Tooth-Colored Fillings Questions and Answers Archive

Dec
2001

Q&A: If I go to get tiny holes in my front,lower teeth filled, will it look like my real teeth and will the fillings last as long as my real teeth?

Question:

Hi-I received orthodontic treatment for 2 1/2 years and then received an upper Hawley retainer and a cemented lower retainer. I had the lower retainer removed about a year ago, and I think there must have been bulid-up while the retainer was there. I have noticed that it looks like there are very tiny holes between my front lower teeth. I am assuming these are cavities, and so my question is if I go to get these filled will it look like my real teeth and will the fillings last as long as my real teeth? (I should also mention that I floss every day and brush twice a day, and these holes are closer to the middle of the teeth-a I think a fair distance away from the gums.) Thanks for your help!

- Sam

Answer:

 Debra Gray King, DDS - LocateADoc.com

You should definitely be evaluated by a dentist to see what the holes are and possible causes. There are tooth colored materials now that can be used to restore teeth in a way that is virtually undetectable to someone just seeing you smile. Ask your dentist about these options. Hope this helps.

-- Debra Gray King, DDS
Atlanta, Georgia



Sep
2001

Q&A: Could laser whitening remove my dark tooth stains?

Question:

When I was very young, I had to take a lot of iron and it resulted in my teeth being very dark. I have used over-the counter whiteners and even a dentist's whitening products to no avail. Would laser whitening work on my teeth?

- Sharon

Answer:

Debra Gray King, DDS - LocateADoc.com

Thanks for your question, Sharon. Frequently, dentists hear from peapole who have not gotten the results they wanted through over-the-counter whiteners. In fact, I have never seen a patient that has gotten good results this way. Several factors can contribute to the darkening of teeth, including the effects of age, foods and drinks, smoking and some medications. Darkened teeth caused by oral supplements or medications pose more of a challenge. The whitening process involves placing a whitening solution in contact with the teeth, causing oxidation of stains and subsequent lightening. There are a variety of systems available, ranging from those done in the dental office to dentist supervised at-home systems. You specifically asked about laser whitening. This is a procedure that is becoming less popular and is being replaced by light-activated in-office whitening systems. For a high percentage of our patients, this whitening technique has been very successful. It usually takes a couple of hours and usually costs about $500 many times, the laser whitening used to cost from $1,200 to $2,000). A smile darkened with the color of yellow, brown or orange responds better to whitening than brown or white spots caused by fluorosis, smoking or tetracycline (grayed teeth). If you have very sensitive teeth or teeth with worn enamel, we can use whitening materials that are designed specifically for sensitive teeth. The more traditional tray whitening takes a little longer to complete. Tray whitening is accomplished by wearing a form-fitted matrix containing a whitening or whitening agent at home for two to four weeks. The take home systems tend to cost a little less than in-office systems. In the take-home system, we mold your teeth and make the trays to fit snugly to your teeth to prevent spillage of the whitening gel. Usually you place these trays over your teeth before going to sleep and take them out in the morning. With tray whitening most people will notice a change in the color of their teeth the first night they bleach. Tray whitening takes about seven to ten days to complete. How Does It Work? Both in-office and take home systems are based on a hydrogen peroxide solution, which releases oxygen. The oxygen works on the teeth by breaking down the protein stains in the teeth without harming the tooth itself. The lightness should last from 1 to 5 years, depending on your personal habits. People, who smoke, drink a lot of coffee or tea will have results that do not last as long. Touch up whitening can be used after several years or for a special occasion. It is important to note that whitening does not lighten caps or crowns or tooth colored fillings, such as composite resins or porcelains.

--Debra Gray King, DDS
Atlanta, Georgia