Tooth Whitening Products?
DentistsScareMe! asks: "I'll admit it: I've got yellow-stained teeth, and it bugs the hell out of me. I've seen ads (infomercials) over the past few years, but knew them to be mostly hoax products and have steered clear. But now I've noticed the more major (and reputable) pharmaceutical companies jumping into the act, offering their own products. They're moderately expensive ($30-$50), but I'd be willing to foot the large sum _if_ I knew how well they worked. Their ads claim clinical proof, but what exactly does that mean? Did a researcher test the drug on a sample of people to measure effectiveness? Does use of the phrase 'clinically proven' require anything like FDA approval? Has anyone out there used any such product, or know someone who has? Care to comment on how well it has worked?"
I'll admit it: I've got fungus growing in my genital area and between my toes, and it bugs the hell out of me. I've seen ads (infomercials) over the past few years, but knew them to be mostly hoax products and have steered clear. But now I've noticed RiteAid and Walgreens selling "athletes foot" and "jock itch" treatments. They're moderately expensive ($5-$15), but I'd be willing to foot the large sum _if_ I knew how well they worked. Their ads claim clinical proof, but what exactly does that mean? Did a researcher test the drug on a sample of scrotii to measure effectiveness? Does use of the phrase 'clinically proven' require anything like FDA approval? Has anyone out there used any such product, or know someone who has? Did you use spray, ointment, or powder? Care to comment on how well it has worked? How long can you wear the same socks and underpants with this medication? Would you like to come over and apply the ointment or powder?
Have you tried liquid paper?
If not, don't. Liquid paper is not a good way to whiten your teeth. Normally I wouldn't think it neccessary to point that out, but since you also seemed to have missed the fact that:
I thought that it might be worth mentioning.-- MarkusQ
Is the Crest's night time whiting stuff. You paint your teeth with it before you go to bed, and then brush it off in the morning. I recently used it before a wedding, and lots of people noticed my teeth were much whiter. I've also read some reviews that rated it above the others. It's a two week treatment, and you have to get used to sleeping with it on, but it works really really well.
As a dentist, first of all, I cannot recommend anything for a specific situation without actually seeing the situation myself. There are different reasons why teeth are yellow, and different ways of whitening as well. As mentioned by many others, get a dentist to have a look at the situation first.
For some more general information about bleaching products: They are all peroxide-based, usually carbamide peroxide, which breaks down into hydrogen peroxide upon use. There are various ways of delivery. The over-the-counter methods such as the strips or paint-on system are lower in concentration than what you would find in a dentist-provided system, but basically the same thing. If you see a dentist, you can either have a home bleaching system made up for you, or have in-office bleaching done. The take-home system entails wearing a custom-made tray carrying the bleaching gel overnight. In-office bleaching uses quite a high concentration of peroxide, applied over a short period of time. Which one you pick depends on how much hassle you want, and costs will vary.
How well does it work? Generally, there will be some whitening, but how much depends on the patient. Smoking, coffee, and foods that stain are absolute no-no's, especially right when you're doing the bleaching, since the teeth at that point can very easily pick stains back up. 'Clinically proven' is a phrase I absolutely hate. To me, it's just a marketing phrase, and says nothing about the amount or quality of research that has been done on a particular product.
Last of all, there can be side effects from bleaching. Many people have reported sensitivity (hot and cold) after they've done it; It goes away for some. Also, I don't know of any long-term studies on whether the teeth are damaged in any way, or more susceptible to decay/etc., so that question is still up in the air.
Personally, I do bleaching for patients on occasion, but I don't really push it, due to concern about side effects. Plus, I find the resulting look can be unnatural compared to how natural teeth are supposed to look.
-- Silhouette