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The best type of whitening for your smile depends on what you are hoping to accomplish.

Whitening Toothpastes

This is certainly the easiest method of whitening, but will brushing alone produce your whitest smile? Probably not. Whitening toothpastes use chemicals and abrasives to remove some surface stains caused by foods, beverages and smoking. They can also be used to maintain the appearance of your teeth after a professional whitening. However, toothpaste alone cannot change the natural color of your teeth or penetrate the surface of the tooth to remove deeper stains. A whitening toothpaste usually takes several weeks to produce results. Be sure to choose a product with a seal of approval from a reputable dental association and carefully follow the instructions for use.

Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste.

Strips come coated with the whitening gel and work when pressed to your teeth for a specified amount of time. One difficulty here is making sure each tooth is completely covered by the strip so that even whitening takes place. Tray and gel whitening systems provide a mouthguard-like appliance that is filled with whitening gel and applied to your teeth, again for a specific period of time. Because one size does not fit all, stock trays can be ill fitting and lead to problems with gums and soft tissue. You can talk to our team about a custom-fitted appliance and whether gel whitening is your best option.

Some users find gel products cause tooth and gum sensitivity and even enamel damage. These over-the-counter gel products will not work on caps, veneers, crowns, or bridges, and there might be underlying conditions in your natural teeth that will make the use of these products ineffective. Please talk to us at your next visit to our Chicago office if you are interested in whitening at home, so we can advise you on how to achieve the best and safest outcome.

Office Treatment

Professional whitening makes use of a gel with a higher concentration of peroxide and should only be provided by Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar or a member of our team at our Chicago office. This process is generally faster, more effective and longer lasting. We take care first to examine your teeth for pre-existing conditions such as cavities and gum disease that could cause problems. We protect your gums when the gel is applied in office and monitor the procedure. We can assess the progress of the whitening and suggest further treatment if needed. Custom mouthpieces can also be an option if you would like to use a whitening gel at home. A personally molded tray will fit your teeth perfectly and allow a more precise application of the peroxide gel.

Some teeth are not good candidates for normal whitening procedures at home or in office. If you have dark stains caused by trauma, drugs such as tetracycline, discoloration due to root canals, or darker dental bonding, crowns, or other prosthetics, please talk to us about other possible solutions. We want to help you achieve your brightest possible smile.

There’s nothing like the simple seasonal pleasures. What’s more enjoyable than a cup of hot apple cider on a blustery winter day, or a tall glass of ice water in the middle of a summer heatwave? Until, that is, tooth sensitivity makes that hot or cold treat no treat at all. If untimely tooth sensitivity is causing you problems, there are solutions we can offer!

Improving Brushing Technique

Careful brushing is a wonderful habit to get into, but sometimes there can be too much of a good thing. Over-energetic brushing can actually damage our enamel. And underneath that enamel is dentin, a more porous substance which allows heat and cold to reach the more sensitive inner tooth.

But, please, don’t give up on brushing! Switching to a soft-bristled or electric toothbrush and a toothpaste designed for sensitive teeth can make a world of difference. Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar can recommend the most effective and safest way to brush, as well as suggest toothpastes designed to fight tooth sensitivity. Until you recover, now is the time to avoid acidic and sugary foods and drinks (which can also bother sensitive teeth) and home tooth-whitening products as well.

Preventing Gum Disease

When gum disease progresses, the gums can begin to pull away from the teeth. This recession exposes part of the root area, which is much more sensitive to heat and cold.  Regular checkups and cleanings can keep gum disease from developing. Gum disease that is already present can be treated, and we can discuss whether more intensive care, such as a gum graft, is advisable to protect the root area.

Treating Injuries to the Tooth

If you have a cavity, a fracture, or another injury to the tooth or nerve, sensitivity is a good sign that you should call us right away. And, sensitivity is a symptom that can disappear when we restore the compromised tooth, whether it requires a new or replacement filling, a crown, or a root canal. If your teeth are more sensitive as a result of tooth grinding or other orthodontic problems, we can identify those issues as well.

No matter the reason for your tooth sensitivity, we want to work with you to find out the cause of the problem and to find a solution for it. Call our Chicago office if you notice any unpleasant or painful reactions to temperature, foods or even wind and air. Whether it’s advice on correcting your brushing style or treating tooth and gum conditions, we are here to help you.

Before electric toothbrushes, before dental floss, before fluoride rinses, in fact, before recorded history, people who cared about their dental health had one primary tool—the toothpick. Ancient bronze toothpicks, bejeweled Renaissance picks, and the more humble modern wooden picks have been instrumental in promoting dental hygiene for centuries.

And, while that clean, simple design is still a good one, modern technology has found a way to build an even better toothpick. Today’s interdental picks not only dislodge food particles effectively, but now gum stimulation, cleaner orthodontic appliances, and fresher breath are available literally at our fingertips. Most important, these picks are just as effective as floss for removing plaque.

• Wood? Still Good!

Today’s softer wooden picks come in several shapes designed to fit comfortably and snugly between the teeth. Using a gentle in-and-out motion, you can clean between your teeth as you remove plaque from the tooth surface. But that’s not the only benefit! As you move the wide end of the pick up and down between teeth and gums, you are actually stimulating your gum tissue as well.  They even come with mint flavoring to refresh your mouth as you clean. And, of course, wood and bamboo picks are biodegradable.

• Plastic? Fantastic!

If you’d like something a little more yielding than wooden dental picks, you have options. Soft dental picks are available that use rubber “bristles” on a plastic stem to gently ease their way between teeth. The heads are available in different diameters to accommodate tight or wide spacing between the teeth. Straight or curved stems provide the accessibility you need. If you have latex allergies, be sure to choose a rubber product that is latex-free.

• Interproximal Brushes? Here’s What the Buzz Is

You might have missed these miniature brushes in the dental care aisle, but they are worth looking for. Interproximal brushes have small cone-shaped heads with nylon bristles for cleaning food particles and plaque from between the teeth. They are good for more than one use, and some are available with angled or bendable handles for hard-to-reach spots. They come in different diameters, from wide to extremely fine, to suit the spacing of your teeth. Interdental brushes are especially useful for braces wearers, who can use these clever tools to clean tight, tricky areas under wires and around brackets.

Even though bronze, bejeweled, or golden toothpicks aren’t available in the dental aisle of the local drugstore, increased efficiency and function are well worth the trade-off. If for any reason you have trouble flossing, or if you like the idea of massaging your gums as you clean your teeth, or if you wear braces, or if you want a burst of mint flavor—for any number of reasons today’s dental picks are worth a try. Talk to Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar at your next visit to our Chicago office, and we’ll be happy to give you some recommendations. 

We know that the foods we eat and drink can have a definite impact on our smiles. Staining is an unhappy side effect of many of our menu favorites. That’s why we sip red wine through a straw, rinse with water after a slice of blueberry pie, and cut back on the coffee and tea after a single cup (or two—we’re not perfect!). And sugar is the fuel for cavity-causing bacteria, so we try to substitute water for soda, or replace the hot fudge sundae with grilled fruit. And we always brush carefully after indulging.

So far, so good. But while we’re saving our brilliant smiles from stains and decay, let’s not forget one other source of diet-related damage—acids. Acidic foods and beverages can actually erode the surface of our enamel, leaving our teeth more vulnerable to sensitivity and discoloration.

What Is Dental Erosion?

Enamel is the strongest substance in our bodies—stronger than bone—but it is not indestructible. And acids are one of the major causes of enamel damage. (In fact, it’s the acids produced by bacteria that lead to cavities.) Luckily, our bodies are designed to protect our enamel. Saliva helps clean the teeth by washing away food particles and it neutralizes acidity as well. But a diet that’s too heavy in acidic foods can undo all this good work and upset the healthy pH balance in our mouths.

Why is this a problem? Because acidic environments actually cause the minerals in our enamel to break down, a process known as “demineralization.” This weakening of the enamel leaves teeth more sensitive to heat and cold. It can even lead to discolored teeth, as thinner enamel allows the brownish-yellow dentin underneath the enamel surface to become visible.

Are You Aware of Acids?

We can immediately guess at some of the most acidic foods. Citrus fruits and juices, tomatoes in their many culinary forms, anything pickled in vinegar, coffee, tea, wine—these foods are certainly acidic, but also a regular part of many a healthy diet. You don’t need to avoid these foods altogether, but it’s best to enjoy them as part of a meal or enjoy them sparingly. And balance out some of these high-acidity foods at mealtime with low-acidity choices like bananas, bread, and dairy products.

Other sources of damaging acids might surprise you. Studies have linked sodas, energy drinks, and sports drinks to higher levels of tooth erosion. The combination of citric acid, phosphoric acid and/or carbonation raises acidity levels in the mouth. And because we tend to sip them all day long, it’s like a continuing acid bath for our enamel. Water is always a healthy alternative for hydration, but if you do indulge in a soda or sports drink, rinse with water after drinking. And don’t swish—just swallow.

Won’t Brushing Help?

Yes, but watch your timing. Because the acids in foods weaken enamel, brushing right after a big glass of orange juice or a soda can actually be even more abrasive for tooth surfaces. We recommend waiting anywhere from 20-60 minutes to brush. This gives your saliva the chance to not only wash away acids, but to “remineralize” your teeth, bathing them in the phosphate and calcium ions that strengthen enamel.

If you notice any of the symptoms of dental erosion, including pain, sensitivity when you eat or drink something hot, cold or sweet, or yellow discoloration, talk to Drs. Nasrin Azimzadeh, Kristina Djukic, and Tabasam Akbar during your visit to our Chicago office about what you can do to help protect and strengthen your teeth. Unfortunately, our bodies can’t produce new enamel. By avoiding foods that stain, by reducing sugars that lead to decay, and by limiting the acidic foods that erode our enamel, we give ourselves the best opportunity for a lifetime of beautiful, healthy smiles.