Consuming too much coffee, tea, red wine and nicotine means the naturally bright color of your teeth can instead turn to shades of yellow and brown. If you want to change that, the best thing to do is to visit a good dentist in your area here in San Antonio. Because a dentist will be familiar with the cosmetic issues relating to the brightness of your teeth. 

Professionally performed medical tooth whitening (bleaching) has a very high success rate. However, not every patient responds equally well to the bleaching method. Together with the dental professionals in the clinic, it is important to find the best solution for each patient individually.

These are the common methods for bleaching by dentists:

1. In-office bleaching

With highly concentrated bleaching agents and the use of light, the teeth are whitened directly in the dental practice. Mucous membranes and lips are protected.

2. Home bleaching

Home bleaching can be used after an in-office bleaching treatment or separately. The patient fills a custom-made splint with low-concentration gel and slides it over the teeth. This is done daily for a period of about two weeks and can be repeated later.

3. Walking Bleach

This internal whitening or ‘walking bleach’ technique is carried out by a dentist placing the whitening agent inside the tooth and closes it with a temporary restoration. The tooth then whitens over a couple of days while the patient is ‘on the go’ (hence ‘walking bleach’). The whitening can be repeated a couple of times and finally the tooth is sealed off with a permanent restoration. An internal bleaching procedure such as the walking bleach technique can be used for whitening of discolored root-filled teeth.

The modern bleaching procedures are safe and medically proven. A gel enriched with hydrogen peroxide is used for this. The hydrogen peroxide is activated by light (LED, UV or LASER) and discolors the deposits in the tooth enamel. Before each bleaching, the teeth must be cleaned thoroughly and professionally. Lips, mucous membranes and gums are covered.

In the event of hypersensitivity or other unpleasant reactions that can occur in individual cases, the dental clinic has the appropriate measures at hand. If teeth whitening is carried out with the right method and by qualified personnel, the risks are minimal and the chances of success are high.

Bleaching with a brush, adhesive strips or a standard splint should not happen under any circumstances!

Luckily, the times when you tried to whiten your teeth at home are over. Regulations now put medical teeth whitening in the hands of dental professionals in the practice: According to the cosmetics regulation, products that contain more than 0.1 percent to 6 percent hydrogen peroxide may only be used under direct dental supervision.

So if you want to make your smile shine with brighter teeth, you should definitely seek advice from your local dental practice in San Antonio; TX. The best way to permanently beautiful and healthy teeth is regular prophylaxis and check-ups in the dental practice.

Tips from the professionals: Questions & answers about bleaching in “Your City or Area Code”

We spoke to dentist Dr. Hital Suri from ABC Smiles Texas and asked for her views on bleaching. Dr. Suri has established herself as a leading Cosmetic and Implant Dentist in San Antonio; TX.

Dr. Hital Suri

Dr. Suri: “The bleach contains chemical ingredients that strip minerals from tooth enamel. As a result, its protective effect is briefly interrupted. After bleaching, the teeth are therefore overly sensitive to heat and cold for a short time.”

Which bleaching method is the best?

Dr. Suri: “The choice of bleaching method should be coordinated with the dentist. Highly concentrated gels work more intensively and faster, but belong in the hands of the dentist. Not so highly concentrated gels can be applied at home – but you need more patience for the effects.”

When can I eat normally again after bleaching?

Dr.  Suri: “After the bleaching, normal eating habits can be resumed immediately. However, the discoloration starts all over again: If you drink a lot of coffee, tea or red wine, you risk renewed discoloration in the long run.”

“Bleaching is only safe in the dental practice. Because there might also be underlying health problems. The dentist therefore only whitens healthy teeth!”

Dr. Suri: “Bleaching is only safe in the dental practice. Because the reason for the discoloration could also be related to underlying health problems. The dentist therefore only whitens healthy teeth!”

How much does bleaching at the dentist cost?

Dr. Suri: “I cant give you a specific number for this. Bleaching is a private service that patients have to pay for themselves. The dentist can set the price for the teeth whitening themselfs. In general, you should budget around $300 for bleaching at the clinic plus $100 for a professional teeth cleaning prior to the treatments.”

Dental Implants have become a proven and popular form of dental therapy. An implant takes on the function of an artificial tooth root as it is firmly embedded in the alveolar ridge to serve as an anchor for the artificial tooth. With this high-quality solution, single teeth can be replaced or a whole tooth can be restructured. The dentist inserts the implants into the jawbone where they become firmly anchored, giving an aesthetically pleasing and very functional result.

WHAT ARE THE ADVANTAGES OF DENTAL IMPLANTS?

For many patients, dental implants have become the preferred alternative to replace missing teeth, whether for the replacement of single teeth or dealing with the whole jaw. Dental implants are a growing trend in dentistry. Reasons for this include the high level of chewing comfort that people experience because of the firm fit of the replacement teeth, and the pleasing aesthetic result in that people end up with very natural-looking teeth. Patients do not experience dental implants as ‘foreign objects’ – they feel that they are eating, speaking and laughing with their own firmly fixed teeth.

The implant is embedded into the jaw as an artificial tooth root by the dentist. Due to the biocompatible implant materials that are used that are well-tolerated by the jawbone, osseointegration occurs, which means that the bone of the jaw grows around the implant, fixing it firmly in place. The advantage of implants over a bridge is that healthy neighboring teeth on either side of the tooth gap do not have to be not ground down to attach a bridge. The implanted tooth fills the gap like a natural tooth with a root.

For many patients, dental implants have become the preferred alternative to replace missing teeth, whether for the replacement of single teeth or dealing with the whole jaw. Dental implants are a growing trend in dentistry.

When are implants useful?

Dental implants are always a sensible alternative when missing teeth need to be replaced. With the advanced and technically sophisticated systems that modern dentistry has developed, dental implants are viable for almost all possible situations in which a tooth or teeth have to be replaced. If only one tooth is missing, the implant serves as a fixed anchor for the implanted crown. The dental technician crafts the dental implant-restauration from material suitable to each individual patient. The result is a natural-looking row of teeth and the healthy neighboring teeth are not damaged.

If several teeth are missing next to each other, several dental implants can be placed in the gap. If necessary, an implant bridge can be constructed to serve as an anchor. The replacement artificial teeth are made in a dental laboratory or, if necessary, can be made directly in the dentist’s rooms. As the teeth are adapted to each individual patient and situation, the result is aesthetically pleasing with teeth that look like natural, healthy and beautiful teeth.

If large areas of the jaw are toothless, implants can be used as supports for a removable partial prosthesis so that a dental prosthesis with an annoying palate plate can be avoided. Depending on the patient’s wishes and the dictates of the specific circumstances, a fixed implant bridge can be used to replace the missing teeth.

DO IMPLANTS ALSO HELP IN EDENTULOUS JAWS?

In the case of edentulous jaws, where large areas of the jaw are toothless, restoration of the jaw by implant-based dentistry is becoming more and more prevalent. Implants can improve oral and jaw function better than traditional complete dentures in patients with edentulous jaws, with a notable improvement in their quality of life.

Depending on the situation, a patient can wear a removable prosthesis, or alternatively, several fixed implants can be utilized. The use of implant therapy in the patient with edentulous jaws provides the patient many advantages. These kinds of dentures are much more stable, as the implants fix the prosthesis very firmly in the mouth.

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A veneer is a wafer-thin shell which is firmly and permanently glued to the tooth. There are two main types of material used to fabricate a veneer: composite and dental porcelain. Veneers are manufactured in dental laboratories, whereby a dental technician will carry out delicate work in producing the thin shell. The resulting veneer is both high individualized and aesthetic.

As a rule of thumb, veneers are generally used for aesthetic purposes, including to correct
minor blemishes on the front teeth. The shells can be used to improve the appearance of chipped, worn down or broken teeth, or to hide discoloration (caused perhaps by root canal therapy, or stains from tetracycline or other drugs). The results are generally highly impressive, leaving the patient with even and naturally looking teeth.

Do veneers look like artificial dentures?

Veneers are designed to look inconspicuous and beautiful. The materials used offeroptical properties (tooth color) that are a very close match to natural teeth. In consultation with the dentist, the dental technician creates an individual “design” for the

anterior teeth and fits the shells in ordered colors which blend with those of neighboring teeth, or according to the patient’s request. A talented dental technician will make veneers that take into account many patient-related criteria, such as facial expressions, phonetics, aesthetic parameters, resulting in a natural looking, beautiful result.

Can veneers damage healthy teeth?

The dental technician uses high-quality, biocompatible materials when creating veneers. With an exact fit, neither the gums nor teeth should be damaged in any way. In order to bond a veneer permanently and aesthetically on the tooth, in
in most cases, some tooth structure is removed. As the shells are so thin, they can still appear bulky if bonded to an unprepared tooth. Therefore it is often necessary to remove some of the tooth enamel to accommodate their width. Leading dentists will use precise techniques in order to do this.

How long does a veneer last?

Veneers are very thin and fragile – on average, a veneer is only 0.5 mm thick. The shell gets its actual strength after gluing to the tooth. With care, veneers can last over ten years.

What is the treatment process?

Firstly, the dentist removes a thin layer of the enamel, which he or she then sends to the dental laboratory. In close consultation with the patient, the the dental technician produces the veneer with a high degree of precision. Once these shells come back from the laboratory, the dentist will fit them in the patient’s mouth. The dentist does this by bonding the veneers to the tooth with a composite plastic adhesive. It is essential that the dentist does this with a high degree of precision. Improper fastening can cause discoloration, marginal gaps, fractures or veneers falling out earlier.

Are there candidates who are not suitable for veneers?

Certain patients make less ideal candidates for a successful veneers treatment. For example, those who grind their teeth or have a habit of chewing objects are more likely to cause damage to their veneers. In addition, patients with poor oral hygiene should avoid veneers as well. Finally, those who play contact sports such as martial arts should delay treatment until they have retired from the sport!

BECAUSE MOUTH AND BODY WORK IN UNISON

As holistic dentists we are concerned about your health, as you should be too. Good dentures contribute to your well-being and are an important factor in healthcare if teeth are missing. In the manufacturing of dentures, great importance is attached to using only high-quality materials and biological dentures.

With advanced dental technology, creating beautiful and natural-looking dentures that match the colour and shape of the patient’s teeth perfectly is not a problem for the dentist or the dental technician. However, in practice it is a bigger challenge, as the dentures have to fit harmoniously into the ‘human’ system of the patient’s body.

Ideally, patients should not even feel that they are wearing a denture. For this, numerous individual circumstances need to be established and taken into account during consultations with the patient. Is the patient allergic to any material? Does the patient have any physical complaints, like back or neck pain? What requirements does the patient have for his/her dentures? What can the patient afford to pay for the dentures?

Dental material allergy

For patients who are allergic to certain dental materials, for example nickel, appropriate alternatives are available. For many patients, metal-free materials offer a good alternative option, as these materials have a high level of biocompatibility and are therefore generally well tolerated. In the case of a patient with pronounced allergic tendencies, the proposed materials for a denture can be subjected to an allergy test at the dentist or the patient’s doctor.

Think holistically

In addition to making sure that the dental material is compatible, the denture should also integrate well into the patient’s biological ‘human’ system. The temporomandibular joints play a crucial role here. To create dentures that will function harmoniously, the movements of the temporomandibular joints must be precisely recorded and transmitted to the dental laboratory.

Due to the anatomical, physiological and neurophysiological connections between the temporomandibular joint and the patient’s musculoskeletal structures, any change in the patient’s bite position could affect how their system and organs function. Only the harmonious interaction between the dentures and the patient’s system will ensure the patient’s well-being. As AL Rossaint* pointed out, the masticatory organ is not an autonomous system, but functions in a cybernetic loop with the rest of the patient’s body.

Therefore, the dentist must look closely at the functioning of the patient’s teeth, periodontium, chewing, speech, facial and neck muscles, and temporomandibular joints. The dentist must also look at the patient’s dental history and their whole-body skeletal parameters. All these aspects must be factored into creating the best denture(s) for the patient.

Malfunctions and the solution

In the case of functional complaints, i.e. neck and/or back pain, a full-body diagnosis is very much indicated. The temporomandibular joints could be a cause as these joints are inextricably linked to the whole body. Recognizing this cause and effect factor is an integral part of arriving at the best dental prosthesis therapy for a patient.

Functional disorders of the temporomandibular joint often manifest themselves in muscular and functional complaints of individual segments of the spine, pelvis and extremities. The reason for this is the anatomical and neurophysiological connections between the temporomandibular joint and the upper cervical segments. A dysfunction of the upper cervical spine can cause problems lower down in the patient’s body.

So now the dentist must play the role of a detective here, with the physiotherapist, osteopath and manual therapist becoming his expert ‘side-kicks’! If these experts all work well together, it will be possible to correct the malfunction and produce a denture that integrates perfectly into the patient’s biological system.

When the bone of the jaw becomes less dense and shrinks, it can affect the fit of the dentures. With bone loss in the jaw, the dentures lose their stable base. The result can be a loose prosthesis which no longer fits snugly in the mouth. In these cases, people often retry using adhesive cream and assume that their dental prosthesis is defective.

However, the cause usually lies elsewhere – osteoporosis. The jawbone to which the prosthesis has been individually ‘tailored’ has in fact receded or shrunk with the result that the dentures lose their firm hold. An investigation at the dentist will help to identify whether the poor fit of the denture is due to osteoporosis.

If the loose fit of the dentures is due to bone loss, there are various possible solutions to restore the good fit of the prosthesis. The simplest solution is to just reline the existing prosthesis thus restoring its proper fit. Employing dental implants is another strategy to provide a firm hold for the prosthesis again.

Can dental implants be used effectively if the bone of the jaw is affected by osteoporosis?

Yes, implants can be inserted even if the jawbone is brittle due to osteoporosis. Dental implants are in fact a proven method to replace missing teeth. The implants are introduced into the jawbone and serve as a fixed anchor for the new dentures.

In the case of decreased bone density, there may be possible restrictions on the use of implants, or there might be a longer healing time, but it is osteoporosis on its own is not a sufficient contraindication against dental implants. The dentist will create a risk profile, based on the patient’s general health and their oral situation, on the basis of which the dental treatment is planned and carried out.

Firstly, you can preserve your own healthy teeth into old age by good preventive and prophylactic practices. However, should your own teeth be lost, these days your quality of life need not to suffer as there are many options for good, aesthetically pleasing dentures.

For that great smile and healthy teeth in adults over 60 any gaps have to be closed

Missing teeth should be replaced because tooth gaps can have serious consequences. Teeth alongside the gap may start ‘migrating’ into the gap or even start leaning over. This may affect your bite, which could in turn impair the function of your temporomandibular joints. This can make eating and speaking difficult, and vicious circle, that could have far-reaching physical effects, may be triggered.

It may even cause malnutrition as people avoid certain foods because they find difficult to chew. This can, of course lead to deficiency diseases. Not having an attractive smile with healthy teeth and finding speech problematic, could also affect their sense of well-being and trigger psychological problems.

Patients with gaps in their teeth should therefore consult their dentist as soon as possible. Fixed bridge, removable dentures or dental implants are just some of the options available to patients these days. New dentures can be created depending on the patient’s individual requirements and financial resources.

A toothless jaw no longer presents an insurmountable problem

The times when dentures wobbled loosely in Grandma’s mouth, or Grandpa couldn’t eat lovely crispy bread with his artificial teeth are no more, nor will dentures be sitting in the water glass next to the bed! Thanks to modern dental technologies and high quality materials these days, it is possible to create highly aesthetic, functional and durable dentures, thus ensuring an attractive smile, a firm bite and clearly legible speech.

That’s why dentists and dental technicians can say that they don’t make ‘artificial teeth’. Instead, they can justly claim that they create natural-looking teeth that feel just like real teeth in the mouth – strong teeth that are beautiful and healthy, fit firmly in the patient’s mouth and therefore contribute to the patient’s positive attitude towards life.

Even if the patient’s jaw is toothless, it is possible to live an unrestricted life with these well-made dentures that successfully replace their natural teeth. These dentures have been tried and tested for decades. When indicated, for instance by the patient having a sufficiently healthy jawbone, these high-quality dentures sit firmly and securely in the mouth.

Zirconia is a modern material that is increasingly used for the manufacture of fixed dentures. It is a type of ceramic from which frameworks for crowns or bridges are made. The high-tech material ensures high aesthetics, strength, durability, optimal stability, and is also biocompatible. Fixed restaurative products (crowns, bridges, etc) made of zirconium oxide is CAD/CAM supported in the dental laboratory.

Continue Reading: 7min Read

What is special about zirconia?

In terms of materials, zirconia belongs to ceramics and shows many positive properties, for example the high flexural strength that gives the material its stability and durability. The advantages of zirconia have not only been used successfully in dentistry for many years, but also in other areas, for example, kitchen knives. In orthopedics, the material is used, among other things, for hip prostheses. Crown and bridge frameworks are made of zirconia in the dental laboratory and described as an all-ceramic restauration. Due to its high strength, low weight and low thermal conductivity, the material has proven itself well in dentistry. The bright white color is a great alternative to metal.

How is the material processed?

Due to its high strength, zirconia can only be processed with CAD/CAM-supported milling machines (modern digital manufacturing technology). The dental technician uses CAD software to design the desired framework design and it is based on proven dental technology specifications. The data record is transmitted to the milling machine and the virtual framework is ground out of a milling materialdisc made of zirconia. After appropriate reworking, the framework is prepared for individual aesthetic finishing .

As a rule, only the crown or bridge framework is made of zirconia. This serves as a stable base, which the dental technician now encases with a ceramic mass. The teeth are built up layer by layer with craftsmanship and anatomical-functional knowledge. The result is a stable denture that hardly differs in appearance from the good neighboring teeth. The light-optical properties of modern ceramics offer the dental technician wonderful design options. For more in depth  information about zirconia as a dental material please download the e-book „Dental Material Compendium – Zirconia„.

The light-optical properties of modern ceramics offer the dental technician wonderful design options.

As a rule, only the crown or bridge framework is made of zirconia. This serves as a stable base, which the dental technician now encases with a ceramic mass. The teeth are built up layer by layer with craftsmanship and anatomical-functional knowledge. The result is a stable denture that hardly differs in appearance from the good neighboring teeth. The light-optical properties of modern ceramics offer the dental technician wonderful design options.

Additional Reads

Dental Material Compendium – Zirconia

When you decide to take a first step towards seeing a professional to discuss dentures, it can be quite intimidating. Your teeth are obviously very important to you, not only practically to ensure you can have a firm bite when eating food, but also aesthetically, in which you want any potential dentures fitted to look like natural teeth. That’s why it is so important to find the right dentist that can assess your situation and talk through the solution to your problem. Texans are fortunate that the state has a good array of dentists who solely specialize in denture and implant treatments. Although the majority can be found in the big cities such as Houston, Dallas, Fort Worth, San Antonio, Arlington and Austin, there are also several based in smaller towns such as Nederland Garland and Odessa. Here at NextSmileDental.com, we have compiled a list of 10 recommended dentists in Texas who specialize in dentures and implants:

Denture Clinics in Texas

Texas Denture Clinic

Based in Dallas and Fort Worth, the Texas Denture Clinic and Implant Center pride themselves on the personalized care they provide. They focus on end goals of ensuring you can bite with full certainty that your dentures will remain firmly in place, and have confidence in your smile. They do not include a standard ‘rate card’ and instead assess each patient individually, as every situation is unique in its own way.
The Texas Denture Clinic carries out simple procedures, such as a straightforward replacement, or more complex procedures requiring a full mouth of dentures.

They have competitive pricing, such as their Complete Dentures which start at around $895 per arch. Immediate Dentures start at $995 an arch, and they do not include extractions or other items needed.

Something quite unique to this clinic is that they fabricate your prosthesis inhouse. This means it can be done quite quickly. They place a great emphasis on the patient being in control of the process, including working to achieve results within the patient’s budget. It should also be noted that they adhere to COVID-19 safety protocols.

The Wright Dental and Implant Center

Located in Corsicana and Fort Worth, Just Wright Dental and Implant Center emphasize patient care. The in-house team prides themselves on compassion and truly getting to know each and every one of their patients. The website has nice personal touches about staff members, so that potential patients can familiarize themselves with the practice before their first appointment.

Dental Design Specialists

Serving Dallas and the surrounding area, Dental Design Specialists offer a state-of- the-art dental office. Although they deliver comprehensive dental services, they place a particular focus on complex dental restorations. Both of their doctors are board- certified prosthodontists—dental specialists in the restoration of broken-down teeth and in the replacement of teeth that are missing. The practices thoroughly plans out each case and provides the right treatment for each patient.

Unlike many dental practices, they have an in-house lab and dedicated dental ceramist. This means they can control every aspect of treatment, guaranteeing the best possible outcome. Moreover, the practice partners up with several surgical specialists who come to their office to perform procedures when necessary. This means they can achieve practically anything a patient requires, all within the confines of their comfortable office.

Texas Denture Service

Texas Denture Service are based in Fort Worth and carter to the surrounding area. Their focus is on people and to make each patient feel special – they understand that coming into to see someone about dentures can be a daunting experience, however, they strive to make each patient feel at ease.
Dr. Murphy has been making custom dentures for almost 40 years – he takes into account various factors when creating solutions for you – each person is different, and so these include your age, complexion, and even things that you may not have previously considers, such as the shape of your face. Moreover, particular attention is paid to each patient’s personal input.

Elite Dentures

Elite Dentures are based in Nederland, Texas. They focus primarily on dentures, partials and MINI dental implants. Dr. Fukuda has assembled a compassionate and friendly team of staff, who pride themselves on their professionalism. As a result, the clinic is now established as a leading destination for the individualized fabrication and construction of dentures.

Smith Dental Care

Based in Tyler, Texas, this clinic is unique in paying a particular focus on creating a stress-free environment for patients. Understandably, visiting a dentist to discuss dentures is scary for most people. Smith Dental Care therefore offer three levels of sedation dentistry. From oral sedation, which helps calm the nerves of anxious patients, to IV sedation which is recommended for those with a dental phobia.
They are also very accommodating of people without dental insurance. In fact, they offer a Smith Dental Care Benefit Plan. It is a benefit plan run by Smith Dental, rather than a third-party insurance it’s a benefit plan run by Smith Dental. There are no premiums, no waiting periods, and you receive 10% off all dental treatments.

Smiline Dental Texas

Located in Garland, Dr. Chakrapani Nannapaneni heads up Smiline Dental Texas. Their ethos is to provide exemplary dental care with a commitment to quality, honesty, and integrity. With these commitments, they form long-lasting relationships with their patients. , which helps us, forms successful long-lasting relationships.

Dr. Chakrapani Nannapaneni has impressive credentials, and is a member of the Academy of General Dentistry, American Dental Association, American Academy of Cosmetic Dentistry, Dallas County Dental Society, and Texas Dental Association.

Foundation Dental Solutions

Based in Arlington, Foundation Dental Solution’s core philosophies include doing everything they can to deliver your happiness. They listen to patients, treat them as the indisivuals they are and offer them as many solutions as possible. They place a

the indisivuals they are and offer them as many solutions as possible. They place a particular focus on teamwork.
Dr. Baldwin leads this impressive team, striving to make each patient experience as comfortable, personal, and positive as possible.

Boyles General Dentistry

Based in Odessa and servicing patients from all over West Texas, Drs. Franklin and Stephen Boyles are both highly skilled general dentists who are passionate about offering patients a superior level of care. They focus on spending as much time as possible with each patients.
This practice also crafts partial and full dentures in their dental office., and are happy to offer same-day appointments for dental emergencies in many cases.

Waco Family Dental

Waco Family Dental strive strive to always provide personalized dental care and use comprehensive treatment planning to help all patients achieve the maximum dental health benefits. They also pride themselves on seeing patients as quickly as possible, in the knowledge that if someone is worrying you about your teeth or dentures, you will want expert help immediately. The clinic covers all aspects of dentistry, including custom-made partial dentures and full dentures.