.

Internal Bleaching After Marielaina Perrone DDS

Internal Bleaching After

Internal bleaching may be used by itself for whitening teeth or  in combination with exterior teeth whitening products.  Your dentist will evaluate the current condition of the teeth and determine if it is necessary to make use of two different kinds of teeth whitening procedures at the same time. When it is decided to use both products at the same time, the dentist will choose two products that are compatible to one another so that they do not interact poorly with one another. If chosen incorrectly, the interaction between the two bleaching products could ultimately damage the teeth they are designed to treat.

How well does Internal Bleaching work?

Internal bleaching is very effective for whitening teeth that have been damaged by trauma or infection. The process allows the dentist to focus on one tooth to raise its level of whiteness back to the level of the other teeth to give a more natural appearance overall.

Internal Bleaching Conclusion

Anyone who has had a tooth turn color after receiving root canal treatment can understand the difference between natural, undamaged, tooth structure, and dark, non-vital, tooth discoloration. While internal bleaching is very specific in it’s applications, it is an easy choice for someone with a dark front tooth. Internal bleaching is a great tool for cosmetic dentists to restore one or more teeth back to their natural white condition. It is a fairly simple procedure with great reward. If you have a tooth that does not whiten as all the others do, ask your dentist about internal whitening, and see if this is an option for you.

internal bleaching



For many of us, whiter teeth are a sign of youth, beauty, and vitality. If your teeth look dull and lifeless, you may lose some self confidence causing you to miss out on precious moments in life. As we age, our teeth will lose some of their natural whiteness, changing instead to a yellowish, even brownish/gray tinge. This occurs from our daily habits like drinking coffee, possibly smoking, or drinking red wine.

We are bombarded by magazine and television ads displaying models with perfectly white teeth. After awhile, you begin to wonder whether you can have whiter, brighter teeth too? Luckily, there are many options out there to do just that. The traditional way has been to go to the dentist and have them professionally whitened under controlled conditions. Today, we have other options like teeth whitening toothpastes. Are these toothpastes effective at whitening our teeth?

What Is Special About Teeth Whitening Toothpastes?

Most of us use toothpaste every day just to maintain our dental hygiene. It is a product we are all very familiar with. Manufactures have now found a way to add an extra element to your favorite toothpastes allowing the addition of teeth whitening materials into the mix to give you an added benefit.  Some are more abrasive to help remove surface stains, some have peroxide and other additive ingredients to actually allow for some deeper whitening to occur. It should be noted that teeth whitening toothpastes do work, but they will NOT whiten your teeth as effectively as your dentist can. Also, each individual’s results will vary.

Teeth whitening toothpastes commonly contain the following ingredients:

Hydrogen peroxide. The same teeth whitening ingredient used in most teeth whitening strips. This is found in the new Colgate Optic White toothpaste.

-Sodium Hydroxide. This is another ingredient used to whiten teeth. Crest 3D white toothpaste utilizes this as it’s main teeth whitening agent.

Sodium Tripolyphosphate. Do not be scared off by the long name. This chemical is effective in removing stains from the enamel on your teeth.

Blue Covarine. This chemical is present in some teeth whitening toothpaste. Blue covarine has the ability to adhere to the surface of teeth creating an optical illusion that can make our teeth appear less yellow.

Abrasives. These abrasives, such as baking soda, will provide a perfect cleansing and polishing on the teeth surface and over time will remove light stains that make our teeth appear yellowish or brown.

When used twice a day, teeth whitening toothpaste generally takes from two to six weeks to make teeth appear whiter and brighter. Teeth whitening toothpastes that contain blue covarine can have an almost immediate effect on your smile.

Teeth Whitening Toothpaste Conclusion

Americans spend over $1.5 billion on toothpaste per year and it is a rapidly growing market. Many of the toothpastes have become quite specialized, especially those geared towards teeth whitening. But do teeth whitening toothpastes really work? The simple answer is yes, but to what degree?. If your teeth are brown and discolored, it will not work as effectively as a professional teeth whitening. The difference being, that the dentist uses chemicals specifically designed to whiten teeth (and applied under very controlled conditions) whereas many of the teeth whitening toothpastes on the market use much lower concentrations of these whitening agents, or none at all. Don’t get overly frustrated if using teeth whitening toothpastes don’t do much for you. They are helpful in some mild degree of whitening, but will not give you the super white smile that actual professional whitening will. They are best used as an adjunct to a professional whitening, to help keep your teeth whiter and brighter longer, or for younger people to brighten up an already nice smile. Teeth whitening toothpastes are a cost effective way to brighten your smile, discontinue use if they begin to cause sensitivity.

It is always recommended you see your dentist for professional cleanings and dental examinations. This is a perfect time to discuss teeth whitening options and what method would work best for you. Teeth whitening can be a very personalized choice and each program can be tailored to each patient’s needs and expectations. Find out today how to get your teeth whiter and brighter.



Teeth whitening strips are a fairly new invention. Teeth whitening strips are sold over the counter in most drug stores. Proctor and Gamble introduced their first line of teeth whitening strips (Crest Whitestrips) in the year 2000. Since then the market has been flooded with similar products. These include Listerine Teeth Whitening Strips or Rembrandt Teeth Whitening Strips.

Teeth whitening is perfect for young patients who have healthy, cavity free, unrestored teeth (no fillings) and gingival tissues. Studies have shown that patients with yellow tones to their teeth respond best to teeth whitening, whereas gray and see through teeth do not. But this cosmetic procedure is not recommended for everyone. That is where teeth whitening strips come in. They are far less expensive than other options including in office teeth whitening treatments.

Teeth Whitening Strips – What Are They?

The idea behind teeth whitening strips is quite simple. They give a person a way to perform a gradual effective teeth whitening treatment on their own. Teeth whitening strips are very thin, virtually invisible strips, that are coated with a mild peroxide based whitening gel. By wearing the strips as noted on the product packaging, the gel comes into contact with the surface of your teeth and works to slowly take away surface staining. They also remove some stains from within the enamel. The strips are recommended to be applied twice daily for 30 minutes for 14 days. Initial results can be seen in as little as a few days and final results are maintained for about 3-4 months.

The peroxide gel on the teeth whitening strip works by slowly bleaching your teeth. Most teeth whitening strips come in a larger size for the upper teeth and a smaller size for the lower teeth. The patient is instructed to press the teeth whitening strips around your teeth to make a tight contact. The gel then contacts your enamel and begins its work when it heats up to body temperature. Various products contain different amounts of peroxide so usage instructions will vary from brand to brand.

Over the counter teeth whitening strips contain roughly between 3% to 10% hydrogen peroxide. Professional teeth whitening strips (available only through a dentist) usually contain somewhere in the neighborhood of 15%-30% hydrogen peroxide. Teeth whitening procedures conducted in dental offices contain hydrogen peroxide in the range of 20%- 38%. So as you can see by those numbers the rate of effectiveness will vary for each technique.

Teeth Whitening Strips – Are They Effective?

Yes! Teeth whitening strips can be very effective at what they do. Remember, they will not whiten fillings or crowns, so be careful not to over do it and make dark crowns, fillings stand out. It is always important to remember to follow all instructions on the packaging. Choose the teeth whitening strip that fits you and your lifestyle. If you feel that using strips twice a day for 30 minutes at a time seems like a long time then you need to consider other options. Like a 1 hour in office procedure.
It is always best to talk to your dentist first before starting any tooth whitening regimen. Some types of dental work such as bonding, crowns, veneers or bridges will not whiten, leaving an uneven appearance. Some stains will not whiten well with teeth whitening strips, such as Tetracycine stains and fluorosis (brown or white spots).  Also, some types of stains are the result of unhealthy teeth, whitening can exacerbate an already delicate oral health situation. Any teeth whitening procedure works best immediately following a thorough professional dental cleaning. An appointment with your dentist is the best way to start any teeth whitening process, saving you time, money, and helping you get the best results.

Disadvantages of Teeth Whitening Strips

Teeth whitening strips are a one size fits all entity. So they may not fit everyone exactly the same. Again, read the packaging carefully to find the right size for you. You need to think about how many teeth you need to whiten based on your smile for the length of the strips.

In comparison, dentist observed custom tray systems are molded to fit your mouth perfectly. These leaves zero coverage issues and gives a more uniform end result with consistent bleaching throughout the mouth.

While teeth whitening strips are effective, dentist observed treatments are more effective. They give a more uniform bleaching of teeth as well as give you the convenience of finishing treatment faster.

Side Effects From Teeth Whitening Strips

Crest Whitening Strips

Crest Teeth Whitening Strips

Two main complaints regarding teeth whitening strips are tooth sensitivity and gingival irritation. Teeth sensitivity generally correlates with the strength and amount of peroxide in the bleaching gel. If you have had a history of tooth sensitivity in the past it is best to choose a lower dose peroxide teeth whitening strip. The major cause of gingival irritation occurs when patients apply the strip over the gums or part of the gums. If either of these occur you should stop use of the whitening strips for 24-48 hours. This should be enough time for the sensitivity and irritation to resolve itself.

In conclusion, teeth whitening strips are an effective alternative to the traditional dentist observed teeth whitening systems. As always remember to maintain a good dental hygiene program and visit your dentist and hygienist regularly.

 

Teeth Whitening Strips – Good Or Bad?.
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