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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 Boston, Massachusetts 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 John Pappas or a member of our team at our Boston, Massachusetts 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.

The use of mini dental implants (MDIs) is on the rise. MDIs are about the diameter of a toothpick (1.8 to 2.9 millimeters with lengths between ten to 18 millimeters) and are primarily used to secure loose upper or lower dentures or partial dentures.

MDIs are particularly useful for patients who suffer from osteoporosis or otherwise aren't well enough to get the bone grafts sometimes required by traditional dental implants. Their diminutive size also allows them to replace smaller teeth where the placement of a dental implant isn't feasible or called for.

Some of the benefits of MDIs include:

• The procedure is quicker and less invasive – Since MDIs don’t require the cutting of gum tissue or sutures, John Pappas can place the implant quickly, resulting in a shorter healing process. MDIs go directly through the gum tissue and into the jawbone.

• Lower cost – MDIs run in the range of $500 to $1500, whereas traditional dental implants can cost around $4,000.

• Less risk of surgical error – Since MDIs don't go as deep into the tissue or jawbone, there is less risk of surgical error, like hitting a nerve or sinus cavity.

• Can be used in thinner areas of the jawbone – Since MDIs don't require as much gum tissue or jawbone, they can be used in thinner areas of the jawbone, where a traditional dental implant would require a bone graft.

Although there are many advantages to MDIs, they aren't for everyone or every situation. There are some drawbacks, especially when it comes to their durability and stability. MDIs also haven't been studied nearly as much as dental implants.

Whatever your situation, it's best to speak with John Pappas about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Boston, Massachusetts office to learn more.

Most of us aren’t born with a red carpet smile. And if you’ve thought about straightening your teeth but are apprehensive about doing so with traditional orthodontic treatment, John Pappas and our team at Masterpiece Dentistry at Copley want you to know there is another option – Invisalign®!

Invisalign is an ideal solution for most adults looking for a less noticeable way to achieve a better smile. In fact, Invisalign has increasingly become a very popular choice for adults looking for a more comfortable, convenient and cosmetically-appealing treatment for straightening their teeth.

Our team at Masterpiece Dentistry at Copley is proud to offer Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you’re wearing, which allows you to smile more during treatment, as well as after. Not only are the aligners invisible, they are also removable, so you can eat and drink what you want; brushing and flossing is easier with Invisalign than with traditional braces.

Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

A consultation with John Pappas can determine if Invisalign is right for you. We encourage you to give us a call at our friendly Boston, Massachusetts office if you’re interested in learning more about Invisalign or if you are ready to visit us for an initial consultation! We look forward to seeing you!

Whether it is the result of tooth decay, gum disease, or injury, millions of people suffer tooth loss. Dental implants provide a strong replacement tooth root for fixed replacement teeth that are designed to match your natural teeth. Of course, there is one question all patients have about dental implants: are they painful?

Dental implant placement is performed under local or general anesthesia and is not considered a painful procedure. However, if the surgery is more complicated and involves bone or tissue grafts, there may be slightly more discomfort and swelling. At the same time, every patient has a different threshold for pain, so what may bother one person may not bother another. If you experience any pain from dental implants, there are several things can do to relive it.

Relieving Pain from Dental Implants

1. The initial healing phase can last up to seven to ten days. Over-the-counter painkillers such as Tylenol, Ibuprofen, and Motrin work well to alleviate any pain or discomfort you may experience. However, only take these if instructed to by John Pappas.

2. Once you leave our Boston, Massachusetts office, you can reduce inflammation and any swelling to your cheek or lip by holding an ice-pack on your face over the implant area.

3. Your gum will be tender for the first few days. We often recommended that you bathe your gums with warm salt water.

4. Steer clear of crusty or hard foods for the first day or two. Ice cream, yogurt, and other soft foods are ideal as your gums will be tender.

5. Dental implants are a relatively straightforward oral procedure. Many people take time off from work to have dental implant surgery, and then return to regular activities. However, if you are feeling any pain or discomfort, there is nothing wrong with taking the day off, relaxing, and putting your feet up.

There is typically no severe post-operative pain with dental implants. When most people return for a follow-up appointment about two weeks later, they often say that getting a dental implant was one of the least painful procedures they’ve experienced.