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Out of All Fort Myers Dentists, One Solves Age Old Problem

In today’s economy, nothing can be more important than protecting all aspects of our health, and also protecting our wealth.  We can’t afford to have major breakdowns in our mouth as restorative dentistry can be expensive.  It would make sense to try and prevent small problems from becoming large problems. Modern Dentistry is doing his part to help patients become healthier with some new breakthroughs in prevention technology, follow this link to read more about Fort Myers dentistry.  3M has developed some revolutionary products that are changing the way preventive dentistry is being provided.

Click here to schedule your appointment with Dr. Trettenero and experience the best in Fort Myers dental care.

One of the biggest issues that Fort Myers dentists face today is affecting a great majority of America’s population is demineralization of their teeth.  This leads to cavities, breakdown of existing restorations leading to replacements, gum recession, and erosion of enamel especially at the gum line.  So what is causing this demineralization that we see in so many of our patients?  Here are interesting facts that can shed some light on this situation.

  • 78 million Baby Boomers have gingival recession, a condition that only worsens with age.  And 50% of patients will get at least one cavity at this gum line area.
  • There is attrition, erosion, abrasion, and surface wear on 40% of children’s teeth and 80% of adults’ teeth.
  • In the U. S., soda pop consumption has surpassed 4 cans a day, and many people drink as many as 12 cans a day.
  • Because soda pop contains phosphoric acid and 10-12 teaspoons of sugar per can, many local Fort Myers Dentists and medical professionals worldwide recognize this as a public health crisis.
  • Milk consumption is down which stimulates re-mineralization of teeth by its calcium content.
  • 1/3 of the U.S. population is semi-dehydrated on most days.
  • 70% of over the counter toothpastes are more abrasive than the course paste used in the dental office during cleanings.

You can tell from the above facts that the demineralization of our teeth is a very large issue facing our population.  As a Fort Myers dentist it means that I have to address these issues if I am going to help my patients have healthy teeth that are not going to deteriorate over their lifetimes.  I want my restorative work to last and last for obvious reasons and to prevent failures caused by breakdown at the margins due to demineralization.

Until recently we had to rely upon the patient to adequately brush and floss on a daily basis and hope that they had their teeth cleaned professionally in order to prevent problems. We recommended fluoride toothpastes and rinses to give them a little extra help and that was about all we could do.  As one of many local Fort Myers dentists we always wished that there could be a pill that they could take or a rinse or something that could do magic to prevent any future problems.

Well now we have the magic formula that can and will prevent dental problems that have its origin from demineralization. Thanks to the good people at 3M and their diligent research we have products and techniques that give us the confidence to look our patients in the eyes and tell them that we can solve these kinds of problems if they just follow our protocols.  The good news is it’s so easy to do.

Our main tools that we use include a special fluoride varnish that is painted on the teeth. It has a unique formulation that makes it stick to the teeth for just enough time to penetrate the fluoride through the surface 150 microns. This not only will remineralize the outside of the tooth but also below the surface where the decay is working its way through the enamel. This is a major breakthrough as our previous treatments could help remineralize only at the surface but the inside of the tooth that had been affected would continue to breakdown and the cavity would continue to grow. Now we have the technology to really prevent and reverse cavities.  Of course, if the cavity is already broken through the enamel and has become substantial then it will have to be restored by any Fort Myers dentist.

The next breakthrough in prevention is the creation of the first toothpaste that really and truly works to make teeth healthier.  Toothpastes are a huge business because most people use toothpaste everyday and billions of dollars are spent each year on this product.  Almost every toothpaste that is marketed makes special claims such as whitening your teeth, fresh breath, cavity prevention, desensitizing capabilities, etc, for the purpose of trying to get your business.  Other than being abrasive and having a little fluoride, most all toothpastes won’t live up to their claims.  Toothpastes will not whiten teeth, period.  Most toothpastes are too abrasive to be used on a regular basis but the manufactures make them that way so that maybe some of the stains on the teeth will be brushed off.  That is how they make their whitening claim.

3M has developed a toothpaste that actually lives up to its claims with a product called Clinpro.  It has tri-calcium phosphate crystals that are the building blocks of tooth structure.  Using nanotechnology it also has a prescription strength fluoride that binds together with the crystals when used in the mouth.  These crystals, along with the fluoride, will “fill in” areas of demineralization to make them strong and healthy.  This is also a great treatment for sensitive teeth as it goes directly to the source of the problem to correct was is wrong with it.  Other toothpastes such as Sensodyne will only numb the area temporarily.  Not only will it only numb the area but all but one of the different types of Sensodyne are way too abrasive and will help to perpetuate the problem.  Is this maybe by design?  Clinpro has silica as its abrasive instead of the pyrophosphates in most toothpastes.  Pyrophosphates have been proven to be overly abrasive and actually roughen up your teeth.  You want your teeth to be smooth and slick so as to not attract plaque.

Clinpro will remineralize breakdowns in your teeth without the aid of healthy saliva.  This means if your saliva is compromised due to dehydration, medications, medical conditions, or dry mouth, Clinpro will overcome these conditions to keep your teeth healthy.  It is 4 times stronger than over the counter toothpastes with 5000 parts per million fluoride which has been proven to keep teeth from demineralizing.  It is also a crème based formula instead of a glycerin which makes it last longer in the mouth and doesn’t dissipate quickly like most toothpastes will.

Another weapon we have in our arsenal is a light cured glass ionomer and it can be painted directly on the root areas that are weak, breaking down, and demineralizing.  This sealer will stay on the tooth for up to 6 months releasing fluoride which will keep the area strong and protected.  It will virtually make the weakest area of your teeth one of the strongest keeping erosion and decay away.  Plaque can’t form on a glass ionomer which is fantastic so for up to 6 months we can keep tarter and plaque from building up in these treated areas.  It will make these areas virtually free from sensitivity by sealing the root surfaces.  The exposed root surface won’t wear away and will become slick and strong.  This can be applied at your hygiene appointment on a regular basis to keep your root surfaces as strong and healthy as possible.

Dentistry in Fort Myers has these new tools to help you solve problems before become bigger and more expensive to solve.  You can’t afford not to take advantage of these miracles of modern dentistry.  If you can’t afford the prevention, then how are you going to afford fixing the major and costly breakdown due to dental disease?  These treatments are easy, affordable, and effective, and I’m happy we have them to help our patients keep their teeth in optimum health.

We will be happy to help you to achieve optimum dental health by recommending these products to you based upon your individual needs.  Ask us what is best for you.  If you have any questions regarding the wonderful new preventive products, please feel free to ask.  We are here to help you.

Contact Scott Trettenero today for a free office visit. and be sure to read some of the hundreds of patient reviews.

Dr. D. Scott Trettenero, DDS
Fort Myers Dentist – Call (239) 344-7210

Posted April 15, 2010 | General Dentistry | Comments Disabled | 12855 Views


Blog Entry

What Your Dentist Knows about Your Health

Courtesy of WebMD.com

From Dr. D. Scott Trettenero, DDS

From predicting heart disease, diabetes, and premature birth
to revealing leukemia, eating disorders, and vitamin deficiencies,
your teeth and gums say a mouthful about your health.

The eyes may be the window to your soul, but for a look into your physical health, open wide: Your teeth and gums say a mouthful.

Receding or inflamed gums, cavities, tooth loss, gingivitis, and other dental dilemmas in adults can indicate the presence of serious health problems — including heart disease, diabetes, cancer, vitamin deficiencies, and even the risk of having a premature or low-birth-weight baby. Usually, these dental problems result from poor dental hygiene such as not brushing well or not flossing regularly. But even by following your dentist’s golden rule, you may still be hurting your overall health.

Click here to schedule your appointment with Dr. Trettenero to keep healthy.

“Every time you brush your teeth, especially if there’s any inflammation in the mouth, it puts some bacteria into your bloodstream,” says Honolulu periodontist Michael P. Rethman, DDS, president of the American Academy of Periodontology. “This isn’t good, but it is normal.”

That may explain a recent jaw-dropping study in the journal Circulation that links any of five common dental problems with an increased risk of heart disease. The kicker: Dental problems proved to be stronger predictors of heart disease than more traditionally used risks factors such as low “good” cholesterol, high triglycerides, or high levels of a clotting factor called fibrinogen. And it doesn’t end there.

Dental Detectives and What They Find

“Often, it’s a Fort Myers dentist or periodontist who is the first to identify a systemic health problem because of what they see in the patient’s mouth,” says Col. Brian Mealey, DDS, chairman of periodontics (the treatment of gum diseases) at Wilford Hall Medical Center in San Antonio, the nation’s largest Air Force hospital. “And as more evidence accumulates, I think you’ll see more dentists looking at oral health specifically to search for possible problems affecting the rest of the body. They’re now teaching this stuff in Fort Myers dental schools, which wasn’t the case 10 years ago.”So what can these dental detectives detect in those twice-yearly exams?


Undiagnosed diabetes, or poor blood sugar control in those already diagnosed with the disease, can be identified by several dental woes, says Sally Cram, DDS, a periodontist in Washington, D.C., and spokeswomen for the American Dental Association.

“Diabetics tend to get periodontal disease at a rate three to four times higher than people without diabetes, but when their condition is controlled with medication, diet, or other treatments, their periodontal condition will usually stabilize and return to health,” she tells WebMD. “If I see a lot of inflammation in someone who brushes and flosses regularly, or they have an abscessed tooth (an infection-caused pocket of pus in the tissue next to a tooth), I ask, ‘Have you checked your blood sugar lately?'”

That’s because uncontrolled diabetes impairs white blood cells, the main defense against bacterial infection — and periodontal disease results from bacterial infection. Besides gum problems, diabetes also can produce dry mouth, thrush, a burning of the mouth or tongue, or a distinct, telltale breath odor. “It’s called ‘acetone breath’ and produces a sweet smell that’s associated only with diabetes,” adds Rethman. “Breath that really smells bad, meanwhile, could indicate infection of the nose, mouth, lungs, or stomach.”


Osteoporosis and tooth loss often go hand-in-hand because the same decrease in bone mineral density that boosts risk of hip and other fractures affects the jawbone and teeth. That’s one reason why women are especially vulnerable to tooth loss following menopause — and why despite its other health risks, estrogen replacement therapy has been found to reduce their rates of tooth loss and gingivitis.

“Actually, there are four times in a female’s life when she’s more vulnerable to oral problems,” says Cram. “Besides menopause, during puberty, during pregnancy, and around the time of her monthly period, certain hormones levels are elevated that stimulate inflammatory mediators that make them more susceptible and responsive to bacteria in the mouth.” So mark your calendar, ladies: It’s during these times when a dental exam is especially useful.

Heart Disease

In the recent Circulation study, after comparing the oral health of 256 adult heart patients with that of 250 others with no heart disease, researchers did some math. Their calculations showed that the strongest predictor of heart disease was pericoronitis, an infection around the third molar; followed by root remnants, in which teeth decay to the point that only the top of the root remains,; gingivitis, an inflammation of the gums due to improper cleaning; cavities; and missing teeth. The possible connection: “It seems that bacteria often found in the mouth can appear as the same atherosclerotic plaque associated with cardiovascular disease,” Rethman tells WebMD.

Premature and Low-Weight Births

Research shows that women who have gum disease during pregnancy are seven times more likely to have a baby that is born too early and too small than other expecting mothers — and the risk increases with the severity of their gum problems. “That’s because when you have periodontal disease, the inflammation causes certain chemicals to be released in your bloodstream that could affect the baby’s birth weight and delivery,” Cram states.

So if you’re pregnant, head to the dentist or periodontist. A study last year in the Journal of Periodontology suggests that performing a common procedure to remove plaque and tartar from teeth that cause gum problems could reduce risk of premature delivery.

Other Conditions

Leukemia causes gums to be fiery red, very inflamed, and spongy. Bulimia. “When you binge and purge, it creates acid in the mouth that eats away at tooth enamel, especially on the insides of teeth,” says Cram. “Bulimics also have a lot more gum recession and high rates of cavities.” Kidney problems can cause inflamed gums. Gastroesophageal reflux disease (GERD) can also cause tooth erosion from digestive acids entering the mouth. Vitamin deficiencies. Not getting enough iron for example, can cause sores at the corners of the mouth, the taste buds to become small, or can lead to a sore tongue. Drugs Do Damage, Too Hundreds of drugs — including antidepressants, high blood pressure medications, and allergy remedies such as antihistamines and decongestants — can cause dry mouth. “When the mouth dries out, you don’t have the protective enzymes in saliva that help kill bacteria,” says Cram. vulnerable times of womanhood — or if you’re about to be hospitalized.

“If you’re going in to the hospital for an extended stay, having an oral exam and good cleaning is a great idea because you’re going to decrease the risk of hospital-acquired problems such as pneumonia,” Mealey tells WebMD. “It’s also advised to have a cleaning before getting joint replacement surgery, because the mouth can be a source of bacteria that, if it seeds, can cause an infection that could destroy tissue around the joint.”

But even you’re feeling perfectly fine, there’s good reason for opening wide and staring at the ceiling as your mouth is picked and probed. “Today, more dentists aren’t just looking at teeth and gums,” says Cram. “They’re giving you a good medical exam.”

I hope this information has been helpful for you and your loved ones.

Dr. D. Scott Trettenero, DDS – Fort Myers Dentist

Posted September 10, 2009 | General Dentistry | Comments Disabled | 5632 Views


Blog Entry

Fort Myers Dental Miracles in One Visit

Let’s face it.  Nobody likes to have any dental work done.  But when the time comes and you need Fort Myers dental care, wouldn’t you want it be completed as quickly and efficiently as possible?  Maybe even faster than that!

Good news from one Fort Myers dentist!  With the aid of 25 years of experience and today’s technological breakthroughs, our office can literally work dental miracles in just one visit.  Is “miracles” too strong a word?  Our Fort Myers patients don’t think so.  It even amazes me how quickly and efficiently we can get things done.

Click here to schedule your appointment with Dr. Trettenero. We would love to see you for your next Fort Myers Dental appointment.

For example, with our state-of-the-art CEREC computerized technology we are able to restore teeth with super-strong, enamel-like, ceramic material that has the exact appearance as your natural teeth structure.  In just one visit we can accomplish what normally takes at least two visits and we are able to do it better than the old ways in a lot of cases.  Plus, by using our CEREC technology, we can save more of your natural tooth structure.  This means we usually don’t have to cut the tooth down like before.

Out of all the local Fort Myers Dentists, only one is the leader in CEREC technology. Click here to schedule an appointment.

My patients really appreciate that and I feel good knowing that I am offering the best to them.  And, they like the fact that they don’t have to come back again or have to wear those unsightly and uncomfortable temporaries for a few weeks or more.  I like it because my bonding of the restoration to the tooth is so much better than if temporary cement microscopically violates the surface of the tooth.  (Of course, this is technical stuff but it means to you that the restorations will last longer and be trouble-free longer.)

With our CEREC technology we can do full crowns when its appropriate, partial crown which allow us to save more of your tooth structure, plus create inlays and onlays too which are very conservative.  I love to do these restorations because I do believe that saving as much of your natural tooth is very important.  Nothing is better than your own teeth but when they need help, CEREC is the next best thing.

There are other procedures that we routinely do for our patients that take only one visit.  About 90% of the root canals we do are done in one visit.  I find that it’s more comfortable, efficient, and effective to do them this way.  No one wants to come back for another procedure which would include more numbing and fighting the dreaded Ft. Myers traffic!  Within one hour or less we can complete this treatment.  And most important, they’re not the frightening thing most people think they are.  Quite the opposite, in fact.

The key to PAINLESS root canals is a generous amount of anesthetic given in the correct manner, fast and accurate instrumentation and using the right medicaments to complete them.  “That wasn’t bad at all” is the usual comment.  And that’s what I want to hear!

Also, teeth whitening procedures can be done in one visit which includes making whitening trays.  It’s a procedure that I perfected and I even received a patent on the process.  Instead of taking the impressions in one visit and then having to return another day for the appliance, we can make them right on the spot.  Saves you a lot of time.

Plus, a special bite guard can be fitted in one appointment.  This little gem is quick, easy, inexpensive, and extremely effective.  And it’s comfortable to wear while you sleep because it’s so small.  Our patients love it.

All of our tooth colored bonded fillings too can be done in one visit.  We use the latest bonding procedures to give you the best that’s available to date.  It’s amazing what a difference getting rid of unsightly silver-mercury fillings can make in your smile!  We haven’t used those fillings in over a decade.

Even when a treatment requires multiple visits we do everything we can to minimize the time it takes to complete your work.  Your time is valuable.  And the more efficient and effective we are – the happier you are

Posted August 17, 2009 | Cerec | Comments Disabled | 5435 Views


Blog Entry

Secrets of a Painless Injection

Shots aren’t so bad if you can’t feel them!

After more than a quarter of a century of practicing high quality, high technical, advanced dentistry, I still get a charge out of doing something that is very simple and very basic.  I love to be able to give my patients a painless injection.  I think I get more response to this procedure than anything else I do.

How many of us are frightened to death of getting a shot?  Many.  I see it every day.  Maybe you’re one of those people who avoid necessary dental work just because you can’t stand the thought of being injected.

Fears from past dental experiences live on and on and are hard to get over.  Some people never do.  It’s a real shame.  I know how much these fears impact the oral health of a large percentage of people who really need to have some dentistry done.  They just can’t get over the thought of a painful injection in their mouth.

I myself have had painful experiences with injections.  One time I had an injury to my elbow that required an injection of cortisone.  The first doctor I went to was very careful and I barely felt it.  Great!  The injury reoccurred some years later and I needed another shot.  I saw a different doctor to give me the same medicine.  He was abrupt and in a hurry and jabbed the needle right to the bone without any hesitation.  I just about went through the roof!  What a difference a doctor’s care makes.  I made the decision then and there that I was going to keep my patients from ever having to experience what I just went through.

Click here to schedule your appointment with Dr. Trettenero for painless injections.

It became an obsession with me.  I tried many different techniques and had some success.  Eventually, I felt I could give a good injection but not what I would call totally painless.

Then one day I came across new information in a technical newsletter that made sense to me.  A new anesthetic had just  come out and the beauty of it was it had a neutral ph.  I had learned almost all the others have an acid ph which causes the burn we feel when it’s injected.

I was thrilled (and so was my patient) when I tried out this new anesthetic.  It worked beautifully!  I now use it every time I give an injection.  Every single time without fail.  This anesthetic also makes the area numb very quickly.  Then, after the area is totally numb from the neutral ph type, I use one of the regular types of anesthetic.  The two together are a very profound and effective combination.

I also use the smallest gauge needle made.  Compared to what I used in my early days of practice they are extremely skinny.  These tiny little needles make a huge difference in how the patient feels it.  In fact, they are so thin, I use magnification glasses to see where I am injecting.  Plus, I want to make absolutely sure I stay away from any blood vessels, as this is a source of discomfort if you hit one.

In addition, one of the biggest sources of injection discomfort is when the dentist places the needle to its full depth and then injects quickly.  Ouch!  I only place the tip of the needle just barely under the tissue (about one to two millimeters) and immediately start to very slowly inject the neutral ph anesthetic.  I slowly advance the needle only after the surrounding area is already numb.  This way you won’t feel it at all!  My patients always comment on how comfortable this technique is.  Or they will ask “Why did it used to hurt when other dentists gave me shots?”

I reply that shots still do hurt if given the regular way.

My patients also are very impressed when I have to numb an area such as right up front where it is very sensitive.  In that case, I begin the numbing process by injecting a little to the side where it’s not so touchy.  After that part is numb and the anesthetic has spread out I move closer to the front.  That way the numbness spreads into the sensitive area and is already numb so it doesn’t hurt.

After every injection I make a habit of asking my patient how they did with their shot.  They always respond in a positive way.  This gives me a chance to discuss the technique with them if they are interested.

So, the secrets of a painless injection start with the neutral ph anesthetic.  Then the skinny needle, followed by a very slow rate of delivery.  Knowing where to inject is extremely critical and the care given to avoid painful, sensitive areas is so important.

I know how much my patients appreciate this extra care and attention to avoid pain and discomfort.  They tell me so.  It’s great satisfaction to me personally in knowing I have done something for my patients that is above and beyond what they are used to.

In the end it all comes down to: Do unto others as you would have them do unto you.  I know how much I would appreciate it if I had it done for me.

Dr. D. Scott Trettenero, DDS

Posted August 17, 2009 | General Dentistry | Comments Disabled | 7432 Views


Blog Entry

The Real Scoop on Teeth Whitening Scam

What Major Retailers Don’t Want You To Know

I’ve been whitening my patient’s teeth for over 20 years and I love the results.  So do my patients and who wouldn’t?  It seems that white teeth are now a cultural phenomenon.  Almost everyone wants their teeth whiter.  But not everyone wants to go to a dentist and not everyone can afford what most dentists charge.

So a few years ago, over-the-counter whiteners began flooding the market, each with its own gimmick, or gadget, or promise of sparkling white teeth in just minutes.  Anything and everything has been marketed to the public because of the tremendous demand and the profits to be made.  As PT Barnum once said, “There’s a sucker born every minute” and thus an uninformed public is susceptible to deceit and trickery.

In 2004 over-the-counter teeth whitening product sales passed a billion dollars a year!  It seems as if America’s obsession with white teeth had big business foaming at the mouth. The big names in oral health care products all wanted their piece of this very lucrative pie.

It amazes me now when I see television commercial claims such as.  “Teeth whiter in just three days!”  “Whiter teeth in just five minutes a day”.  “Brush on and see results overnight”.  “Exactly the same as the dentist does”.  It makes me sick because so many people fall for these claims and pay good money for products that either don’t work or work just a little bit at best.

Let me start with the products that don’t work at all. I have to cringe every time I see an ad for teeth whitening gum, whitening tooth paste, or whitening mouth rinse.  What a huge scam!  Yet people continue to buy these products and use them over and over.  Savvy, but deceitful,  marketers  have  learned that consumers will buy one product over another if it has “Whitening” on its label and the competitor’s brand doesn’t.  So everything for your teeth and mouth now also has to be a teeth whitener in order to sell.

But the real truth of the matter is that they don’t whiten teeth!  Where are the consumer advocates who are supposed to be out there protecting the public from false advertising?  I just don’t get it.  So use your common sense when you are spending your hard earned money to buy something to whiten your teeth.  If you don’t believe me, do you believe editors of the highly   respected magazine CONSUMER REPORTS?  That’s what they say!

Here is the real scoop on teeth whitening.  Teeth have been shown to whiten when exposed to a peroxide like solution.  How much the teeth whiten depends on three things.  The first two are the concentration of the peroxide solution and the time it stays on the teeth are two variables that can be controlled.  The third thing over which we have no  control is the inherent color of the teeth before the whitening is started.  I will talk about that in a minute.

Concentration vs. Time.  That’s all teeth whitening is about.  The concentration of the whitening gel is very important and varies with the technique used.  You should know that the meager concentration of peroxide in toothpaste, gum, or a mouth rinse is minimal.  It isn’t strong enough to have any effect on the whitening of your teeth.

Other methods like paint-ons just don’t stay on your teeth long enough to do the job.  Some teeth whitening kits claim that your teeth will be whiter in just minutes a day.  Won’t happen!

How about that kit that comes with a special tray that has a light that is supposed to whiten super fast?  Bogus!  The light is a simple LED light with no capabilities of whitening whatsoever. So the teeth are exposed to some whitening gel for just a few minutes with a light for hype.  Anyone who uses this kit would feel like a fool if they knew the truth.  I am ashamed of these types of companies.

The biggest winner in over-the-counter whitening products are the whitening strips.  They are little strips of “cling wrap” with whitening gel laid on the inside surface.  Yes, they do produce what Consumer Reports calls moderate results if you go through two boxes of the strips.  My honest experience with them is that they do whiten some people’s upper front six teeth fairly well.  But that’s all they will do.  No one I know ever says they could wear the   lowers with any results.  They just won’t stay on because the tongue keeps dislodging it.  So here is one over the counter that does do something.  At least it has some effect.

The way dentists whiten teeth is the best way…because it works.  Custom-fitted trays are specially made to hold the whitening gel evenly against the teeth.  Remember that the time the gel is exposed to the teeth is one of the variables.  A custom fit tray is best because it is also comfortable and can be worn for extended periods of time.  Over-the-counter trays which are called “boil and bites” are bulky and cumbersome. Few people could wear these things long enough to get good results.

Another way a dentist will whiten teeth is called One Hour Whitening.  You have to sit in the chair for about an hour while a very high strength peroxide gel is applied to the teeth.  Once again, remember that teeth will whiten dependant upon the concentration of the whitening gel and the time it is in contact with the teeth.

If you would happen to overhear dentists talk about one hour teeth whitening, you would learn a few things that might concern you.  Number one is that one hour generally isn’t enough to get the results that make people happy.  They look white for a few days but then darken up a bit gradually.  Sometimes the will go back to their original shade fairly soon.

The next thing to consider is the sensitivity. I’ve had to write pain prescriptions after one of these sessions.  Some dentists give pain meds before they whiten as a general rule because they know its going to hurt. The last fact concerns the light that is used to “activate” the whitening gel.  Laser whitening is really a myth and is used only as a marketing tool.  The light might increase the whitening capability a few percentage points but it really isn’t even enough to notice.

The safest and best way to whiten teeth. I believe it is slowly over a  10-14 day period.  That is achieved with a custom tray containing a high quality gel at a concentration that is comfortable for the patient and is worn an hour or so a day.  The fee is reasonable compared to one hour whitening and having the trays offers so many benefits to the patient.  I always give my patients a desensitizer that can be placed in the tray and worn to make the teeth more comfortable after a whitening session.  The trays can be kept and used for touch ups when needed for a whitening boost down the road.

I am so sure that the custom tray is so necessary that I even developed a way for people to make their own trays in the comfort of their own homes.  The product is called AllureSmile and I received a patent for this technique.  Look for it soon on TV.  Actually, it’s available now at my  office or on the internet by going to my website AllSmilesNow.com.

Lastly, you should know that not all teeth will whiten at the same rate as others.  Teeth that whiten faster and better are those that are just a bit yellow.  Yellow shades are the easiest to remove.  Brown colors in teeth are harder to remove and require much more whitening time.  Gray stains are the hardest to remove and may require more time than most people are willing to use the whitening trays and gels.  Even here though, studies and experience has shown that even these teeth will whiten if you are persistent enough.

I hope this has been beneficial to you in cutting through all the hype and misinformation and that is out there concerning teeth whitening. Without the facts, you are easy prey for those who would mislead you for a profit.

Dr. D. Scott Trettenero, DDS

Posted August 17, 2009 | 3M Digital Impressions | Comments Disabled | 11184 Views

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