Are commercially available dental cleansers effective?
Although I do not smoke or drink alcohol, my teeth have not been very white since childhood.
Sometimes, there are black spots appearing between my teeth, which are not aesthetically pleasing.
I regularly get dental cleanings (approximately every six months to a year), but the situation has not improved.
I am unsure if the whitening agents available on the market are effective.
I have noticed that they are mostly targeted at smokers; I wonder if they can be used for my case.
Ruby, 20~29 year old female. Ask Date: 2000/11/17
Dr. Wu Jinjun reply Dentistry
Black spots in between teeth are usually caused by staining from smoking, drinking tea, or coffee.
Regular dental cleanings often struggle to remove these small black spots in the gaps.
Currently, the most common clinical method for removal is air polishing, which has shown good results.
As for the effectiveness of whitening agents available in the market, I can only say that, to my knowledge and based on the literature in dental science journals, I have not come across any evidence supporting their efficacy.
Reply Date: 2000/11/17
More Info
Over-the-counter (OTC) teeth whiteners can be effective for non-smokers, but their efficacy largely depends on the specific type of product used and the underlying causes of tooth discoloration. While many whitening products are marketed towards smokers due to the common staining effects of tobacco, non-smokers can also benefit from these products, especially if their teeth have become discolored due to other factors such as diet, aging, or poor oral hygiene.
Tooth discoloration can occur for a variety of reasons. Extrinsic stains, which are surface-level stains, can be caused by consuming certain foods and beverages like coffee, tea, red wine, and even some fruits. Intrinsic stains, on the other hand, occur within the tooth structure and can be a result of factors such as genetics, certain medications (like tetracycline), or excessive fluoride exposure during childhood. If you have noticed black spots between your teeth, these could be due to plaque accumulation or tartar buildup that regular dental cleanings may not fully address.
OTC whitening products typically contain hydrogen peroxide or carbamide peroxide as their active ingredients, which work to break down stains and lighten the color of the teeth. These products come in various forms, including whitening strips, gels, and toothpaste. While they can be effective for mild to moderate discoloration, they may not be sufficient for more severe stains or intrinsic discoloration.
For non-smokers like yourself, using OTC whitening products can still yield positive results, especially if your discoloration is primarily extrinsic. However, it is essential to follow the instructions carefully and to be aware of potential side effects, such as tooth sensitivity or gum irritation. If you have sensitive teeth or gums, you might want to consult with a dentist before starting any whitening regimen.
In addition to using whitening products, maintaining good oral hygiene is crucial. Regular brushing and flossing can help prevent the buildup of plaque and tartar, which can contribute to discoloration. Since you mentioned that you have been undergoing professional cleanings every six months to a year, it may be beneficial to discuss your concerns with your dentist. They can provide personalized recommendations based on the condition of your teeth and gums and may suggest professional whitening treatments, which tend to be more effective than OTC options.
If you are considering using an OTC whitener, look for products that have the American Dental Association (ADA) Seal of Acceptance, as this indicates that the product has been evaluated for safety and effectiveness. Additionally, consider incorporating a whitening toothpaste into your daily routine, as these can help maintain the brightness of your teeth over time.
In summary, while OTC teeth whiteners can be effective for non-smokers, their success will depend on the type of discoloration you are experiencing. For the best results, combine these products with good oral hygiene practices and regular dental visits. If you find that OTC options are not providing the desired results, consulting with a dental professional for tailored advice and potential in-office whitening treatments may be the best course of action.
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