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Cape Gazette
Lewes, Delaware
Jim's Towing Service
February 24, 2006     Cape Gazette
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February 24, 2006

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I it ill CAPE GAZETTE - Friday, Feb. 24 - Monday, Feb. 27, 2006 - 83 What's all the buzz about teeth whitener'? Lisa Hi, I'd like to know what's with the buzz about teeth whitener. I've overheard several of my co-work- ers discussing them. One person went to the dentist for their whitening and the other is using the strips you can buy in the store. I'm wondering what the differ- ence is besides cost and are they safe? They seem to work because their teeth do look better. - Smiley in Dewey I would like to thank Dr. Curtis Leciejewski for helping me with this question. There are so many choices these days for whitening products it's hard to decide which way to go. Dear Lisa and Smiley in Dewey, Of all of the questions that are presented in my office teeth whitening is one of the most com- mon questions that people have. To get started in answering your question there are two ways in which bleaching agents work. One is by removing surface stain and one is by having an internal whitening of the tooth go on from the outside of the tooth. The biggest difference in all bleaching agents is the concentra- tion of the bleaching agent and the specific bleaching compound that is used.. The over the counter strip type bleaching agents use a 10 percent carbamide peroxide. There are bleaching agents that use a take home tray system where gels are placed in custom fitted trays that are fabricated by the dentist. This system uses a 16 percent carbamide peroxide. The one hour bleaching agents where you LISA LISTENS Lisa Brown sit in the chair for about a total of 1.5 hours uses a 35 percent hydrogen peroxide. These agents also use a light in the process which has been ques- tioned as to actually being effec- tive and necessary. In this system the actual bleaching agent is the component that will bleach your teeth. All these products will bleach the tooth from within. The whitening toothpaste's that are on the market generally work by removing surface stain. All of these agents listed have been known to bleach teeth with varying degrees of success and they are all generally safe. Problems that have arisen from their use include after bleaching sensitivity which can last from a few hours to a couple of days but generally goes away. Also, the problem of gum sen- sitivity and irritation has been noticed which will also clear up. Over the counter pain medica- tions are sometimes suggested to alleviate these symptoms. A person who has had a lot of fillings and crowns or caps placed must also be aware that these bleaching agents will not change the shade of these materi- als. The filling and caps may have to be replaced if the desired result is not attained. If this is the case the caps or fillings should be replaced after the bleaching is completed to get the corrected shade obtained from the bleach- ing process. The colors of teeth that bleach best are the yellowish type of shades. The brown to gray shades are more difficult and some have had good results while others have limited success. It is important to discuss with your dentist what he or she feels is going" to work best for you as it is definitely an individualized treatment and totally unpredictable as to the desired outcome. I have instruct- ed some patients to try Crest strips first and see if they get a result. If that works they can either continue with them or move on to a more expensive in office bleaching system and see if they get a better result. The biggest problem with take home products is compliance; in today's society we want an instant white smile and for someone to use strips daily or in using cus= tom trays for a period of a few hours for several weeks it becomes more difficult for a patient to comply. This is where the difference in cost comes in. If the dentist is going to do in the chair type bleaching, a higher fee is generally charged for that service as opposed to a patient taking the agents home with them and doing it themselves. Fin: Closing. Loans for Single Family, Modular & Class C You will speak directly with a loan officer * ili  4ii::::i :;::::::::::::::i:::::: ::i  i :;:: ii: :  i  :    : ii :::::::: i ::::::::::::::::::::::::::::::::::::::::::::::: -.z :iiiiiii'  300 Postal Lane Lewes, Delaware 19958 302.644.9200 Fax 302.644.8990 Chris Bare Email: Senior Loan Officer missy, executive @ comcast, net Missy Davis Senior Loan Officer Before any bleaching of any kind is done have a thorough exam and cleaning done from your dental professional to give you the best possible outcome. Dr Curtis J Leciejewski prac- tices at 19643 Blue Bird Lane in Rehoboth Beach and can be reached at 226-7960. Lisa Brown is a day spa owner with 25 years experience as a pro- fessional makeup artist and has received many movie and maga- zine credits. She specializes in -permanent makeup and cosmetic application. Lisa sees clients at Bad Hair Day Spa & Salon, Villages in Five Points, Lewes. Email questions to www.lisalis- or send snail mail to Bad Hair Day.