Article Accessed from MouthHealthy

Brushing and flossing are everyday ways to keep your teeth bright, white and healthy. Still, if you might feel like your smile is lacking some sparkle or is more yellow than it used to be, you’re not alone. When the American Academy of Cosmetic Dentistry asked people what they’d most like to improve about their smile, the most common response was whiter teeth. The American Association of Orthodontists also found that nearly 90% of patients requested tooth whitening.

Thinking about teeth whitening? Get the facts first. Here are five of the most commonly asked questions about the process. 

Why Did My Teeth Change Color?

Over time, your teeth can go from white to not-so-bright for a number of reasons:

Food and Drink
Coffee, tea and red wine are some major staining culprits. What do they have in common? Intense color pigments called chromogens that attach to the white, outer part of your tooth (enamel).

Tobacco Use
Two chemicals found in tobacco create stubborn stains: Tar and nicotine. Tar is naturally dark. Nicotine is colorless until it’s mixed with oxygen. Then, it turns into a yellowish, surface-staining substance.

Age
Below the hard, white outer shell of your teeth (enamel) is a softer area called dentin. Over time, the outer enamel layer gets thinner with brushing and more of the yellowish dentin shows through.

Trauma
If you’ve been hit in the mouth, your tooth may change color because it reacts to an injury by laying down more dentin, which is a darker layer under the enamel.

Medications
Tooth darkening can be a side effect of certain antihistamines, antipsychotics and high blood pressure medications. Young children who are exposed to antibiotics like tetracycline and doxycycline when their teeth are forming (either in the womb or as a baby) may have discoloration of their adult teeth later in life. Chemotherapy and head and neck radiation can also darken teeth.

How Does Teeth Whitening Work?

Teeth whitening is a simple process. Whitening products contain one of two tooth bleaches (hydrogen peroxide or carbamide peroxide). These bleaches break stains into smaller pieces, which makes the color less concentrated and your teeth brighter.

Does Whitening Work on All Teeth?

No, which is why it’s important to talk to your dentist before deciding to whiten your teeth, as whiteners may not correct all types of discoloration. For example, yellow teeth will probably bleach well, brown teeth may not respond as well and teeth with gray tones may not bleach at all. Whitening will not work on caps, veneers, crowns or fillings. It also won’t be effective if your tooth discoloration is caused by medications or a tooth injury.

What Are My Whitening Options?

Talk to your dentist before starting. If you are a candidate, there are four ways to put the shine back in your smile:

Stain Removal Toothpastes
All toothpastes help remove surface stain through the action of mild abrasives that scrub the teeth. Look for whitening toothpastes that have earned the ADA Seal of Acceptance for stain removal (it will tell you on the package). These toothpastes have additional polishing agents that are safe for your teeth and provide stain removal effectiveness. Unlike bleaches, these types of ADA-Accepted products do not change the color of teeth because they can only remove stains on the surface.

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 your gums. Bleach is then applied to the teeth.

At-Home Bleaching from Your Dentist
Your dentist can provide you with a custom-made tray for at-home whitening. In this case, the dentist will give you instructions on how to place the bleaching solution in the tray and for what length of time. This may be a preferred option if you feel more comfortable whitening in your own home at a slower pace, but still with the guidance of a dentist. Out-of-office bleaching can take anywhere from a few days to a few weeks.

Over-the-Counter Bleaching Products
You may see different options online or in your local grocery store, such as toothpastes or strips that whiten by bleaching your teeth. The concentration of the bleaching agent in these products is lower than what your dentist would use in the office. If you are thinking about using an over-the-counter bleaching kit, discuss options with your dentist and look for one with the ADA Seal of Acceptance. That means it has been tested to be safe and effective for teeth whitening. Get a list of all ADA-Accepted at-home bleaching products.

Are There Any Side Effects from Teeth Whitening?

Some people who use teeth whiteners may experience tooth sensitivity. That happens when the peroxide in the whitener gets through the enamel to the soft layer of dentin and irritates the nerve of your tooth. In most cases the sensitivity is temporary. You can delay treatment, then try again.

Overuse of whiteners can also damage the tooth enamel or gums, so be sure to follow directions and talk to your dentist.

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Article accessed by MouthHealthy

If you’re one of the 44 million family caregivers in the United States, you’ve got a lot on your mind. However, keeping your loved one’s mouth healthy is important for their dental health, overall health and so much more.
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“It’s also about comfort, safety and self-esteem,” says ADA dentist Dr. Judith Jones. “Keeping your mouth and teeth clean can prevent sensitivity or pain in your teeth. In terms of safety, there might be broken teeth, broken partials or unsafe partials they can swallow. And for their self-esteem, it’s important for individuals to have a sense of pride in their appearance and to have good hygiene.”

How much help you give will depend on the individual. If the person in your care can do the basics, let them. Some adults may have physical issues that make them unable to hold a toothbrush. Others may have memory issues, so they forget to brush and floss. People with dementia may need someone to clean their teeth each day and take them to a dentist. 

No matter your situation, daily care plus professional care equal the best chances for a healthy mouth. Here are some important mouth care steps for older adults. 

• Brush teeth twice a day for two minutes using a fluoride toothpaste.
• Clean between the teeth daily with floss or other between-the-teeth cleaner.
• Rinse dentures after each meal, brush them daily with denture cleaner and take them out before bedtime and store in water.
• If the person has dry mouth, an alcohol-free mouthrinse may help. Sipping water, sucking (not chewing) on ice chips and using a humidifier while sleeping can help keep him or her hydrated.
• Limit snacking and sugary drinks. Healthy foods and drinks such as fruits, vegetables, whole grains and water are good for the mouth and the body.
• Make and keep dental appointments. Even people with dentures need to visit the dentist.
• Watch for symptoms that could signal larger issues, and make an appointment with the dentist to have them checked out. 

You may have questions specific to your own situation, so here are some starting points for different types of care cases. And always feel free to speak with your dentist or your loved one’s dentist for more advice.