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dental procedures require sedation

Dental Procedures That Require Sedation

Most people know how important regular dental care is. Not only does it help to keep your mouth healthy, but good dental care can also help your entire body stay in optimum condition. In spite of this knowledge, many people avoid going to the dentist as often as they should. They have developed a fear of the dentist that leads them to put off routine cleanings and checkups in favor of visiting the dentist only when their pain is too great. Sedation dentistry may be an excellent option for those fearful of the dentist’s chair.

Sedation: A Great Tool for the Fearful

Whether you had a traumatic dental experience as a child, the media’s portrayal of dentists makes you fearful, or some other reason is behind your anxiety, odontophobia is is a condition shared by around 50 percent of Americans. Fortunately, dentists have many tools at their disposal that are designed to provide you with excellent oral care and make you feel more comfortable. One of the most important of these is sedation.

What is Dental Sedation?

Sedation allows you to remain conscious during your dental procedures while putting you in a deeply relaxed state. In fact, many people report that they drift off to sleep briefly while under sedation. There are three types of sedation delivery methods: oral, intravenous and inhalation. Oral sedation is the most popular form in use in the United States. While sedation makes you more relaxed, in most cases your dentist will still deliver pain medication at the site of the dental procedure.

When is Sedation an Option?

There are some instances when sedation is a viable method of getting dental treatments. These include the following:

Wisdom tooth removal

While some people have fairly routine wisdom tooth removal, many others have wisdom teeth that are impacted, partially visible or situated under the gum line. Sedation helps make their removal less traumatic for you as the patient.

Bone grafting

Bone grafting is a procedure that is often necessary to improve the way dentures fit. It is best completed while under sedation as it involves holding your mouth open for extended periods of time.

Dental implants

Dental implants are often a good choice for patients who have lost teeth as the result of periodontal disease or an injury. In other instances, a patient might be tired of dealing with dentures that don’t fit comfortably. If you are a candidate for dental implants, this procedure will be easiest for you under sedation.

Emergency dentistry

Whether you need emergency dentistry as the result of an injury, fall or accident, you are likely to be extremely upset and in a great deal of pain. Sedation allows you to relax so that treatment and repairs to your mouth can be completed more easily.

Jaw Surgery

Jaw surgery might be required to fix the alignment of your jaw bones to treat a condition like sleep apnea. It could also be needed to address temporomandibular joint (TMJ) disorders. Regardless of why you need jaw surgery, sedation is often required.

If you have a procedure that might be a good candidate for sedation, your dentist will go over the details with you.

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how does sedation dentistry work

How Does Sedation Dentistry Work?

Many people have a fear of going to the dentist office. This is common fear, and it prevents people from getting the dental services and treatments that they need to achieve and maintain good oral health and a beautiful smile.

If you or someone you know have dental phobia, you should know that there are certain steps your dentist can take to make your dental visit experience less stressful and traumatic. Sedation dentistry can provide you with a stress-free and relaxing time at the dentist office while you get the dental care you need.

What Is Sedation?

Sedation is a procedure in which sedative drugs are carefully administered to patients so that they are in a relaxed or calm state. The dentists who want to provide sedation dentistry services are required to undergo extensive training to be licensed to administer the sedation drugs. The sedative drugs are administered in different ways and may include:

  • Depressants
  • Tranquilizers
  • Nitrous oxide
  • Anti-anxiety medicines

Benefits of Sedation Dentistry

  • It makes dental patients less likely to avoid getting regular dental care at the dentist office and prevents them from neglecting their oral health to the degree that extensive dental treatments are needed.
  • It gives dental patients the perception that complicated dental procedures that may take hours to complete have lasted for just a few minutes.

Types of Sedation Dentistry

No matter what type of sedation treatment you will undergo, you will most likely also require an injection of a numbing anesthetic at the site where your dentist will be working. This will be to relieve any pain you may experience during your dental procedure.

  • Oral Sedation. This is the most common form of sedation dentistry and entails dental patients taking oral sedatives, usually in pill form. You do not fall asleep from oral sedation. Rather, you are conscious of safety and cooperation reasons and are relaxed during the procedure. Dental patients who are only mildly anxious are the ideal candidates to take the oral medicine.
  • Intravenous Sedation. IV sedation allows the sedative medication to be delivered directly into your bloodstream. As a result, you will achieve a relaxed state very quickly. Like with oral sedation, you do not fall asleep, but patients who undergo IV sedation can such a state of relaxation that while they may not be able to recall the procedure, they can respond to their dentist during a dental procedure.
  • Inhaled Sedation. With this type of sedation, your dentist will have you breathe in a combination of nitrous oxide and oxygen via a mask that is placed over your mouth and nose. The nitrous oxide, also referred to as laughing gas, will help you to achieve a state of relaxation, although the effects of the gas tend to wear off very quickly. Unlike with other types of sedation, after your dental treatment has been completed, you may be allowed to drive yourself back home.
  • General Anesthesia. With general anesthesia, you will be completely unconscious and will not be able to be awakened until the anesthesia has worn off or you have been given medication to reverse the anesthesia. You will not hear, feel or recall any part of your dental treatment.
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how long does tooth bonding last

Understanding How Long Does Tooth Bonding Last

Everyone wants to make sure that their smile makes the best impression. In some cases, cosmetic help may be needed to achieve the type of smile you want. Dental bonding is one of the many cosmetic dental procedures that can help you transform your smile. However, before you undergo the procedure, it is important to know how long the results will last.

What is Tooth Bonding?

Dental bonding is a procedure in which a composite resin is applied to teeth that are physically damaged in some way, such as by being fractured or chipped, or have been so badly discolored that professional teeth whitening may be ineffective. The resin that is used is tooth-colored so that it blends in with the rest of your natural teeth.

How Long Does Tooth Bonding Take?

The time that needed to bond teeth is determined by many factors but typically ranges from 30 minutes to one hour. The surface of the teeth receiving the treatment has to be roughened for the resin material to adhere. This is typically accomplished with an acidic etching solution or an abrading device. Once the resin is applied to the teeth, it is molded to fill in chips or cracks in the teeth. After the resin is hardened using a special light, your dentist will sculpt, shape and shine the composite tooth until looks as it should. The procedure is typically completed without the use of anesthesia, but if necessary, the area surrounding the teeth that are to be treated may be numbed to ensure that you do not experience any discomfort.

Dental bonding can last up to 10 years if you take proper care of your teeth. This entails avoiding eating hard food, such as candy or ice, that can damage the composite material. The condition of the area that was bonded is also a factor in how long the bonding will last. For example, the presence of an imperfect bite can reduce the working life of dental bonding.

Teeth Bonding Pros and Cons

Dental bonding has some advantages over other types of cosmetic dental remedies your dentist may recommend:

  • It does not harm existing healthy tooth material.
  • It can be completed in just one dental visit.
  • The process does not require anesthesia.
  • It is typically less expensive than other dental procedures.

However, there are some drawbacks to dental bonding of which you should be aware:

  • The composite resin is unable to resist stains as well as crowns or porcelain veneers. This means that you will have to very careful to avoid foods and drinks that could discolor your teeth.
  • A detachment of the resin could occur due to trauma or a very strong bite.
  • It is not ideal if you have multiple missing teeth or wide fractures in which the tooth pulp is exposed. The bigger the coverage needed, the greater the chance that the bond will deform or crack.

Dental bonding may be just the dental procedure you need to enhance your smile. However, every dental situation is different. Speak with your dentist about whether you may benefit from the procedure.

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botox for dental problems

Using Botox for Dental Problems

Botox, or botulinum toxin, is a muscle relaxant that may be known primarily for eliminating frown lines and wrinkles in the face. However, while Botox may be an ideal aesthetic skin treatment, it also is used for dental purposes and can be an integral part of a comprehensive dental plan to resolve a variety of dental issues.

Use of Botox in Dentistry

Botox was created to address medical issues, such as the involuntary clenching of the jaw and to relieve facial tics. In the majority of cases, dental patients can enjoy three to four months of relief from their dental issue after just one application of the therapy. Botox for dental problems is an effective alternative therapy used to alleviate the pain and symptoms associated with:

  • Temporomandibular Joint Syndrome (TMJ)
  • Bruxism
  • Mandibular spasm
  • Facial pain
  • Dental implants and surgery
  • Migraines

Botox can also be used for cosmetic dental issues. In conjunction with the use of dermal fillers, Botox can help to improve the appearance of your smile by eliminating the laugh lines around the mouth. For people who have a gummy smile, or a smile that exposes a lot of gums, Botox can be used to reshape the gums.

How Exactly Does Botox Work?

Receiving Botox is a process that can be completed in a matter of minutes and with little discomfort to you. Botox blocks the transmitters that run between the motor nerves that move the muscles. The muscles into which the Botox is injected do not lose feeling. However, the interruption of the motor nerves prevents the muscles from contracting. This is what stops the formation of facial wrinkles. For patients with dental concerns, the injected areas that had been overactive or tense due to stress or overuse become relaxed and free of pain.

Why Are Dentists Using Botox to Treat Their Patients?

Dentists view Botox as an ideal treatment because it is a minimally invasive procedure that provides a new way of addressing a range of dental issues that cause their patients pain or detract from the appeal of their smile. It is a product that is approved by the Food and Drug Administration, typically cost less than surgical procedures and has a shorter recovery time than any dental surgery. The results it provides is temporary —Botox typically wears off in three to four months—and can be completely reversed; this means that there are no negative effects if the Botox treatment is unsuccessful.

Dentists are uniquely qualified to administer Botox as they have an expert knowledge of the muscle and bone structures of the face, particularly those in the maxillofacial and oral areas, or the area between the chin and forehead. Because they have more advanced training and experience in this area than many other health care professionals, they can provide Botox treatments with the preciseness necessary to eliminate pain in the mouth and improve one’s smile.

Learn more about what Botox can do for your oral wellbeing. If you would like to know how Botox treatments can be used to resolve your general or cosmetic dental issues, don’t hesitate to contact your dentist.

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general dentistry basics

What General Dentistry Offers

At Creative Dental, we provide general dentistry services to all of our patients. Those who need or desire specialized dental care, such as implants, cosmetic dentistry, and oral surgery, can also have those needs met at Creative Dental in Westfield, New Jersey.

What is General Dentistry?

General dentistry is the foundation of oral health care. It can be compared to general physician services. You go to your general physician to monitor and maintain your overall health. Just like that, you see your general dentist for professional attention for your overall oral health.

A general dentist is educated to help patients achieve maximum oral health through careful monitoring, maintenance, and treatment. For example, during your general dentist appointment, your dental professional will inspect your mouth for any signs of trouble, such as sores, redness, swelling, infection, and other signs of bacterial issues. Recently, it’s been proven that an unhealthy dental situation can lead to bodily issues, such as heart disease. This is why general dentistry is considered to be at the forefront of ensuring overall wellness.

Dental maintenance includes the things you do at home to keep teeth and gums clean, such as brushing, flossing, and rinsing. These are essential steps for everyday maintenance.

Why are Regular Dentist Appointments Necessary?

However, home care is just the beginning. To ensure proper oral health, regular dentist appointments are needed to prevent and tackle a wide range of oral health issues, such as tartar and plaque, receding gums and more. This is an area where your general dentist and dental hygienist plays a key role. When you come in for regular visits, teeth cleaning is straightforward and effective. The teeth cleaning process involves checking the depth of tooth “pockets.” These are areas of the gum that have pulled away from the tooth. Checking pockets helps dentists identify areas in the mouth that are either infected or more prone to infection.

The teeth cleaning process also involves scraping teeth to rid them of built-up tartar and plaque. Even those who are vigilant about brushing and flossing after every meal can have tartar and plaque accumulation. These substances harden substantially, to the point where a trained hygienist is needed to remove them from the teeth. If you fail to have regular dentist appointments, tartar and plaque build-up can ultimately lead to loose or missing teeth. The good news is, this is easily preventable through regular dentist appointments.

General Dentistry services also include filling cavities, whitening, and many other services that will make your smile healthier, whiter and brighter.

What About Dental Emergencies?

Certain issues come up now and then around oral health, including cracked or chipped teeth, inflamed gums, toothaches, and other dental emergencies. These are things that your general dentist in Westfield, New Jersey is specially qualified to deal with. During your visit to a general dentist, you’ll find that all problems with your teeth and gums can be solved, often without pain or discomfort.

The more you see your Creative Dental general dentist in Westfield, NJ, the more you’ll be able to be confident that your oral health can be optimized through regular dental visits. There are so many oral health issues that can be solved with general dentistry; it makes sense to call now for your appointment!

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young woman after preventive dentistry

Understanding Preventive Dentistry

What is Preventive Dentistry?

Preventive dentistry refers to the methods used to care for your teeth so that they can remain healthy. When you use an effective preventive routine, you can prevent gum disease, cavities and other forms of dental conditions that can affect your smile.

Types of Preventive Dentistry

Preventive dental care takes place in the comfort of your home and at your dentist’s office.

  • Brushing your teeth. Brushing your teeth on a daily basis is one of the most important parts of having clean and healthy teeth. The American Dental Association recommends brushing with approved fluoride toothpaste at least twice a day or after every meal. This applies to not only your teeth but also your tongue as brushing your tongue aids in removing bacteria and can make your breath fresher.
  • Flossing. Flossing is helpful in removing bacteria and bits of food from the tight spaces that exist between your teeth. If you are wearing braces, you can use floss threaders to reach beyond the metal brackets. However, it is important that you floss correctly to avoid causing damage to your gums. If in doubt, you can speak to your dentist and request a flossing demonstration to ensure that you can benefit from the practice.
  • Dentist Visits. According to the American Dental Association, regular visits to your dentists is necessary to detecting the early signs of dental problems and ensuring that you have good oral health. You should aim for at least two visits a year so that your dentist can provide you with a professional cleaning and can examine your teeth and gums. Additional visits may be necessary if there are indications of dental issues.
  • Eating a Healthy Diet. In addition to regular cleanings, your teeth also require specific nutrients and minerals, particularly fluoride, in order to remain healthy. This requires that you consume a balanced diet and drink plenty of water. You should also avoid consuming an excessive amount of certain foods that can damage your teeth. This includes sugar in any form, which can adhere to your teeth, and acidic foods and drinks, which can erode tooth enamel.

Benefits of Preventive Dentistry

Being proactive about the health of your teeth has multiple benefits:

  • Less risk of dental issues. Preventive dentistry can lower your chances of experiencing tooth loss and other major dental issues caused by cavities, tooth decay, gum disease or other dental issues.
  • Less risk of secondary health issue. Studies have shown that poor oral health is associated with some health ailments, including heart disease, diabetes, respiratory disease, and osteoporosis, just to name a few. Maintaining good oral health can help you avoid these conditions.
  • Saves money. Preventive dentistry services are far less costly than restorative dentistry services, such crown or implant installations or root canals. Even if you have dental insurance, the costs related to having poor oral health can be very expensive.

If you have questions about what steps you can take to maintain good oral health, don’t hesitate to speak with your dentist. Your dentist can advise you of the appropriate preventive care techniques for your dental situation.

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healthy gums perfect teeth

Healthy Gums are the First Step to Perfect Teeth

Brushing and flossing properly on a regular basis is necessary to keep your teeth in their best condition. However, another significant factor in having perfect teeth is having gums that are healthy. When you are taking good care of your gums, you are also doing the same for your teeth.

Gum Disease

While the build-up of plaque can affect your teeth, the bacteria present in that substance can also begin to accumulate along and underneath the gum line, causing a mild type of gum disease called gingivitis. Gingivitis can irritate your gums, causing them to swell. Most importantly, it can lead to more severe gum disease and dental issues.

Periodontitis is an advanced form of gum disease that causes the deterioration of the bones that keep your teeth in place. Advanced stages of periodontitis can result in the destruction of the bones and fibers supporting your teeth, which can require that your teeth be removed. In addition to compromising the health of your teeth, periodontitis can also affect your overall health.

Some symptoms of gum disease may include:

  • Red, tender or swollen gums
  • Gums that have a tendency to bleed easily
  • Gums that have drawn from your teeth
  • Chronic bad breath
  • Constantly having bad taste in your mouth

How to Keep Your Gums Healthy

There are several things you can do to make sure that your gums are in the best of health:

  • Stop smoking. There is a strong link between smoking and the onset of gum disease. Smoking can make it harder for you to resist a gum infection by making your immune system weaker. The habit can also affect how well your gums can heal themselves if they are damaged.
  • Floss. Flossing at least one time a day can help remove bits of food and plaque that the bristles of your toothbrush are unable to reach. You can floss after brushing or after a meal.
  • Get dental cleanings. One of the benefits of having regular dental visits is that your dentist can give your gums and teeth a professional cleaning and detect any early signs of gum disease. Professional cleanings are also the only way to remove plaque that has hardened into tartar. Also, gingivitis can be reversed with regular flossing, brushing and dental cleanings.
  • Use the right type of mouthwash. Although it should not replace brushing and flossing, washing out your mouth with a therapeutic mouthwash can help eliminate plaque, prevent gingivitis and slow down how quickly tartar can develop. Be sure to choose a mouthwash that has the ADA seal that indicates that is considered safe.
  • Use fluoride toothpaste. Fluoride can benefit your gums just as well as your teeth. As with your mouthwash, it is best to choose the toothpaste with the ADA seal of acceptance.
  • Brush properly. The first step to ensuring that your gums are healthy is to keep in mind that they are composed of relatively fragile tissue. This means that you should use a toothbrush with soft bristles. Gums that are sore, bleeding and swollen from harsh treatment are susceptible to infections.
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how to brush teeth

How to Properly and Effectively Brush Your Teeth

The American Dental Association has recently made great strides in educating parents about childhood cavities. Because the Center for Disease Control and Prevention estimates that nearly 42% of children have cavities in their baby teeth, the need to educate parents on proper oral hygiene is critical to instilling proper oral hygiene habits. Unfortunately, children aren’t the only ones suffering from dental problems. The American Dental Hygienist Association estimate that up to 75% of adults suffer from gum disease and may not even realize it (yet). Because many dental problems can be traced back to improper care, it is important to review the proper steps for effectively brushing your teeth.

Start with the right tools

The basics of brushing start with using the right brush and the right toothpaste. When choosing a new toothbrush, consider the following:

  • Bristles: Although there many types of bristles available, most dentists recommend a soft-bristled brush as those are much gentler on the gums.
  • Head size: It may be tempting to get the larger head to cover more area at once, but a smaller head can reach into the smaller areas, particularly the teeth furthest back.
  • Powered or non-powered toothbrush: A powered brush is a smart choice especially for those with compromised dexterity.

Regardless of which toothbrush you select, it is important to replace your toothbrush often: every three months or when the bristles start to show wear, whichever comes first. Some toothbrushes even have colored indicators that fade away when the brush is worn out. Also, consider tossing your toothbrush after a cold to prevent re-contaminating yourself.

What kind of toothpaste should I use?

Shopping for toothpaste can be overwhelming, but know that there are certain formulas for certain needs including gingivitis, plaque and tartar control, and sensitivity. If you are unsure which paste is best for you, your dentist can suggest one for you. However, regardless of what your specific dental needs are, you should choose a toothpaste with fluoride to help prevent tooth decay. Children, however, will need a training toothpaste, which usually does not have fluoride.

How to brush your teeth properly

Once you have the right brush with the correct toothpaste for your needs, you can start to brush your teeth. The first rule, and usually the most often broken rule, is the duration of brushing. Proper brushing should take at least two full minutes.

  1. Apply a pea-sized amount of toothpaste to your brush.
  2. Hold the toothbrush at a 45° angle and brush the outer surface of each tooth by moving the brush in a gentle circular motion. Avoid using excessive pressure and scrubbing back and forth too roughly as the delicate gums can be easily irritated.
  3. Repeat for the inside surface as well.
  4. Next, brush the chewing surfaces (tops) of your teeth. It is okay to “scrub” this section as you are not causing friction on the gums during this part.
  5. End by brushing your tongue. Bacteria can build up in the grooves of your tongue, which contributes to bad breath.

Follow these steps twice each day, once in the morning and once before bed.

 

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abc flossing

The ABC’s of Flossing: All You Need to Know about Flossing Daily

While most people would never dream of skipping a day of brushing, flossing is a step that many people do skip. In fact, a recent study revealed that 18.5% of Americans never floss and nearly 30% floss sporadically. If you’ve been to the dentist lately, you have probably been asked if you have been flossing, and there is a good reason for that question: flossing in an integral part of oral health.

What is flossing?

Unlike brushing (which cleans the surfaces of teeth), floss is an interdental cleaner, which means that Floss can clean between teeth. Cleaning between teeth, where a toothbrush cannot reach, is so important that the US Department of Health and Human Services issued a statement supporting the ADA’s recommendation of daily flossing.

Types of floss

A quick trip down the dental care aisle will illustrate just how many floss options are available.

  • Dental floss: waxed, unwaxed, flavored (usually mint or cinnamon or plain), comfort floss, extra thick floss, mouthwash-infused floss
  • Threaded floss: particularly useful for those with braces
  • Floss picks: convenient for on-the-go or those with dexterity troubles

Regardless of which type of floss you choose, the most important thing is that you floss, period.

When to floss

The ADA suggests brushing twice a day, but flossing is necessary only once per day. It’s up to you if you would rather floss during your morning routine or your before-bed routine. However, flossing before you brush allows for brushing to be more effective. Why? With less plaque blocking the spaces between your teeth, the fluoride in your toothpaste can hit more surfaces in your mouth.

Additionally, children also need to floss; just like with brushing, parental supervision will be required until around age 8 to ensure a thorough job is done.

Benefits of Flossing

A professor at the New York University School of Dentistry contends that most people are not diligent flossers because they do not immediately see results; however, the benefits of flossing are extended far beyond just food particle removal.

  • Food removal: As bits of food get stuck between teeth, they can cause discomfort and eventually an odor. This is particularly important for those wearing braces to be diligent yet careful with flossing.
  • Removes bacteria: Even after a good brushing, bacteria and debris can still hide between teeth. Bacteria can lead to tooth decay, so it is important to remove as much as possible.
  • Plaque removal: Brushing helps remove plaque from the surfaces of teeth, but what about the plaque in between teeth? Researchers believe that flossing does up to 40% of total plaque removal.
  • Help prevent gum disease: How does flossing work to fight gum disease? Tartar and plaque are more than just unsightly; they creep below the gum line, which then can cause periodontitis. Periodontitis, a severe gum disease, is characterized by red swollen gum, tooth loss, and bone loss. By removing plaque, flossing helps prevent the cycle of plaque to periodontitis.

If you are unsure which floss product is right for you and your family, speak with your dentist.

 

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activated charcoal

Activated Charcoal – Good or Bad for Your Teeth?

There are a variety of things you can do to make sure that your teeth are in the best health and are as bright as they can be. One increasingly popular method is using activated charcoal. In fact, it is being pitched as one of the sure, all-naturals ways to help you get a brighter smile by removing tough stains on your teeth without the use of harmful abrasives or chemical bleaches.

What is Activated Charcoal?

Activated charcoal is a type of common charcoal, usually made out of wood, that has been heated in the presence of certain gases that will cause pores to form in the charcoal. These pores or internal spaces give the activated charcoal a sponge-like ability to trap the organic molecules of certain toxins. It has been widely used in the medical field as a treatment for poisonings, high cholesterol levels and more.

Activated charcoal can also absorb tannins or the molecules in foods and drinks that can cause staining. It can be included as an ingredient in toothpaste, or its powdered form can be mixed with water and then scrubbed onto the teeth. However, before your start using activated charcoal to get whiter teeth, it is important that you know exactly what to expect when you use it and why it may not be the best choice for your oral health routine.

Why Some People Use Activated Charcoal for Their Teeth

  • Its adhesive qualities allow it to remove bacteria, chemicals, plaque, and tartar from the surface of the teeth, which can make teeth cleaner and whiter.
  • It has properties that can create a healthy environment in the mouth by promoting a normal pH level.
  • It is an all-natural remedy and also is a relatively inexpensive alternative to other treatments for whitening teeth.

Arguments Against Using Activate Charcoal for Your Teeth

  • There is no guarantee of quality. Activated charcoal has not yet been approved for use by the American Dental Association as a teeth whitener. This means it has not undergone rigorous tests and reviews. Also, there is no guarantee that the manufacturers selling the products are using the correct kind of charcoal, and non-activated charcoal can be quite harmful.
  • It still has abrasive qualities. While it may not be as abrasive as some products, it can still damage your teeth. It can also cause significant damage to your gums and may contribute to receding gums. This can expose the roots of your teeth, leaving them vulnerable to the grittiness of the charcoal.
  • It may work only in certain cases. Activated charcoal can only be effective at removing surface stains. However, if your teeth are naturally yellow or darker in color because of age, they can only be whitened with a bleaching agent.

Before you start using a new product to whiten your teeth, first consult with your dentist. Using a well-tested product under the guidance of your dentist is one of the safest ways to get whiter teeth. You will be given a comprehensive dental examination and will be advised of which whitening methods may help you obtain a brighter smile.

 

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