Tooth Whitening in the Plastic Surgery Office

By: Dr Barry Eppley

One of the most sought after and easily visible beauty treatments is cosmetic tooth whitening. A great smile with white teeth is one of the most powerful contributors to a pleasing and more youthful face

Until recently, tooth whitening has only been primarily available at a dentist's office or through over-the-counter dental strips or whitening pens. Many rapid tooth whitening systems have caused pain and sensitivity or the traditional trays and goop methid is both messy and inconvenient to wear. Over 'the-counter whitening strips, while effective, takes weeks to see any visible results and must be used for a long time to see substantial improvement in tooth color.

A revolutionary approach to tooth whitening is a system that in one hour can increase the color of your teeth from 3 to 8 shades....and is not associated with teeth or gum sensitivity.! Using a special blend of hydrogen peroxide and silicone dioxide with a blue light accelerator, the system oxidizes pigments of your front upper and lower teeth restoring them to a more beautiful whiter color. All without heat, mouth sensitivity, or UV light exposure.Greater whitening improvements are seen with teeth stained by coffee, tea, or in those have are or have smoked in the past. Teeth with tetracycline or other antibiotic stains, teeth speckled with fluoride, or teeth with hereditary discoloration will also show good improvement. Teeth with existing cavities or cracks should not undergo whitening. Teeth with existing dental restorations such as crowns or veneers will not respond to this whitening treatment as it is effective only on natural, live teeth.

As both a physician and dentist, I have been reluctant to bring tooth whitening into my plastic surgery and spa practice. I was always concerned about whether the aestheticians could safely and comfortably provide this oral treatment to patients, an area in which they have no previous experience or training. In addition, I had concerns about creating unpleasant sensitivities of teeth or gums which has been the experience with a lot of patients who have previously had rapid teeth whitening. However, the simplicity and safety of cold light acceleration and its low risk of tooth or gum sensitivity make this new variation of in-office hydrogen peroxide trteatment very appealing. It is a natural fit to any of the currenjt aesthetic treatments that we rountinuely do in the office. It can also be easily combined with other aesthetic treatments whether it be microdermabrasion, Botox, injectable fillers, pulsed light therapies, or laser skin treatments. It is easy to see the dual benefit, for example, of lip injections for size increase and undelying tooth whitening. It can literally be combined with just about any aesthetic or spa treatment. It also helps brings closer the concept of a 'one-stop' beauty service location.

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