Super white teeth, here how you get it.............

 Office chairside tooth whitening

• If you are a smoker, do not smoke for 48 hours.
• Stay away from highly colored foods (red sauce, blueberries, etc.) and beverages (coffee, tea, etc.) for 48 hours.
• Mild sensitivity to hot or cold liquids may occur.  This usually passes within 1-2 days.  If sensitivity is severe or persists, contact us.
• If you experience gum sensitivity do not brush the afflicted area while brushing your teeth.
• Immediate whitening results can be quite dramatic due to minor dehydration of your teeth.  It is normal for the color to tone down somewhat after treatment when your teeth rehydrate to a natural white tone.
• Long term results vary from patient to patient.  This can depend on the original shade of your teeth and include habits such as smoking or drinking colored beverages (red wine, coffee, tea, etc.)
• “Touch-up” treatments may be needed every 6-12 months to retain color.  You can ask us about different “touch-up” options such as home whitening protocol.
• Existing fillings, crowns, bonding, etc. will not whiten.  Therefore, these may need to be changed in order to match your new smile.
• If your family or friends notice your new smile, let them know that  whitening can help improve their smile too!

If you have any question?

email: dental.spa@hotmail.com

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Fusion presenting as gemination;rare case report

Gemination is a developmental anomaly of form ,which is recognized as an attempt by single tooth germ to divide resulting in a large tooth with a bifid crown &usually a common root and root canal in which the teeth count is normal when the anomalous tooth is counted.

Fusion is recognized as union of two separate tooth buds during odontogenesis,therefore one fewer tooth than normal in the dentition if the affected tooth is counted as one.

Case report: An 11 years old boy appeared in my clinic for examination. During intra oral diagnostics, tooth # 8 was not erupted yet. Clinically, it was revealed an abnormal maxillary temporary incisor retained in the mouth;two crowns joined togther. A provisional diagnosis  of gemination was given since the teeth count is normal. Radiographically, two fused  crowns with seperate roots and root canals were seen,along with a supernumerary tooth preventing the central incisor from erupting. A diagnosis of two temporary anomalous teeth fused together conjoined with a peg shaped anomalous supernumerary tooth embedded between the central permanent incisor and the temporary milk tooth.

A decision was made to surgically  extract the temporary tooth along  with the impacted peg shaped supernumerary tooth to give a way to the central permanent incisor to erupt.

**N.B. Normally,Maxillary central incisors begin to erupt at the age of 6. In this case the eruption of maxillary permanent right central incisor was delayed.