Teeth Care at the Dentist

1. Rationale - to maintain the teeth and gums in 'a healthy state'. To identify the good things patients are doing as well as problems or pathology.       
2. Timing - in general every six (6) months for adults and children. This is to be able to see cavities, periodontal disease or other problems early, rather than progressing over a year or more.           
   • Sometimes, depending on conditions, recommend more frequently (3 or 4 times a year) Ex. - periodontal disease, dry mouth, cavity history, cancer treatments, pregnancy.
3. What is done:
   • Blood pressure
   • Oral Cancer Screening
   • X-rays as needed
   • Examination of teeth, gums
   • Scaling, polishing teeth to remove bacteria, debris and stain. It is therapeutic and preventive.
   • Discuss oral hygiene recommendations, habits, etc. "It's not just a cleaning, scraping or polishing".

Teeth Whitening

1. History
   • Has been done for ~ 20 years
   • Started as a brush-on teeth. Didn't work very well.
   • ~ 15 years ago developed tray method, to hold gel on teeth better. Improved results greatly.
   • In last 10 years or so, "In-office", "Laser" Whitening has evolved with the demand for quicker, better results. Gels have been much more concentrated, the light/laser "superactivates" the gel.
   • OTC bleaching - works in some cases, but less than dentist-prescribed.
2. What is it? A concentration of peroxides that soak into teeth. Remove the color/stain from teeth.
3. Positives/Negatives
   • "Pearly White Teeth" - sign of youth, health, attractiveness.
   • Does not damage teeth.
   • Can cause sensitivity temporarily (less now than years ago) if have receded gums, worn enamel.
   • Abuse of bleaching gives an opalescent "bluish" look.
4. Candidates
   • Have natural, good tooth structure.
   • Best if yellow/orange color (age, tea, coffee); grayish color (flourosis, antibiotics, smoking) less predictable.
5. How long last?
6. Expectations

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