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The best type of whitening for your smile depends on what you are hoping to accomplish.

Whitening Toothpastes

This is certainly the easiest method of whitening, but will brushing alone produce your whitest smile? Probably not. Whitening toothpastes use chemicals and abrasives to remove some surface stains caused by foods, beverages and smoking. They can also be used to maintain the appearance of your teeth after a professional whitening. However, toothpaste alone cannot change the natural color of your teeth or penetrate the surface of the tooth to remove deeper stains. A whitening toothpaste usually takes several weeks to produce results. Be sure to choose a product with a seal of approval from a reputable dental association and carefully follow the instructions for use.

Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste.

Strips come coated with the whitening gel and work when pressed to your teeth for a specified amount of time. One difficulty here is making sure each tooth is completely covered by the strip so that even whitening takes place. Tray and gel whitening systems provide a mouthguard-like appliance that is filled with whitening gel and applied to your teeth, again for a specific period of time. Because one size does not fit all, stock trays can be ill fitting and lead to problems with gums and soft tissue. You can talk to our team about a custom-fitted appliance and whether gel whitening is your best option.

Some users find gel products cause tooth and gum sensitivity and even enamel damage. These over-the-counter gel products will not work on caps, veneers, crowns, or bridges, and there might be underlying conditions in your natural teeth that will make the use of these products ineffective. Please talk to us at your next visit to our Mountainside, NJ office if you are interested in whitening at home, so we can advise you on how to achieve the best and safest outcome.

Office Treatment

Professional whitening makes use of a gel with a higher concentration of peroxide and should only be provided by Dr. Robert Wortzel or a member of our team at our Mountainside, NJ office. This process is generally faster, more effective and longer lasting. We take care first to examine your teeth for pre-existing conditions such as cavities and gum disease that could cause problems. We protect your gums when the gel is applied in office and monitor the procedure. We can assess the progress of the whitening and suggest further treatment if needed. Custom mouthpieces can also be an option if you would like to use a whitening gel at home. A personally molded tray will fit your teeth perfectly and allow a more precise application of the peroxide gel.

Some teeth are not good candidates for normal whitening procedures at home or in office. If you have dark stains caused by trauma, drugs such as tetracycline, discoloration due to root canals, or darker dental bonding, crowns, or other prosthetics, please talk to us about other possible solutions. We want to help you achieve your brightest possible smile.

Many parents have concerns about their children’s teeth not falling out on time. Dr. Robert Wortzel and our team are here to answer any questions parents may have about when children lose their teeth.

Children have 20 primary teeth that come in around age three. By about age six, these teeth will loosen and begin to fall out on their own to make room for the permanent ones. It is common for girls to lose their baby teeth earlier than boys. Most children lose their final baby tooth by age 13.

Baby teeth normally fall out in the order in which they came in. The lower center incisors are usually the first to fall, around age six or seven, followed by the upper central incisors.

If a child loses a tooth to decay or an accident, the permanent tooth may come in too early and take a crooked position due to teeth crowding. If your child loses a tooth to decay or accident, call Dr. Robert Wortzel to make an appointment.

Some kids can’t wait for their baby teeth to fall out, while others dread the thought of losing a tooth. When your child begins to lose teeth, you should emphasize the importance of proper dental care on a daily basis to promote a healthy mouth.

Remember to:

• Remind your child to brush his or her teeth at least twice a day and offer assistance if needed
• Help your child floss at bedtime
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

Call Integrative Dental Care to learn more about caring for baby teeth or to schedule an appointment at our Mountainside, NJ office!

Sometimes, despite our best care, we lose a tooth. If it is a front tooth, it will probably be a high priority to replace. But if a missing tooth doesn’t show when we smile, what’s the hurry? Let’s look at the reasons why prompt replacement with an implant is always a good idea, no matter which tooth is involved.

Appearance

Implants look like natural, individual teeth, but that is not the only aesthetic reason to replace a lost tooth. Without some type of tooth replacement, missing teeth can eventually affect the structure of our jawbones and change our facial appearance. Cheeks, lips, profiles—all are impacted by the changes in our bones resulting from tooth loss.

Better Bite

Nature abhors a vacuum, and so do our teeth. When a space is left by a missing tooth, the teeth around it might shift positions, affecting the even pattern of our bite. And without a tooth to keep it in place, a tooth above or below the missing one might begin to grow longer to fill the void in your bite. This lengthening, in turn, can cause even more bite problems.

Chewing

With the loss of only a single tooth, there is a negative impact on the remaining teeth. More pressure is placed on the other teeth in order to chew properly, front teeth not meant for chewing might need to be used for that purpose, or food is not chewed as thoroughly as it should be. The first two problems are not healthy for our teeth, and the last one is not healthy for digestion!

Don’t Delay

Changes in bite and chewing problems probably won’t happen overnight, so is putting off the process really a big deal? It can be! Time is not on our side when a tooth is lost. The bone tissue which supports our teeth needs the stimulation of biting and chewing to stay healthy. Without that stimulation, the bone area under the missing tooth gradually shrinks. If there is not enough bone area left, you might need surgical bone grafting to achieve the right bone height to hold an implant, or it could lead to the impossibility of placing an implant at all.

Expense

Replacing a lost tooth quickly requires less restoration of the gums and bone in the future and prevents other serious problems from developing.

We could continue through the alphabet, but instead, come talk to Dr. Robert Wortzel about all the reasons a tooth implant might be your best option. Whether you have already lost a tooth, or if you have an extraction scheduled at our Mountainside, NJ office, we are happy to recommend the best procedure at just the right time to make your smile beautiful, healthy, and complete!

It’s no secret that kids and adults have different priorities: your duty is to raise a happy, healthy child, but your little one’s only priority may be to have fun. When it comes to brushing teeth, it can be hard to combine a healthy habit with having fun. You might fear it can’t be done, but with a little creativity, brushing time can be a great experience for both of you!

Make It a Party

Brushing time doesn’t have to be a chore when you throw a little party! Get Mom and Dad together so the whole family can brush their teeth at the same time.

Let your child choose a song to dance to while you all brush for the required two minutes. Your son or daughter may grow to love this silly routine, especially when the parents are clearly dedicated to brushing their own teeth as well.

Big Kid Decisions

Kids love the responsibility of making “big kid” decisions. Keep a variety of toothbrushes, colors of floss, and toothpaste flavors on hand so they can choose something “new” each time they brush, just like when they visit our Mountainside, NJ office.

Not only can this help them grow more comfortable with the idea of seeing the dentist, but they’ll love having the responsibility of picking what would be fun at brush time.

Practice Makes Perfect

It’s true that the only way to get better at something is to practice, practice, and practice. Have your child practice brushing on his or her favorite stuffed animal, and use that opportunity to teach your youngster how to hold the brush and use circular cleaning motions. Showing how you brush your own teeth can also be worthwhile.

There’s An App For That

Did you know there are lots of fun apps that encourage good brushing habits among children? Brands like Oral-B and Aquafresh have free apps you can download on your phone.

The child gets to select a character, scenery, and a song he or she would love to accompany the task of brushing. If you have a daughter, she might like to use the Tooth Fairy Timer, which allows her to pick her very own fairy as her brushing buddy.

The important things to remember when you seek to establish good brushing habits is to keep it fun and stay consistent with your routine. It may take some getting used to, but after a while your child will become familiar with brushing and might even look forward to the new dental routine.