Tag Archives: Affordable dentist

Teeth Whitening

Can You Bleach Your Teeth with Household Bleach?

I’m thinking about getting my teeth bleached. Before I do, I just thought I’d check about a question I have. Is there a reason that I couldn’t just use household bleach? It seems like I should be able to swish it around in my mouth every day and get some whitening, right?

Ellie

Dear Ellie,

Teeth whitening trays
Teeth Whitening Trays

I like that you’re trying to think outside of the box. That being said, this won’t be a good option for you. Household bleach, such as Clorox, is a base, like Lye. These are very corrosive. Not only can they burn through living tissue, but if they combine or come in contact with certain other chemicals it can poison you by releasing chlorine gas. There are also warnings about you mixing bleach with other household cleaners for the same reason.

Something you may find interesting is that the corrosiveness of bleach makes it ideal for dentists to use it in root canal treatments. They’ll use the bleach to dissolve all the dead, organic material inside the tooth. You wouldn’t want to use it inside your mouth and let it damage your soft tissue.

When a dentist does teeth whitening, they do not use bleach. Instead, they use a special peroxide gel developed specifically to safely, but powerfully, whiten teeth. If you want to whiten your teeth, then I would recommend doing it with a dentist.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.
Click here to learn about how we keep our treatments affordable.

Dental Crowns

Why Can’t I Get Really White Crowns

I had crowns done about ten years ago. I never liked their color but my dentist insisted that anything whiter would not look natural. Now, I am getting them replaced and I told my new dentist that I really wanted them white. He suggested a B1. I can already tell that I will want them whiter. He said that because I have a post in a couple of them, if we go any whiter people will be able to see the post. Is there any way I can have a really white looking smile without people seeing the posts?

Carla

Dear Carla,

A dental crown being placed

I am glad you wrote. It sounds like your dentist is confusing color with translucency. Just because the color of someone’s tooth is whiter does not make it more see through. This is true even if you wanted them to be a BL1. It sounds to me more like he is not comfortable with his cosmetic skills in placing them. He may not have the cosmetic skills you need to get the results that you want.

If you still want to give him a chance at trying it, here is my suggestion. Tell him you want the dental crowns very white. Be specific about the color. However, you need to insist that he places them with a temporary try-in paste and you get to approve them before they are permanently bonded on.

If you don’t like the way they look then he should be willing to redo them. If he is not willing to agree to that, then I would suggest that you find an expert cosmetic dentist to do these.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.
Click here to learn about affordable dental care.

Pediatric Dentistry

Do I Need to Get My Baby Tooth Pulled?

I have a baby tooth that never came out. Now I have an adult tooth that is sort of coming out just in front the baby tooth. Do I need to get it pulled? If so, will it hurt? I haven’t been to the dentist because my parents do not have a lot of money. I just need to know what to do and what to expect.

Emma

Dear Emma,

happy girl in a dental chair

I’m sorry you are faced figuring this out on your own. Yes, this baby tooth will have to come out. The good news is that baby teeth come out much more easily than adult teeth. If you don’t get it extracted, then the adult tooth is going to come in very crooked. If you go to a pediatric dentist, they are used to doing things for young children and will likely have ways of making things easier.

They should put a numbing medication on your gum before giving you the shot that numbs out the gums deeper into the tooth. Most people hardly notice. However, if your nervous, which you probably will be because you haven’t been to a dentist before, then ask them to give you some nitrous oxide. This is administered by a nose piece and it is a special medicine you just breathe in. It will relax you so that you won’t be tense during the numbing process.

So, your parents know, there are affordable dentists out there who are willing to work with patients in difficult financial situations. You may have your parents look some of them up and see if one of them is willing to work with you.

You may find that you have more work that needs to be done with your teeth, but don’t stress about that. You can have that done a little at a time.

I really appreciate your maturity and how you are proactive about taking care of your oral health. This type of responsible attitude will serve you well in many areas of your life.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Lumineers

Lumineers for Discolored Fillings?

I had a couple of dental fillings on my upper teeth that just do not match my teeth. I’ve tried bleach, which had no affect of them, Additionally, brushing makes no difference, though I will do it anyway for hygienic reasons. I really like my smile, except for that one issue. My dentist is suggesting Lumineers. While they are expensive, if that is what will make my smile the same color I am willing to pay it.

Cassie

Dear Cassie,

Image of a Lumineers advertisement

I would not allow your dentist to place Lumineers. These should be reserved for a complete smile makeover. Additionally, they are just one brand of porcelain veneers.

While Lumineers can be done well, most cosmetic dentists prefer a different brand of porcelain veneers. This is because the Lumineers lab is not always known for their artistic results.

Also, you mentioned you loved your smile with the exception of the difference in color. Therefore, porcelain veneers, no matter which brand, would be a massive overtreatment.

Plus, your dentist struggled to match the fillings. This tells me he does not have much expertise in cosmetic work. You would likely be disappointed in his results.

The solution for discolored dental fillings is to replace the fillings. The truth is the composite bonding used for fillings can be made to match any color if the dentist knows what they are doing and has the materials.

You will save yourself a lot of money and grief just going to a dentist who can match your dental fillings to your natural teeth.

If you want your teeth any whiter than they currently are, just make sure you whiten your teeth before having the dental fillings replaced. As you learned in your efforts to match the current ones to your teeth, teeth whitening does not have any impact on dental work. It will only whiten natural tooth structure.

I hope this helps.
This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.
See why Dr. Peck is considered an affordable dentist.

Root Canal Treatment

Pregnant with a Horrible Toothache

I am twenty-two weeks pregnant. My OBGYN suggested that I go to see my dentist for a check up during my second trimester because healthy teeth and gums are important for a healthy baby during pregnancy. I’m not exactly a fan of dentists but did what my doc said in order to protect my baby. At the appointment, my dentist found a couple of cavities and filled them right there. That was a few weeks ago and I am now in excruciating pain. Nothing helps it except Tylenol, which I am trying to avoid because I am pregnant. Why am I having all this pain? I didn’t have any before the visit. Is there anything I can do about it while I am pregnant?

Marla

Dear Marla,

Pregnant woman at the dentist

Congratulations on your baby!! I can tell you are going to be a good mother because you are already doing things that scare you for the sake of your baby.

It is not uncommon for a tooth to ache after getting filled. However, you are describing significantly more pain than I would have expected. There are a couple of possibilities that spring to mind.

First, it could be that your filling is sitting too high. If that is the case, your dentist can adjust it in order to make it more comfortable.

A second possibility is the depth of the cavity. I don’t know if your dentist mentioned that you had a deep cavity. If that is the case, then it would be close to a nerve. She may have put a buffer there in the hope that you would not need a root canal treatment.

My suggestion is you get a follow up visit including an x-ray to get this looked at. If you are worried about the x-ray, be assured that most dentists use digital x-rays these days. This gives you no more radiation than you are exposed to just going outside. Even with the low radiation, they will provide you with a special lead lined robe as an additional precaution.

Your dentist is correct that healthy teeth and gums are important for your baby. Gum disease has been linked to low birth weight in children, which puts them at a greater risk of illness. Infections can be passed on to the baby as well, so treatment is recommended.

You’re at the perfect stage of your pregnancy for any dental work needed and your dentist should be well-versed in what is safe for the baby. You don’t want to put this off and have it blow up into a dental emergency. If you are concerned, you can get some extra advice from your OBGYN about medications.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.
Click here to learn how we keep dentistry affordable.

Pediatric Dentistry

Baby Teeth Didn’t Come Out

Can you help me? I am 16 years old and most of my adult teeth have come in behind my baby teeth. This makes me look hideous. Is there any way to fix this? I’m tired of everyone’s comments and want to be able to smile without feeling like a freak.

Tara

Dear Tara,

teenager smiling with braces

I am sorry this happened to you. I’m a little frustrated on your behalf that your pediatric dentist never took care of this. Maybe you haven’t gotten to go to a dentist? That’s the only legitimate reason I can think of for this type of neglect on the part of a dentist. The good news is that this can be fixed.

First, if you have all your permanent teeth, the baby teeth will need to be removed. Don’t try to do this yourself. It needs to be done by a dentist. Then, the adult teeth can be moved into their proper place with orthodontics.

Whenever an adult tooth is erupting and the baby tooth is still in place, it is always best to remove the baby tooth as quickly as possible. This way you can minimize any misalignment. It doesn’t guarantee the teeth will come in properly aligned but does greatly increase the chances.

Sometimes a baby tooth doesn’t come out because of congenitally missing teeth, which simply means the adult teeth didn’t form and all you have is the baby tooth. In that case, you try to keep the baby tooth as healthy as possible and then, when all your teeth have erupted, you can have the baby tooth removed, open up the space for a replacement tooth and you are ready for a prosthetic tooth.

I hope this helps. You can get the smile you want.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck, an affordable Scottsdale Dentist.

Root Canal Treatment

Pain After Root Canal Treatment

I need some advice about my root canal treatment. I had one done in three sessions that was the most discomfort I have ever been in. Then, I remained in pain for quite some time. I went back to my dentist and he decided to refer me to a root canal specialist, which I am wondering if he should have done in the first place. The endodontist thought maybe I was in pain because a canal was missed and I opted for a retreatment. During the procedure, he did not find a missed canal but said that he gave the end of the root more of a seal than was there before. He did tell me it would hurt for a few days. The swelling is down, but I am on day five and still in quite a bit of pain. Is there something wrong or do I need to wait this out?

Drew

Dear Drew,

Man in pain holding his cheek

I am sorry you are in pain. The good news is there are some things to be optimistic about here. First, it looks like the original problem of the infected tooth was resolved during the root canal treatment. In some complicated cases, it is better to go to a root canal specialist, but for most normal root canal treatments, your general dentist is just fine.

It should be noted that the failure, in this case, was not because he missed a canal but could have done a better seal at the tip of the root, which your second treatment resolved.

You said the swelling has gone down. This is another positive sign. The question about healing after a root canal treatment is not as much “how long should you be in pain”? Rather, the question is, “Are you improving?”

In your case, it appears you are. Some patients are in pain for longer than others. I would ask your dentist or endodontist to give you something for the pain but make sure you taper off of it each day.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.
Click here to learn how she keeps prices affordable.

Teeth Whitening

Premium Home Teeth Whitening

I keep receiving a Groupon order for Premium Home Teeth Whitening. Is this something worth investing in? I’ve always wanted to whiten my teeth but never really talked to my dentist about it.

Amy

Dear Amy,

teeth whitening trays
teeth bleaching trays

After looking this over, I can tell you that the whitening ingredient they use is legitimate. It will whiten your teeth. That is the good news. The only real bad news is it will not be as effective as you’d hope, even though they do have a good percentage of their active ingredient.

The reason for that is the whitening trays. Pictured above are the type of teeth whitening trays you would get with your dentist. These are custom fit to your bite. This serves to protect the whitening gel, as well as your gums.

The trays that come with this kit are not fit to your bite. It’s a DIY. This means that your saliva will leak into the trays, thereby weakening the gel. It also means some of the gel will leak out. This not only means less whitening potential for your teeth, but it can put your gums at risk. There have even been cases where patients ended up needing a root canal treatment from using an over-the-counter whitening kit.

My suggestion is you simply talk to your dentist about your desire to whiten your teeth. The cost of Premium Teeth Whitening is not that much less than what your dentist would charge you. Ask him or her if they would be willing to come down on their price a little or allow you to pay out the current cost. Most dentists are happy to find ways to help their patients afford dental work. I think you’ll end up much happier with your results that way.

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.

Teeth Whitening

White Spots On Teeth

My daughter had braces. When they came off there were white spots on her teeth. Our dentist suggested we have teeth whitening done to even out the whitening, but that just seems to be making it worse. What do we do?

Carolyn

Dear Carolyn,

Teeth Bleaching Trays

Dear Carolyn,

Your dentist may mean well, but he or she doesn’t have a good understanding of how teeth whitening works. While a cost-effective way of helping stained teeth look younger, brighter, and more attractive, it is not useful for uneven color. This is because it will whiten your teeth evenly. Her teeth will be whiter, but so will her white spots.

The spots that developed are areas of decalcification. Those are cavities. They are pretty common after braces. Teenagers don’t always get between all those wires and brackets effectively.

One thing you can try is a product called Tooth Mousse. It is designed to help remineralize those spots. That would be my first go-to.

If that doesn’t work, then you can go to a cosmetic dentist and have both microabrasion and dental bonding done on those spots.

This blog is brought to you by Phoenix dentist Dr. Hillary Peck.
Click here to learn how Dr. Peck keeps dentistry affordable.

Lumineers

Should I Get Lumineers?

Hello,

I’ve always hated my smile, and am interested in getting veneers to fix it. I’m interested in Lumineers, but I’ve heard they may not be as durable as porcelain veneers. Which would be better? I’m currently saving up for the veneers, so cost is a factor. I want the longest-lasting veneers I can get.

Sydnee, from Richmond, VA

Hi Sydnee,

Lumineers are a brand of porcelain veneer, and porcelain in general is very strong. If a veneer cracks, it’s likely because of poor bonding, rather than the material itself.

Lumineers are thinner than your usual porcelain veneer, but require a skilled dentist to make and place. In the wrong hands, they can look fake. Since they are a no-prep veneer, they can also look bulky if not bonded properly. Be sure to check your cosmetic dentist’s smile gallery first, to see if you like the look of Lumineers.

Before and after photos of smile makeovers are a good way to gauge a potential cosmetic dentist’s skill. Most dentists like their work because they get to fix problems, rather than create beautiful pieces of art. A true cosmetic dentist can combine aesthetics with functionality.

Some cosmetic dentists do not do Lumineers. Apart from requiring high levels of skill to place, they also require a special lab for processing, so some dentists opt not to work with them.  If you go to a cosmetic dentist who does not do Lumineers, it’s best not to press the issue; pushing a dentist to work with a material outside their comfort zone can have disastrous results for your smile.

This blog post is brought to you by Phoenix Lumineers provider, Dr. Hillary Peck. Dr. Peck is a general dentist with years of training in cosmetic dentistry and experience placing Lumineers.