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Advanced cosmetic and general dentistry

Is Whitening the Right Way to Remove Brown Teeth Stains?

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Over the past two years, I began to get brown stains on my teeth that are increasing. I see my dentist twice yearly, and she notices the stains, too. My dentist recommends whitening my teeth, but neither of us knows what is causing the stains. My dentist says the source is probably not serious because I am in my 50s, and the stains are just developing. I asked my primary care doctor about the stains, and he told me to check with my dentist first. I feel like I am stuck in a loop. Yesterday, a friend mentioned that I could research dental bonding if whitening does not work. Should I let my dentist whiten my teeth or get a second opinion? Thank you. Omari from CT

Omari,

Thank you for your question.

We are unsure why your dentist has not tried to identify the cause of the stains and recommend treatment. But you can ask her what might be causing the stains to understand why she recommends whitening your teeth.

Types of Tooth Stains that Develop in Adults

When stains develop during adulthood, they are either internal or external stains.

  • Internal stains – Internal stains can form as your teeth absorb pigments from foods and drinks, such as tea or coffee. Internal stains are even in appearance and affect the entire teeth, and bleaching can break them down. Some prescription medications can cause external stains, too.
  • External stains – External stains appear around your gumline and between your teeth. Some toothpaste brands, such as Supersmile, remove the sticky film (protein pellicle) from your teeth and stains that stick to it. Also, Supersmile toothpaste works because it removes the protein pellicle on your teeth and the stains that adhere to it. Your dental hygienist can remove surface stains.

Identifying the Cause of Tooth Stains

Sometimes a health condition or medication can cause discoloration in teeth. Ask your dentist to review your medical and prescription histories. If neither health nor medication is a factor, your dentist’s recommendation makes sense.

Will You Need Teeth Bleaching or Dental Bonding?

Teeth bleaching gel applied to teeeth

A cosmetic dentist can identify the cause of, and treat, brown teeth stains

Whether a dentist uses teeth bleaching or dental bonding depends on the cause of the tooth stains. If your teeth stains come from coffee or tea, whitening from your dentist will break them down. Dental bonding is usually not necessary unless internal tooth stains develop from medication, fluorosis, or a medical condition.

Teeth whitening from a dentist is safe and can help your smile look younger. If your dentist is not willing to identify the cause of the stains, you can look for a dentist with cosmetic dentistry training to help you.

Lowell, Massachusetts, accredited cosmetic dentist, Dr. Michael Szarek, sponsors this post. His office is convenient to Andover, Dracut, Chelmsford, Tewksbury, and surrounding cities.

 

If a Porcelain Veneer Falls Off, Should It Be Replaced with a Crown?

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Last December, my dentist placed 6 porcelain veneers on my front teeth. Two weeks after my dentist bonded the veneers, one of the incisor veneers fell off and broke while I was eating. The tooth was quite sensitive. My dentist said that he needed to adjust my bite. He shortened the opposite bottom tooth and the porcelain veneer. My dentist applied chemicals to my tooth that hurt so bad because it was already sensitive, despite his claims that the fix would be painless.

Last week, the same veneer fell off while I was eating. I feel the same sensitivity in my tooth. I called my dentist’s office to report the problem, and he returned my call and asked me to schedule an appointment for a porcelain crown because my bite must still be off. My dentist hasn’t looked at my tooth, and he wants me to get a crown. I’m suffering from sensitivity in the tooth, and I’m very skeptical about returning to my dentist. Is it normal for a cosmetic dentist to replace a veneer with a crown that keeps falling off?  – Omar from CT

Omar,

Two things aren’t normal about your situation. Porcelain veneers don’t commonly fall off, and it isn’t reasonable to grind down your tooth to replace the veneer with a dental crown.

Your dentist’s explanation about why your porcelain veneer is falling off doesn’t sound logical—especially since your dentist adjusted your bite, and the veneer fell off again. When a dentist properly bonds a porcelain veneer, it might chip or crack—but not fall off.

Why Do Porcelain Veneers Fall Off?

Improper bonding – Porcelain veneers require skill and proper bonding techniques. A dentist needs post-graduated cosmetic dentistry training to understand which tools and materials are needed for successful bonding. We are skeptical that your dentist has received the proper training to give you a long-lasting smile makeover.

Aggressive tooth preparation – If your dentist aggressively prepared your tooth and removed too much enamel, it would cause sensitivity in your tooth and make it a challenge for the veneer to stay in place.

Switch to an Advanced Cosmetic Dentist

If you take the veneer to an advanced cosmetic dentist—preferably accredited— he or she will ensure your tooth is prepared correctly and bond the veneer back in place. A cosmetic dentist who can save your tooth from a crown and ensure your veneer is secure.

Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA, sponsors this post. Dr. Szarek’s office is conveniently located near Dracut, Chelmsford, Tewksbury, Billerica, Westford, Andover, Lawrence, Wilmington, Bedford, and Burlington.
Below are porcelain veneers photos of one of Dr. Szarek’s patients.

Does Shaving Down Teeth for Porcelain Veneers Cause Sensitivity?

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Some people who experience sensitivity in their teeth wonder if the sensitivity will increase after a dentist shaves down their teeth in preparation for porcelain veneers.

Porcelain Veneers and Tooth Shaving – The Real Concern

Photo of dental forceps holding a single porcelain veneers, from the office of accredited cosmetic dentist Dr. Szarek of Lowell, MA.

A porcelain veneer only covers the front of a tooth

If a dentist has mentioned shaving down your teeth for porcelain veneers—run. Your teeth don’t need to be shaved down to receive porcelain veneers. A veneer only covers the front of a tooth. However, if you are receiving porcelain crowns, your teeth will need to be tapered because a crown completely covers a tooth.

Preparing Teeth for Porcelain Veneers

Most advanced cosmetic dentists will preserve as much tooth structure as possible when you receive porcelain veneers. Your dentist will determine if preparation is needed depending on several factors, including:

  • the type of veneers you are receiving
  • the position of your teeth
  • your smile goals
  • your dentist’s technique

No-prep veneers

If you’re receiving ultra-thin porcelain veneers, your cosmetic dentist might determine that your case does not require preparation of your natural teeth. One example is that if you want your teeth to look larger, thicker, or more pronounced, preparation might not be required.

Minimal-prep veneers

Skilled cosmetic dentists conservatively prepare teeth for porcelain veneers while leaving at least 90% of tooth enamel intact. There are several advantages to ultra-conservative preparation.

  • Comfort – It only removes a small fraction of tooth enamel, which is non-sensitive tooth structure.
  • Bonding – It does not affect the dentin—the layer beneath the enamel. When tooth preparation reaches the dentin, it’s tricky to get the porcelain veneer to stay bonded. And sensitivity can result.
  • Health and appearance – Bonding to enamel instead of dentin provides a seal that keeps bacteria out and prevents microleakage. When bacteria can leak in and affect the dentin, it will cause the veneers to look dark, and infection can occur.

Look for an advanced—preferably accredited—cosmetic dentist to place your veneers. Your dentist will ensure that if preparation is needed, it will be minimal.

Will You Experience Sensitivity?

If your teeth are healthy and you receive no-prep or conservatively prepared veneers, you probably won’t feel any sensitivity after your veneers are placed. Patients who receive more aggressive preparation might temporarily experience mild sensitivity to heat or cold that lasts a few days up to a few weeks.

The dentist you select impacts the extent of preparation of your teeth, sensitivity issues, as well as aesthetics. We recommend that you find a dentist with advanced training in aesthetic dentistry. Look for a nearby accredited cosmetic dentist.

Accredited cosmetic dentist Michael Szarek, DMD of Lowell, MA sponsors this post.

3 Reasons Porcelain Veneers Can Lose Their Shine and How to Get the Gloss Back

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Have your porcelain veneers lost their shine? If your veneers are new, it’s unusual for them to lose their gloss. There are a few possible causes of the change in the appearance of your smile.

Dental Tools or Chemicals

Photo of dental forceps holding a single porcelain veneers, from the office of accredited cosmetic dentist Dr. Szarek of Lowell, MA.

Porcelain veneers are harder than tooth enamel

Porcelain veneers are harder than tooth enamel. A substance must be extremely abrasive to dull the gloss on your teeth. Although toothpaste is abrasive, it is unlikely to cause your veneers to lose their shine. But dental tools and chemicals can damage them. A hygienst who has been trained in how to care for porcelain veneers knows which instruments and substances to use.

Power polishing equipment – Dental hygienists use specific instruments, including the prophy jet, that will blast the glaze off veneers and cause them to dull.

Some fluoride treatment – Some fluoride contains hydrofluoric acid, which will etch porcelain, dull the surface of your veneers, and cause them to stain.

Your Veneers Might Not Be Porcelain at All

If your veneers are made of dental composite—not porcelain—they are much more likely to stain. Several substances will scratch composite, including:

  • Abrasive toothpaste – As you brush your teeth, the toothpaste will create tiny scratches on the composite, which attract stains.
  • Polishing pumice – At the end of professional dental cleaning, most hygienists use polishing pumice to make your teeth shine. The abrasive polish doesn’t harm tooth enamel, but it can scratch composite veneers.
  • Alcohol-based mouthwash – Alcohol softens dental composite and makes it easy to get scratched and stain.

How to Care for Your Porcelain Veneers

  • Brush them with a non-abrasive toothpaste, and floss between them.
  • Don’t use your teeth to bite or open hard objects.
  • Ensure you receive dental cleanings from a hygienist who is trained to care for porcelain veneers. He or she knows which dental tools to use—and which tools to avoid—to maintain the luster of your smile.
  • Visit a cosmetic dentist who will safely polish your veneers and give them a glossy shine.

What Can You Do If Your Veneers are Already Stained?

Schedule an appointment for an exam with an advanced cosmetic dentist to determine the cause of your dull porcelain veneers. Look at a few cosmetic dentist’s websites to read about their training and experience. You’ll receive the best results from an accredited cosmetic dentist.

A cosmetic dentist might be able to polish your veneers to improve their appearance. If not, he or she will explain your options. If your porcelain veneers are permanently damaged, they will need to be replaced to regain your bright smile.

This post is sponsored by accredited cosmetic dentist Michael Szarek, DMD. His Lowell, MA office is conveniently located near Dracut, Chelmsford, Tewksbury, Billerica, Pelham, Westford, and Andover.

Can cosmetic dentistry fix my gap or do I need braces?

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I’ve had a gap between my front teeth as long as I can remember. It seems to be getting bigger though. I don’t want to close it completely, because I’ve had it so long that it’s part of my smile now, but I do want to make it smaller. Can cosmetic dentistry make the gap smaller or do I have to get braces. – Naomi

Naomi – Cosmetic dentistry can decrease the width of the gap between your teeth. The right treatment for you depends on the size of your gap, and the size of your teeth.

In some cases, dental bonding that matches the color of your teeth can be used to close the gap a little. Porcelain veneers may be another option.

Invisalign invisible braces can be worn for a short period to partially close your gap. After treatment with any type of braces, a retainer must be worn to keep your teeth from shifting back to their original position.

Schedule an appointment with an experienced cosmetic dentist to discuss your options.

This post is sponsored by Lowell accredited cosmetic dentist Dr. Michael Szarek.