It’s time. You’ve decided. You’re going to get veneers. Whether it’s to repair a cracked or chipped tooth, to cover discoloration brought on by a root canal or medical condition, to fill in gaps between teeth, or for any other cosmetic reason, veneers can give you back your natural, confident smile.

And now you have just one more decision to make: should you whiten your teeth beforehand?

Many dental professionals find that, for most of us, the best results occur with professional whitening before veneer placement. Why?

• Your veneers will be carefully matched to the teeth surrounding them.

You don’t want your veneers to look anything but natural, and so Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying will make sure that their color is indistinguishable from your other teeth. But there is one important difference between tooth enamel and veneers:

• Teeth are porous.

As hard as it is, enamel is still porous. And the fact that teeth are porous means that teeth can discolor over time. Coffee, tea, red wine, sodas, darkly hued fruits, and fruit juices—teeth readily absorb pigments from foods. And smoking?  Not only one of the worst habits for your health, it’s one of the major causes of tooth discoloration. This is the downside of having porous enamel.

The upside? The fact that enamel is porous also means that you can brighten your smile with a whitening procedure.

• Veneers aren’t as porous.

Veneers are generally made of porcelain or a composite resin, with some key differences between them.

Porcelain has a translucent quality that looks like natural enamel, and it is very durable. Porcelain veneers are recommended when teeth have significant chips or gaps. They are also especially stain-resistant.

Composite veneers aren’t as expensive, and usually don’t need as much tooth structure removed to bond them to the tooth. They might not last as long as porcelain, and they aren’t quite as resistant to staining.

When you visit our Hiawatha, IA office, we can discuss the pros and cons to find the perfect veneers for your needs. Just remember,

• Once created, veneers can’t change color.

Veneer color should be considered permanent. If your porcelain veneers seem to have dimmed a bit, often a gentle professional polishing will bring them back to their original shine. Composite veneers, as well, can respond to polishing and cleaning. This is the upside of permanent veneer color.

The downside? Veneers can’t be whitened to match your newly whitened tooth enamel. If you decide to whiten your teeth at a later date, your veneers might appear darker than your surrounding teeth. If you want to change veneer color, you will need to replace your veneers. So . . .

Now that you’ve decided to transform your smile with veneers, take a little extra time to talk to your dentist. Find out if whitening makes sense for you for a perfect, uniform match between your other teeth and your veneers.  And then be ready to enjoy your matchless smile!

Now that you are working hard to improve your dental health and appearance with your braces, it might seem like a logical time to whiten your teeth as well. But should you go ahead with home kits or a professional whitening? The answer might be yes, but not quite yet!

Toothpaste

The easiest way to whiten teeth is regular use of a whitening toothpaste. But these do not make a major difference in tooth color and may also contain abrasives which can damage ceramic brackets and make them more likely to stain. And, whether you have metal or ceramic braces, the brackets used are bonded to your teeth. Any part of your tooth covered by a bracket will not be affected by the whitening paste. Ask our office if you are thinking of using one of these products. We will be happy to recommend the best toothpastes to use while your braces are in place.

Whitening Strips and Trays

Whiteners can be applied at home with strips or tray kits. Strips are coated with a whitening gel and then pressed around your teeth. Tray kits provide a mouthguard-like appliance, which is filled with whitening gel. But neither strips nor tray solutions will whiten any area covered by brackets. When your braces come off, there might be noticeable differences in color on each tooth. Strips are difficult to apply with braces, and trays need to be custom-designed to fit your braces and make sure they don’t disturb your orthodontic work. One size most definitely does not fit all! Finally, these whitening agents can cause tooth and gum sensitivity, especially around the time of adjustments. Many manufacturers do not recommend using their products while you have braces. Please talk to us if you are thinking of using them.

Professional Whitening

A dental professional can whiten your teeth in office for the best possible results. The most effective treatments for your unique teeth are combined with protective care of your gums and mouth. Whether this treatment is appropriate while you have braces is something we are happy to discuss.

The best way to keep your teeth bright is to keep up your regular dental routine! Brushing and flossing are more important than ever now, because plaque builds up around brackets. Avoid foods that stain teeth and rinse or brush after every meal and snack. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying will show you the best way to take care of your teeth while your braces are on—and that includes the best way to keep them white and bright. Talk to us about the perfect time to whiten your beautiful smile during your next visit to our Hiawatha, IA office. And if you have to wait a few extra days for the smile you’ve been working toward, truly, the wait will be worth it!

A length of floss plus your teeth is about as low-tech as it gets. But, as with so many other “simple” skills, it helps to learn just the right technique to avoid common mistakes and to make your flossing as effective as it can possibly be.

• Choose the Right Floss for You

You’re getting ready to go out, and your floss keeps getting stuck, shredding, or snagging. You might try waxed flosses or flosses treated to glide easily through the teeth if this is a difficulty. (But do call us if it happens a lot—it could be a problem with a restoration, or a cavity, or some other condition we should address.) If you have the opposite problem, too wide a space between teeth for effective flossing, there are dental tape flosses that work with wider spacings. Braces? There are even specially designed dental flosses that thread between brackets and wires to access hard-to-reach plaque and food particles. If you’re unsure which product will work best for you, we have recommendations.

• Don’t Be Too Hard on Yourself

Did you know dental floss is a handy kitchen tool? You can use (unflavored) floss to cut cakes into even layers, slice cheese, or divide a log of cookie dough into perfect rounds. Just pull the floss taut and saw away. But let’s not use this technique on delicate gum tissue! Gums can be injured by a vigorous, sawing motion. Instead, gently guide the floss between the teeth to the gums, and, when you reach the gum line, gently ease the floss up and down the tooth surface. But do remember, sometimes the gums are sore and sensitive because of too little flossing, not too much. Proper cleaning will help keep your gums both healthy and pain-free.

• Technique Counts!

We often use floss to remove food particles from between the teeth, which provides instant dental gratification. But you are flossing for the long term as well. Proper flossing removes the plaque that leads to cavities from places your brush just can’t reach. Make sure you floss between each tooth, and don’t forget the back of those teeth on the end. The next time you visit our Hiawatha, IA office for a cleaning, let us demonstrate the most effective techniques for gently removing plaque from beneath the gum area and on the tooth’s surface.

• It’s All in the Timing

How much time should you spend flossing? That answer will depend on your individual needs. For some people, thorough and careful flossing once a day will be sufficient. For others, flossing more often might be advisable. We can help you decide how often and how long to floss.

It might take some time and practice to learn to floss effectively, but you will find your technique gets better and your flossing is accomplished more quickly once you have the basics down. If Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying can offer any suggestions, don’t hesitate to ask!

What’s the big deal about a little snoring during the night? Or feeling a bit drowsy during the day? Or an occasional bout of insomnia? If your sleep problems are few and far between, probably not a major worry. But if your sleep disruptions are frequent, getting worse, or more noticeable to those around you, your problem might be sleep apnea. And that can be a big deal.

Sleep apnea occurs in three forms:

• Obstructive sleep apnea

This is the most common form of sleep apnea. It can be the result of the muscles in the back of the throat relaxing during sleep to obstruct the airway. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tonsils.  Loud snoring often results as the sleeper struggles to inhale through the obstructed passageway.

• Central sleep apnea

Central sleep apnea is caused by the brain failing to transmit the proper signals to breathe during sleep. The sleeper either stops breathing, or takes such shallow breaths that he or she can’t get enough air into the lungs.

• Complex sleep apnea

This condition is a mix of both obstructive and central sleep apnea.

Any of these forms of sleep apnea will cause a miserable night’s sleep. Sufferers actually stop breathing for a brief time. To start breathing properly again, our bodies move from the deep sleep we need to restore our physical and mental health to shallow sleep or even momentary wakefulness. And these disruptive episodes can happen dozens of times an hour, all night long. You might think you have gotten a full night’s sleep, while in reality you are suffering from sleep deprivation.

When you suffer from obstructive sleep apnea, the immediate consequences are easy to see and hear. Loud snoring, choking, constant drowsiness—you (and your loved ones) suffer from these symptoms night and day. But the hidden consequences of this disorder are even more dangerous. Sleep apnea has been linked to high blood pressure, heart disease, and strokes. It can cause memory problems, depression, and mood changes. Loss of focus and slow reflexes can lead to accidents. Complications from general anesthetics and medications can also become a serious risk.

Snoring is not the only symptom of sleep apnea. If you notice that you often wake up with a sore throat, a dry mouth, or a headache, have difficulty going to sleep at night or staying awake during the day, can’t concentrate,  or constantly feel irritable—you should consider the possibility that you suffer from sleep apnea. Talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying at our Hiawatha, IA office. We can recommend options that will have you once again sleeping soundly in your bed, waking up refreshed and healthy. And that is a big deal.