Happy With the Color of Your Smile?

When we meet someone new, we are flooded with impressions that determine our response. A look in the eye. The firmness of a handshake. A hairstyle. But one of the most critical factors that affects our reaction is that person’s smile. And no characteristic plays a more vital role in a smile than its color.

At our office, one of the most advanced multi-specialty esthetic dentistry practices in the world, patients can choose among several means to achieve the ideal smile. What is that ideal? “It’s a completely individualized goal,” explains Dr. Ronald Goldstein.

“In our culture, most people say they would prefer a whiter, brighter’ smile. But does that mean Hollywood white? Refrigerator white? Pearly white? Natural white?” The choice is based on patient preference, tooth condition, facial features and personality.


State-of-the-art computer imaging equipment gives patients a detailed picture of a proposed change before treatment is begun. It's a highly efficient way to help patients avoid surprises and disappointments.

"We offer four options for altering the color of the smile," explains Dr. David Garber. "These are bleaching, composite bonding, porcelain veneers and crowns. Communicating the differences among these choices through patient education is a
top priority."

We also offer all the most leading-edge dental treatment, including implants , cosmetic contouring, crowns and orthodontics for adults and children –
all in the same facility. No more shuffling back and forth between specialists' offices.


"We actually wrote the book and have been bleaching teeth in the office for the past 40 years," explains Dr. Goldstein. "And today we've achieved a level of patient satisfaction we never dreamed possible." A combined in-office/at-home technique delivers lasting tooth lightening in 1/10 the time.

The dental practice offers eight different bleaching systems, many more than most practices that may be limited by the products of just one or two manufacturers. This customized approach identifies the system that will deliver the best results for each patient, depending on the cause and type of stain.

First, the teeth are cleaned with a high-powered baking soda-type spray, then examined closely. Teeth with a minimal translucency and those that contain some amount of yellow respond best to bleaching. Teeth that contain traces of blue, gray, green or brown do not bleach as well.

The combination technique starts with a 30-minute in office "power bleach" with a specially formulated hydrogen peroxide solution, followed by a series of at-home bleachings. The patient uses a customized mouth guard filled with a slightly
lower percentage of bleach solution that is worn for one to three hours every night for a week or two, followed by touchup maintenance.


When simple bleaching is not sufficient to alter tooth color, another choice is composite resin bonding – a painless, single appointment process in which layers of acrylic, tooth-colored material are molded onto the teeth to cover stains, change the shape and improve alignment.

Ideal bonding candidates include children and adults whose teeth are chipped, mildly crooked or stained from taking the antibiotic tetracycline or who have a dark tooth due to trauma.

If carefully maintained, bonded restorations can last five to eight years with interim repairs as necessary. Like their natural counterparts, teeth lightened by bonding are subject to gradual stain and discoloration, especially where the tooth and the resin meet. Explains Dr. Goldstein, "The magic of bonding is its simplicity, its immediacy and its relatively low cost. An individual who dared not smile for fear of showing 'ugly' teeth emerges from the office beaming."


One of the most highly developed, durable means of altering tooth color is the application of porcelain laminate veneers. According to Dr. Wendy AuClair Clark, laminates require far less maintenance than bonded restorations, and are less likely to be stained by coffee, tea or tobacco.

The technique involves the application of thin, custom-formed veneers of porcelain (other materials can be used as well). The advantages of porcelain include its durability, natural appearance and long-lasting beauty.


Crowning or "capping" teeth involves a reduction of the entire tooth surface and replacement with an artificial material, such as high-strength porcelain or a combination of metal and porcelain. When a tooth or teeth are missing, several crowns can be attached to create a restorative bridge.

The smile specialists at Goldstein, Garber, Salama know the value of enhancing and empowering your smile: Better health, a stronger sense of self and a happier, more attractive you.