Baton Rouge Dentist

Why is my teeth whitening causing me pain?

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I have been whitening my teeth, using an at-home system, for a couple of weeks now and have had no problems. However, during my whitening session yesterday, I experienced an intense pain for about half of a minute in my front tooth. This tooth has a dental bond that was chipped and corrected over a decade ago. Do you think the pain is any indication that the dental bond needs replaced? Or, is there any chance that the whitening I’ve been doing is causing the bond to lose its strength? I’m worried that it could be both.

Thank you,
Lindsay

Dear Lindsay,
It is unlikely that the bleaching would cause the bond on your tooth to weaken. The bleaching gel has no history of weakening bonds such as this. In addition, if the bond were beginning to lose its strength, the repair, which you mentioned having done to to the chip in the bond, would likely fall off and not just cause pain.


The pain you mentioned experiencing can be attributed to the bleaching gel applied to a part of the tooth which is sensitive. If the tooth has been chipped and repaired, it’s possible that the part which is sensitive was previously covered by a bonding agent that is no longer there.

This is a good reminder that teeth whitening is best done under the supervision of a dentist and hopefully this is the case with you. You should make your dentist aware of the pain you’ve been experiencing. He or she should be able to determine the cause of the problem. If there is a sensitive part to the tooth, something can be applied to address the sensitivity, allowing you to move forward with your current bleaching treatment. It is important that you address this prior to any more bleaching.

This blog post is brought to you by Baton Rouge teeth whitening dentist, Dr. Ryan Perry.

Why did my dental implant fail?

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I am in desperate need of dental implants that are affordable. I consulted several dentists, but had succumbed to the idea that my only affordable choice was a partial denture. Not all of the dentists I met with suggested this. Some advised that I needed dental bridges, and one even suggested I needed surgery. I finally landed on a dentist who said he could provide me with affordable dental implants, with no prior surgery. It never occurred to me that I should have questioned this, seeing as none of the other dentists made this suggestion. Therefore, I proceeded with his treatment plan and received the implants. Unfortunately, they have been problematic from the beginning. In fact, one of them fell out completely! Is this typical or did I receive sub-par treatment? The dentist states that there is no way to anticipate problems like this, and sometimes dental implants fail. Is this the case, or did I have the wool pulled over my eyes?

Thank you,
Mandy

Dear Mandy,

The affordability of the implants is not as important to answering your question as is the skill level of the dentist. The success rate of a procedure such as this can be as high as 98%. However, this statistic varies greatly based on the skill and experience of the dentist.

No, a dental implant completely falling out is not common. If no other symptoms accompanied this issue, the signs point to the implant not having adequate time to complete integrate with the bone before the crown was placed. This is called osseointegration, and generally takes six to nine months to be fully complete.

It is possible that your dentist did everything correctly, yet your body rejected the false tooth. This has happened before and there is no way to predict to whom it will happen. But, when it does happen, and the body rejects the tooth, it can look different from patient to patient.

Considering all of the above factors, it is difficult to conclude whether your dentist was just inexperience, or if he short-changed you. It would be a a great idea for you to consult with an experienced dental implant provider, in order to for your implants to be evaluated. He or she may be able to provide you with a better understanding of why yours failed, as well as help determine a plan to replace the one that fell out.

This article is brought to you by Baton Rouge affordable dental implant provider Dr. Ryan Perry.

Does my son’s broken tooth need an emergency dentist?

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My son slid into third base and was hit by the ball last night. The force of the ball broke one of his upper front teeth and cracked the other. We took him to the dentist today, but he indicated he could not make an appointment to fix the problems for several months. I want it fixed now and am wondering if we should see an emergency dentist. Is this necessary, or would it be best to wait for the tooth to lose its sensitivity?

Thank you,
Rachel

Rachel,

Your son should be seen by an emergency dentist as soon as possible. Waiting will do you/him no good. If you have have piece that broke off, that will be even better. If you can find an emergency dentist who is also an expert cosmetic dentist, that would be the best case scenario. You don’t want too much time to pass, but you also need to be sure you find someone who has the experience to remedy this issue. You see, you want the broken tooth to look good and natural, and match the other front tooth. However, if you no longer have the broken piece of the tooth, direct dental bonding would be the next best method, depending on where the damage is on the other tooth.

This post is brought to you by Baton Rouge emergency dentist, Dr. Ryan Perry.

Can lemons make my teeth whiter?

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I am interested in whitening my teeth and have been researching ways to do it myself. The more natural options continue to appeal to me. My teeth aren’t in terrible condition, but I would be happy if they were a little brighter. The lemon and orange method to whitening continues to jump out at me. They say if you use the essential oils in these fruits, or rub the peels on your teeth daily, the method works as a whitening agent. How does this help? What causes the fruit to whiten my teeth?

Thanks,
Carrie

Dear Carrie,
While this, indeed, is a solution promoted by natural health resources, it can cause permanent damage to your teeth for several reasons.

  1. There are many reasons for tooth discoloration. The discoloration of teeth can be intrinsic, which comes from inside the tooth, or extrinsic coming from outside. When a tooth dies, it becomes gray. Age, genetic factors, hard brushing, acidic wear, or some medications, can all cause discoloration to show through. Extrinsic stains are often the result of habits such as drinking soda, coffee, tea, wine, or juice. Smoking can also cause the change in color.
  2. Clean teeth don’t usually have external staining. Teeth build up a natural layer of plaque. This is similar to the slippery film on a rock in a river or a lake. This plaque layer is called biofilm and it includes bacteria that can cause tooth decay or gum disease. Brushing twice a day and visiting your general dentist regularly can ensure none of the biofilm stays on teeth. Coloring from food or drinks won’t have much to stick to when teeth are clean. It is when the biofilm builds up that the stains tend to last. Regular dental hygiene is the best way to prevent this buildup.
  3. Citrus fruits do whiten teeth. Citrus fruits can brighten teeth, mainly due to their citric acid killing the bacteria. Apple cider vinegar can also be used on discolored teeth, but does have acetic acid.
  4. Acids can damage tooth enamel. The acid in the above cures will weaken and wear down the enamel on teeth, magnify the discoloration of teeth, cause them to become more sensitive, and make them more susceptible to decay. Unfortunately, once tooth enamel goes away, there is no way to get it back. Some sources suggest using oil or a water rinse to weaken the impact of the acid, but this is not a guarantee. The best choice would be not to use the methods which involve acid at all.
  5. Use professional whitening. It is important to discuss any of the natural cures to the stained teeth with your dentist first. Determine what he or she thinks is best, or, better yet, find a dentist who does teeth whitening, and know that it is a tested and safe method.

This blog is sponsored by Baton Rouge teeth whitening dentist, Dr. Ryan Perry.

Can an affordable dentist do a full mouth reconstruction?

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As a child and into my adult years, I rarely saw a dentist, for a myriad of reasons. Now, I suffer from several missing teeth, as well as several broken teeth. I finally decided I could no longer live this way and went to the dentist. After x-rays and an examination, he recommended a full-mouth reconstruction. There is no way I can afford all of the work he says is necessary. Is there anyway to get similar results without the hefty price tag?

Thank you,
Tiffany

Tiffany,

A 100% full-mouth reconstruction takes a great amount of technical knowledge, in addition to that which is taught in dental school, not to mention the artistry required for the cosmetic work. The work is a combination of many aesthetics, along with restorative dentistry to improve the functioning and appearance of your entire mouth. That said, you should never let cost be your sole consideration when having a full-mouth reconstruction. The process is a timely, meticulous, and expensive one, in which not all dentists are qualified to perform. Therefore, careful and intentional research should be put into who you chose to perform the work. I would also suggest that you seek opinions of other dentists, in order to determine if any alternative options may work for you. It is possible that dentures or partials and crowns may be a better route for you financially. Looking into an affordable dentist and making them aware of your budget constraints from the beginning will help you find options that fit your needs and your range. Best of luck to you!

This post was provided by the office of Baton Rouge affordable dentist, Dr. Ryan Perry.

Will Teeth Whitening Hurt My Dental Implants?

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I’ve got three dental implants. My teeth have been slowly yellowing and I’d like to whiten them, but I’m worried they’ll damage my dental implants. My dentist gave me the screw retained kind of implant so I think I can take them off while I’m whitening if necessary. I think he did that because I told him I wanted to whiten my teeth when we were discussing my tooth replacement options. Unfortunately, my dentist has been sick and is taking an extended leave, so I’ve got to figure this out on my own.

Logan L.

Dear Logan,

I’m sorry your dentist has been ill. I’m guessing you feel out of balance trying to make plans without your normal care giver. I wish your dentist would have whitened your teeth before you received your dental implants. That makes matching everything much easier.

You can still whiten your teeth without fear of it damaging your dental implants. Teeth whitening only works on natural tooth structure, so the gel will whiten your teeth and leave the implant crowns as they are. However, that leaves you with a separate problem. It leaves the implants exactly the way they are. So, if they matched your implants to your older teeth (which I hope they did), they will not match your new beautiful, white color.

Fortunately, you do have screw-retained dental implants. That’s good, because it makes it easier to remove and replace the crown. So, get your teeth whitened. Then give it a couple of weeks for the color to settle down. Make sure your new dentist has some skill with cosmetic dentistry.

This blog is brought to you by Dr. Ryan Perry.

Why Get a Traditional Implant, When the Affordable Minis Do the Same Thing?

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My dentist said I had two options for some implants on my front teeth. One is to get the traditional implants or I could get the mini-implants, which he said do the same thing. Why would I get the traditional one if the more affordable option does exactly the same thing?

Griffith L.

Dear Griffith,

If there really were no difference between the two procedures, then I’d say of course get the more affordable dental implants. However, they’re not the same. Either you were confused by what your dentist tried to explain or he’s confused as to how they work. Hopefully, it’s the former. If your dentist is this confused about their functions, that is dangerous to you as a patient and I’d highly recommend you find a new dentist, at least for tooth replacement procedures.

Traditional implants can retain a crown securely. Mini-implants cannot. They’re mostly just used to stabilize a denture. They’re not strong enough to sustain a crown themselves. When you’re talking about your front teeth, you could get the traditional implants or you could get a dental bridge. Be aware that with biting and chewing force in that position, a bridge will eventually have to be replaced. The implants will likely last your lifetime.

You might be interested in looking at our page on dental implants versus a dental bridge.

I would check to make sure your dentist has significant, positive experience placing dental implants. Ask him how many implant cases he’s performed and how many of those were successful.

Another thing to consider is his cosmetic skill. Your front teeth are very visible. Ask to see some of his before and after images of cosmetic cases he’s done to be certain you’ll like the results.

This blog is brought to you by Dr. Ryan Perry.

I Think the Teeth Whitening Shop Destroyed My Teeth?

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I went to a teeth whitening shop which opened in our city mall. The sales lady assured me only certified teeth whitening specialists were allowed to work on my teeth. I liked their price and she showed me all their safety measures so it sounded like a good alternative to my dentist. I asked how they could do the procedure so much cheaper than my dentist and she said it was an issue of lower overhead. They only do this procedure so they won’t have to have a ton of staff or expensive machines. I think I made a huge mistake. My gums feel like they’re being stabbed by a hundred mini daggers and my teeth look all blotchy, especially where I have a filling. Are my teeth destroyed? With the pain to my gums, will I lose my teeth?

Dolly M.

Dear Dolly,

It’s more likely the pain to your gums is a result of the whitening agent or the light they used coming in contact with your gums. That won’t make your teeth fall out, but it will hurt like the dickens. Saltwater rinses may give you some relief. If they were as trained as they claimed to be, they would have taken precautions to protect your gums.

That brings me to their “certification”. There is no such thing as a certified teeth whitening specialist through the American Dental Association. That’s likely just a term they use for their company when they “train” their employees. However, this training is showing some real deficits.

We’ve already discussed how your gums should have been protected during the teeth whitening procedure. But, they should have discussed your fillings with you before moving forward with your treatment. Dental work, such as fillings or crowns, do not whiten. Only natural tooth structure is affected by the whitening agent. Once a couple of weeks have passed and the color has had a chance to settle, you can have white fillings re-done to match the new, whiter color of your teeth.

If you’re still in pain, even with the salt-water rinses, it’s perfectly acceptable for you to take a pain reliever, such as ibuprofen.

This blog is brought to you by Dr. Ryan Perry.

Are Whitening Toothpastes Safe?

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My sister in law tends to behave like she knows everything. It can get a little annoying. Recently I told her I’d been using a whitening toothpaste. She insists it will damage my teeth. Normally, I’d blow off her know-it-all comments, but in this case I worry she may know something I don’t. She’s a dental hygienist. Is she right? Will they damage my teeth?

Jenna T. – Virginia

Jenna,

I’m sorry you have a tense relationship with your sister-in-law.  Families can be challenging. Sometimes they annoy us without us even understanding why. The fact is, your gut assumption was right. Your sister-in-law had some extra information.

Most whitening toothpastes have an abrasive ingredient. While they are effective at removing surface stains, they have two downsides.

  1. They only remove surface stains. Most teeth stains are beneath the surface. You’ll need professional teeth whitening to truly get all those stains. I don’t know your age, but whatever it is you’ll be pleasantly surprised to find out how much younger that one simple cosmetic procedure makes us look. Professional level teeth whitening takes years off our smiles.
  2. It sabotages your efforts. That abrasive ingredient, while it may scrape off those surface stains, it also etches into your healthy enamel. This has the unfortunate side-effect of causing your feet to pick up more stains. It’s a vicious cycle:  Your teeth get stained, you brush with whitening toothpaste, the stains come off, but etch your teeth, which causes them to pick up more stains.

This blog is brought to you by Dr. Ryan Perry.

Can You Whiten Your Teeth Too Much?

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I have a girlfriend with a smile that can knock you off your feet. It was that very smile that first attracted me to her. In fact, it was all I could see. She’s a nurse anesthetist, so she was covered head to toe in scrubs. One of the things I’ve noticed since we’ve started dating is she has her teeth whitened every year.  Is it possible she could inadvertently be damaging her teeth?

Peter W. – Oxford, MS

Peter,

While it is possible to whiten your teeth too much, your girlfriend doesn’t seem to be in danger of that based on the information you’ve given. I’m going on the assumption that she goes to her dentist yearly for her teeth whitening. If that’s the case, he’d be obligated to make sure she’s a viable candidate for her “touch ups” and her teeth are healthy enough.

Those who do whiten too much, will soon find that they’re hurting their own cause. Their teeth will become sensitive. Additionally, the cosmetic appearance they’re striving so hard for will actually move backward.

The teeth will become translucent and eventually take on a gray color. Then they’re teeth will become brittle and chalky.

However, as I said earlier, your girlfriend is likely not in that category. Once a year is not at risk for such problems without there being outside factors to interfere with her enamel.

One thing you can remind her, is that the pores on her teeth are more open directly after teeth whitening. That puts her at a greater risk for absorbing staining food and drink.

This blog is brought to you by Dr. Ryan Perry.