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Nobody is happy with their teeth and everybody wants whiter, brighter teeth. In the last few decades, tooth whitening is one of the most commonly done cosmetic dental procedures. Majority of these people are in the age of 10 to 25, who are very conscious about their looks.
What needs to be understood is that dental whitening is permissible to a certain extent. Not many people realize this and continue to use teeth whiteners even after the desired result is achieved in an effort to get it a couple of more shades lighter. This is something that we need to watch our for.
Safety of tooth whitening: Some of the supposedly unsafe aspects of tooth whitening are most products used currently are tested both on patients and in laboratory and are proven to be completely safe. However, overuse or misuse of these products can lead to issues. The active chemical ingredient in most of these products is hydrogen peroxide. Most of the products contain about 10% carbamide peroxide, which breaks into hydrogen peroxide and urea. There are claims that this is carcinogenic. However, this is not the case and there is no strong correlation. Also, if the application is done correctly, there is very minimal exposure to hydrogen peroxide directly.
The second issue that most people associate with tooth whitening is tooth sensitivity and gum irritation. Both these symptoms are directly related to the percentage of carbamide peroxide. It is shown that products with more than 10% produce more teeth sensitivity and gum irritation than those that contain less than 10%. Improper tray selection can lead to gum irritation. Also, patients who are overzealous and go about whitening their teeth further can end up with severe sensitivity. The explanation in these cases is the enamel is worn off by the chemical leading to exposed dentinal tubules which, even when exposed due to caries, can cause sensitivity.
Listed below are some ways to avoid or reduce sensitivity:
- When using the bleaching tray applicator, use it only for the recommended period of time. Do not keep it longer to make the teeth whiter.
- Use a paste that is meant for sensitive teeth. The potassium nitrate in these will help relieve sensitivity.
- Use a product with fluoride so that the teeth can remineralize. This can be used before and after tooth whitening for up to 4 minutes.
It is advisable to avoid tooth whitening in some cases like the following:
- Breast feeding
- Ceramic crowns or bridges in the front teeth - these cannot be bleached
- Gingival disease with gum recession and exposed root - the sensitivity is sure to quite high
To avail the best results, always use clinically proven products under the supervision of a dentist.
I'm having bad breath problem. Daily I'm cleaning my teeth neatly and wash my mouth clearly I don't know why still I'm facing this problem please help me.
I have mouth ulcer for last 20 to 25 days and having rinifol and anzy prescribes by doctor. But not effective. Please help.
What is the procedure to treat the problem where the soft tissue above the big teeth (daadh) comes out from its place due to the cavity of the daadh.
Hiii Doctor, I am 25 Year Man, I have a problem in my teeth, I am facing problem in upper line of teeth, where blood release from teeth, when I gargle, I find some blood contain in water, there are little difference between teeth, some time I feel some bad smell from teeth, so how can I resolve this problem.
Please let me know the medicines for cyst in wisdom tooth gum. I am having pain and swelling also bad smelling mouth. Please advice me medicines.
Sir, I am 17 years old. I have a severe problem in my teeth that it's too much dirty and seems like rusted (as brown coating exists on it). Twice I have got my teeth cleaned by a dentist. Just after 2-3 months of cleaning, it again starts to have brown coating. Also some of my teeth are not so much tightly holded. I also have used toothpastes of good qualities and high ranges. But no relief. Please Sir, please guide me what should I do for it?
Hello I am 21 years old I have small dark pigmentation on my tongue from 3 weeks and I have use mouth ulcer gel but it is not healing kindly suggest me the best treatment for it.
I hav a tooth problem. Blood comes in my tooth any time. I used many tooth paste but problem is same. please give me some advise.
My upper front four teeth are outside from its real position I'm 22 years old I have to get braces. Can I fit braces or not if yes then how many cost for this treatment.
I am 26 years old I am suffering from mouth there are many teeth are suffering from gums and blooding I have many doctors to see the teeth please give me a best solution.
Hai, I am 34 years old, married, woman. My problem is that my husband has bad breath. Though he never smoke nor drinks. When ever he comes close to me my moods gets off due to the odd smell from his mouth. I talked to him about this, but he never convince rather he says I don't love him if I love him then it shouldn't bother me, he doesn't do anything to cure his problem. Our sex life is getting affected. What should I do?
All of us love to flash a set of pearly whites with each smile. However, due to various reasons, we have teeth that are not-so-white. The bleaching agents come to the rescue as they can help whiten the teeth. In an overzealous manner, some people however, go overboard and over bleach their teeth. Bleaching agents should be used only with approval by a dentist and in a recommended manner, the frequency and the duration of application. Like anything else, they can also have harmful effects, which again can hurt the teeth, and if the whitening effect is lost, the person could be worse off than what they started with.
The following are common side effects seen with overuse of bleaching agents. Note that in most people, when used according to medical advice, these effects are very minimal.
- Tooth sensitivity: One of the most common side effects with teeth bleaching is the tingling feeling in the teeth. When done in office, it happens as the bleaching agent is reaching the tubules in the teeth. It could range from a one-off feeling to something that is constant and nagging. If being done in the office, you could indicate to the dentist so that subsequent sittings can be planned after the sensitivity settles down. The duration of each session may also have to be reduced.
- Gum irritation: The active bleaching agent is hydrogen peroxide which is caustic and can irritate the soft tissues. When done in office, the teeth are usually isolated using a rubber dam and so this problem is minimized. However, when trays are used at home, the gums do get exposed to the bleaching agent and so gum irritation is highly likely.
- Tooth pain and discomfort: This tooth pain usually sets in after a couple of hours after the bleaching is done. This happens again due to hydrogen peroxide penetrating the tooth, dehydration of the tooth, and using laser light for prolonged periods during the bleaching process. This usually subsides in a couple of days’ time and so need not be a cause for worry.
- Thermal sensitivity: A couple of days after the bleaching, the teeth may experience sensitivity to hot and cold foods, especially with beverages. This again is usually self-limiting and will disappear in a couple of days. Desensitizing toothpaste may be prescribed by the dentist in severe cases.
In all these cases, though bleaching is usually harmless, there are rare cases where side effects have been severe. Overenthusiasm to increase the whiteness is often the reason for these side effects. These can be avoided by opting for bleaching under strict supervision and following the dentist’s advise when being done at home. If you wish to discuss about any specific problem, you can consult a Dentist.