Posts Tagged ‘Supersmile toothpaste’

What toothpaste to use for porcelain veneers?

Saturday, October 8th, 2011

I’m planning on getting porcelain veneers, and had some questions about taking care of them afterwards, specifically about the toothpaste. My dentist told me to get a toothpaste with baking soda in it, but I read that baking soda is abrasive and not good for porcelain veneers.
- Monica from Maryland

Monica,
The reason you may be getting conflicting information about baking soda and how abrasive it is is that it comes in different forms. There is straight baking soda, out of the box, which is in a powder form. Yes, that is rather abrasive. But when it’s dissolved in toothpaste, it has low abrasivity. And it is a popular ingredient in toothpastes, because it has a buffering action that neutralizes plaque acids.

You do want a toothpaste that has low abrasivity, not so much to protect the porcelain, which is harder than tooth enamel, but to protect the resin bond between the porcelain and your tooth. This fine line which is at the margin between your porcelain veneer and the tooth is the weak spot that can most easily wear down and become stained. An excellent toothpaste recommended by many cosmetic dentists is Supersmile, which can be purchased on the Internet. It has a very low abrasion yet it is excellent at removing stains. It is a little expensive, but could be worth it to protect your investment in your porcelain veneers. Yes, it does have baking soda in it, but it is in a low abrasivity form.

Another thing to watch when you have porcelain veneers. Don’t let your dental hygienist use any power polishing equipment like the Prophy Jet. This delivers a power spray of sodium bicarbonate (i.e. baking soda, and a very abrasive form of baking soda) that does clean your teeth very well but it removes the glaze on the porcelain and makes them very susceptible to staining. One cleaning with a Prophy Jet can ruin your porcelain veneers.

This blog is sponsored by Colorado Springs cosmetic dentist Dr. Joseph Rota

Sore gums around a new crown

Saturday, May 21st, 2011

In February, a root canal was completed on #14 (upper left first molar). In April, I got a core buildup and a crown on the tooth. Since getting the crown, I have been very uncomfortable and unable to chew on that side. Within two weeks of getting the crown, I started noticing bad breath and a chemical taste coming from the crown, more noticeable after eating. I also feel the gum inflamed and tender when I wake up every morning.

I’ve been back to my dentist. He said it was gum inflammation and that I probably was not flossing the area correctly. He said the bad taste I felt was probably blood, eventhough I never noticed any when flossing or brushing. He gave me peridex, and I also got a professional cleaning. Last week, I decided to visit a Periodontist for an evaluation. He said the crown was sealed properly, but too close to the bone, perhaps. On the xray he did not see any bone loss, but he warned me that if I get a gum infection, I could lose the tooth! He recommended a crown lengthening procedure. I just don’t understand how, when my general dentist who did the crown said I had plenty of tooth structure. I am very frustrated, because the events leading to the root canal were not pleasant, and now six months later cannot believe I am feeling even worse. Not only that, after using Peridex, I still see a brown film on my tongue and teeth, eventhough I only used it for 5 days (two weeks ago). The film on my tongue keeps re-appearing after brushing, so could it be blood oozing out of the gum? I feel that this crown is ruining my otherwise healthy mouth. Other than this crown lengthening procedure, what other alternatives do I have? Thank you for any advice or information you may have.
- Cindy from Florida

Cindy,
It sounds like the dentist may have made the crown to go too far under the gum. It could be that the tooth was decayed down that far. There isn’t really much you can do when you have a situation like that other than the crown lengthening that the periodontist is recommending.

I really doubt that the bad taste you had after getting the crown was from blood. When you have gum inflammation like that, it creates a festering pocket with a localized infection, and that would be the most likely cause of the bad taste. And, of course, you realize now that the gum inflammation isn’t caused by a problem with your flossing but because the crown was violating what we call the biologic width of the tooth – the crown is too close to the periodontal ligament, which is the ligament that attaches your tooth to the bone. The brown film you are seeing is from the Peridex mouth rinse, and there are only two ways I know of to get that off – with a professional cleaning, or with Supersmile toothpaste that will dissolve away that film.

This blog sponsored by Colorado Springs dentist Dr. Joseph Rota

What can I do about tetracycline stains?

Saturday, September 4th, 2010

I’ve heard about Supersmile toothpaste and that it’s good for stains on teeth. How does it work on tetracycline stains. If it helps, I want to buy some.
- Jeff from Arizona

Jeff,
Supersmile won’t have any effect on tetracycline stains, because those stains are embedded in the teeth. The tetracycline antibiotic, if it is taken while the permanent teeth are forming,¬†will deposit in those teeth and cause a brown or gray stain that is deeply embedded in the teeth. Supersmile removes other surface stains by dissolving away the protein pellicle that the stains attach to. So it is great for tobacco stains, Peridex stains, and other similar stains.

Tetracyline stains are one discoloration, also, that doesn’t respond well to Zoom whitening or bleaching. Bleaching will lighten them a little, but not a lot. They are best treated by covering them with porcelain veneers. Even then you need to be careful to have this done by a highly experienced cosmetic dentist, or the results could be very disappointing. Dentists who try this without a lot of experience tend to make the porcelain veneers too translucent, and the dark brown or gray shows through.