Re: bleached teeth + composite cavities at gumline + crown replacement questions

From: Joel M. Eichen, D.D.S. (joeleichen_at_yahoo.com)
Date: 06/12/04 

Date: Sat, 12 Jun 2004 18:53:44 -0400

On 12 Jun 2004 12:32:33 -0700, colbyg33@juno.com (Colby) wrote:

>bump
>colbyg33@juno.com (Colby) wrote in message news:<8b79eb4f.0406110923.605df855@posting.google.com>...
>> Briefly, I had many cavities along the gum line on both back and front
>> teeth (very similar to the descriptions listed in the "Mountain Dew
>> Mouth" thread and ironically enough, I was a heavy 2 liter bottle a
>> day Mt.Dew drinker). Prior to getting the cavities taken care of, I
>> inquired about bleaching. My dentist made up the mouth trays and used
>> a 16% solution (forget the name). Within 1 week, the teeth shade went
>> from a C3 to a A1 for the upper teeth and the lower teeth shaded
>> closer to B1 (in fact the lower front teeth had some bluing coming in
>> on the top edges, maybe I used too much gel, I don't know). In any
>> case, he proceeded to fix the cavities (spread out over multiple
>> visits). A composite with a shade of A1 was used to fix the teeth and
>> the composite was "feathered" in order to blend in with the rest of
>> the tooth.

Cool.

> I had voiced concern about the A1 composite since I wanted
>> the teeth to be whiter not more yellow. The teeth look great in the
>> sense of looking real and authentic. The problem is that now the lower
>> teeth are noticeably whiter than the top teeth. My dentist is stating
>> that the teeth are now of an A2 shade due to the natural tooth color
>> coming through the A1 composite. There is the possibility that the
>> problem is being accentuated by the fact that I have a crown that is
>> to be replaced (currently wearing a temporary that is far lighter in
>> shade). Before I get the replacement crown cemented permanently, I am
>> wondering if there is composite available in a lighter shade than A1
>> and, if so, who is the manufacturer.

YUP, it might be Ultradent or someone like that.

> As of now, the replacement crown
>> was ordered as an A2 which to me looks very yellow. Are there any
>> options such as having the front teeth re-done with a ligher shade of
>> composite (if any exists). What other options are available? If you
>> need more detail, please post a question. Thank you.

Shows that matching shades can be a real bear!

JOEL

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