Anca Vladescu DDS

Preventive, Family and Aesthetic Dentistry

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I have some old silver fillings which are beginning to look bad. What can be done to improve them?

Silver amalgam fillings, which are composed of 50% mercury and 50% silver alloy ,eventually need to be replaced. It may surprise you to know that the average life span of a silver filling is five to eight years. Your dentist can tell you when they appear to NEED to be replaced due to leakage, breakdown or recurrent decay. If your concern is strictly COSMETIC, there are many new methods available to replace the fillings with beautiful, functional long lasting restorations. Such things as white filling materials, porcelain inlays , crowns and veneers may be used to give you the smile you are seeking. There is currently a great deal of interest in new reinforced hybrid materials. These beautiful resin materials may be reinforced with fibers, similar to fiberglass, and used in very conservative inlays and bridges without having to grind away a whole healthy tooth.

I would like to have my teeth whitened. There are so many products and ads for whiteners that it is hard to decide which is best. what do you recommend?

You are correct. There are many products and techniques available. Some work great and some don't work at all. The various over the counter products give the least predictable results. To get a really great result you should probably use one of the products sold through dental offices which utilize custom made trays for home application of a bleaching gel. There are several great ones out there. Our favorite is Nite White® Excel. Besides giving a great result, this product has overcome the sensitivity problem seen with some of the other products . We also get questions about "laser whitening". With this method a laser is used as a light source to activate the bleaching gel which is applied to your teeth in the dental office. It may be necessary to use the at home trays in addition to this initial lengthy treatment. Side effects can include sensitivity to treated teeth.

There are so many different toothbrushes on the market today. How do I know which one is the right one for me?

his is a good question, which we hear daily. The brand of the toothbrush is not nearly as critical as the type of bristle, the size and shape of the head and how frequently you replace your brush. We recommend a soft bristled brush with a small head. The soft bristles are most important for the health of your gums. A small head allows you to get around each tooth more completely and is less likely to injure your gums.Daily frequency of brushing and replacement with a new brush are much more important issues than the brand you choose. We recommend replacing your brush at least once a month. My employees and I all brush, on average, 5 times a day. We brush first thing in the morning, after each meal and at the end of the day . If you are not able to do this because of your busy schedule, we recommend brushing twice a day at a bare minimum.

Is there a tooth-replacement alternative option to dental implants?

Although dental implants often provide the optimum balance between function and anesthetics, there are several less-invasive cosmetic dentistry options which can be used to replace missing teeth. Dental bridges are custom-made devices, fused between two crowns that replace missing teeth. Dentures can be used if you are missing all your teeth