My Blog

Posts for: February, 2018

By Barbara Preussner, DMD
February 21, 2018
Category: Dental Procedures

Your smile looks faded and dark. Is there a safe, effective way to brighten teeth? Your Holliston dentist, Dr. Barbara Preussner, offers in-teeth whiteningoffice and at-home teeth whitening treatments. Because they use highly concentrated hydrogen peroxide gels applied directly to tooth enamel, these cosmetic services produce smiles that are youthful and bright. Would you like to brighten your faded teeth?

How teeth become stained

Dental stains develop gradually because of the things we put in our mouths--coffee, blueberries, tea, sports drinks, and tobacco, as examples. With repeated exposure, tooth enamel catches and holds the organic material, and teeth lose their naturally bright color. Some drugs and the aging process contribute to stains, and simple brushing, flossing and professional cleanings alone can't get the job done.

Professional teeth whitening

While people use over-the-counter whitening strips and toothpastes, most find these methods render limited results. Typically, retail products have a low concentration of hydrogen peroxide--about 1.5 percent, says the American Dental Association (ADA). Also, they often produce gum sensitivity because one-size-fits-all application trays or strips spill the gel onto sensitive oral tissues.

The best choice for a great, bright smile is professionally supervised teeth whitening in Holliston. Whether the patient chooses an in-office treatment (which lasts about an hour) or at-home application (which involves daily treatments for about a week), teeth and gums are safely and effectively whitened.

The ADA says that professional whitening gel has a higher concentration of the active ingredient, and application is far more precise. This cosmetic treatment is a win-win situation for patients of all ages because of:

  • Dramatic color improvement
  • Low cost (when compared to other cosmetic treatments such as veneers)
  • Quick results

Keeping a white smile

Dr. Preussner tells her patients to brush twice a day and to floss daily, preventing plaque and tartar build-up. She also recommends six-month cleanings and check-ups.

Also, the dentist advises people limit darkly-pigmented dietary choices, and of course, she urges smokers to see their primary care physicians about smoking cessation programs to improve overall health and reduce dental staining, gum disease and oral cancer.

Finally, occasional whitening touch-ups help keep smiles bright. When you see Dr. Preussner for a cosmetic dentistry consultation, ask her for tips on maintaining white teeth.

Learn more

For more information on teeth whitening or other great cosmetic dental treatments, call Dr. Preussner's office for an appointment. Your dentist will be happy to roll back the clock on your smile and of course, ensure it's healthy, too. Phone (508) 429-7125.


ThreeReasonswhyYourSixYearOldShouldUndergoanOrthodonticCheck

It would seem the best time to turn your attention to orthodontic problems with your child is when their permanent teeth have come in around early puberty. In fact, you should be attentive much earlier at around 6 years of age.

Here are 3 reasons why an early orthodontic evaluation could be beneficial to your child’s dental health.

We may be able to detect the first signs of a malocclusion. Also known as a poor bite, it’s possible for an experienced dentist or orthodontist to notice the beginning of a malocclusion as the permanent teeth start coming in between ages 6 and 12. Crowding of teeth, abnormal space between teeth, crooked, protruding or missing teeth are all signs that the teeth are not or will not be coming in properly and some type of treatment will eventually be necessary to correct it.

We might spot problems with jaw or facial development. Not all malocclusions arise from faulty erupting teeth position: sometimes they’re caused by abnormal development of the jaw and facial structure. For example, an orthodontist can detect if the upper jaw is developing too narrowly, which can create a malocclusion known as a cross bite. The difference in the source of a malocclusion will determine what present or future treatment will be needed.

We can perform “interceptive” treatment. While braces won’t typically be undertaken until the permanent teeth have come in, there are other treatments that can “intercept” a growing problem to eliminate or lessen future treatment needs. Orthodontists may recommend appliances that help guide incoming teeth, coax impacted teeth to come in fully or expand portions of the upper jaw to normal dimensions.

As with other areas of health, the earlier orthodontic problems are found the better the chances of a successful and less interventional outcome. By having your child examined orthodontically you may be saving money and future difficulties.

If you would like more information on when to begin monitoring bite development in your child, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Early Orthodontic Evaluation.”


By Barbara Preussner, DMD
February 02, 2018
Category: Dental Procedures
Tags: porcelain veneers  
ANo-PrepVeneerCouldEliminatetheNeedtoRemoveToothEnamel

Porcelain veneers are one of the best ways to transform your teeth’s appearance with only a small amount of tooth preparation. But even that small amount could leave a veneered tooth permanently altered.

As the name implies, veneers are thin layers of custom-designed porcelain bonded to the outside of a tooth to cover defects. They’re usually ideal for minor chipping, staining or even slight tooth misalignments. But although they’re thin—often just a millimeter or so in thickness—they can still make a tooth appear or feel bulky.

To reduce this extra width, we usually need to remove some of the tooth’s surface enamel. Since enamel doesn’t replenish itself, this alteration could mean the tooth will require a restoration from then on.

But now, you may be able to take advantage of new advances in this popular restoration: No-Prep or Minimal Prep veneers that involve little to no tooth alteration. In most cases they’re simply bonded to the teeth with only slight enamel reshaping.

Because of their ultra-thinness, No-Prep veneers (usually between 0.3 to 0.5 mm, as thin as a contact lens) are bonded directly to teeth that are practically untouched beforehand. A Minimal Prep veneer usually requires only enamel reshaping with an abrasive tool before it’s placed. And unlike traditional veneers, they can often be removed if needed to return the teeth to their original form without another restoration.

These new veneers are best for people with small teeth, often from wear due to teeth grinding, narrow smiles (the side teeth aren’t visible while smiling), or slightly misshapen teeth like underdeveloped teeth that can appear peg-shaped. But people with oversized teeth, some malocclusions (bad bites) or similar dental situations may still require enamel removal to avoid bulkiness even with ultra-thin veneers.

If you don’t have those kinds of issues and your teeth are reasonably healthy, we can apply No-Prep or Minimal Prep veneers in as few as two appointments. The result could be life-changing as you gain a new smile you’re more than happy to share.

If you would like more information on no-prep veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “No-Prep Porcelain Veneers.”