Teeth whitening is one of the easiest and most cost-effective ways to get your smile looking great.  However, there are several different ways to whiten your teeth, and it can be difficult deciding which to chose from.  We can take a look at three ways, and analyze the pros and cons of each:

Whitening Strips from Dr Fester Whitening Strips – Yes they work, but rather slowly and ineffectively. The strips are often messy and don’t stay in place. The bleach concentration is also lower (because by the nature of being OTC) and as such, it takes longer to bleach (usually at least 3-4 weeks). So the bottom line is that they do work, but the price you pay is a much longer time of wearing them.
Bleaching Trays from Dr Fester Custom Bleaching Trays – Custom bleaching trays are the next option. This involves taking impressions on you and having custom bleaching trays made. The bleach supplied is also a higher concentration. Custom bleach trays offer 3 main advantages: much better fit (and so much better compliance on your end in regards to wearing them), higher bleach concentrations because it comes prescribed from a dentist’s office and closer adaptation of the bleaching material to your teeth and as such more effective bleaching.
In-Office Whitening – This will give you the quickest results. Typically we can give you 2 week’s worth of results in about 2 hours. We place very strong bleach on your teeth with a barrier around your gums to protect them. You sit back, turn the lights down and watch TV for about 2 hours while we put fresh new bleach on your teeth every 15 minutes or so. If you are impatient to get whiter teeth, this is definitely the way to go. If I needed my teeth bleached today, this is the route I would take; I just don’t want to wear a bleach tray and want immediate gratification.

Article provided by Udent

Whitening - Before & AfterWhat you should know

If you want to whiten your teeth, the best place to start is with a healthy mouth. Tooth decay, sensitive or cracked teeth, infections or periodontal (gum) problems should be diagnosed and treated before any tooth whitening procedure. Otherwise, you could experience discomfort. The whitening process may aggravate existing problems, or the whitening process simply may not be right for you.

Begin with Dental Checkup

Rather than heading to the local cosmetic counter or shopping mall in search of tooth whiteners, start with a dental checkup. Your dentist can evaluate, diagnose and treat any pressing oral health conditions and advise you about different options to safely and effectively whiten your teeth. Your dentist also can determine whether whitening will work for you. When the dentist diagnoses the cause of the discoloration—injury, stains from food or tobacco, antibiotic treatment as a child or other causes—a suitable tooth-whitening method or product can be selected. The diagnosis is important; otherwise, you could be wasting time and money because whitening treatments work only on natural tooth enamel, not on crowns, veneers, bonding materials or tooth-colored fillings.

Many tooth whiteners are advertised on Web sites, television infomercials and the radio, as well as in magazines andWhiter Smile newspapers. The American Dental Association (ADA) is concerned about the safety of tooth-whitening chemicals and procedures that are performed without the care or supervision of a licensed dentist. The ADA recommends that if you choose to have your teeth whitened or use a bleaching product, you should do so only after consulting with a dentist. If the chemicals used to whiten teeth are not applied properly, they could damage soft and hard tissues in the mouth.

Tooth Whitening Kiosks

Recently, tooth-whitening kiosks have appeared in malls and salons. In at least one state, these kiosks have been banned. Although they may be staffed with people wearing “scrubs” or laboratory coats who may look like health care professionals, that often is not the case.

Staff running the tooth-whitening kiosk may have no health care training and no license to provide health care services. However, they are dispensing chemicals that could permanently affect your teeth and gingivae (gums).

Infection Control Techniques

Dental office staff members are trained in infection control techniques that follow the U.S. Centers for Disease Control and Prevention’s guidelines. The guidelines include such procedures as changing examination gloves and disinfecting work surfaces after each patient visit, washing hands and following other infection control procedures.

Talk with your dentist about the pros and cons of different whitening treatments and what may be right for you. He or she may suggest a simple procedure that can be performed in the dental office. This procedure is called “chairside bleaching” and may require more than one office visit. Each visit may last from 30 minutes to one hour. Your dentist also may dispense a product for daily use at home for a period of weeks.

White, bright teeth are desirable, but having a healthy smile is more important. Your dentist can help you achieve not only a whiter, more attractive smile, but one that is healthy and contributes to your overall health.

Article provided by JADA

How Do I Know if I Need Treatment?

As with any trauma to the mouth, you should consult with your dentist immediately to determine if treatment is required. The dentist will examine the affected area and may take X-rays.

If you are in pain from a broken, cracked or chipped tooth, you may want to take an over-the-counter pain reliever. If possible, keep any part of the tooth that has broken off and take this with you to the dentist.

If a tooth is completely knocked out of the mouth by an injury, take the tooth to your dentist as soon as possible. It may be possible for your tooth to be placed back into your mouth, a procedure called reimplantation.

How Does a Dentist Treat a:

Chipped tooth —If there is no pain and the chip is small, it’s up to you to decide if, when and how the tooth should be repaired. Depending on the size of the chip, it can be smoothed or cosmetically corrected. Other options include veneers, crowns and fillings. Ask your dentist to explain these options. If a filling or artificial tooth becomes chipped, it should be replaced.

Cracked or broken tooth —Cracked and broken teeth should be repaired as soon as possible to prevent further damage. Root canal therapy or tooth extraction may be necessary. If a crack affects the enamel and dentin of the tooth, a crown is frequently the best treatment. Keep in mind that cracks are not always visible, even on X-rays. Symptoms may involve pain while chewing and Sensitivity to cold and possibly hot foods and liquids, as well as air, which may over time become more pronounced.

Tooth knocked out —The key to successfully reattaching a tooth is to get it reimplanted in the socket as soon as possible. With each minute that passes, more of the cells on the root of the tooth die. If possible, rinse the tooth with water only, then reimplant the tooth at the site and hurry to a dentist as quickly as possible. The tooth should be picked up by the crown only and must not be allowed to dry. The best chance for success is reimplantation within the first 30 minutes, with chances still good for up to two hours. It may be necessary for your dentist to do a Root canal treatment one to two weeks after the tooth has been stabilized.

Permanently lost teeth, whether they’ve been removed by a dentist or accidentally knocked out, should be replaced. This is to avoid problems such as difficulty chewing and speaking, a shifting of position among remaining teeth, temporomandibular joint (TMJ) disorders caused by chewing on the side with more teeth, and a weakening of the jawbone. Options for replacing lost teeth include bridges, dentures and implants.

Broken jaw —If you suspect you or someone else has a broken jaw, do not move it. The jaw should be secured in place with a handkerchief, necktie or towel tied around the jaw and over the top of the head. Cold compresses should be used to reduce swelling, if present. Go immediately to a hospital emergency room, or call your dentist.

If you are concerned about an injured tooth, call  Dr. Jeffrey Fester in Roswell, GA 770.587.4202 for a free consultation!

These days it is seen that many people opt for dental implants when they miss a few teeth. In this procedure, a dentist would first of all put in metal frames or small posts, with the help of a surgery, beneath the gums in your mouth. Then he would mount replacement teeth in your mouth onto these implants. In most of the cities in the Unites States, like Roswell (GA) and Alpharetta (GA), you would come across a number of dentists who provide such services. All you have to do is choose the right specialist who would be able to help you.

Dental implants are proved to be good even when you are speaking or eating your food. This is because the metallic implants help to provide a strong enough support for the artificial teeth, which in turn prevent the latter from shifting or slipping inside your mouth. Most of the people prefer to go for this type of implants, since these help them to feel more natural as compared to other types of dentures. In many cases it is seen that people suffer from sore spots or gagging inside their mouth. This proves to be a hindrance while opting for the ordinary dentures or bridges. It is also seen that dental implants are beneficial, since there is no need to prepare other surrounding teeth for the ground work of the replacement teeth.

According to most of the dentists, from some of the places in the US, like Roswell (GA), it is very important that people have the required number of bones in their mouth and healthy gums, so that there are no problems during implants. According to the American Dental Association, one of the safest types of implants is endosteal implants. In this procedure, dentists implant directly into the jawbone with the help of a surgery. This is followed by a second surgery, which is necessary to connect a post to the first implant. However, it is to be remembered that this second surgery can only be performed once the tissues of the gums have healed.

In most parts of the US you would find a number of specialists who provide implant services to solve various types of issues pertaining to dental. Contact Dr. Jeffrey Fester today to schedule a complimentary evaluation.

Plenty of persons own crooked teeth which will require accurate alignment. In essence, the finest acknowledged treatment designed for all these kinds of problems shall be the use of braces. However, due to the launch of Invisalign, it will be better to look at the Invisalign Vs braces issue to be able to decide the right one.

Invisalign is a new form of brace which can be easily removed. A variety of sets of aligners could also be worn permitting you to determine fine results after several weeks of use. This really is an amazing choice than the conventional braces plenty of persons are using. One chief dissimilarity when we talk about Invisalign Vs braces is that the aligners can be removed if it is necessary even though, you will need to wear them often in order that excellent results will come out. Additionally, the solution designed for Invisalign is invisible that’s why you may manage to wear aligners the whole day through devoid of having to let others know that you happen to be wearing them.

The essential advantage in using Invisalign is its imperceptibility. Efficient results do not merely occur instantly, nonetheless, if wearing of imperceptible aligners is continuous, definitely you will have more self-confidence and your self-image will get better.

Easiness in wearing is one more benefit with the use of Invisalign. This is essentially made to fit  your mouth and whenever you are by now accustomed to it, it will turn out to be extremely cozy as well as enjoyable to wear. Invisalign is created from hard-wearing and clear plastic of superior quality together with sets of aligners which will be capable to align the teeth in an ongoing method. With normal braces, metallic brackets as well as wires are utilized to fix the misalignment of teeth. The aligners of Invisalign are changed every two weeks for another set until such time the teeth will reach their preferred arrangement.

When it comes to Invisalign Vs braces, there will be no gum irritation with Invisalign and you may be able to clean as well as floss your teeth within the usual technique. Your standard of living will not be affected while using the remedy procedure for the reason that the aligners are indistinguishable. The conventional braces, nonetheless, are tremendously helpful particularly in grave occasions by which Invisalign just isn’t adequate. In spite of the fact that picking out concerning Invisalign Vs braces may be a complicated task, it is better to be aware of their benefits and detriments so that you can determine the appropriate treatment for you in the end.

A Dental Crown is commonly known as a tooth cap or a dental cap. A Dental crown is a restoration that covers the outer surface of a tooth (like a cap) and is cemented to the tooth with the help of dental cement. Discussed below in detail are functions of dental crowns and the need for a dental crown.

Functions of a Dental Crown are to

  • Restore the form, function and esthetics of a tooth
  • Improve the strength of a tooth
  • Protect the underlying tooth from any mechanical, chemical, or thermal injury.

When should Crown be given on a Tooth?

Badly Decayed Tooth If a tooth is extensively destroyed by carious process, it cannot be restored to its proper form & shape by any filling material.

How to decide whether to place a filling or a crown on a carious tooth?

If there is a small cavity in a tooth it can be successfully restored by a filling but placement of filling in a large cavity can hamper the integrity of a tooth structure and may cause its fracture. To retain the filling in the tooth, an adequate amount of tooth structure should be present. A filling which is greater than 1/3rd the width of a tooth is considered a large filling which can compromise the strength of a tooth.


Fracture of a tooth when filling is placed in a large cavity


Crown placement over a tooth prevents its fracture by encasing the tooth structure

Cracked Tooth: A crack may appear in a tooth due to excessive chewing forces or a large filling. Treatment of a cracked tooth depends on the position and depth of crack. If crack affects one or more cusps of the tooth then a crown has to be placed on the tooth. If crack is deep and reaches the pulp of tooth, then first a Root Canal Treatment is done and then tooth is covered by a crown. If crack is present very near to the gum line of tooth, then the gum line of the tooth has to be raised and then the crown is placed on the tooth. But if a crack is present in the root of the tooth, then the tooth has to be extracted and replaced by a bridge or implant.

Root Canal Treated Tooth: If the tooth has undergone Root Canal Treatment (RCT), it may become weakened during preparation of access cavity and it also gets brittle due to loss of fluid substance of the tooth during RCT. So, it is more prone to fracture as compared to a normal tooth. Thus it should be covered by a crown to minimize the chances of its fracture especially if large cavity is created in the tooth during RCT.

In certain cases due to extensive caries more than 2/3rd of the crown structure of tooth is lost; such a tooth is not able to support an artificial crown. So, firstly a post is placed inside the root of tooth, core build up is done and then crown is placed over post and core.

Placement of post and core build up Crown placement over core build up

Fractured Tooth: If tooth is fractured to such an extent that it cannot be restored by a filling, then placement of crown becomes inevitable to restore shape, form and function of tooth.

A fractured tooth

Amelogenesis Imperfecta: It is a hereditary condition in which enamel portion of tooth is very brittle, it gets fractured very easily leaving the dentin of the tooth uncovered which further leads to tooth sensitivity. Then the dentin being softer than enamel wears off easily and the pulp of the tooth may get exposed which causes severe pain. So, to protect the teeth affected by amelogenesis imperfecta, they should be covered by crown.

Dentinogenesis Imperfecta: It is a hereditary condition in which dentin of the tooth is defective. So, dentin cannot properly support the enamel leading to wearing of both enamel and dentin casing pulp exposure. So, teeth affected by dentinogenesis imperfecta are protected by their restoration with crowns.

Discolored Teeth: Certain discolorations cannot be treated by bleaching procedures such as discoloration due to severe fluorosis and tetracycline staining. Teeth with such discolorations are covered by crowns so that their color matches with that of adjacent non affected teeth and they are esthetically pleasing.

For Prosthetic Purposes: In some cases of a removable partial denture and tooth supported overdenture, teeth have to be covered by crowns to give them a proper contour so that they can properly support a denture. In fixed partial denture (bridge) cases, to replace a missing tooth by a bridge, teeth immediately adjacent to the space have to be covered by crown to support the artificially replaced tooth.

Crown placed over 2nd premolar and 2nd molar to replace missing 1st molar

Nursing Bottle Caries: In children affected with nursing bottle caries syndrome, deciduous (milk) teeth get extensively damaged at a very faster rate especially the upper front teeth. So, they should be covered with temporary crowns not only for proper function & esthetics but also to maintain the arch length integrity so that permanent teeth can erupt at a proper place.

Virtually all teeth problems can be solved by the dentist. The result is not only an improvement in the smile but also an improvement in appearance and the overall quality of life. Having beautiful teeth enhances self esteem and one will no longer have to feel awkward when meeting new people or speaking in front of others. With perfect teeth, one can eat, talk, and laugh with confidence.

One of the most common teeth problems encountered is discolored teeth. There are several reasons why teeth lose their whiteness. Certain drinks like coffee, tea, and wines can stain teeth. Smoking or chewing tobacco can also stain teeth. Poor dental hygiene and inadequate brushing is also a contributing factor. Genetics also plays a role in the color of the teeth and some people just have naturally whiter teeth. With age, the outer layer of the teeth naturally wears away, revealing the dentin layer, which is naturally yellowish in color. One can prevent teeth discoloration by improving dental hygiene, regular flossing, and visiting the dentist for checkups and cleaning twice a year. Today, there are also treatment options available to whiten the teeth. Applying a bleaching agent to the enamel can remove discoloration. A light activated bleaching gel can also significantly whiten teeth in less than an hour although follow up treatments are needed. The teeth can also be covered with bonding materials. Another treatment method is by applying veneers, which may be thin composite or dental porcelain shells that are placed on the outer surfaces to cover the stained natural teeth.

Worn or cracked teeth are usually due to grinding and chewing on hard objects. The teeth can hurt when chewing or when the teeth are exposed to extremes in temperature. The treatment will depend on the type and extent of the crack. Sometimes, severely cracked teeth can no longer be repaired and would need to be extracted. This is the reason why regular visits to the dentist are very important. The dentist can spot hairline cracks, thus preventing further damage. Cracks can sometimes be restored with filling materials. If the damage has reached the nerve, a root canal treatment is done and a crown is placed to restore the tooth. In vertical breaks or split tooth or when the tooth has weakened from a cavity, the tooth may have to be removed.

Crooked teeth can adversely affect self confidence. Conventional braces have been used for years to move the teeth gradually and eventually straighten them. Typically, it takes two to three years before these can be removed. Today, there is an option not to wear these ugly metal wire braces. Especially for adults, metal braces across the teeth can be deemed unattractive. Invisible braces are made of clear plastic and are removable teeth aligners. These also require fewer return visits to the dentist or orthodontist so they are suitable even for busy people.

Another common problem is misshapen teeth. Teeth can be misshapen either naturally or as a result of extensive wear and tear. Teeth that are naturally misshapen can be covered with veneers or can be reshaped using dental bonding techniques. Porcelain veneers are thin shells that fit snugly over the natural teeth and are very effective in hiding misshapen teeth. The result is a perfect smile.

Dental implants are the best treatment option for replacing missing teeth. Unlike removable dentures, dental implants are long term or permanent replacements. A dental surgeon places a titanium metal in the jawbone. After three to six months, this is naturally and completely fused with the jawbone. An abutment is then fitted over the implant and a crown is fitted onto the abutment for a natural appearance. Dental implants are becoming the preferred choice over bridges or removable dentures because they not only look and feel natural, they prevent bone loss that would generally occur with tooth loss.

Cosmetic dentistry can generally be defined as the process of fixing the appearance of a person’s teeth. The procedure involves improving/treating a person’s oral disorders relating to gums. It may include removal or addition of dental material or may involve treating a person’s teeth to improve their appearance (bleaching) or straightening of teeth according to one’s face structure.

There are several reasons for which people opt for cosmetic dentistry. Some are desirous of age-old visually appealing smile to improve their overall appearance while some seek this to improve their dental defects like gap between teeth, mouth reconstruction to solve problem related to bite, mending broken or chipped tooth or whitening stained teeth.

Previously, dentist or orthodontist as they are known in medical parlance were mainly concerned with oral hygiene but the modern field of cosmetic dentistry encompasses not only identifying or treating oral disorders but improving the overall dental appearances through the application of various methods involving the usage of porcelain or composite materials for indirect fillings, veneers for gaps, implants for tooth replacements or aligners for correcting teeth misalignment almost invisibly.

One of the dental problems that most people have is malocclusion i.e. Misalignment of teeth or the condition where teeth are crowded. In simple language, occlusion means the way the upper and lower teeth fit together. If they aren’t you are having crooked teeth. The upper and lower teeth are ideally aligned in a way that protects the cheeks, lips and tongue from getting bitten.

The reason for this may be hereditary, childhood habits, extra or lost teeth, injury to jaw bones etc. The effects may vary depending on the severity of the condition that may range from being mild to severe. Mild problems can be treated with simple cosmetic dentistry procedure while severe require elaborate orthodontic treatment.

If one is suffering from this problem Cosmetic dentistry can be the solution. Many of the dental imperfections like crowding or crookedness can be treated through cosmetic dentistry.

However, the idea of having teeth straightened leads to images of braces and brackets which is quite unappealing to many and a person may think twice before allowing a foreign apparatus to be fixed to their teeth for over a year and sometimes even more depending on the severity.

However, due to the recent advances in the field of cosmetic dentistry it is now possible to have your teeth corrected without the need of wearing braces or brackets anymore in mild or moderate cases. There are aligners which involve unique processes that provide a hygienic and convenient solution to the problem of teeth alignments.

The new technique in cosmetic dentistry of brace-less or wire-less or bracket-less corrections have been put under several clinical trials successfully and therefore now introduced for clinical usage which in turn have proven a success in a variety of malocclusion.

So from now onwards one need not worry about the braces and wires anymore for the new techniques have made them redundant. Say hello to a beautiful smile.

Many adults did not get the orthodontic treatment that they needed as a child or teen. They may have an overbite, crooked teeth or noticeable tooth gap. When someone feels self-conscious about the condition of their teeth, they often avoid smiling or laughing when they are around other people. They may even avoid having their photo taken or attending certain social situations because they are embarrassed about the way that their teeth look. It is never too late to get the perfect smile. Orthodontists have many adult clients.

In the past, most adults avoided getting braces because they did not want to have a mouth full of metal. Having to wear metal braces for a couple of years is not a good option for those who work in a professional environment. Today, adults can get invisible braces for teeth that can barely be seen by others. Invisible braces are a great option for adults who do not want their braces to be noticeable. Famous actors like Tom Cruise and Robert Pattinson have chosen to wear invisible braces as adults.

Invisible braces for teeth are also perfect for self-conscious teenagers who do not want their smile to stand out. The cost for invisible braces is not too much greater than the price of the metal variety. The best part about clear braces is that most people do not even notice when someone is wearing them. From a distance, they are completely unnoticeable, and they are even difficult to notice up close.

An adult who gets invisible braces for teeth will not only end up with a perfect smile, but they may also be preventing future teeth, jaw, gum or mouth problems. Orthodontic treatment is not only about beauty it is also about dental health. Adults who decide to get braces should make an appointment with their local orthodontist. The orthodontist will take x-rays, measurements and dental impressions in order to properly evaluate the bite. They will then explain whether or not braces are a good idea and provide information on a treatment plan. Most people wear braces for one or two years, but in some cases individuals must wear them for a longer period.

Once someone gets invisible braces for teeth they may experience some level of discomfort. Although everyone with braces experiences soreness now and then, most people do not find the process to be too painful overall. Very few people regret wearing braces once their treatment plan is finished. They love being able to show off their gorgeous new smile.

Cosmetic dentistry doesn’t have to require taking out a second mortgage on your house. If you really want to improve your smile, there are several affordable dental options. Perfect teeth are not just for the rich and famous. After a few short procedures, you can come out looking like a star yourself for much less money.

Risks

The decision to go forward with a full-mouth makeover is risky because of the cost and the potential for botched results, but the field has improved so much that results are highly guaranteed. The process of covering your teeth with porcelain veneers costs several thousand dollars, and while the results might be stunning, many people don’t think a perfect smile is worth that much. The trick is to go for a combination of several lesser procedures.

More Affordable Options

Some people have found the affordable combination of replacement fillings, tooth whitening and tooth shaping to be highly successful. Old fillings, especially on the front teeth, can detract from your appearance. Old white fillings can become stained and visible on your teeth. Metal fillings, particularly silver, can cause the teeth to look darker from inside since teeth are somewhat translucent. These can look unattractive, especially if your teeth are pointed or uneven.

A dentist can first bleach the teeth and then file them into a more attractive shape. Old discolored or metal fillings can be replaced with new, better-matching ones. This unconventional smile enhancement could cost as little as $1,000 or less at a cheap dentist with a discount plan. Explore different combinations and assess what your own mouth needs. Sometimes it might take only one or two small procedures before your smile is picture-perfect.

Coverage

Insurance companies often won’t cover cosmetic procedures, but there are several affordable dental plans on the market that might help you out by providing a discount on your procedure list. Don’t let exorbitant costs keep you from considering the smile you want. These options can make it much more accessible.
For more information, please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.