What is tooth whitening?
It's a bleaching process that lightens discolorations of enamel and dentin. The system uses a mild solution retained in a custom-fitted tray that is worn over your teeth.

What causes tooth discoloration?
There are many causes. The most common include aging, consumption of staining substances (coffee, tea, colas, tobacco), trauma, nerve degeneration, and old restorations. During tooth formation, consumption of tetracycline or excessive fluoride may also cause discoloration.

Who may benefit from tooth whitening?
Almost anyone. However, there are some cases where the treatment may not be effective. A dentist may determine viable candidates for the process through a thorough oral examination and diagnosis. Nite White is ideal for patients who have healthy, unrestored teeth and would like to have a whiter, brighter smile, day or night.

Is the process safe?
YES! Research and clinical studies indicate that whitening teeth with carbamide peroxide under the supervision of a dentist is safe for teeth and gums. In fact, many dentists consider this whitening process the safest cosmetic dental procedure available today.

How does it work?
The whitening gel is placed in a thin bleaching tray that fits over your teeth. As the active ingredient in the gel (carbamide peroxide) is broken down, oxygen enters the enamel and dentin and bleaches the colored substances. The structure of the tooth is not changed; only the tooth color is made lighter.

How long does it take?
Results are usually seen after the first application. Maximum results generally occur when the process is continued for 10-14 nights.

Are there any side effects?
Some people experience temporary increased tooth sensitivity to cold during the treatment. These symptoms disappear within 1-3 days after interruption or completion of the treatment. Patients using Nite White EXCEL are less likely to get tooth sensitivity.

How long do the results last?
The teeth will always be lighter than they once were. However, some patients may need a tooth whitening "touch-up" for 1-2 days, once or twice a year. In order to maintain the whitest tooth shade possible, it is best to avoid substances like coffee, tea, red wine and tobacco.

What is Laser SoftCare™?
Laser SoftCare is a laser based technique for the treatment of periodontal disease using the Lares PocketPro™ Laser. Fear of periodontal treatment vanishes when patients find out no scalpel or sutures will be used. Patient friendly laser treatment gets patients to agree to the treatment they need and continue with follow-up care that is prescribed.

Our office is one of the first in the area to offer Laser SoftCare for the treatment of gingivitis and/or periodontitis. Following are commonly asked questions about this technology.

How does it work?
Tartar, associated with inflamed and bleeding gums, is removed from root surface of the tooth using an ultrasonic scaler and small instruments.

Then, a small amount of light energy from a laser is directed through a tiny fiber, which is gently placed between the gum and tooth. This light energy removes a tiny amount of diseased tissue and aids in reducing the bacteria associated with the disease. After the area is thoroughly cleaned, the body can heal the area naturally.

Does it hurt?
Although the procedure itself can be virtually painless, we may anesthetize the area for the patient’s comfort. In this way we can precisely direct the laser for treatment. Post-procedure discomfort is typically minimal and of short duration.

How long does it take?
Initial treatment is focused on scaling and the use of small instruments to remove tartar. Then, the laser portion of treatment is performed and normally only takes a few minutes. Depending on the severity of the patient’s periodontal disease, treatment may be accomplished in one office visit or in multiple visits. The estimated treatment time is reviewed with patients when we discuss their treatment plan.

Does this treatment cost more than traditional gum surgery?
Typically we use the same billing codes as traditional gum surgery and the laser treatment is generally no more expensive than traditional surgery. There are other factors which may affect cost, such as the severity of the periodontal disease, and how many teeth are involved. Many insurance plans pay only for a portion of this treatment. Patients should discuss their payment options with the dental office personnel as we offer financing for this treatment.

The dramatically increased comfort for our patients made the new system attractive to our office. We encourage patients to take care of the need now to reduce further damage to their gums, teeth and bone.

What should I use to clean my baby's teeth?
A toothbrush will remove plaque bacteria that can lead to decay. Any soft-bristled toothbrush with a small head, preferably one designed specifically for infants, should be used at least once a day at bedtime.

When should I take my child to the dentist for the first check-up?
In order to prevent dental problems, your child should see a dentist when the first tooth appears, or no later than his/her first birthday.

Are baby teeth really that important to my child?
Primary, or "baby," teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.

What should I do if my child has a toothache?
Rinse the mouth with warm water to clean it out. Use dental floss to remove any food that may be trapped between the teeth. Do not put aspirin on the aching tooth or gum tissues. See your dentist as soon as possible.

Are thumb sucking and pacifier habits harmful for a child's teeth?
Thumb and pacifier sucking habits will generally only become a problem if they go on for a very long period of time. Most children stop these habits on their own, but if they are still sucking their thumbs or fingers when the permanent teeth arrive, a mouth appliance may be recommended by your dentist.

How can I prevent decay caused by nursing?
Avoid nursing children to sleep or putting anything other than water in their bed-time bottle. Also, learn the proper way to brush and floss your child's teeth. Take your child to a pediatric dentist regularly to have his/her teeth and gums checked. The first dental visit should be scheduled by your child's first birthday.

How often does my child need to see the dentist?
A check-up every six months is recommended in order prevent cavities and other dental problems. However, your dentist can tell you when and how often your child should visit based on their personal oral health.

Toothpaste: when should we begin using it and how much should we use?
Fluoridated toothpaste should be introduced when a child is 2-3 years of age. Prior to that, parents should clean the child's teeth with water and a soft-bristled toothbrush. When toothpaste is used after age 2-3, parents should supervise brushing and make sure the child uses no more than a pea-sized amount on the brush. Children should spit out and not swallow excess toothpaste after brushing.

How do I make my child's diet safe for his teeth?
Make sure your child has a balanced diet, including one serving each of: fruits and vegetables, breads and cereals, milk and dairy products, and meat fish and eggs. Limiting the servings of sugars and starches will also aid in protecting your child's teeth from decay. You can also ask your dentist to help you select foods that protect your children's teeth.

How do dental sealants work?
Sealants work by filling in the crevasses on the chewing surfaces of the teeth. This shuts out food particles that could get caught in the teeth, causing cavities. The application is fast and comfortable and can effectively protect teeth for many years.

How do I know if my child is getting enough fluoride?
Have your dentist evaluate the fluoride level of your child's primary source of drinking water. If your child is not getting enough fluoride internally through water (especially if the fluoride level is deficient or if your child drinks bottled water without fluoride), then your dentist may prescribe fluoride supplements.

What can I do to protect my child's teeth during sporting events?
Soft plastic mouth guards can be used to protect a child's teeth, lips, cheeks and gums from sport related injuries. A custom-fitted mouth guard developed by a dentist will protect your child from injuries to the teeth, face and even provide protection from severe injuries to the head.

What should I do if my child falls and knocks out a permanent tooth?
Hold the tooth by the crown, and gently rinse off the root in water if it's dirty. Do not scrub it or remove any attached tissue fragments. If possible, gently reinsert and hold the tooth in its socket. If that isn't possible, put the tooth in a cup of milk or any emergency tooth preservation product that has the American Dental Association Seal of Acceptance. The sooner you can do any of these things the better because it helps keep the small attachment fibers on the root of the tooth alive. Then get to the dentist as quickly as possible, within an hour if you can. Don't forget to take the tooth with you!

What should I do in the event of a broken tooth?
Rinse the mouth with warm water to keep the area clean. Put cold compresses on the face to reduce swelling. Go to the dentist immediately.

What do I do if my child possibly breaks their jaw?
Apply cold compresses to control swelling. Go to your dentist or a hospital emergency room immediately.

What do I do when my child gets objects caught between their teeth?
Gently try to remove the object with dental floss. If you are not successful, go to the dentist. Do not try to remove the object with a sharp or pointed instrument.

How do I handle a bitten lip or tongue?
Clean the area gently with a cloth. and put cold compresses to keep the swelling down. If bleeding is excessive or deosn't stop in a short period of time, go to the dentist or hospital emergency room.

How safe are dental X-rays?
There is very little risk in dental X-rays. Dentists are especially careful to limit the amount of radiation to which children are exposed. Lead aprons and high-speed film are used to ensure safety and minimize the amount of radiation.

How can parents help prevent tooth decay?
Parents should take their children to the dentist regularly, beginning with the eruption of the first tooth. Then, the dentist can recommend a specific program of brushing, flossing, and other treatments for parents to supervise and teach to their children. These home treatments, when added to regular dental visits and a balanced diet, will help give your child a lifetime of healthy habits.

What do I do if a dental emergency happens while traveling?
Look in the Yellow Pages under "dentist" to find the state or local dentist society phone number to get a referral.
Ask the hospital emergency room to recommend a dentist.
Ask the hotel personnel to refer you to a dentist.
If you are out of the country, contact the U.S. Embassy or ask hotel personnel tor efer you to a dentist.