Teeth whitening is completely safe and we guarantee a lasting effect as long as it is done in a controlled environment, in the dental office, or in ambulatory with a medical prescription. Tooth whitening is always an effective treatment. Sometimes it may not fit the patient’s expectations. The result depends on factors such as the type of tooth, the diet, the age of the Patient and his oral hygiene habits. However, it always allows to obtain whiter teeth than the initial state.
Dental whitening is an essentially an aesthetic treatment. It consists of the application of a gel for teeth whitening on the dentition. This gel will lower the tone of the teeth, making them clearer.
Depending on the type of tooth, the patient’s diet, their age and their oral hygiene habits, in a patient considered “ideal”, especially if they are young, a whitening can last 5 or 6 years. Over this time, the teeth gradually darken, with aging. However, they should not be in a tone as dark as the tone prior to treatment. After that time, there is always the opportunity to make a reinforcement and re-whitening the teeth.
The best treatment option always depends on each case, the type of bleaching the patient wants and the level at which we want to reach in terms of the whiteness of the teeth.
Preparations
Before whitening your teeth, you should be examined by a dentist or dental hygienist who will assess whether it is possible to whiten existing discolourations and decide which method is most suitable. If there are holes, they must be repaired and the whole tartar should be removed. It is also important that you have good oral hygiene.
Before having their teeth whitened, they should be examined by a dentist or dental hygienist who will assess whether it is possible to whiten existing discolourations and decide which method is most suitable. The fillings and crowns you have cannot be bleached and are not affected by bleach.
You can lighten your own discolored teeth for a better overall impression if you want to put a crown or bridge in your mouth. If you have an old crown lighter than your own teeth, the teeth around the crown can be leached so that the color difference is reduced.
This is how the treatment works:
In whitening discolored teeth, different types of whitening gels are used. The bleach substances used penetrate into the enamel and tooth bone. The dark particles that discolor the teeth are broken.
If you think you have discolored teeth, it is important to consult a dentist if your teeth can be whitening and, if so, how to do so.
Depending on the method the dentist uses, it can take from a few hours in the treatment chair to a few days or weeks of treatment at home. In the case of more severe discolorations, it may take even longer.
Bleaching is a chemical process. Bleach penetrates enamel and tooth bone. In this place, discolored dark substances are decomposed into smaller, non-colored substances.
Before starting treatment, the color of the teeth should be documented. This can be done by the dentist, for example, by taking a picture of all the teeth that will be bleached. In this way, you can more easily assess how was the treatment later.
Most common gel
In teeth whitening, the most commonly used gels are those that, among other things, contain the substances urea peroxide or hydrogen peroxide. The bleach gels used on the bleach rails also contain potassium nitrate and fluoride, which should lessen the problem of irritation during treatment.
Different types of bleach
Dental bleaching agents are cosmetic products. They cannot be used by persons under 18 years of age.
Here are some different types of preparations used for teeth whitening:
Bleaching agents for dental care that can contain a maximum of six percent hydrogen peroxide or the equivalent potency of another agent.
Bleaching gels that cannot contain more than six percent hydrogen peroxide or the equivalent potency of another agent. You can use the gel yourself after being examined.
Disposable strips and disposable rails covered with hydrogen peroxide gel. They are used in home treatment.
Varnish that contains hydrogen peroxide or urea peroxide and that is brushed on the teeth during treatment at home.
Bleach sold in department stores or over the Internet. They may contain substances such as sodium perborate or sodium chlorite. It is often unclear in what amount. It can also contain acidic solutions such as citric acid. Always talk to your dentist or dental hygienist before using products purchased online.
Agents that contain more than 0.1 percent hydrogen peroxide can only be sold to dentists. This also applies to the corresponding power force of another
First treatment at the dentist
For the first time in each treatment cycle, you will need the help of a dentist to use the whitening. You can also get treatment from a dental hygienist under the supervision of a dentist. After that, you can take bleach home to finish the treatment yourself.
If you receive treatment in a dental clinic, the teeth are prepared in different ways, depending on the whitening to be used. A rubber cloth is often used to isolate the teeth, so that the gums and mouth are protected against strong gels.
The treatments that are done in the dental clinic take about an hour, but it is usually necessary to go back once or twice more to repeat the treatment. It depends on how satisfied you and your dentist are with the results after the first time.
The plastic rail is filled with gel
First, an impression of the teeth is made in the dental clinic if you are going to whitesize your teeth at home. With the help of molding, a model is made in which a plastic splint is made that fits your teeth. You fill the plastic splint with bleach gel and use one to two hours a day, or at night if it is too difficult to have during the day.
Frequently, three to four days of treatment may be sufficient. It may be necessary to treat your teeth for up to two weeks if you have severe discoloration.
It is not possible to say that one method is better than the other. Treatment in the clinic is faster, but the result is no better than the treatment you do at home. So far, there is little research on the efficacy of clinical bleaching and the duration of the outcome.
Whitening of filling teeth
When the teeth are to be bleached, the technology is different. The most reliable and risk-free method is a gel containing hydrogen peroxide. Treatment is repeated at intervals of three to five days until the result is good. Usually does the treatment two to three times.
The post is usually replaced after three to seven days. The insert may need to be replaced one or more times before the result is good. Sometimes the result may be better if this treatment is combined with teeth whitening in the usual way.
When you have a tooth with root, the result is almost always good. Often, the tooth darkens again over time, but then treatment can be repeated.
The root can be severely damaged when you whiten filling teeth, although this is rare. Usually you have no symptoms and in some cases the changes are only discovered long after the tooth has bleached, and only when the dentist takes an X-ray.
Possible Problems
When you whiten your teeth, your gums can become swollen, a little sore or irritated. It is important that you pause the treatment for one to two days or until the gums have healed.
It is the contact of the bleaching gel with the gums that can be irritating, especially when using stronger preparations or when the plastic splints do not fit well.
Problems with toothache
You may also experience discomfort in the form of rashes when whitening your teeth, but they disappear. Irritation occurs due to penetration of the bleach into the tooth and the creation of an inflammation in the pulp. Symptoms usually disappear within one to two days if you discontinue treatment.
Do not eat or drink anything with strong colors during treatment and a few days later. It can be, for example, red wine and blueberry.
After teeth whitening, these are usually treated with fluoride because tooth enamel needs to be strengthened.
Will it look good after a treatment?
How good the result of bleaching is depends, among other things, on the following:
• What kind of discoloration do you have.
• Discolorations have been present for how long.
• What is the original color of the tooth.
If you have fillings that need to be replaced after bleaching, you should wait one to two weeks after the end of treatment. It is important that the color of the teeth stabilizes, but also that there is no bleach residue. These residues prevent the plastic filling materials used from solidifying properly.
Lightening treatment usually lasts from one to three years. You can combine with your dentist to repeat treatment when necessary.
Studies have not yet been done to show how teeth are affected by repeated whitening. But so far there is no indication that there are health risks, only treatment is done properly, without very strong funds.
When is treatment inappropriate?
If you have problems with burns in the form of neck of teeth, surfaces of unprotected roots, damage to the brush or fine enamel, you should not whiten your teeth. With these problems, the risk of side effects in the form of irritability increases.
Do not whiten your teeth if you smoke or smoke snuff. Tobacco dyes can worsen the outcome of treatment. Bleach can aggravate the damage that tobacco can cause to the oral cavity.
Do not whiten your teeth if you are pregnant or nursing. There are no studies showing whether the bleach affects the fetus or the baby.
It is risky to whitening the teeth without having contact with the dentist. You cannot judge for yourself which solution is appropriate for use. Only trained dental staff can do that.
Most discolorations can be bleached
Teeth with yellow or brown discoloration are usually easier to lighten than others.
Metal discolorations are almost impossible to bleach, such as amalgam fillings. The same applies to teeth that have suffered blow or injury and where the pulp has been damaged. These teeth are usually darker or more yellow than the other teeth.
Various causes of discolored teeth
The fact that we have different colors in the teeth is totally natural and many are darker in color over the years. The color of the teeth can also be changed by strong dyes of tobacco, food and beverages that penetrate the enamel and tooth bone.
Over time, the filling teeth can acquire a bluish-gray discoloration.
Discolorations can also occur before permanent teeth appear in the mouth. The most common causes are chronic diseases with high fever in young children, or situations in which the baby’s teeth are exposed to blows or damage that affect the growth of the enamel of new teeth.
It may also be due to hereditary diseases that affect the teeth when they form in the jaws, or when the child has taken a certain type of antibiotic, tetracyclines.
May cause discoloration if children up to six years of age drink water that contains too much fluoride. The most common is to appear as white spots on the teeth.
This is especially true if the child drinks water from a well whose water has not been analyzed.
Do not hesitate to contact us to request more information. Or make an appointment.
Oral Surgery is the specialty of Dentistry dedicated to the surgical
treatment of structures related to the oral cavity. Dental extractions
are the most common surgical acts, involving teeth that cannot be
maintained due to extensive caries, root fracture
or loss of bone support.
Some oral surgeries involve repositioning the jaw. In other cases, oral surgery may involve the removal of a tumour. Oral surgeries can be performed by any of several types of dental specialists, including endodontists, periodontists, and prosthodontists.
If you need any treatment that requires Oral Surgery, do not hesitate, book your appointment:
Wisdom teeth
Included wisdom systems are one of the most complex extractions since, often due to lack of space, it remains inside the maxilla or mandible.
For this reason, the clinical and radiographic examination must be very careful, in order to avoid sequelae.
Implants
The surgery also includes the placement of dental implantsto replace tooth loss. The technique should also be carefully evaluated in order not to affect important structures.
However, this area is not limited only to dental extractions or implant placement, but also covers several other surgical interventions, in cases of oral cavity pathologies, as is the case:
- Enucleation of maxillary bone cysts;
- Excision of lesions in the oral cavity;
- Lingual or labial frenectomies (correction of the tongue or lip frenulum);
- Exposure of impacted teeth for orthodontic traction;
- Surgical drainage of abscesses;
- Biopsies of oral hard or soft tissues.
Phases of Oral Surgery Treatment:
1. Diagnosis.
2. Surgery.
3. Postoperative consultation.
Periodontology is the Dental Specialty dedicated to the diagnosis and treatment of diseases that affect the supporting tissues of the teeth: Gingiva, Alveolar Bone and Periodontal Ligament (fibers that join the tooth to the bone).
If you need any Periodontology treatment, do not hesitate, book your appointment:
The most common periodontal diseases are Gingivitis (inflammation of the gums) and Periodontitis (inflammation that leads to loss of bone and gums), the latter being one of the main causes of tooth loss in adults.
These are diseases resulting from the accumulation of bacteria in the tissues of the oral cavity, affecting the structures responsible for maintaining the firmness of teeth in the maxilla and mandible.
The procedures involved in this specialty are, as a rule, minimally invasive (shaving, root planing and bacterial decontamination) and with excellent results, significantly increasing the longevity of the dentition.
Periodontal disease aggravates several systemic diseases such as diabetes, cardiovascular disease, respiratory disease, osteoporosis, Alzheimer’s, premature birth, stroke, among others.
DentalArt Medical Clinic
(Former Rocha Medical Center)
+351 932 237 198 / +351 282 041 932
Loja 8, Edifício Plaza Real, Estrada da Rocha, 8500-810 Portimão
Crown
Implants hold artificial teeth
It is possible to replace a single lost tooth with a crown on an implant. If several teeth have been lost, a bridge can be attached to several implants.
Keeping crowns and bridges clean
The most important tools for keeping your teeth clean are a soft toothbrush and fluoride toothpaste. Extra fluoride is often needed in the form of tablets, chewing gum or mouthwash. You may also need extra small brushes and floss to get everywhere.
You should see a dental hygienist regularly if you have a lot of crowns or bridges in your mouth. The dentist or dental hygienist can advise you on the best way to care for your teeth.
Removable prosthesis
In addition to artificial teeth, a denture is also made of an artificial material that replaces the gums and jawbone. You can insert and remove dentures from your mouth yourself.
The partial denture can be attached to the remaining teeth in the jaw with clasps or some other fixing device. A complete denture replaces the teeth in a completely edentulous jaw.
A complete denture in the upper jaw attaches like a suction cup to the upper jaw and the palate. A complete denture in the lower jaw rests on the edentulous jaw. It can also be fitted to ground teeth or implants and is called a cover denture.
A partial denture usually fits better than a full denture.
If you no longer have teeth
You will have to visit the dentist four to five times before the denture is completely ready. With this method, the fit of the denture will be good straight away and you will usually avoid major adjustments for a few years.
How do removable prostheses work?
It is more difficult to wear a removable denture in the lower jaw than in the upper jaw. Dentures in the upper jaw can often be attached to the palate. In the lower jaw, the tongue and other muscles can move the denture out of position.
If you get a removable full denture in your lower jaw that doesn’t work well, it may help to have two implants placed. The implants have clasps that hold the denture more securely in place, called a cover denture. If it works well, it is usually possible to insert more implants and make a bridge that attaches to the implants.
Some diseases, such as Parkinson’s disease, Sjögren’s syndrome or stroke, can make removable dentures more difficult. In these cases, denture covers can work well.
Implants
You can expect an implant to last as long as your own tooth if you take good care of it.
Different degrees of tooth loss require different implants
Before an implant treatment, you will be examined by your dentist. You will have a talk about your health and look at how the treatment is done.
There are different treatments depending on the missing teeth:
– If you are missing or have lost only one tooth, it is usually necessary to insert only one implant. The implant then carries a single artificial tooth. This is called a single dental implant.
– If you are missing a tooth at the end of your jaw, it is not enough that the implant is attached to the jawbone. The surrounding tissue must also be shaped to give a natural appearance. Sometimes it is so difficult to get right that a bridge is needed to support the surrounding teeth.
– If you have lost several teeth, you may have several implants to support a fixed bridge. If you’ve lost large parts of your jawbone, your dentist sometimes needs to extend the bridge with artificial teeth to make your face look the same as before.
– If you are completely edentulous in one jaw, four to six implants are usually needed to support a full row of artificial teeth. Sometimes more implants are needed.
Warranty
Implants are guaranteed for at least two years. After that, manufacturers give different lengths of guarantee. If it is a lifetime guarantee, it means that you can get a new implant from the manufacturer if it breaks or becomes loose. You will then have to pay for the operation and fit yourself.
Preparation for an implant operation
If you are a smoker, you should stop smoking well before the operation.
You can have a temporary denture if you are missing teeth. It fills the gaps between your teeth and makes chewing easier.
Implant surgery
The operation is usually done under local anaesthetic and is painless. You may be given sedatives if you are worried about the operation. If you are very worried, you can have the whole procedure done under anaesthetic.
The first operation takes one to two hours, depending on how many implants are to be inserted.
First, the gums are folded back and holes are drilled in the jaw. The surgeon then attaches the implants to the jawbone. The gums are then sewn over the implants so that they are not visible.
For about a week, you will not wear your dentures and you should not chew where you have had the operation.
One-step treatment
Essentially the same technique is used as in the first operation. But instead of sewing over the mucous membrane and covering the implants, the implants or spacers can protrude a few millimetres from the mucous membrane from the start. A second operation is not necessary.
Getting your teeth done
The dentist first takes an impression of the jawbone and implants so the dental technician has a model. The dental technician then builds the bridge on the model. It’s important that the artificial teeth fit exactly on your implants.
It usually takes about two to four weeks to make the artificial teeth. The dentist attaches the artificial teeth to the implants.
You cannot remove the new teeth by yourself.
Keep your teeth clean
You can check your implants and artificial teeth every day when you brush your teeth. Check that your bridges and crowns feel stable, that they are in one piece, that your gums are not bleeding or swollen and that they are not painful.
Complications and sequelae of implants
Bacterial coating
Bridge
In order to replace lost teeth with a fixed bridge, there must be enough teeth in the jaw to provide good support for the bridge. The teeth should also not be too far apart.
The bridge can be fixed in two ways. Either directly on the uncut teeth or the dentist grinds the teeth so that the bridge can be threaded and fixed with a cement.
Assembling a bridge
The impression is sent to a dental technician, who makes the crown or bridge. The replacement teeth are made of different materials.
You may need to have one or more tests done in your mouth to make sure the fit is perfect. While you wait for the finished crown or bridge, you will usually have a temporary plastic replacement. When everything is ready, you can try the crown or bridge in your mouth for a few days to make sure everything feels right before it’s fixed. Finally, your dentist will place a cement on the crowns and attach them to your teeth.
Lifetime of crowns and bridges
Most dentists give a financial guarantee that a fixed crown or bridge will last for two years.
If you still have teeth
The dentist will take an impression of your jawbone and teeth if there are any teeth left in your jaw. The dental technician will construct a denture that mimics your own teeth and fits your jaw roughly.
Once the bad teeth have been extracted, you can have your new dentures fitted temporarily until your gums and jaw have healed. The shape will then be changed and the denture adjusted until it fits perfectly.
With this method, you don’t have to be left without teeth after extraction.
The prosthesis needs to be checked
The jaw changes rapidly in the first days after the teeth are extracted. The denture may need to be adjusted accordingly. A dental technician will need a few days at the most to make the necessary adjustments. In the meantime you may be left without dentures.
Sometimes dentures need to be remade. You can have a copy made of a denture that works well and that you like. This is usually fine if the one you copy is not too worn out. You can also order an extra copy of your dentures to keep in reserve.
Cleaning dentures with a brush
Do not use toothpaste to clean dentures. Toothpaste contains abrasives that can scratch the plastic material and make it easier for bacteria to adhere to the denture.
When are implants unsuitable?
– You have osteoporosis.
– You are taking certain medicines.
– You are being treated for cancer with radiation.
– Your jaws have not yet finished growing.
– You have too little bone in his jaw to be able to insert implants.
If you have any cardiovascular disease and are taking medication to thin your blood, you will need to be assessed by a doctor.
Sometimes the jaw needs to be reconstructed
First, an x-ray of the jaw is taken to check the possibility of implant surgery. Sometimes this is done with a computed tomography (CT) scan.
An oral surgeon then operates with bone from another part of the body. Sometimes artificial bone substitutes are used.
For a minor operation, you will be given a local anaesthetic. Hip bones, for example, are operated on under general anaesthetic.
The implant may need to be replaced
The spacers are attached to the implants
After implant surgery
In the meantime, you will have dentures and will not have to be toothless. If the implants are very stable, the dentist can sometimes build artificial teeth on the implants the same day or weeks after the operation.
Seven to ten days after the operation, you can wear your old dentures again, which have been reshaped to fit your jaw. In smaller spaces, you can sometimes get temporary teeth that rest on the abutment immediately after the surgery.
Keep your teeth clean
You will often be given antibiotics after the operation. Sometimes you may need painkillers. As the surgeon has punctured the jaw bone, you will often have inflammation which will soon go away. There is usually swelling, tenderness and sometimes bleeding.
To keep it clean, you can rinse your mouth with saline solution and chlorhexidine. If you have had an operation on a whole jaw, you may need to eat a liquid diet for a few days.
It may be unfamiliar to have fixed teeth after being edentulous for a long time. Artificial teeth can feel new and unfamiliar. Sometimes speech is affected so that you can read, for example. But you can train this by reading aloud.
Follow-up and aftercare
After about two years, the time between X-rays can be extended to, say, five years if the bone around the implants is healthy.
This is checked at regular check-ups with the dentist or dental hygienist:
– The appearance of the mucous membrane around the implants.
– If there are bacterial deposits, known as plaque, around the implants and on the artificial teeth.
– The appearance of the bite of artificial teeth.
– How the bite feels when you bite together.
– How well the bridge or crown fits.
Implants that loosen
If you lose the implant later, it may be because you chewed too hard. To reduce the risk of overloading, you can wear a bed splint at night.
Orthodontics
is the area of human health that studies and treats the stomatognathic system that includes the face, neck and oral cavity, including bones, masticatory muscles, joints, teeth and tissues. Its optimal function as a whole contributes to the oral health of the patient.
Oral health means the absence of stomatological diseases, as well as the correct functioning, stability and even aesthetics of the entire stomatognathic system. It is now well known that oral health has serious implications for human health, both of which are inseparable.
As well as being related to the teeth, orthodontics is also closely linked to facial aesthetics. Our role is to propose aesthetic treatments that satisfy the patient, in addition to restoring oral health.
Endodontics takes care of the internal structure of each tooth through prevention, diagnosis and treatment and its purpose is to treat the tooth as a whole, maintaining or recovering the health of the tissues th
at are inside the teeth and directly around it.
In some cases when there is a very acute pain where the patient complains of not being able to eat, sleep and the pain is so intense that extends to the ear and head, possibly we are facing a caries
that reaches the dental pulp and the nerve of the tooth. In these situations the treatment to be done is a devitalization, and should be cleaned the entire region of the tooth where the caries is completely removed, as well as the pulp of the tooth, because in this case, it was contaminated by numerous bacteria resulting from active and untreated caries.
After disinfection of the root canal, which is the place through which the pulp passes, this space is sealed inwardly with a biocompatible material and the tooth can finally be rehabilitated by a conventional restoration or a ceramic piece that will bring better durability and resistance to the tooth.
According to the Portuguese Dental Association, the word endodontics comes from Greek and means inside (endo) the tooth (dontia). Normally a tooth that has undergone non-surgical endodontic treatment can last for life and never need another intervention. Nevertheless, in occasional cases, the tooth may fail to heal. The tooth may in these cases become painful or diseased months or even years after an apparently successful treatment. In these situations, endodontic surgery can save the tooth. This is a surgical intervention to remove all inflamed and infected tissues and the root tip, and a sealing material is placed in the terminal part of the root canal. The apical surgery can be performed with the aid of an operating microscope, which exceptionally increases the precision of all the steps, contributing decisively to the success of this technique.
Endodontics is the branch of dentistry concerned with the pathology of the dental pulp and tissues surrounding the roots and their treatment. The dental pulp is the organ (composed of nerves, blood vessels, etc.) that is found inside the tooth (root canal) and is commonly, though erroneously, known as “nerve”. Years ago, teeth with problems in the dental pulp were commonly extracted. Today, thanks to all the scientific and technological advances, the treatments available can almost always save these teeth, keeping their chewing function and aesthetics unaltered. You can always book an Endodontic treatment on the following form
Artificial teeth – Dental prosthesis
There are different types of artificial teeth. You can replace anything from one tooth to a whole row of teeth. Artificial teeth can be fixed or removable.
Lost teeth do not always have to be replaced. Ask your dentist if you need to replace the tooth or teeth or you can do it later.
Tooth replacement treatment differs depending on what suits you and what is possible. If you need a prosthesis, it is good to know that a fixed prosthesis with implants is more expensive than a removable prosthesis.
This text tells you which treatments you can choose from. It deals with fixed dentures on your own teeth, removable dentures or dentures that are screwed onto implants in your jaw.
Dental prosthesis
Why might I need artificial teeth?
There are several reasons why you may need to have your teeth repaired or replaced:
– You’ve already pulled one or more teeth.
– Your teeth are worn down by the effects of, for example, pressure or acidic drinks.
– You lost teeth due to periodontal disease.
– Your teeth have been damaged by decay and fillings, so they need to be extracted and replaced.
– You are missing certain teeth or has abnormally shaped teeth.
Many people can get used to having a gap in their teeth, especially on the sides of the jaw where the gap is not very visible. The important thing is that the balance of the teeth remains so that the teeth do not start to tip or move.
Crown and bridge are common treatments
A filling is made by replacing the broken part of the tooth with one of these:
– A glued plastic filling.
– A bonded veneer, which is a thin porcelain shell.
– An inlay that is glued into an earthen groove in the tooth.
– A lid bonded with a porcelain or metal core.