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THE NEXTDDS Student Ambassador Blogs

How big is “too big?”

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 It seems as though I keep running into people who say “I need veneers” or “I want veneers because I want to have a Hollywood smile.” I must admit that I feel like the hype around veneers is rather large because of the popularity they have among entertainers. When a large population of famous actors and musicians has veneers placed there is no doubt that the desire to want to look perfect will be further infused into the general population, however clinical judgement should never be negated. 


My question is “how big is too big?” A number of times these veneers do not look natural. They are too white. They are too big. They do not match the set contours of the individual’s face. Cosmetic Dentistry is a million dollar industry and many dentists definitely know how to do it right. My concern is that restorative dentistry is intended to restore the natural esthetics and function of the dentition. Toilet bowl white color and huge veneers placed canine to canine may not always support that charge.

What it comes down to is having set color match and veneer selection standards that dentists adhere to in an attempt to better achieve a natural look with veneers. The choice of material whether dental laminate or porcelain should be based on a number of factors and should be what is best for the patient. Ultimately customer satisfaction is extremely important but as a clinician you should always offer information to the patient explaining what you feel is best based upon the evidence available. Once the patient is properly educated, the final decision should be one where the patient is properly informed and the clinician is comfortable offers the best standard of care.

Zoom! Whitening… Good or Bad?

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      There is no question that we are in exciting times where we are seeing  many innovative advancements in dental technology entice the masses to head to the dentist and inquire about what’s new! Unfortunately, dental healthcare providers may not be the one’s maximizing profits on such trends. Zoom Whitening is a relatively new technique used to whiten teeth. The procedure involves the active ingredient hydrogen peroxide. “As the hydrogen peroxide is broken down, oxygen enters the enamel and dentin, bleaching colored substances white, leaving the structure of the tooth unchanged. The Zoom lamp aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth.1” The manufacturer markets it as a product that allows you to get your teeth “8 shades lighter” with an average time frame of 45 minutes. This is a great selling point, however the question still stands. Is it worth it? 


                As with any dental procedure there are side effects that may occur. The side effects seen with Zoom Whitening are synonymous with those known of many other tooth bleaching agents to include but not limited to tooth pain, gum irritation, sensitivity to hot and cold, and discomfort when eating hard foods.  As long as the procedure is done under the control of a dentist, the situation can be managed properly. The concern arises when individual entities that have no dental background begin offering the service at beauty spas, etc. This product is not intended for use on individuals who have not had a comprehensive oral evaluation and have arrested any active lesions occurring in their oral cavity. The cosmetic effects only mask rather than treat the true underlying problems. When patients inquire about Zoom Whitening it is important to make them aware of all consequences of treatment, have them sign a consent form consenting to the treatment, and encourage them to get it done from a licensed dental provider.









Philips Zoom! Whitening, http://www.zoomwhitening.com/en_us/teeth_whitening