R & W Dental Associates

Products And Services

• Cleanings/Exams

  Dental cleanings are an important part of long term oral health and hygiene. The process involves the removal of plaque and bacteria from the teeth and surrounding tissue to prevent dental decay, gingivitis, and periodontal disease. There are varying degrees of cleanings that patients may need, from simple plaque removal and polish to deep scale and debridement. This depends on the location and amount of tarter build-up along with existing oral conditions. Regular dental exams are an important part of long term and preventive dental health. During your exam, the hygienist and dentist work together as a team to identify gum inflammation, bone loss, dental decay, and oral cancer. Your dentist and hygienist will also check your face, neck, and mouth for any abnormalities and discuss any other issues you may be encountering.

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• Digital X-Rays

  Dental X-rays are a vital part of a dental examination There are two main types of dental X-rays: those taken with the X-ray film inside the mouth (intraoral) and those taken with the X-ray film outside the mouth (extraoral). Intraoral X-rays are the ones most commonly used. They provide detailed evidence of the growth of developing teeth, the health of tooth roots and surrounding bone, including the jaw. They also help the dentist zero in on any cavities. Extraoral X-rays, while they also show the teeth, primarily focus on the jaw and skull. They are therefore more helpful in diagnosing malocclusions, impacted teeth, and possible temporomandibular joint disorders (TMD). TYPES OF INTRAORAL X-RAYS There are three types of intraoral X-rays. Each type helps the dentist visualize a different aspect of the tooth. BITE-WING X-RAYS Bite-wing X-rays, named for the fact that the patient bites down on the film, provide details of both the upper and lower teeth in one section of the mouth. Since each one visualizes an entire tooth, bite-wings are used to evaluate changes in bone density that may result from gum disease and to detect decay. These X-rays are also valuable when the dentist wants to fit a crown or check on the integrity of fillings. PERIAPICAL X-RAYS Periapical X-rays focus on fewer teeth, but show each entire tooth, from the crown to the root. They include images of any abnormalities of the root or surrounding jaw bone. OCCLUSAL X-RAYS Occlusal X-rays are larger than most other X-rays, and are most often used to track tooth development and location in children. Because these X-rays show the entire arch of the upper or lower teeth in the jaw, they help the dentist to evaluate possible bite problems. TYPES OF EXTRAORAL X-RAYS There are many types of extraoral X-rays. Each has a somewhat different purpose. PANORAMIC X-RAYS These X-rays take images of the whole mouth at once, showing all the upper and lower teeth at one time. Panoramic X-rays show positions of developing, fully erupted, or impacted teeth and are also helpful in diagnosing tumors. TOMOGRAMS Tomograms are designed to highlight a particular layer of the mouth that might otherwise be obscured by adjacent layers. These X-rays focus on the desired image and intentionally blur those that are in the way of the targeted structure. CEPHALOMETRIC PROJECTIONS Cephalometric projections provide an image of the entire side of the head, presenting views of the teeth in relation to the jaw. These X-rays are useful to orthodontists as they develop treatment plans to correct malocclusion. SIALOGRAPHY Sialography enables the dentist to visualize the salivary glands. In order for the procedure to take place, the patient is injected with a dye that allows the salivary glands to be seen on X-ray. This type of X-ray is used to detect blockages of the salivary glands or to investigate conditions such as Sjögren’s syndrome. COMPUTED TOMOGRAPHY Also known as CT scanning, computed tomography shows images of internal structures in three dimensions. This variety of X-ray, sometimes used to evaluate problems of the bones of the face, including fractures or tumors, is also employed to evaluate precise locations for dental implants and complex tooth extractions.

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• Dental Fillings

  Dental tooth fillings are a restorative treatment, used to improve the appearance and functionality of teeth affected by damage or decay. The filling materials, which can be made from several different substances, help to even out tooth surfaces for more efficient biting and chewing. Dental fillings can last for many years and help keep the tooth looking and functioning at its best. TYPES OF DENTAL FILLINGS COMPOSITE FILLINGS Composite fillings are made of a glass or quartz filler within a resin medium that produces a tooth-colored material. Also known as filled resins, composites are often used in small to mid-size restorations, as they provide strength, durability and resistance to fracture. In addition, the shade of composite fillings is made to closely match the patient’s actual teeth, so that other people will not be aware that dental work has been done. GLASS IONOMERS Glass ionomers are also tooth-colored fillings that are made of a mixture of acrylic and glass, and are most often used in young children, because they release fluoride. This material is weaker than composites and usually lasts less than five years before a replacement is needed. AMALGAM FILLINGS Amalgam fillings have been used for many years and are considered strong, durable and relatively inexpensive compared to other materials. Although strong and effective, many patients do not choose to use amalgam fillings because the silver color can be visible while eating, speaking or smiling. THE DENTAL FILLING PROCEDURE During the filling procedure, the tooth is prepared by removing any decay or damage in the area with a dental hand piece or laser. The surface of the tooth is cleaned and prepared for filling. The filling material is placed in the targeted area, where it will be finished and polished to match the appearance of the natural teeth. Dental fillings are placed during a single visit to a dentist’s office. Some patients may require additional support after their filling procedure, such as the placement of a crown, implant or bridge. A root canal may be needed for severely damaged or infected teeth. The dentist will discuss the filling materials and options with each patient before the procedure to determine the best option.

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• Dental Crowns

  A dental crown is a restoration that covers or caps a tooth, restoring it to its normal size and shape while strengthening and improving its appearance. Crowns are necessary when the tooth is broken down to the point where a filling will not be effective. BENEFITS OF DENTAL CROWNS A dental crown can be used for various reasons including covering discolored or misshapen teeth, and in conjunction with bridges and dental implants. Other benefits of dental crowns may include: Holding a cracked tooth together to prevent further damage Covering and supporting a tooth with a large filling Restoring a broken tooth DENTAL CROWN PROCEDURE The dental crown process takes place in two phases or appointments. At the first appointment, the tooth is prepared by filing or reshaping, so the crown can fit in securely and comfortably. The area around the tooth is numbed throughout the procedure with a local anesthetic. After the tooth is prepared, an impression is made of the teeth and gums using a paste or putty. The impression is then sent to a laboratory to make a custom crown, which usually takes two to three weeks. Patients are given a temporary dental crown until the permanent crown is ready. At the second appointment, the new crown is inspected for proper fit and tooth color. The temporary crown is then removed and the new one is cemented onto the tooth. TYPES OF DENTAL CROWNS There are several different methods of crown restoration, each using a different crown material. Different types of crown material include: METAL CROWNS Metal crowns are made entirely of a metal alloy that may include gold, platinum, palladium, or other elements. Compared with other kinds of crowns, metal crowns preserve more of the tooth structure. They withstand biting and chewing forces well and rarely chip or break. The biggest drawback of metal crowns is the metallic color. PORCELAIN-FUSED-TO-METAL OR PFM CROWNS PFM crowns can be color-matched to the teeth. Second only to all-ceramic crowns in appearance, porcelain-fused-to-metal crowns look like normal teeth. In some cases, the metal underlying the crown’s porcelain can create a dark line. PFM crowns tend to wear down opposing teeth more than metal crowns. The crown’s porcelain portion can also chip or break. RESIN CROWNS All resin crowns are the least expensive type of dental crown. The drawback is that they are more prone to chips and fractures than other crowns and tend to wear down over time. CERAMIC OR PORCELAIN CROWNS These crowns provide the best natural color of all the dental crowns. They are not as strong as PFM or gold crowns, and they may wear down opposing teeth more than metal or resin crowns. Because they are the most cosmetically pleasing, they are commonly used for the front teeth. COMPLICATIONS OF DENTAL CROWNS Some patients experience increased sensitivity immediately after the procedure, particularly if the crowned tooth still has a nerve in it. For sensitivity to heat and cold, some patients are advised to use toothpaste for sensitive teeth. Other complications that may occur with dental crowns are: PAIN OR SENSITIVITY WHEN BITING This usually means that the crown is too high on the tooth. If this is the case, the dentist will be able to fix the problem by adjusting the crown. CHIP IN A PORCELAIN CROWN Resin can be used to repair the remaining crown. If the chipping is extensive, the entire crown may need to be replaced. LOOSE DENTAL CROWN If the cement washes out from underneath the crown, bacteria can then leak in and cause decay. A dentist should be consulted to resecure the crown to alleviate the problem. In some cases, a dental crown may fall off entirely. If this happens, contact the dentist immediately. The dentist may be able to replace the crown or create a new crown if necessary. With proper oral hygiene, dental crowns can last from five to fifteen years. Patients should consult with their dentist to see if dental crowns are appropriate for their individual condition.

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• Dental Bridges

  Dental bridges are natural-looking tooth replacements that help maintain facial structure, reduce stress on the jaw and fill in the gaps caused by missing teeth. A dental bridge can be used to: Restore an attractive smile Reduce the risk of gum disease Restore the ability to bite and chew Improve speech Prevent remaining teeth from drifting out of position TYPES OF DENTAL BRIDGES There are three main types of bridges: TRADITIONAL BRIDGES Also known as fixed bridges, traditional bridges are used to replace one or more missing teeth. The procedure involves creating a crown for the tooth or implant on either side of the missing tooth, with a pontic, or a false tooth, in between. Fixed bridges are the most common type of dental bridges and are either made out of porcelain fused to metal or out of ceramics. RESIN-BONDED BRIDGES Also known as Maryland-bonded bridges, resin-bonded bridges are primarily used for the front teeth. They are less expensive than fixed bridges and are best for use when the teeth are healthy and do not have any large fillings. During this procedure, a false tooth is fused with resin to metal bands which are then bonded to the adjacent teeth and hidden from view. Resin-bonded bridges require only minimal preparation of the adjacent teeth. CANTILEVER BRIDGES These bridges are used in areas of the mouth that are under minimal stress, such as the back teeth. Cantilever bridges are recommended when there are teeth on only one side of the open space. THE DENTAL BRIDGE PROCEDURE There are several steps that are taken in order to create a bridge: FIRST STEP The adjacent teeth must be prepared. This involves removing some of the enamel to allow room for the crown to be placed over them. SECOND STEP Impressions of the teeth are made. These will be sent to a laboratory so a bridge, a false tooth or pontic, and crowns can be created to fit the unique configuration of the patient’s mouth. During the 2 to 3 weeks while the bridge is being manufactured, the patient will be given a temporary dental bridge to protect the exposed teeth and gums. THIRD STEP During the next dental visit, the temporary bridge will be removed and replaced with the new, permanent bridge. The doctor will make sure the bridge fits properly and cement it to the teeth. RECOVERY AFTER A DENTAL BRIDGE PLACEMENT Replacing missing teeth should make eating easier, but until they get used to the bridge, patients are advised to eat soft food cut into small pieces. For a few weeks after receiving a bridge, it is common to experience increased sensitivity to extreme temperatures. Patients will also notice a difference in their speech which will become clearer with the permanent bridge in place. RESULTS OF A DENTAL BRIDGE PLACEMENT With good oral hygiene, a dental bridge will last from 5 to 15 years, sometimes longer. Patients must remember to practice proper care of their teeth and gums to prevent the build-up of bacteria and formation of plaque. Regular dental visits and cleanings will still be required.

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• Dentures

  Dentures are prosthetic devices designed to help patients with missing teeth, chew food, improve speaking habits, and improve the patient’s facial aesthetics. The absence of teeth can lead to a sunken, collapsed appearance to the mouth-area. By restoring the physical presence of teeth, this malformation is corrected, the patient’s mouth is supported and the appearance is improved by aesthetic standards. Aesthetic dentures are custom crafted to provide a precise comfortable fit, and to enhance overall facial features. The color of the teeth is carefully selected and the natural differences in tooth shape and size are carefully chosen based on each individual’s age, gender and unique facial qualities. In addition, dentures are made to replicate the gum tissue naturally while providing the proper structure and support for lips, cheeks and face. TYPES OF DENTURES There are three types of dentures: COMPLETE DENTURES Complete or full dentures are only required for people who have lost all or most of the teeth on either of the two arches of the mouth. FIXED PARTIAL DENTURES Most patients missing only a few teeth opt for fixed partial dentures, also known as “crown and bridge.” These must be precisely installed, especially when in between healthy teeth. REMOVABLE PARTIAL DENTURES Removable partial dentures are different from fixed partial dentures in that they are normally only used by people who have lost too many teeth for fixed dentures, but too few for full dentures. STABILITY OF DENTURES A frequent issue with dentures is their ability to remain in place during usage. This is based on the following factors: SUPPORT The denture may have a tendency to clasp tighter and tighter to the gums as the mouth chews food. The better the support, the less likely the denture is to move vertically closer to the arch upon which it is situated. STABILITY Movement in the horizontal plane, sometimes described as “slipping” front to back or side to side, can be hazardous to the patient. The quality of a denture base is responsible for preventing movement and maintaining continuous contact with the gums. However, this is heavily dependent on the patient’s oral anatomy. RETENTION Retention describes the tendency of the denture to move vertically away from the gums, into the lumen of the mouth. The craftsmanship of the denture is tested here, as the better the intaglio or the inside of denture, copies the oral topography, the more effective the seal is. Maxillary dentures, used for the top teeth, achieve better unification with toothless gums due to the improvement in suction from the smooth surface. However, mandibular dentures, used for the bottom teeth, are much more effective if the patient still retains some teeth.

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• Surgical Dental Extractions

  A dental extraction, also known as exodontia, is one of the most common procedures performed at a dentist’s office. The procedure involves removing or pulling a tooth. A surgical extraction may be necessary on certain teeth. REASONS FOR SURGICAL EXTRACTIONS Dental extractions may be performed to minimize overcrowding or in preparation for braces. An extraction may also be performed to remove the following types of teeth: Wisdom teeth Decayed teeth Broken teeth Impacted teeth THE SURGICAL EXTRACTION PROCEDURE More complex extractions may need to be performed by an oral surgeon. Surgical extraction is commonly performed on teeth that have broken at the gum line or have not descended into the mouth, such as wisdom teeth. The extraction procedure is performed under local anesthesia to minimize discomfort. RECOVERY FROM SURGICAL EXTRACTION Patients should eat only soft foods and liquids for the first few days and gently rinse their mouth with warm salt water to relieve swelling and pain. Patients should avoid using a straw as it can induce bleeding. COMPLICATIONS FROM A SURGICAL EXTRACTION The dental extraction procedure is safe for most patients with minimal to no complications. While most complications are rare, they may include: Accidental damage to surrounding teeth Fractured jaw Soreness in the jaw Dry socket or exposure of bone in the tooth socket Infection RECOVERY FROM A DENTAL EXTRACTION After the extraction, patients may experience a certain amount of pain. The pain may be relieved by: Applying ice to the external area Rinsing with warm salt water Taking anti-inflammatory medication Antibiotics may be prescribed to fight infection. Patients are also advised to avoid certain foods. Most patients recover completely from a dental extraction within one to two weeks.

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• Cosmetic Dentistry

  Cosmetic dentistry encompasses not only the health of the teeth, but also their aesthetic value. Various products and procedures exist within cosmetic dentistry with the goal of improving both the well-being and visual beauty of the teeth, giving the individual a higher level of self-confidence. Services provided by a cosmetic dentist include the following: Tooth bleaching Porcelain veneers Tooth-colored fillings Dental implants Dentures TOOTH WHITENING Tooth bleaching, also known as tooth whitening, has become so advanced and widespread that certain dental companies have marketed their own form of at-home tooth whitening products. While there is some merit to these home bleaching kits, there is nothing that compares to having a professional, nationally board-certified dentist perform this procedure on your teeth. When performed by a professional, the entire whitening process is abbreviated and can be completed in only a few short visits, compared to weeks of at-home treatment. VENEERS Porcelain and composite veneers are effective aesthetic cover-ups for damaged or stained teeth. Although some veneers are designed to be removable, most are permanent and are bonded very tightly to the teeth they are protecting. Advancements in technology have improved the bonding agents to the extent that it is quite common for veneers to remain functional for 10 years or more. FILLINGS Cavities are painful and unsightly holes in the teeth that must be filled with inert material. Contemporary fillings, called dental composite resin, are much closer in hue to the natural color of teeth. This allows the tooth to be protected but still look untouched. DENTAL IMPLANTS A dental implant is an artificial tooth replacement designed to fill the void created by a missing tooth. There are many types of dental implants, ranging from individual crowns to large scale dentures. A cosmetic dentist can ensure that not only will the most comfortable replacement be found, but it will be implanted in the most accurate and aesthetic manner possible. There are numerous options available to improve the overall health and appearance of the teeth and smile. Patients should consult with their dentists to decide which option best suits their specific needs and will most effectively meet their expectations.

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• Veneers

  Veneers are very thin, tooth-colored shells of ceramic that are custom-fit and bonded to the front of the teeth. They can create a white, even, and attractive smile. Veneers make it possible to correct a variety of problems, including: Spaces between the teeth Chipped teeth Yellowing or stains Misshapen or crooked teeth Small holes or pits in teeth Uneven or undersized teeth A veneer placed on top of a tooth can quickly and easily help achieve a beautiful smile. Although some veneers are designed to be removable, most are permanent and are bonded very tightly to the tooth they are protecting. The advancements in technology have improved bonding agents to the point where some types of veneers may last for 20 years or more. TYPES OF VENEERS PORCELAIN OR INDIRECT VENEERS Porcelain veneers are custom-made in a laboratory and applied to the teeth. They resist stains better than composite veneers and better simulate the shine of natural teeth. Two appointments are required for this process: one for taking an impression, and a second for preparing the natural teeth and placing the veneers once they have been created. Lumineers® and Vivaneers® are two types of porcelain veneers that are so thin they don’t require any tooth-buffing before placement. COMPOSITE OR DIRECT VENEERS Composite veneers are much faster and more efficient than porcelain veneers. They can be set and fixed within one visit and cost significantly less money. Composite veneers are thinner and require less removal of the tooth surface before placement. They can expand and contract with natural fluctuations in tooth size, which makes it the perfect choice for repairing fractured teeth. THE VENEER PROCEDURE The placement of porcelain veneers will require three appointments for the following: DIAGNOSIS AND TREATMENT PLANNING During this appointment, your dentist will examine the teeth to make sure dental veneers are appropriate. An X-ray may also be taken at this time. The dentist will also discuss the corrective abilities and limitations of the procedure, as well as provide the patient an opportunity to take an active role in designing and discussing the restorative veneer process. PREPARATION At the second appointment, the teeth receiving the veneers are lightly buffed to prepare the surface for proper adhesion. The tooth is typically reduced by approximately one half of a millimeter. An impression is taken of the teeth and sent to the lab for creation of the custom-made veneer. A temporary veneer can be placed if the patient is uncomfortable with the appearance of the natural teeth. The veneer is usually ready one to two weeks later. BONDING At the third appointment, the dentist will test the veneers onto the teeth with water or glycerin to determine that they are perfect in fit and color. The color of the veneer can still be adjusted at this time by altering the shade of the cement used to adhere it. Once the color is finalized, chemicals are applied to the tooth to optimize the bonding. Dental cement is then applied between the teeth and veneer. Finally, a special light is used to quickly harden the cement. CARE AND MAINTENANCE OF VENEERS Veneers should be treated just like natural teeth. They should be brushed and flossed regularly. Porcelain or Composite veneers will not be damaged by brushing and flossing, although using non-abrasive toothpaste is recommended. Sensitivity to hot and cold may occur after placement of veneers. This is caused by the reduction of enamel on the prepared teeth. Sensitivity is a very common residual effect that typically dissipates in one to two weeks. New veneers will help achieve the goal of improving the appearance of teeth. With proper home care and regular dental visits, patients will experience long lasting success with their new veneers and smile.

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• Invisalign

  The Invisalign® system uses virtually invisible aligners, rather than metal bands, brackets or wires, to straighten teeth comfortably. The aligners are custom-made to fit the teeth, and are easily removable so patients can eat, drink, brush and floss. The advantage that Invisalign teeth aligners have over regular braces is that they are virtually undetectable. HOW DOES THE INVISALIGN SYSTEM WORK? The Invisalign system uses advanced 3-D computer-imaging technology to project tooth movement in a patient’s mouth. This allows the dentist to create a series of clear, custom-made aligners, also called repositioners, that gradually move the teeth in line with one another. A patient wears each aligner for about two weeks, then moves on to the next set, and then the next, until the teeth-positioning goal has been met. WHAT DOES THE INVISALIGN SYSTEM TREAT? In addition to straightening crooked or misaligned teeth, Invisalign aligners can eliminate crowding and large spaces between teeth. More complex conditions, such as overbites, underbites and crossbites, can also be treated. WHAT ARE SOME OF THE BENEFITS OF INVISALIGN ALIGNERS OVER REGULAR BRACES? Invisalign aligners offer many benefits over traditional metal braces. They may include: Cosmetic appeal Lower cost Flexible-payment options Little to no impact on daily life Less pain Greater flexibility because aligners can be removed at any time Easier to keep teeth clean and healthy No dietary restrictions No “tightening” required WHO ARE GOOD CANDIDATES FOR INVISALIGN TREATMENT? The Invisalign system is an effective tool for straightening teeth, and is suitable for patients who are fourteen years of age and older, and who want to: Straighten crooked or misaligned teeth Eliminate teeth crowding Close up large spaces between the teeth. Correct overbites, underbites and crossbites A person interested in Invisalign aligners should contact a dentist or orthodontist. HOW DOES INVISALIGN TREATMENT START? The first step is for a person to make an appointment with a dentist or orthodontist, who will decide whether the Invisalign system is appropriate. If so, a course of treatment is mapped out. Steps in the treatment process include: Bite impressions are made and sent out for processing Aligners are created using advanced 3-D computer imaging based on the bite impressions The patient receives the custom-made aligners The patient wears the clear and removable aligners day and night Aligners should be removed only when the patient is eating, drinking, brushing and flossing; the more they are taken out, the longer it will take to achieve the desired goal. HOW LONG DOES INVISALIGN TREATMENT TAKE? Typically, Invisalign treatment takes about a year from start to finish. The patient sees the dentist or orthodontist for a brief appointment every 6 to 8 weeks to review progress. The next set of aligners is given to the patient at each visit. DOES THE INVISALIGN SYSTEM WORK? Yes; Invisalign aligners have been shown to be highly effective at straightening teeth. IS INVISALIGN TREATMENT COVERED BY INSURANCE? If a person has dental insurance that covers orthodontic treatment, Invisalign treatment may also be covered.

  Link: Invisalign

• Pediatric Dentistry

  Pediatric dentistry is an area of dentistry that specializes in treating the oral healthcare needs of children. Pediatric dentists provide regular checkups, cleanings and fluoride treatments, and overall oral treatment and care for children’s teeth. Pediatric dentists also commonly apply sealants to children’s teeth to prevent cavities. A pediatric dentist provides overall oral care for children, including treatment for: Cavities Teeth defects Dental injuries Malocclusion Gum disease Speech-related disorders Tongue tie (restricted frenulum) Oral conditions related to other diseases or underlying conditions Mouth guards for sports Dental appointments for children are important not only to evaluate tooth and gum health, but to educate them on preventing dental problems throughout their lives. A child should have her or his first dental exam about six months after the first tooth erupts from the gums, and should visit a pediatric dentist every six months thereafter. During a first dental visit, the pediatric dentist will examine the child’s teeth for decay and other dental problems. The dentist may ask the accompanying caregiver about thumb-sucking or pacifier habits, and overall dental health. The dentist will then advise the caregiver and child about proper oral care, which includes brushing, flossing and fluoride treatments. A follow-up visit is usually scheduled for six months later, beginning the dental-maintenance process that will help to ensure good oral health throughout the child’s life. A pediatric dentist can offer specialized oral care that a general dentist may not be able to. A pediatric dentist is trained in examining and treating children in an environment that has been designed to make them feel comfortable.

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• Teeth Bleaching

  In-office tooth bleaching procedures can make tooth color five to seven shades brighter. Dental offices use different methods of bleaching or tooth whitening to achieve effective results. Bleaching products can brighten teeth that have been stained or darkened by: Food Tobacco Injury Aging IN-OFFICE TEETH BLEACHING PROCEDURES Types of dental office bleaching procedures may include: PROFESSIONALLY APPLIED TOOTH WHITENING PRODUCTS These products are applied at the dentist’s office and have a higher concentration of hydrogen peroxide, a whitening agent, than do over-the-counter preparations. LASER OR LIGHT TREATMENT During these procedures, whitening solution is applied to the teeth in combination with the use of a special light or laser. Results can usually be seen after just one session. CUSTOM MOUTH TRAY A custom mouthpiece or tray is created by the dentist specifically for the particular patient’s use. The patient is provided with the mouthpiece, a peroxide-based whitening solution and instructions for home-use of the whitening device. In-office teeth bleaching takes place over a series of one-hour appointments at the dentist’s office. Teeth will be examined and cleaned to make sure there are no cavities, loose fillings, gum problems or any other issues that may be exacerbated by the bleaching process. Patients who choose to use the whitening products in combination with home treatment may be monitored by their dentist for results. Whitening procedures are effective but not permanent. Depending on the procedure used, whitening may fade over time. Patients are advised to avoid problem food and drinks that may stain or darken the shades of the teeth.

  Link: Teeth Bleaching