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Teeth Whitening for Holiday Pictures: What You Need to Know

2024-11-27T20:20:51+00:00November 27th, 2024|Teeth Whitening|

Holiday photos are a wonderful way to save memories of family and friends coming together, but before you start snapping those party pics, have you checked your teeth? Is there a yellowish hue or an off-white shade overtaking those pearly whites? It might be time for a cleaning–and maybe a whitening treatment? But are teeth whitening agents safe–and if they are, which one to use? Let’s find out. 

In this article we will explore new teeth whitening by teeth whitening professional as well as home teeth whitening procedures and products. The most important thing is to follow your dentist’s recommendations and be safe about the are of your teeth.

xplore new teeth whitening by teeth whitening professional as well as home teeth whitening procedures and products

Most at-home teeth-whitening products and toothpastes use a bleaching agent (hydrogen peroxide or carbamide peroxide) to whiten the teeth. Since stains on the teeth are a molecular accumulation of compounds, using these bleaching agents is a good way of breaking down the molecular bonds and, therefore, lightening the color of the teeth.

Professional teeth whitening procedures use higher levels of hydrogen peroxide or carbamide peroxide and can remove stains more effectively, producing even whiter teeth–one 30-minute treatment can bring about impressive results. These advancements in teeth whitening are highly effective, but what of the side effects? And what about those of us with sensitive teeth, will at-home and/or professional whitening procedures negatively impact my oral health?

Ever since teeth whitening has become popular, there has been an uptick in increased sensitivity right along with the rise in the sales of take-home whitening products. We have realized that the harsh impacts of the chemicals used might be causing negative effects: hydrogen peroxide robs your teeth of electrons and tooth enamel begins to break down. The gums can begin to recede, exposing sensitive nerves, resulting in that hateful sting that comes at the first contact with cool air or a cold liquid. This said, not all whitening agents are bad; in fact, most all of them can effectively work to remove stains. The question to be asked is, which ones will work best for me? 

Popular Whitening Methods

LED lighting for whitening teeth has proven to be a bit pricey, but still a popular method. Now that LED whitening can be done at home (you can find the devices on Amazon), more people are trying it and are seeing spectacular results. Dentists and patients are beginning to take a closer look at this advanced method of removing coffee, nicotine, and wine stains from the teeth to see if using LED lighting—or, blue lighting, as it is often called—is causing harm to users. Though the results of this particular whitening method are positive, some patients are citing enamel loss and increased sensitivity. Any loss of enamel is bad and will only make matters worse as we age since we are unable to grow our enamel back. Luckily, dentists have recently discovered an even newer method, still using LED lighting, to whiten teeth but without the negative effects. Here’s how it works: A gel is applied to the teeth then LED lights are used to trigger photocatalysts in the teeth, which then brighten and whiten. The gel is used to speed up the process and make the LED light more effective.

Though the chemicals in the gel used in conjunction with the LED lighting may not be quite as powerful as what’s used in other strips or gels, this process can still be harsh on the teeth to those who are more sensitive, but this method is still seen as a step in the right direction, as it is not as intense as other take-home whitening products.

Another popular teeth whitening technique is using charcoal toothpaste, which boasts the ability to whiten your teeth in a natural, effective manner. Unfortunately, what a lot of people don’t know is the health risks involved with this method of whitening. Using charcoal in toothpaste isn’t exactly an innovation. Even as far back as Roman times, charcoal was used as an ingredient in cleaners, and as recent as the 19th century, charcoal was used by people making homemade toothpaste.

The reality is charcoal toothpaste provides very few teeth-whitening benefits. If you are considering giving the charcoal toothpaste trend a try, we recommend you consider other whitening alternatives instead. The American Dental Association warns users that “It might not be noticeable right away, but charcoal toothpaste wears down the enamel on your teeth.” Charcoal toothpaste is harsh on the teeth and once the tooth enamel is gone, it won’t come back—ever. Because the tooth enamel is the whitest part of your teeth, this is where the color comes from. The layer underneath the tooth enamel, the dentin, is a natural yellow shade. Using charcoal toothpaste will strip away the white tooth enamel and you may end up with teeth more stained than you started with. The problem is that charcoal works at whitening initially because it is scrubbing your teeth clean, but it doesn’t take long for that scrub to diminish the enamel, which is why we suggest staying away from this method.

A Deeper Dive Into Teeth Whitening

With so many whitening products out there, how can you be sure you’re getting one that won’t cause increased sensitivity or, worse yet, one that will erode enamel? Here are three recommendations to consider when looking to whiten:

  • Be extra careful with the trays and gels. This whitening system has been around the longest, and though it does whiten your teeth, it also—you guessed it—eats away at the tooth enamel. The process involves heating a tray, filling it with whitening gel, and inserting it into the mouth to form a bond. The problem with this method is that it can take weeks for results to show, so users tend to use it a lot to get the desired results. Consequently, most people who use the trays and gels report having teeth sensitivity afterward, even receding gums. So, if you feel inclined to try the trays and gels, do it sparingly and not often. It might take much longer to notice results, but this way you will maintain your oral health. 

 

  • Use caution with whitening strips as well. The famous whitening strips have been around for fifteen years or so, and they have had a lot of success. Results can show in about a week, and the process is easy: simply fold the strip over your top and bottom rows of teeth and keep them in your mouth for a short period. However, like the trays and gels, this method can have the same negative effects. If you have sensitive teeth, it is suggested not to use these at all, and even if your teeth are not sensitive, use these strips sparingly so they don’t do too much damage.

 

  • Paint-on whitening is a no-go–stay away from this one. The paint-on method solves the problem of the whitening agent interacting with interior soft tissues, such as the gums and inner cheek, as you simply brush the whitening gel on each tooth and let it sit for a short time, but this “paint” is full of harsh chemicals that like to diminish the enamel at an accelerated rate. This method is an easy process, which is why it has become popular, but it isn’t healthy. After months, even years, of using paint-on whiteners users have noticed receding gums and increased tooth sensitivity.

The answer to the question of whether or not you should use whitening agents on your teeth is…maybe. It all depends on the state of your teeth: how sensitive they are; how strong the enamel is. The best way to diagnose the state of your teeth prior to whitening is to visit us at Adam Brown, DDS so we can make an assessment and recommend at-home and professional whitening treatments. Come see us today!

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Is Teledentistry Around the Corner?

2024-09-30T21:10:30+00:00September 30th, 2024|Adam Brown DDS, General|

As we continue to see rapid technological advancements, we realize how this growth impacts us. Modern artificial intelligence is both exciting and worrisome, simultaneously making our lives easier while also replacing human presence in certain areas of labor. But, some of the less-intrusive technologies are causing us to rethink how we live our day-to-day lives, as there is the potential for them to make our lives less stressful. One area in particular that is beginning to see a unique change, is dentistry. Teledentistry is the movement of dental systems and methodologies from strictly office visits to the convenience of one’s home or a more central location. The hope is that this new, virtual type of dental practice can make office visits easier for those of us who are homebound or always seem to be on the go. Let’s take a closer look at this modern phenomenon.

Dr. Brown does not offer Teledentistry at this time.  Please take this information in and let us know your thoughts.  Would you like us to offer this service?  Dr. Brown continually explores opportunities like Teledentistry to improve the patient experience for his clients in Monroe, NC.

Dr. Brown explores Teledentistry to improve patient experience in Monroe NC

Teledentistry falls under the umbrella of telehealth, which is a broad array of technologies and practices meant to deliver virtual health, medical, and educational services to patients. More specifically, teledentistry is the use of any virtual methodology within dentistry, and we are beginning to see this happening all over the Western world. This collection of means to provide proper oral care is on the rise and before you decide on if and when you might engage in such a practice, you need to know the ins and outs of what it is precisely, and how it works.

Here are the teledentistry treatment methods on the rise today:

  • Live Video (Synchronous) Meeting: An in-the-moment, live interaction between the patient, caregiver, and/or provider using audiovisual telecommunications technology. This is as simple as setting up a Zoom meeting with your dental provider that all takes place from the comfort of your home, office, car, or anywhere there is internet.
  • Asynchronous Meeting: This refers to the sharing of recorded information, including video, photographs, digital impressions, etc. from the patient to the practitioner who uses this info to evaluate the patient’s particular condition. Once the dentist has made a thorough assessment, a response is provided to the patient either through the same recorded methods or a phone call/Zoom meeting, whichever the patient prefers. Clearly, this method might take a bit longer than a live video would, but for less serious oral care issues, this is a viable option.
  • Remote Patient Monitoring (RPM): Sometimes personal health and medical information is collected from a patient who resides in a different location than the dental provider, and this information is shared via a data processing service or some other electronic means of communication.
  • Mobile Health (mHealth): This refers to sharing dental and public health practices through mobile communication–cell phones, tablet computers, and personal digital assistants.

Historically, face-to-face examinations and meetings with a dental practitioner have been the most direct way of providing care, but due to the recent boom in technological advancements, we have expanded the ways dentists can communicate detailed information to patients. According to the American Dental Association (ADA), “…examinations performed using teledentistry can be an effective way to extend the reach of dental professionals, increasing access to care by reducing the effect of distance barriers to care.”

Know Your Rights

There is no denying that teledentistry is a viable patient/dentist communication method, but what should a patient expect in the level of care provided through teledentistry? The ADA has a clear set of patients’ rights and expectations, and every dental patient interested in utilizing any method of teledentistry should know the following information:

  1. To quell patient insecurity due to the lack of face-to-face interactions, any dental practice engaging in teledentistry must be licensed in the state where the patient receives dental services. This weeds out the potentiality of malpractice because it ensures that the dentist you are telecommunicating with will be operating a legitimate practice.
  2. All patients engaging in teledentistry have access to the dental practice’s licensure and board certification qualifications and can look over these documents at any time. This is yet another measure set in place to help with transparency–something even more important when you are not conducting in-person communications.
  3. Every service offered through teledentistry technologies must follow evidence-based guidelines, the same as if the patient were visiting the dental practice in-person, as a means of ensuring quality of care, accurate health assessments and outcomes, and patient safety.
  4. Everyone working for the dental provider who evaluates patient information, and/or who provides treatment, must inform the patient of his/her credentials. Additionally, the patient must also be informed of any costs he or she will be responsible for covering in advance of any delivery of services.
  5. All medical, dental, and social history, as well as any relevant demographic and personal information, will be collected before any services using teledentistry technologies and methods are performed. This is to ensure that every service provided via teledentistry is based on a thorough evaluation of the patient (and the patient’s medical history).
  6. Every service provided through teledentistry technologies will be documented properly and all records and documentation gathered will be available upon request of the patient at any time.
  7. All services provided through teledentistry include care coordination to guarantee that the patient’s records will be made available to any entity that is operating as the patient’s home dental office. (Care Coordination, according to the National Library of Medicine, is considered to be “The organization of a patient’s care across multiple healthcare providers.”
  8. Patients who decide to utilize teledentistry will be actively involved in all treatment decisions and will be able to decide how they receive a service that is covered, which includes considerations for urgency, satisfactions, and convenience without any penalty, such as high deductibles, co-payments, or services that a patient pays for after meeting the deductible relative to that of in-person services.
  9. All services performed using teledentistry will be delivered in accordance with the applicable laws and regulations that concern the privacy and security of patients’ private health information, regardless of where the patient and teledentistry service provider are located.

Is Teledentistry Around the Corner?

In short, yes it is. In fact, it’s not around the corner, it’s right in front of us! Teledentistry is presently on the rise across the globe, and we can even see evidence of it here in the Carolinas. Recently, the North Carolina Oral Health Collaborative, “launched a teledentistry fund with support from the Blue Cross and Blue Shield of North Carolina Foundation. The fund has helped award 20+ grants, including one for Piedmont Health, to purchase annual teledentistry subscriptions.” This is according to their website, and it shows that the growing trend is here, and it’s already thriving.

There are multiple reasons teledentistry is on the rise, but they all have the same thing in common: they all enhance patient care. Here are a few specific ways this new trend in dentistry is beneficial–

  • Teledentistry allows accessibility to patients in remote, rural, even underserved areas where people might otherwise not have access to such care.
  • Patients can receive dental counsel and care without extensive travel–or, with no travel at all, as the only thing needed is internet and a device (even one’s phone).
  • Dentists are able to remotely monitor patient health, which ensures ongoing care without the necessity of regular in-person visits.
  • Adjustments to treatment plans can be done quickly and timely interventions can take place if a patient were to experience any issues or complications.
  • Teledentisty technologies can be used to educate patients about necessary oral health practices and preventative care.

Have questions about teledentistry? Come talk to us at Adam Brown, DDS and we can help you decide if/which teledentistry services might benefit you.

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To Zyn or Not To Zyn: Addressing the Nicotine Pouch Craze

2024-09-06T00:43:29+00:00September 6th, 2024|Adam Brown DDS, Dental Trends, General, Preventative Dentistry, Tooth Sensitivity|

Dr. Brown takes an honest look at the effects of nicotine on the body, specifically one’s oral health.

To Zyn or Not To Zyn: Addressing the Nicotine Pouch Craze

Nicotine pouches, whether a Zyn, an On!, or a Rogue (to name a few common brands), have become incredibly popular lately. Individuals wanting to quit smoking, or even those simply looking for a mid-day jolt, find the small, seemingly innocuous pouches a pleasing substitute for coffee and/or cigarettes. But how safe are these oral pouches–is it a good idea to keep them wedged between the gums and lip for long periods of time? Though there is not a lot of research that has been done on this new phenomenon, we can take an honest look at the effects of nicotine on the body, specifically one’s oral health.

Nicotine pouches, those made by any of the three companies named above, as well as the plethora of other companies hopping on the bandwagon, are a tobacco-free product that is meant to be held between the user’s lip and gum area. Each pouch delivers nicotine to the body as it absorbs through the mucous membranes in the mouth, which then allows it to enter into the bloodstream. These pouches are a similar concept to the popular smokeless tobacco products, such as Snus.

Snus pouches have been popular for years as a substitute for smoking since they contain both nicotine and tobacco, however, straight nicotine pouches seem to be replacing products like Snus since Zyn, On!, etc. carry the same or similar effect but without the dangerous side effects caused by tobacco.

Nicotine pouches are made mostly of nicotine and water. Each pouch is approximately 80%-90% water and microcrystalline cellulose, which acts as the non-tobacco filler. Other ingredients include additives and flavorings, both at the acceptable food-grade standard. These include mint and coffee flavors, among others, and most nicotine pouch brands also contain artificial sweeteners rather than sugars, which helps prevent tooth decay. And, since there is no combustion or tobacco leaf included, nicotine pouches are viewed to be a likely substantially lower-risk product than tobacco smoking (as well as tobacco pouches and loose tobacco). This said, there is presently not enough evidence to evaluate the true oral effects of such a product, at least beyond the knowledge we already have of the addictive nature of nicotine.

Even though nicotine is highly addictive to most users, it has been used in oral forms for a long time. Nicotine lozenges, gums, and even mouth sprays have been used for over 40 years as a mechanism for smoking cessation. According to research published by the British Dental Journal, there has been no reported evidence that nicotine alone can increase oral disease (cancers, periodontal). What’s more, studies have shown that nicotine can have angiogenic effects on the body when ingested, meaning that it can grow new blood vessels, which is the direct opposite of what tobacco does. So, theoretically, ingesting nicotine could advance the body’s wound-healing capabilities. On the other hand, it could also encourage the growth of existing tumors within the body–though presently there is no hard evidence of this.

What we do know for sure is that despite its addictive nature, nicotine pouches are commonly viewed as a healthy substitute for smoking and chewing tobacco. The prolonged and regular use of pouches like Zyns may give an increased risk of oral health problems, but at this time further research is needed to provide hard evidence of such.

Receding Gums

Aside from the chemical effects of using nicotine pouches, what about the mere presence of a foreign substance in your mouth, resting between the teeth and gums, this can’t be good for your gums, right? Most nicotine pouch brands suggest keeping the pouch in your mouth for up to an hour, which can cause the gums to start receding, allowing for the possibility of all sorts of oral health issues. Gum disease can come in many forms, but most often it shows as gingivitis or (the more serious of the two) periodontal disease. Both can have serious side effects and can happen to anyone. Luckily, gum disease is preventable, and if you enjoy using nicotine pouches regularly, or even every now and again, knowing the differences between gingivitis and periodontal disease, paired with how to avoid them, will help you to maintain proper oral health.

The prolonged and regular use of pouches like Zyns may give an increased risk of oral health problems

To begin, it’s crucial to know what gum disease looks like. The typical signs of gingivitis are irritated, red gums that tend to bleed easily (even with the use of a soft-bristled toothbrush). Though gingivitis is a milder form of the disease, if it is not treated properly it can lead to a more mature form of gum disease—periodontitis—which is flagged by inflammation and deep infection that eats away at the gums and teeth (the ligaments, sockets and all), so definitely something to consider.

The positive news is that both types of gum disease are treatable, even preventable when proper hygienic procedures are regularly performed. If you are experiencing sensitive and/or inflamed gums, especially if you are using nicotine pouches, your best bet is to come in for an examination right away. At Adam Brown, DDS we can accurately evaluate the health level of your gums by taking measurements, even x-rays of the jaw if needed. Once we make an assessment, we then begin to develop a plan for treating and eliminating the problem areas. During an examination, your dental professional will evaluate the health of your gums and measure any pockets that may have formed around your teeth. He may also order x-rays to determine the health of your jaw. From there, he will develop a treatment plan and recommend prevention methods, and he may advise you to stop using the pouches for a while to see if they were a part of the problem. 

Treatment methods for gum disease depend upon how far the condition has progressed. While this first stage of gum disease usually gets better or reverses after a professional cleaning, proper oral hygiene must be continued at home, or the condition can easily and quickly return. So be prepared to pause–or completely eliminate–your usage of nicotine pouches.

When caught early, gum disease can usually be treated before tooth loss occurs. But, even better than catching it early, is to prevent it altogether. Good and consistent at-home oral care (brushing and flossing) and regular dental checkups and cleanings can go a long way to help keep your gums healthy and disease-free. And, if you are using the pouches, pay close attention to your oral health: are sores all of a sudden showing up in your mouth? Are your teeth and gums more sensitive than they usually are? These could be quick signs that maybe you should choose not to Zyn for the sake of your health.

For now, since we have so little evidence of the effects of nicotine pouches, we advise proceeding with caution, and if you begin to have any sign of negative changes within your mouth to stop completely.

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Artificial Intelligence Advances in Dentistry

2024-02-26T15:54:54+00:00February 26th, 2024|Dental Crowns, Dental Implants, Dentist Office Monroe NC, Preventative Dentistry|

Advances and New Technology – Artificial Intelligence in Dentistry

The integration of artificial intelligence is happening all around us: it’s in, and has been for some time, the automotive industry; it can be seen–and at times relied on a bit too much–in the education system; we are even beginning to see more of its presence within the dental industry, as individual practices, dental schools, oral health researchers, and policymakers are preparing for the next step in evolution. Despite our many feelings on the growing presence of AI, it is here and many industries and methods of procedure will change forever. This leaves many wondering how the dental industry will change as our relationship with AI grows.

Artificial Intelligence Advances in Dentistry

To give an idea of how important the topic of AI in dentistry is, over three hundred workers within the industry from 30 countries joined together in a symposium to present and discuss different AI prototypes, smartphone apps, and other new technologies currently being created and perfected and soon to be incorporated into the field of dentistry.

 

Clearly, the potential for AI applications is plenty and is continually growing. Here are some of the ways artificial intelligence is already being used to improve oral healthcare:

 

  • Automated Communication: dental offices can presently provide 24/7 communication through the use of chatbots and voice assistants to access patient information, provide treatment options, schedule appointments, and reduce waiting times.
  • Dental Robotics: these robots can handle simple, laborious jobs such as cleaning and polishing teeth so that dentists and the crew can focus on the more complex procedures.
  • Virtual Reality Simulations: AI-powered virtual reality can be used to simulate immersive and interactive experiences so that patients can better understand various dental practices and their potential side effects. This process can drastically reduce patient anxiety, and it improves general education.
  • Predictive Analytics for Disease Prevention: we can now use AI to analyze patient records to predict the possibility of specific oral health diseases, which can promote effective intervention and prevention.
  • Image Analysis and Interpretation: even images themselves can be analyzed and interpreted by AI. These are x-rays, CT scans, etc. where abnormalities can be identified so that dentists can make precise treatment decisions.
  • Diagnosis and Treatment Planning: particular algorithms used by AI can analyze patient records to directly communicate with the dentist so she can help make accurate diagnoses and create personalized treatment plans.

The Future of AI in Dentistry

Even without the incorporation of artificial intelligence within dentistry, the oral health industry has come a long way. In our lifetime, we have seen processes go from primitive dental drills to advanced dental implants and more. As dentistry continues to evolve at such a rapid pace, AI has clearly become a driving force in its advancement.

More and more we see in reality what was only a few short years ago considered to be straight out of a science fiction movie. AI is already revolutionizing many industries, including dentistry, and it is only gaining in momentum. As we can see, presently AI allows for increased accuracy and efficiency in diagnostic treatments, as it can analyze vast amounts of data quickly, which then allows dentists to make informed and timely treatment decisions. AI is already improving patient outcomes and levels of satisfaction by providing personalized treatment plans that are specifically tailored to the individual. We can thank AI for saving us money as well. For both patients and practitioners, artificial intelligence can streamline diagnosis and treatment processes, which saves time and effort–and therefore plenty of money.

But what does the future of artificial intelligence look like? As AI is constantly growing, it is hard to say exactly what the future of dentistry will look like, but we do have a pretty good idea. Here are just a few of the impacts on dentistry expected in the near future:

  1. Improved Diagnostic Accuracy. As AI algorithms become more accurate in detecting dental diseases and conditions, we will begin to get the most accurate diagnoses we ever have.
  2. Predictive Analytics. As mentioned earlier, we currently use AI to analyze patient data and predict the likelihood of certain dental diseases, which allows for earlier intervention and more effective treatments. This will only advance and become more personalized so that individual information is not only addressed but it is remembered and analyzed on deeper levels.
  3. Dental Robotics. With more sophisticated robotics on the way, the presence of dental robots is predicted to increase. This will provide greater accuracy and efficiency when it comes to various dental procedures by slowly eliminating the potential for human error.
  4. Augmented Reality. We expect to see more use of augmented reality within the dental field, as it allows dentists to visualize and plan treatments in 3D. Having this capability will improve precision and accuracy during procedures.
  5. Digital Impression Scanning. Advancements in this area are expected and are predicted to allow for more accurate and efficient impressions of patients’ teeth so that there will be less of a need for the uncomfortable and time-consuming process of creating traditional impressions.
  6. Improved Patient Communication. AI chatbots and voice assistants are already in use, but they are expected to become even more prevalent so patients can be provided with 24/7 access to information and support on a higher, more personal level. This includes treatment options and appointment scheduling even when a dental office is closed.

AI is already a big part of the dental field, and we will only see it grow over time. But you do not have to wait for the advancement of artificial intelligence before taking your oral health seriously. The time to prevent possible oral health issues is now.

The most important aspect of preventative dentistry is that one, simple visit could identify life-threatening diseases. Like many areas of the body, your mouth is teeming with bacteria, most of it harmless. Normally the body’s natural defenses and good oral health care, such as daily brushing and flossing, can keep these bacteria under control. However, without proper oral hygiene, bacteria can reach levels that might lead to oral infections, such as tooth decay and gum disease. Not only that, but certain medications such as decongestants, antihistamines, painkillers, diuretics, and antidepressants can reduce saliva flow. Saliva washes away food and neutralizes acids produced by bacteria in the mouth, helping to protect you from microbial invasion or overgrowth that might lead to disease. So be sure to keep up on your oral maintenance, as well as your regular checkups–and if you feel you are in need of a cleaning or if you are experiencing any pain or pressure coming from the gums or teeth, schedule an appointment with us right away.

 

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Habitual Whitening Can Ruin Your Teeth. Are Americans going too far?

2023-11-28T20:15:11+00:00November 28th, 2023|Dental Trends, Oral Health, Teeth Cleaning, Teeth Whitening|

The Dangers of Habitual Teeth Whitening

When it comes to teeth whitening these days, we have plenty of options to choose from. Do these methods truly whiten teeth? Yes, absolutely they do. Some provide immediate results, others take a month or so of use for noticeable whiteness, but they do work. However, one question that is rarely discussed concerning teeth whitening is whether or not it has negative side effects. Which, unfortunately, it does–some of which can end up costing a lot of money in repairs, or worse, doing serious damage to one’s oral health.

Dangers of too much teeth whitening

Though advanced methods of teeth whitening pop up every few years, the act of whitening itself has been around for a long time. Archeologists have discovered evidence of ancient Egyptians grinding stone to a powder and mixing it with white vinegar to produce a whitening paste. This 4,000 year-old practice has changed a bit over time, but the desired result has always been the same: pearly white teeth. But what about the long-term effects, are they worth the risk? Let’s find out.

A Quick Note

There are many whitening products available for consumer purchase, however, there are two types of treatment–those done at home and those done in a dental office. Obviously, in-office procedures are performed by a dental professional, which usually brings about quicker results. Then there are at-home treatments which include whitening strips, trays, etc. and these can take longer to show results. The point to be made here is that despite which type of treatment you use, they all come with possible health risks, like gum irritation, heightened tooth sensitivity, and even enamel damage.

Before getting into the details of the potential health risks due to whitening, it is of the utmost importance to understand that any use of whitening agents on one’s teeth should commence with a quick dental consultation, so your dentist can relay professional advice on whether you should or should not use them and which treatment(s) might work best for your teeth. 

Teeth Whitening and How It Works

Teeth whitening involves particular techniques to remove stains and discoloration from the teeth. These techniques are not necessarily meant to improve one’s oral health, but rather to improve the appearance of the teeth, which is important to understand. If a whitening agenda proports effectiveness, know that this means it is effective in making teeth appear whiter, but this doesn’t mean it is effective in making the teeth healthier.

Coffee, tea, wine, and tobacco are usually blamed most often for staining teeth, and when whitening treatments are used, they work by coating the teeth in peroxide-based agents that bleach and break down stains and discolored areas. If the teeth have high levels of dark stains, it might take a more serious procedure, such as an in-office treatment that will cost a bit more than the over-the-counter methods.

The problem is that these whitening treatments use harsh chemicals to whiten the teeth, and often these treatments are done more than once–sometimes a lot more than once. Over time, the peroxide eats away at the enamel, which initiates tooth sensitivity and gum irritation. This is why it is of the utmost importance to see your dentist first before trying any sort of whitening treatment, so you can get an idea of what your specific side effects to the whitening treatments might be.

Dangerous Side Effects

There are so many whitening products out there, it can be difficult to know which ones have the most dangerous and/or severe side effects. It’s a scary thought that you could potentially be purchasing a whitening kit that will damage your teeth, so to help provide some clarity, here are a few tips to consider when looking to whiten:

  • Stay away from trays and gels. This whitening system has been around the longest, and though it does whiten your teeth, it also—you guessed it—eats away at the tooth enamel. The process involves heating a tray, filling it with whitening gel, and inserting it to the mouth to form a bond. The problem with this method is that it can take weeks for results to show, so users tend to use it a lot in order to get the desired results. And consequently, most people who use the trays and gels report having teeth sensitivity afterwards, even receding gums.
  • Use caution with whitening strips—actually, don’t use them at all. The famous whitening strips have been around for ten years or so, and have had a lot of success in whitening teeth. Results can show in about a week, and the process is easy: fold the strip over your top and bottom rows of teeth and keep them in your mouth for a short period of time. However, just as the trays and gels, this method is bad for your teeth and gums in the long run because it eats away your enamel and gum tissue due to the direct contact of the chemicals used.
  • Another one to say away from: paint-on whitening. The paint-on method solves the problem of the whitening agent interacting with interior soft tissues, such as the gums and inner cheek, as you simply brush the whitening gel on each tooth and let it sit for a short period of time, but this “paint” is full of chemicals that like to diminish the enamel. This method is an easy process, which is why it has become popular, but it isn’t healthy. After months, even years, of using paint-on whiteners users have noticed receding gums and increased tooth sensitivity.

A Healthy Option

Recently, two natural methods of whitening teeth have been gaining in popularity. Both maintain your tooth’s enamel, and if used correctly, they don’t cause your gums to recede and reveal that sensitive area between the teeth and gumline. Check these out:

  1. Turmeric Tooth-Whitening Paste. As turmeric is naturally an antibacterial and anti-inflammatory agent, it does more than clean the teeth. It’s good for your overall oral health as well. Here are the ingredients for this healthy whitening method:

-4 tablespoons turmeric powder

-2.5 tablespoons coconut oil

-2 tablespoons baking soda

Mix the ingredients until a paste is formed and store in an airtight container. Use the paste on your teeth two or three times a week, using regular—non-whitening—toothpaste the rest of the week. All it takes is a pea-sized drop of the turmeric paste and a light touch when brushing (it can be a bit abrasive, so brush lightly as to not end up damaging your teeth and gums).

  • Baking Soda Lemon Tooth-Whitening Paste. Though it seems as though the acidity of a lemon and abrasiveness of baking soda would be harsh on the teeth, if used lightly, and in moderation, it can be quite effective and safe.

 The lemon juice acts as a bleach to help whiten teeth, while the pH of the baking soda balances out the acidity of your mouth to create a nice whitening agent. Here’s the recipe:

-10 teaspoons of baking soda

-Enough lemon juice to form a paste

The same with the turmeric paste, brush lightly. Use a pea-sized amount and let the product sit on your teeth for a minute or two before rinsing. Do this two or three times a week and results should begin to show within a month.

Before You Whiten

Though it is tempting to buy the most popular take-home whitening products on the market, the natural method is so much safer and better for your overall oral health. Just because your friend has found a product that works without causing sensitivity and enamel loss, it doesn’t mean its safe. It could take years, but eventually that loss of enamel and raised gumline will cause some problems.

Your first step is to come in and meet with Dr. Brown and his team. They can effectively assess the health level of your teeth and gums to forecast which method(s) might be best for you–if any.

 

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Dangerous Procedures: Why You Should Not Have Dental Work Done Outside of the US

2023-10-27T19:34:00+00:00October 27th, 2023|Dental Insurance|

Dental procedures can get expensive, even when you have a high-tiered insurance plan. And though most dental practices are willing to work with patients by offering payment plans and discounts, there is what seems to be a growing trend of people looking elsewhere for dental work in order to get it at a much lower cost. “Elsewhere” in this case means out of the country–particularly, in Mexico. Though it is true that a patient can get a number of dental procedures done for less money in Mexico, this is not a good idea.  

Why it is not a good idea to try and save cash by scheduling a dental procedure to be done in Mexico

Saving money is one thing; putting your health at risk (a rather high risk at that) is something more serious. So why do some people search outside of the country to get their dental procedures done? The truth is, it can be a lot less expensive to have any kind of dental work done in countries like Mexico, but after looking into the details it becomes clear that it’s simply not worth it. Not only is it a health risk, but there is also the chance that the particular procedure being performed will not be done correctly. This is not to say that Mexican dentists are derelict at their jobs, but rather that they do not adhere to the same rules and regulations that we are used to having here in the States.

The following are specific examples of why it is not a good idea to try and save cash by scheduling a dental procedure to be done in Mexico:

Low Standards of Sterilization

The American Journal of Infection Control, a peer-reviewed scientific journal, released a study in 2016 showcasing a series of test samples collected over a period of twenty years. These tests were taken from dentists in Mexico and showed that 10.2% of the cases studied failed the necessary rate of dental tool sterilization. This means that in just over 10% of the cases noted, the dentists simply ignored the tool sterilization cycle and failed to read the sterilization equipment’s pressure indicator dial and thermometer. 

Though 10.2% is not a massive number, when dealing with sterilizing tools and equipment, even a 1% failure is a big deal. Any dentist who has been properly trained knows that the manufacturer’s specifications must always be followed for each particular piece of equipment and tool used. Could you imagine having a piece of dental equipment used inside of your mouth right after it had been used on someone else–and with no sterilization done between uses?! No thank you.

The scientific study reveals that some of the necessary sterilization cycles that must be performed in order to maintain proper levels of health safety remain unknown to most dentists in Mexico. The United States, on the other hand, conducts regular extensive tests on every dental office in order to biologically monitor and conduct test sporing.

A Lack of Education

None of this is to say that dentists in Mexico are incapable of operating on the same level as American dentists, but rather that they are not required to do so. Take the level of required education for example.

In the United States, dental professionals must take hours of continued education (this is after they have obtained their degree in the field of dentistry) every two to three years in order to keep their license active. The logic behind this is to help dentists to keep up on their skills, as well as, for them to learn the newest technological information and techniques coming out of the present body of knowledge within the dental field.

It’s a little different in Mexico. Dentists in Mexico are not required to go through a renewal process, nor are they mandated to keep up with industry standards. On the other hand, a dentist in America may have twenty years of experience, but that also means they are versed in the modern methods used in dentistry. A dentist in Mexico with twenty years of experience simply has the experience, but has most likely not received any continued education.

This is incredibly disconcerting because dental standards and regulations are constantly changing, so any dentist who is not following the continued updates in the field could be doing harm to patients.

A Lack of Qualification

Since general dentists in Mexico need only a dental license (no continued education required) to perform procedures, this means after four years of schooling, they are finished. They can then begin performing complicated procedures, such as root canals, tooth extractions, and dental implants even though they are not necessarily qualified to do so–any dentist worth his salt would agree that these high-level dental procedures require plenty of extra education and experience, to say the least.

In America, for instance, a prosthodontist has to take three additional years of schooling in order to be able to perform any sort of dental surgery. The same is true for an orthodontist, where it takes an additional three years to be able to administer Invisalign treatments.

In addition to a lack of qualification, dental professionals in Mexico tend to rush dental work. This is often advertised as a good quality, but in order for a patient to receive quality care, being rushed is not a good thing. The reality is that many dental procedures require more than one or two dental visits. The implication here is that if a dentist is rushing her work, certain protocols are being ignored.

One particularly dangerous procedure to have done in Mexico is dental implants. This takes specific equipment that is often not found in these dental offices, which keeps them from being able to offer same-day crowns, and often important steps within the implant process get skipped due to a lack of knowledge and experience.

No Chance of a Refund

Yet another negative aspect to having dental work done in Mexico is that, if your procedure goes awry, there is little-to-no chance you will receive a refund. You can’t even file a complaint; however, here in the States, if you do not end up getting a refund–which, if your dental work was not done correctly, you most likely would–you can file a complaint or leave a bad review, which no dental office wants to have attached to its practice.

The Language Barrier

Imagine having someone tinkering around with your teeth, in a country you are unfamiliar with–and they are speaking a language you do not understand. You have high hopes the dental work done will cost a lot less than it would in America, but there is a good chance it will be done incorrectly. And if it is, you most likely will not know until you return home. Who do you contact? If you do make contact with the dentist, what if he doesn’t speak the same language as you? Even if he does, what good will it do? Are you going to fly back to the same dental office and hope it’s done right this time?

Hopefully by now it is clear the problems that can occur when attempting to have a dental procedure done outside of the U.S. The lesson here is, when in doubt, talk with your dentist. As mentioned earlier, if it is a money issue, payment plans can be worked out. There is never a good reason to risk your health. If you need any sort of dental procedure done, from basic cleanings to dental implants, come visit us at Adam Brown, DDS as soon as possible.

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Coffee: Good for Your Social Life, Bad for Your Teeth

2023-05-22T21:33:30+00:00May 22nd, 2023|Adam Brown DDS, Dentist Office Monroe NC, Teeth Cleaning, Teeth Whitening|

For many, a life without coffee is a life difficult to imagine. Heck, a single morning without coffee is enough to induce stress, irritability, and a nasty little headache; but have you thought about what such a heavy, potent drink is doing to your teeth?

 

Here’s a hurtful hint: it ain’t good. The famous pick-me-up we’ve relied on for so many years is doing a number on our oral health, leading modern coffee drinkers worldwide to wonder, “Is there a way to maintain shiny, clean teeth AND still be able to sip on my morning/afternoon cup of joe?”

Remedies for Coffee Stain Teeth

It’s honestly not a shock that coffee is bad for the teeth, but the fact remains that it’s one of the most trendy drinks available. According to News Direct, a popular news and content distribution service, coffee is the second most popular drink for Americans — first place is bottled water. A survey of over 7,500 adults was taken and here are the results:

 

  • The number-one drink of choice, as mentioned, is bottled water with 63% of the vote. Number two is coffee.
  • Coming in next is soft drinks at 56%, juices at 50%, and tea at 48%.
  • Looking at alcohol, 25% of people surveyed prefer beer while 24% opt for wine.

 

But let’s get back to the coffee drinkers: News Direct reveals that 79% of Americans drink at least two cups of coffee every single day, while 44% of these drinkers are stopping for quick to-go coffees a few times a week.

 

The survey included questions about how Americans like their coffee made as well. Surprisingly, despite the plethora of ways to make and mix up a perfect coffee concoction, most Americans prefer a plain old cup of joe. Here’s the exact breakdown from the survey:

 

  • 36% said they prefer drip coffee
  • 11% are for cappuccino
  • 10% prefer iced coffee
  • 9% said they would rather have instant coffee (who in the world are these people?)

Coffee Drinkers by Age Group

Interestingly enough, Americans actually drink less coffee, as a whole, than we did in the 1960s when it was most culturally popular and significant. But overall, coffee is still one of America’s favorite drinks, which leads to the question of what age groups are drinking it the most?

 

According to The Food Institute, more younger people are drinking coffee than ever before: 65% percent of Millennials (ages 25 to 39) drink coffee daily. Coincidentally, 46% of Gen Zers (ages 18-24) said the same thing.

 

What has caused this spike in coffee drinking amongst youngsters? Well, multiple things. For one, gourmet coffee has had quite the boom lately, much like craft beer. Breweries and independent coffee shops are popping up all over the country!

 

Other contributing factors are innovative product placements in places frequented by younger crowds (social media sites, commercials on popular television stations, etc.). And we can’t forget about Covid (how could we?!) when people were kept indoors and consuming more in general — including coffee. There are also so many ways to make coffee. Iced, blended, straight-up; single-shot, double-shot, pourover, French press, Aeropress, siphon…and newer methods seem to be coming along more and more.

 

As mentioned above, social media has played a major role in coffee’s popularity with younger drinkers. Coffee shops — both independent and chain brands — have more of a welcoming atmosphere than the pop-in shops of old. Now coffee drinkers can sit outside, sit at the bar, or create their own little workspace and sit for hours. These shops are meant for people to hang out and relax or work, and people all over the country are taking advantage of this.

Coffee and Your Teeth: The Facts

Drinks like tea, wine, and coffee tend to stain the teeth because they have tannins. Tannins are rather difficult to deal with, as this sticky, brown substance can do serious damage to the teeth. Our teeth have a hard covering of enamel over them to protect against bacteria and other harmful substances, but because tannins are so small, they’re able to seep into the enamel and make way to the tooth. Hence the yellowish, brown color of the teeth after drinking coffee.

If you’re a regular coffee drinker, here are a few things to keep in mind:

  1. It only takes one cup of coffee a day to stain your teeth.
  2. Over time, your teeth can become severely discolored from the dark pigment.
  3. The acid tannins in coffee can impact and erode your tooth enamel.
  4. Consuming excess amounts will dry out your mouth and lower saliva production, which can negatively impact your oral health.

Remedies for Coffee-Stained Teeth

No matter the problems tannins cause to the teeth, coffee drinkers are most likely not going to give up the drink. Coffee wakes us up, it keeps us going; coffee is life!

Thankfully, there are ways to keep your teeth white — though not all of these methods work equally well, and some can damage your teeth. Here are some of the most common ways people keep their teeth from staining:

Swishing Water/Mouthwash

One of the safest and most preemptive ways of keeping your teeth from gaining stains is to immediately gargle with water or mouthwash after imbibing your favorite coffee mixture. This works because the tannins have not yet had a chance to fully adhere to the teeth yet, so the liquid being forced against and between your teeth does well to remove it. Now, this won’t necessarily whiten your teeth, but it will help reduce the addition of stains.

Whitening Trays and Gels

This whitening system has been around for a long time and the process involves heating a tray, filling it with whitening gel, and inserting it into the mouth to form a bond. The problem with this method is that it can take weeks for results to show. Additionally, most people who use the tray and gels report having teeth sensitivity afterward, which is a possible set of new problems for you to deal with.  

Whitening Strips

Use caution with this method as well. The famous whitening strips have been around for twelve or so years, and they have had a lot of success. Results can show in about a week, and the process is simple: fold the strips over your top and bottom rows of teeth and keep them in your mouth for a short period of time.

 

It’s important to be cautious, however, not to overlap the strips onto your gums, as this can cause irritation. Also, if you use the strips too often, your teeth can become sensitive due to the erosion of enamel from the chemicals in the strips.

Paint-On Whitening

When you have the time to wait, use this method. The paint-on method solves the problem of the whitening agent interacting with and causing damage to interior soft tissues, such as the gums and inner cheek because there is no overlap or spillage of chemicals.

 

Simply brush the whitening gel on each tooth and let it sit for a short period of time. The only down side to this method is it can take months before results are noticeable, and you have to be diligent in getting the gel precisely on each tooth every day.

Whitening Devices

Though they may be a little more expensive than the others mentioned, whitening devices produce the best results. These devices use high-intensity lights to break down hydrogen peroxides to create more whitening oxygens on the teeth. The best part of using this method is your teeth will be much whiter in only a matter of two days!

 

Like almost anything else out there we enjoy, if you’re not careful it can do some damage to your health. So the next time you decide to enjoy a cup of coffee — iced, latte, with cream, or otherwise — make sure you have a pl

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