Richard Y. Nomura, DDS

Improve Your Smile

Smiling Father and Daughter

  With recent advances in dental care, you can have an attractive smile. You don’t have to settle for stained, unsightly teeth. Rather, you have choices that can help you smile with confidence.

A subtle change in your smile can make a big difference in the way you look and feel about yourself. Talk to your dentist about the options most suitable for you, what your expectations are and the dental fees involved.

Tooth Whitening Treatments
Dental Porcelain Veneers and Porcelain Crowns


Tooth Whitening Treatments

Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours.

Many people are satisfied with the sparkle they get from brushing twice daily with a fluoride-containing toothpaste, cleaning between their teeth once a day and the regular cleanings at the dentist’s office. However, if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your options.

You can whiten your smile in one appointment or you can use an at home bleaching system (store-bought or from a dental office) or whitening toothpaste.

What should you ask your dentist?
You may want to start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. Likewise, bleaching may not enhance your smile if you have had tooth-colored fillings placed in your front teeth. The whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. In these cases, you may want to investigate other options, like porcelain veneers.

What are at-home procedures and products?
There are several types of products available for use at home, which can either be dispensed by your dentist or purchased over-the-counter.

Bleaching solutions. These products contain peroxide(s), which actually bleach the tooth enamel. These products typically rely on percent carbamide peroxide as the bleaching agent; carbamide peroxide comes in several different concentrations (10%, 16%, 22%).

Peroxide-containing whiteners typically come in a gel and are placed in custom teeth trays. Usage regimens vary. Some products are used twice a day for 2 weeks, and others are intended for overnight use for 1-2 weeks. If you obtain the bleaching solution from your dentist, he or she can make custom-fitted teeth trays for you that will fit your teeth precisely. Currently, only dentist-dispensed home-use 10% carbamide peroxide tray-applied gels carry the ADA Seal.

You also may want to speak with the dentist should any side effects become bothersome. For example, teeth can become sensitive during the period when you are using the bleaching solution. In most cases, this sensitivity is temporary and should lessen once the treatment is finished. For sensitivity, especially to cold, a fluoride session will calm this down. Some people also experience soft tissue irritation—either from a tray that doesn’t fit properly or from solution that may come in contact with the tissues. If you have concerns about such side effects, you should discuss them with your dentist.

Toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes in the ADA Seal of Acceptance program have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these ADA Accepted products do not alter the intrinsic color of teeth.

How should I choose a whitening product?
When selecting a whitener or any dental product, be sure to look for the ADA Seal of Acceptance—your assurance that they have met ADA standards of safety and effectiveness.

Orthodontics

We do orthodontics in our office and also offer referrals.


Dental Porcelain Veneers and Porcelain Crowns

There's no reason to put up with gaps in your teeth or with teeth that are stained, badly shaped or crooked. Today a veneer placed on top of your teeth can correct nature's mistake or the results of an injury and help you have a beautiful smile.

Removable esthetic veneers are available for the 6 upper front teeth if you do not want something permanently affixed to your teeth. These are great for photo ops and social events. No or very little modification is done to your teeth in most cases. The cost is less than for full reconstruction, and it is a great way to see if you want a more permanent fix.

Veneers are thin, custom-made shells crafted of tooth-colored materials designed to cover the front side of teeth. Typically a dental technician makes them in a dental lab, working from a model provided by your dentist.

You should know that this is usually an irreversible process, because it's necessary to remove a small amount of enamel from your teeth to accommodate the shell.

Your dentist may recommend that you avoid some foods and beverages that may stain or discolor your veneers such as coffee, tea or red wine. Sometimes a veneer might chip or fracture. But for many people the results are more than worth it.

If you have any questions about veneers, feel free to discuss them with your dentist.

 

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Richard Y. Nomura, DDS

322 SW 155th St. Suite B

Seattle, WA 98166

Ph: 206-246-4660