Today we have finished applying the final touches to our wonderful patients smile. Its the best day of the week, and not because it’s Friday, but because we are a day closer to her big 50th bash on Saturday night.
Our gorgeous patient has lived with dark brown and opaque white spots on her front teeth from the minute they erupted as a 6 year old. She also suffered a hockey injury when she was thirteen, killing another front tooth which was later root treated and took on a grey/black appearance. Over the years she has thought about Veneers and even Crowns for the teeth, but was worried about cutting her teeth which were otherwise healthy.
• The plan was to internally bleach the dark tooth, and externally bleach the remaining teeth. This had to be carefully planned as we wanted all the teeth to end up the same colour, not one whiter than another.
• Inside the single black tooth, the root canal filling material (which is black in colour) was previously left high inside the tooth, making it instantly blacker. This was removed and sealed with a white seal prior to internal bleaching.
• In-chair teeth whitening (including laser whitening and light assisted whitening) can be unpredictable and sometimes even in-effective on brown enamel blemishes. So we combined the in-office whitening with some custom made trays and take home whitening, as well as enamel micro-abrasion with GC Tooth Mousse applications.
• Enamel micro-abrasion and Tooth mousse has been shown to “repair” areas of white and dark mottled enamel and help them to blend and disappear without cutting away good tooth structure.
Today we added one further appointment where we smoothed out a few minor chips and evened out the lengths of the teeth – a process known as enameloplasty. The programme took about 4-6 weeks to complete. She showed a wonderful commitment to following the instructions and did not suffer any pain or sensitivity. Sensitivity is often less of a concern these days due to newer whitening gel formulations. She will keep her custom trays to do a top up whitening in about 2 years.
Here’s to a wonderful party, full of smiles!
(Photo’s and name have been withheld for privacy). This treatment plan may not be suitable for everyone, each case is assessed individually.