Click here for FAQ’s regarding our treatment

 

The Sapphire Light is a breakthrough, versatile Plasma Arc Light (PAC) that can be used for both fast-curing and chairside bleaching. The Sapphire Plasma Arc Light with the Rembrandt Lightning System is clinically proven to whiten teeth 10 shades.* 

Ted Rothstein, DDS, Ph.D.

Specialist in Orthodontics • Heights Center for Cosmetic Tooth Whitening

35 Remsen Street, Brooklyn, NY 11201

•(718) 852-1551 • fax (718)852-1894 • e-mail drted35@aol.com

Internet Address: www.drted.com

Power Teeth Bleaching

Frequently Asked Questions and Answers

1.) Can I be harmed by this procedure?

Yes (the tooth and/or gums can be over-heated), but only if the recommended procedures and precautions are not adhered to by the technician applying the light. In order for any damage to occur the tooth and/or gums must be exposed to the light for a long period of time. The light machine is set to shut off automatically at the correct time.

2. Can a tooth which has become dark (non vital) because of nerve death due to a previous accident, or has had root canal treatment be successfully whitened?

Only “vital” teeth are susceptible to whitening.

3. How is the procedure accomplished?

The teeth and gums are first evaluated to determine if the dental and gum tissues are sufficiently healthy to do the whitening procedure. The teeth are evaluated for conditions such as bondings, fillings and crowns that will remain almost the same color as they are. The outsides of the teeth are cleaned with a thick dental cleaning paste. The surfaces of the teeth are prepared for one minute with a wetting agent. A 35% peroxide gel is painted on the teeth. The “Plasma Arc Light” is shined on the each tooth for three seconds and the process is immediately repeated. The peroxide gel is allowed to remain on the teeth for 8 minutes; the gel is then rinsed off and the above procedure is repeated again.

4. How does the peroxide work?

Peroxide is a strong “oxidizing” agent (it forms chemical compounds when it comes in contact with staining agents and decolorizes them). Bleaching occurs due to the peroxide penetrating into the dentin and oxidizing the offending stains within the tooth. Whitening occurs first and more rapidly within the enamel.

5. What does the “Plasma Arc light do to the peroxide gel?

It breaks the peroxide gel down causing it to release millions of particles of oxygen.  See Close up of Whitening “Crystal” which delivers light.

6. How is it different than the take home whitening agent?

The take home agents are usually 10% or sometimes 15% concentrations of the peroxide solution.

The solution is placed in a tray that is worn on the teeth. Body heat causes the solution to break down and turn into oxygen that can roam the surface of the tooth and oxidize stains.

7. Why is the in-office procedure more desirable?

            The result is achieved in one a single visit that takes about one hour.

8. How much does “power bleaching” cost?

For the upper teeth alone the fee is $585; for both upper and lower teeth the cost is $885. Occasionally, a person might choose to have one, two or three teeth whitened. The fee for this service is $165/tooth. (The procedure takes just about as long to whiten one tooth as it takes to do all of them.)

9. What if I am not happy with the result?

We will photograph the teeth at the start of the procedure and measure the present shade of the teeth. At the completion of the whitening session we will again photograph the teeth do determine the change in shade. The expectation in most cases is to achieve a lightening effect of between 2 and 9 shades. It is well known that orange like stains respond well to treatment, but the browns do not respond as well. The grays respond the least well. We will bring you back 2-3 weeks later and repeat the entire procedure if you are not pleased with the result.

10. Can my bridges, crowns, veneers, bondings be whitened?

No. Some surface staining may be removed but the basic color of the materials remains the same, unlike natural teeth where the both surface stains and deep staining will be oxidized depending on the where the stain is located (enamel or deeper inside in the dentin) and the nature of the stain. Consequently, It may be necessary for your dentist to redo some of your dental work now in place.

11. Can I whiten my child’s teeth?

Yes. The light emitted by the “Photo Arc Light machine works by activating the bleaching gel to release oxygen which acts on the stain. The light gives off radiant energy and heat. However, the exposure to the light is in just three second intervals per tooth. The instructions for using the light are rigidly adhered to. No harm to any child or adult has ever occurred with proper use of this light emitting machine.

12. How long does the whitening last?

2-5 years have been reported. If you continue to maintain the result with a tooth past like Rembrandt (over-the counter) and have your teeth cleaned every 6 –12 months, the result can maintain 5 years. If you have poor oral hygiene, do not have your teeth cleaned every 6-12 months, do not use a tooth whitening tooth paste like Rembrandt, drink a lot of coffee and tea, smoke, eat a lot of food with staining spices like saffron, mustard, have wine often, you are less likely to maintain the newly achieved whiteness for a lengthy period of time.

**all patients who have the whitening procedure performed at Dr. Rothstein’s office are given a one month supply of Rembrandt whitening toothpaste.

13. Should I whiten my teeth before or after braces?

Some patients simply cannot stand the color of their teeth and need to have the procedure done before the braces are bonded on. We are willing to do the whitening before the braces are put on and repeat the procedure at a reduced fee when the braces are removed.

14. Is there a payment plan to pay the fee for “Power Bleaching”

Yes, the fee can be paid in two payments if the procedure is being performed in two sessions (top first then bottom). If you are having top and bottom whitened at the same visit the fee must be paid all at once.

15. Do I have to check with my general dentist before I whiten my teeth?

You should have your teeth thoroughly cleaned by you general dentist and any dental caries should be filled prior to the whitening procedure. Dr. Rothstein will examine all patients prior to the lightening procedure.

16. Do I have to have x-rays taken before the whitening process?

Only if you are also having orthodontic treatment.

17. What are the most common side effects if any?

The most common side effect is sensitivity to the light. The light emits heat as well as radiant energy. The light is applied two times for three seconds to each teeth separated by one minute and this is repeated again 13 minutes later. There are reports of patients who felt discomfort. The recommended procedure to prevent this problem is to have the patient take two tablets of Advil (Motrin, Ibuprofen), one hour before the whitening.

18. Will I feel any pain or discomfort during or after the lightening procedure?

While we cannot give an answer that is 100% assured for every individual we can say the we will follow the recommended procedure rigidly. We will recommend Advil be taken one hour before the procedure. If discomfort is felt when the light is activated on the tooth predetermined signal from the patient will prompt the light technician to turn off the power instantly. Anecdotes of discomfort after the procedure at home have been reported, all of which were “mild”. The discomfort experienced can depend on a number of things such as the temperature of the food or beverage being consumed, the consistency of the food (crunchy), any other medications being taken and the existence of previously undiagnosed dental or gum problem.

19. Is there an alternative whitening system if I choose not to go ahead with the “power bleaching?

Yes. Dr. Rothstein offers a take home whitening system that takes about 8-12 weeks to whiten teeth. This cost for this procedure is $425.


WEBSITES THAT PROVIDE ENLIGHTENING INFORMATION REGARDING TEETH WHITENING / BLEACHING / LIGHTENING IN THE OFFICE OR AT HOME:

Modeling agencies, mostly Manhattan

www.white-teeth.com/uwresults.htm

Three dramatic before and afters

www.the-smile-doctor.com/beforeandafter/example3.htm

Good morphing photo showing a before and after

www.instantwhite.com/information.htm

The four parts of the whitening visit

www.ada.org/adapco/daily/9706/0611lasr.html

Lasers for bleaching: safe or not? Council seeks data on use

Editor’s note: The following article originally appeared in the Feb. 3, 1997, edition of the ADA News. The ADA Publishing Co. reprints it here for the benefit of anyone seeking more information about whiteners as a result of the article by New York Times columnist Jane Brody.

www.ada.org/adapco/daily/9706/0611whit.html

Top Story: New York Times sheds light on tooth whitening

 www.laserwhitening.com

(Emphasis here is use and safety of “laser;” includes information on the chemicals which part of the gel paste used to whiten the teeth and what the by products of the gel are); Good references to scientific articles.

 ADA-(American Dental Association) Websites

www.ada.org/consumer/faq/cosmetic.html#laser-whitening-safe

How can I whiten my teeth?

How long does bleaching last?

How do I know which whitening products are safe?

I’ve heard about laser whitening. Is it safe?

Consumer Q & A

www.ada.org/consumer/hotopic/whiten.html

Ask the ADA your question about Tooth Whitening.

Some consumer questions and answers appear below:

How can I whiten my teeth?

How long does bleaching last?

How do I know which whitening products are safe?

I’ve heard about laser whitening. Is it safe?

Resources for Consumers

ADA News Releases

In-Office Tooth Bleaching a Growing Trend

Nine of Ten Dentists Offer Tooth Bleaching

Nighttime Bleaching a Viable Alternative to In-Office

Tooth Whitening

Teeth Whitening in the Dental Office is quick and safe

Tooth Whitening Conference Sheds Light on

Bleaching Research, Trends

Study Looks at Effects of Bleaching Gel Used to Whiten Teeth

A Primer on Pastes

Related Dental Health Issues

ADA Statement on the Safety of Hydrogen

Peroxide-Containing Dental Products Intended for Home Use

The American Dental Association Seal of Acceptance

The ADA Seal of Acceptance: A Symbol of Safety and Effectiveness

www.saveyoursmile.com/whiteteeth.html

The Truth About Tooth Whitening / Tooth Bleaching Systems:

Just about everyone would love to have whiter teeth if they could. In the past ten years tooth bleaching

Has really taken off, has gotten less expensive and easier to do. In this wave of cosmetic enhancement

And in a society, which desires to look younger and better, many “schemes” and profiteering pitfalls await the uneducated consumer…

www.ada.org/adapco/daily9706/0611lasr.htm

Lasers for bleaching: safe or not?

[ Home] [Site additions]  [ Q & A ][ Consultation ][ Meet & Hear Dr. Ted ]
[ For Orthodontists][ Wisdom Teeth]
[Email Us]

 

The Sapphire Light is a breakthrough, versatile Plasma Arc Light (PAC) that can be used for both fast-curing and chairside bleaching. The Sapphire Plasma Arc Light with the Rembrandt Lightning System is clinically proven to whiten teeth 10 shades.* 

Ted Rothstein, DDS, Ph.D.

Specialist in Orthodontics • Heights Center for Cosmetic Tooth Whitening

35 Remsen Street, Brooklyn, NY 11201

•(718) 852-1551 • fax (718)852-1894 • e-mail drted35@aol.com

Internet Address: www.drted.com

Power Teeth Bleaching

Frequently Asked Questions and Answers

1.) Can I be harmed by this procedure?

Yes (the tooth and/or gums can be over-heated), but only if the recommended procedures and precautions are not adhered to by the technician applying the light. In order for any damage to occur the tooth and/or gums must be exposed to the light for a long period of time. The light machine is set to shut off automatically at the correct time.

2. Can a tooth which has become dark (non vital) because of nerve death due to a previous accident, or has had root canal treatment be successfully whitened?

Only “vital” teeth are susceptible to whitening.

3. How is the procedure accomplished?

The teeth and gums are first evaluated to determine if the dental and gum tissues are sufficiently healthy to do the whitening procedure. The teeth are evaluated for conditions such as bondings, fillings and crowns that will remain almost the same color as they are. The outsides of the teeth are cleaned with a thick dental cleaning paste. The surfaces of the teeth are prepared for one minute with a wetting agent. A 35% peroxide gel is painted on the teeth. The “Plasma Arc Light” is shined on the each tooth for three seconds and the process is immediately repeated. The peroxide gel is allowed to remain on the teeth for 8 minutes; the gel is then rinsed off and the above procedure is repeated again.

4. How does the peroxide work?

Peroxide is a strong “oxidizing” agent (it forms chemical compounds when it comes in contact with staining agents and decolorizes them). Bleaching occurs due to the peroxide penetrating into the dentin and oxidizing the offending stains within the tooth. Whitening occurs first and more rapidly within the enamel.

5. What does the “Plasma Arc light do to the peroxide gel?

It breaks the peroxide gel down causing it to release millions of particles of oxygen.  See Close up of Whitening “Crystal” which delivers light.

6. How is it different than the take home whitening agent?

The take home agents are usually 10% or sometimes 15% concentrations of the peroxide solution.

The solution is placed in a tray that is worn on the teeth. Body heat causes the solution to break down and turn into oxygen that can roam the surface of the tooth and oxidize stains.

7. Why is the in-office procedure more desirable?

            The result is achieved in one a single visit that takes about one hour.

8. How much does “power bleaching” cost?

For the upper teeth alone the fee is $585; for both upper and lower teeth the cost is $885. Occasionally, a person might choose to have one, two or three teeth whitened. The fee for this service is $165/tooth. (The procedure takes just about as long to whiten one tooth as it takes to do all of them.)

9. What if I am not happy with the result?

We will photograph the teeth at the start of the procedure and measure the present shade of the teeth. At the completion of the whitening session we will again photograph the teeth do determine the change in shade. The expectation in most cases is to achieve a lightening effect of between 2 and 9 shades. It is well known that orange like stains respond well to treatment, but the browns do not respond as well. The grays respond the least well. We will bring you back 2-3 weeks later and repeat the entire procedure if you are not pleased with the result.

10. Can my bridges, crowns, veneers, bondings be whitened?

No. Some surface staining may be removed but the basic color of the materials remains the same, unlike natural teeth where the both surface stains and deep staining will be oxidized depending on the where the stain is located (enamel or deeper inside in the dentin) and the nature of the stain. Consequently, It may be necessary for your dentist to redo some of your dental work now in place.

11. Can I whiten my child’s teeth?

Yes. The light emitted by the “Photo Arc Light machine works by activating the bleaching gel to release oxygen which acts on the stain. The light gives off radiant energy and heat. However, the exposure to the light is in just three second intervals per tooth. The instructions for using the light are rigidly adhered to. No harm to any child or adult has ever occurred with proper use of this light emitting machine.

12. How long does the whitening last?

2-5 years have been reported. If you continue to maintain the result with a tooth past like Rembrandt (over-the counter) and have your teeth cleaned every 6 –12 months, the result can maintain 5 years. If you have poor oral hygiene, do not have your teeth cleaned every 6-12 months, do not use a tooth whitening tooth paste like Rembrandt, drink a lot of coffee and tea, smoke, eat a lot of food with staining spices like saffron, mustard, have wine often, you are less likely to maintain the newly achieved whiteness for a lengthy period of time.

**all patients who have the whitening procedure performed at Dr. Rothstein’s office are given a one month supply of Rembrandt whitening toothpaste.

13. Should I whiten my teeth before or after braces?

Some patients simply cannot stand the color of their teeth and need to have the procedure done before the braces are bonded on. We are willing to do the whitening before the braces are put on and repeat the procedure at a reduced fee when the braces are removed.

14. Is there a payment plan to pay the fee for “Power Bleaching”

Yes, the fee can be paid in two payments if the procedure is being performed in two sessions (top first then bottom). If you are having top and bottom whitened at the same visit the fee must be paid all at once.

15. Do I have to check with my general dentist before I whiten my teeth?

You should have your teeth thoroughly cleaned by you general dentist and any dental caries should be filled prior to the whitening procedure. Dr. Rothstein will examine all patients prior to the lightening procedure.

16. Do I have to have x-rays taken before the whitening process?

Only if you are also having orthodontic treatment.

17. What are the most common side effects if any?

The most common side effect is sensitivity to the light. The light emits heat as well as radiant energy. The light is applied two times for three seconds to each teeth separated by one minute and this is repeated again 13 minutes later. There are reports of patients who felt discomfort. The recommended procedure to prevent this problem is to have the patient take two tablets of Advil (Motrin, Ibuprofen), one hour before the whitening.

18. Will I feel any pain or discomfort during or after the lightening procedure?

While we cannot give an answer that is 100% assured for every individual we can say the we will follow the recommended procedure rigidly. We will recommend Advil be taken one hour before the procedure. If discomfort is felt when the light is activated on the tooth predetermined signal from the patient will prompt the light technician to turn off the power instantly. Anecdotes of discomfort after the procedure at home have been reported, all of which were “mild”. The discomfort experienced can depend on a number of things such as the temperature of the food or beverage being consumed, the consistency of the food (crunchy), any other medications being taken and the existence of previously undiagnosed dental or gum problem.

19. Is there an alternative whitening system if I choose not to go ahead with the “power bleaching?

Yes. Dr. Rothstein offers a take home whitening system that takes about 8-12 weeks to whiten teeth. This cost for this procedure is $425.


WEBSITES THAT PROVIDE ENLIGHTENING INFORMATION REGARDING TEETH WHITENING / BLEACHING / LIGHTENING IN THE OFFICE OR AT HOME:

Modeling agencies, mostly Manhattan

www.white-teeth.com/uwresults.htm

Three dramatic before and afters

www.the-smile-doctor.com/beforeandafter/example3.htm

Good morphing photo showing a before and after

www.instantwhite.com/information.htm

The four parts of the whitening visit

www.ada.org/adapco/daily/9706/0611lasr.html

Lasers for bleaching: safe or not? Council seeks data on use

Editor’s note: The following article originally appeared in the Feb. 3, 1997, edition of the ADA News. The ADA Publishing Co. reprints it here for the benefit of anyone seeking more information about whiteners as a result of the article by New York Times columnist Jane Brody.

www.ada.org/adapco/daily/9706/0611whit.html

Top Story: New York Times sheds light on tooth whitening

 www.laserwhitening.com

(Emphasis here is use and safety of “laser;” includes information on the chemicals which part of the gel paste used to whiten the teeth and what the by products of the gel are); Good references to scientific articles.

 ADA-(American Dental Association) Websites

www.ada.org/consumer/faq/cosmetic.html#laser-whitening-safe

How can I whiten my teeth?

How long does bleaching last?

How do I know which whitening products are safe?

I’ve heard about laser whitening. Is it safe?

Consumer Q & A

www.ada.org/consumer/hotopic/whiten.html

Ask the ADA your question about Tooth Whitening.

Some consumer questions and answers appear below:

How can I whiten my teeth?

How long does bleaching last?

How do I know which whitening products are safe?

I’ve heard about laser whitening. Is it safe?

Resources for Consumers

ADA News Releases

In-Office Tooth Bleaching a Growing Trend

Nine of Ten Dentists Offer Tooth Bleaching

Nighttime Bleaching a Viable Alternative to In-Office

Tooth Whitening

Teeth Whitening in the Dental Office is quick and safe

Tooth Whitening Conference Sheds Light on

Bleaching Research, Trends

Study Looks at Effects of Bleaching Gel Used to Whiten Teeth

A Primer on Pastes

Related Dental Health Issues

ADA Statement on the Safety of Hydrogen

Peroxide-Containing Dental Products Intended for Home Use

The American Dental Association Seal of Acceptance

The ADA Seal of Acceptance: A Symbol of Safety and Effectiveness

www.saveyoursmile.com/whiteteeth.html

The Truth About Tooth Whitening / Tooth Bleaching Systems:

Just about everyone would love to have whiter teeth if they could. In the past ten years tooth bleaching

Has really taken off, has gotten less expensive and easier to do. In this wave of cosmetic enhancement

And in a society, which desires to look younger and better, many “schemes” and profiteering pitfalls await the uneducated consumer…

www.ada.org/adapco/daily9706/0611lasr.htm

Lasers for bleaching: safe or not?

[ Home] [Site additions]  [ Q & A ][ Consultation ][ Meet & Hear Dr. Ted ]
[ For Orthodontists][ Wisdom Teeth]
[Email Us]

"Experience and reputation really count when it comes to providing quality patient care."