The smile is the first thing we notice about a person, and more than anything else, it reveals the teeth first. We all yearn for that set of perfectly aligned teeth that are pearly white in color. However, this is not a reality in all people.

Due to various reasons, the teeth are not always bright and white. In some cases, the high fluoride content in the water can lead to fluorosis, which causes irregular patches on the teeth. Chewing tobacco and smoking are another reason for teeth discoloration, ranging from yellow to brown to black. The most inevitable of all reasons is ageing, where they naturally change to a darker shade of yellow. However, dental technology has also improved to come up with various solutions, so that the dream for that set of pearly whites can be made a reality.

Bleaching is by far the most commonly used method for teeth whitening. The tooth has an outer layer called enamel, a next layer called dentin, and a final inner layer called the pulp. The enamel contains organic particles that give the tooth its color, and the bleach material attacks these organic particles and thereby removes the stains.

It is always advisable to use tooth bleaching under the supervision of a dentist. A thorough examination and diagnosis is required before deciding on one of the two modes of bleaching.
1. In-office bleaching: This involves use of whitening gels that are not available over the counter. The gel is applied on the discolored portions of the teeth to leave a whiter tooth behind after the stipulated time.
2. Home bleaching: In cases where more regular application is desired, the patient is given a kit which has customized trays and the whitening gel. The patient is educated on a schedule including how and when to apply the gel and instructions for this application.

In addition, for minor discolorations, there are other options as below:
1. Whitening strips: These strips are similar to adhesive bandage and contain the bleaching agent. They are applied onto the tooth and left for usually about 30 minutes to take effect.
2. Brush-on whitening: These gels are applied directly on the tooth and left for a while or overnight if required.
3. Whitening chewing gum: For the chewing gum lovers, this could be an option. These chewing gums are similar to any chewing gum but include bleaching agents.

Side effects: Sensitivity and gum irritation are the two common side effects of bleaching. This could be either from the chemical or the trays that are used. The need to repeat the treatment again is another shortcoming. Repeated visits to the dentist may be needed once or twice a year to maintain the pearly white smile!

Bleaching for Extra White Teeth

Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.


1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.


2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.


3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.


4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.


5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.


As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. 

Mouth Sores - Could They Be More Than Just a Sore!

Your mouth is the breeding place for various bacteria. These bacteria use the sugar in food and turn them into acids. These acids then react with a tooth, gradually drilling a hole in it, which is infamously known as a tooth cavity. 

You might wonder why exactly this happens. When your teeth are subjected to acid frequently, the repeated acid attacks on the enamel, the enamel starts losing its minerals. The first sign of tooth decay is when a white spot appears on the tooth. This white spot is the area from where the enamel has lost its minerals. If not taken care of from the time this early sign of decay makes an appearance, then the decay just gets more serious and the white spot will turn into a cavity. Here are some tips to avoid tooth decay altogether:

1. Use fluoride based toothpaste and mouthwash: fluoride prevents tooth decay from maturing. It can even reverse or stop tooth decay, which is in its early stage. It also protects the tooth from further decay and replenishes the lost minerals from the enamel and prevents any further loss. It also reduces the acid making ability of the bacteria present in the mouth.

2. Keep a check on food: keep a study check on what you are eating. If you eat too much of junk food or food which contains a lot of sugar regularly, then suffering from a tooth decay is inevitable. Try to limit those foods to maybe once or twice a week.

3. Brush your teeth: brush your teeth regularly, preferably with fluoride toothpaste. Not only will the fluoride toothpaste protect your teeth, the toothbrush will also take out any food particle stuck between two teeth. Brush at least twice a day or preferably after every meal and before bed.

4. Use dental floss: clean in between your teeth with a dental floss.

5. Eat cheese: cheese contains casein which prevents tooth decay or cavity formation.

6. Visit your dentist regularly: make sure you visit your dentist regularly to keep your teeth healthy.

How to Avoid Tooth Decay

A smile is said to be a person s best accessory. No matter what the colour of your teeth may be when you were born, exposure to various things including tea, coffee, berries, wine etc can stain your teeth and mar their beauty. Thankfully this discoloration can be fixed by whitening your teeth. Here are a few things to know before you decide to whiten your teeth.

Cleaning and whitening are not the same: Cleaning refers to the removal of plaque and tartar from the surface of the teeth while whitening is a chemical procedure that brightens the enamel.
Not all teeth whiteners are the same: Most teeth whiteners have a hydrogen peroxide base, though they all act in the same way by releasing oxygen that reacts with strainers and removes them, they vary in terms of the strength of the hydrogen peroxide.
Whitening can be slow or quick: Teeth whitening can be done in a dentist s office or at home. In a dentist s office, this procedure can take an hour while teeth whitening at home can take a few weeks. However, home treatments are usually much more budget friendly than getting your teeth whitened at the dentist s office.
Teeth whitening is not permanent: The effect of bleaching your teeth to whiten them can last from a year to three years. You will need regular touch ups to maintain the sparkle. You should also reduce your intake of food like wine and coffee that can stain your teeth. Regular brushing and flossing will also help maintain the look for longer. On the other hand, keep in mind that excessive teeth whitening can permanently damage teeth.
Not everyone can get their teeth professionally whitened: This form of treatment is not suitable for children, adolescents, pregnant women and lactating women or people who are allergic to peroxides. This procedure can also not be performed on teeth that have cavities, exposed roots, bonded fillings, veneers, crowns incomplete dental work or on patients who suffer from gum disease and hypersensitivity. Bleaching may also not work in cases where discolouration is a result of prolonged administration of certain antibiotics or excessive fluoride intake during childhood
There may be side effects: Sensitivity is one of the most common side effects of teeth whitening. This can vary from person to person and can be relieved with pain relievers. Sensitivity can also lead to gum recession. Other common side effects of this treatment include irritation of sift tissue and nausea or vomiting.

Tooth Whitening - What You Should Know About it

Dental care is of utmost importance. Poor dental health can cause you several problems, from a mild toothache to severe pain. Here are 10 foods which will help you maintain your healthy teeth. Read on to find out more about it:

1.  Cheese: Cheese, particularly aged cheese like Cheddar, Swiss and such are beneficial for your teeth. They increase the pH scale in your mouth and effectively prevent tooth decay. It also consists of protein and calcium, nutrients required for strengthening your tooth enamel.

2.  Yogurt: Like cheese, yogurt also contains calcium and protein for tooth enamel. Probiotics or the beneficial bacteria present in yogurt are good for the gums as well.

3.  Leafy Vegetables:  Spinach and kale promote oral health. They contain calcium, which is good for your tooth enamel. They contain folic acid, a B vitamin which has a lot of health benefits and also helps to prevent gum disease.

4.  Apples: Apples contain high fiber and water, which are beneficial for your teeth. While eating an apple, a lot of saliva is produced which washes away the bacteria present in the mouth.

5.  Carrots: Carrots are also crunchy like apples and also contain high fiber which is beneficial for teeth. They also contain vitamin A which is also highly beneficial.

6.  Celery: Celery contains vitamins A and C which are very beneficial for the gums. They are also crunchy and hence help scraping away bacteria and food particles from your teeth.

7.  Almonds: Almonds are a great choice as they are low on sugar and have high content of calcium and protein.

8.  Strawberries: Strawberries are very beneficial for your teeth. Strawberries consist of vitamin C, different antioxidants and malic acid, which help in naturally whitening your teeth.

9.  Garlic: Garlic contains a substance called 'Allicin' which has strong anti-mycobacterial properties, and is thus beneficial for your teeth. It helps to prevent periodontal disease and fight tooth decay.

10.  Meat: Meat in general is beneficial for maintaining healthy teeth. Meats consist of a lot of protein, vitamins, minerals and other nutrients which are important for healthier teeth.

10 Foods for Healthy Teeth

Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours. 

Many people are satisfied with the sparkle they get from daily brushing and regular cleanings at your dentist’s clinic, but if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your whitening options.

Start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. If you have had bonding or tooth-colored fillings placed in your front teeth the whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. You may want to investigate other options, like porcelain veneers or dental bonding.

If you are a candidate for whitening there are several ways to whiten your smile:

•	In-office bleaching. This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used. Lasers have been used during tooth whitening procedures to enhance the action of the whitening agent.

•	At-home bleaching. Peroxide-containing whiteners actually bleach the tooth enamel. They typically come in a gel and are placed in a specially made bleaching trays. Usage regimens vary. There are potential side effects, such as increased sensitivity or gum irritation. Speak with your dentist if you have any concerns.

•	Whitening toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these products do not change the color of teeth because they can only remove stains on the surface.


Whitening / Bleaching

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