1. Are any side effects associated with teeth whitening?

The good news is that there are virtually no long term side effects with teeth whitening when used as prescribed by a dental professional. There may be some short term side effects including gum irritation and teeth sensitivity. The bleaching materials are much improved over the old ones. They all include additives now that greatly reduce teeth sensitivity. We work with all our patients to minimize any of these side effects.


2. Does teeth whitening work for everyone?

This is a good question. Almost everyone who professionally whitens their teeth will see changes. The results vary. For example, a 21 year old will likely have more success whitening than an 85 year old. It is usually easier to whiten younger teeth. There are some people that seem to be a little more resistant to whitening for reasons we may not understand.

I personally would not hesitate recommending professional whitening to any of my patients that desire lighter teeth. It works, but patients should recognize that the results do vary.


3. Are there special considerations for dental veneers?

Dental veneers can be a wonderful treatment option for some patients. They are usually life changing. There are a few considerations I want my patients to understand. Dental veneers are an irreversible treatment. In most situations the front teeth are prepared (or shaved down a little) so we can place a natural looking veneer or facing on those teeth. There is a technique that uses a very thin veneer requiring less or no tooth preparation at all, but it is still permanent. In addition, a veneer, like other dental restorations, will eventually have to be replaced. They can be a very long lasting restoration when made well, but they usually do not survive a lifetime. I believe these are important considerations.


4. How do I know whether a cosmetic dentist is good or not?

Patients should be careful with the title of cosmetic dentist. All dentists are trained in cosmetic procedures. Some dentists may obtain further education in cosmetic procedures, but there really is no formal education or degree in cosmetic dentistry. I believe this label of cosmetic dentist can be misleading to patients.

I do believe it is very important to find a competent dentist in all aspects, but especially cosmetic procedures. I always tell patients that the best way to find a good and competent dentist or specialist is by word of mouth. Find someone who highly recommends a specific doctor and find out why they had a good experience. There is no website or marketing tool that can ever substitute a recommendation from another patient.


5. What cosmetic dentistry procedures are available for people who are missing teeth?

There are three general ways to replace missing teeth: dental implants, fixed bridges, and removable dentures and partial dentures. Dental implants top the list of these procedures because of their numerous benefits to the patient. This is not to say that we cannot achieve a highly esthetic result with bridges and dentures. We are always seeking the highest esthetic outcome for teeth replacement procedures.


6. May I choose to be sedated during cosmetic dentistry procedures?

Yes. Patients may choose to be sedated as long your dentist has it available. There are various anti-anxiety options in many dental offices including anti-anxiety medications taken before the dental visit and nitrous oxide sedation administered during the procedure. Those patients desiring deeper sedation for the procedure may have to find a dentist or dental specialist who is qualified to administer this type of sedation.