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Teeth whitening question ?



Question:

I have conferred with my dentist regarding teeth whitening - take home systems. I'm not sure the actual product he is using, but he said it is the take home, impression type - and it will cost $350. Now, I see a few products via the internet that claim to be the EXACT same system (16% Carbamide Peroxide using impressions ), but with much lower cost. The two that caught my eye after much surfing are Ultra-White (www.ultra-white.com) and White Brilliance (/www.americandentalsupply.com) The Ultra-White has the system where you make the impressions yourself and send them off to them - then they send you the trays (which I believe is exactly what my dentist would be doing). The other company has a boil-and-bite system.

Now, the question I have is - they say they are the exact same as what my dentist does, and after viewing a video in his office it does seem that way. Has anyone heard of Ultra-White before?? Or used it? Their cost is $118.95 and the White Brilliance is $90. Should I try these instead of paying $350 for what my dentist would charge?? I WOULD like to save some money, but if going through my dentist is better then I would do that I guess. Just looking to see if I will get the same results for a lower cost this way. The savings definitely would be nice, but its hard to tell without hearing from people who have actually used these systems. I checked into NiteWhite and DayWhite but they seem to be available only from a dentist. If anyone can give me some feedback/person experiences here I would greatly appreciate it -


Answer: Just a couple of caveats... You might save a few bucks but you cant be too sure of the quality control with these products...they might be ok but who knows...odds are your doc has gotten kits from a reputable company with good quality control of the product. If problems develop ...gum irritation, uneven bleaching response ,sensitivity, etc who you gonna call for help advice, etc....an 800 operator? Odds are these systems aree probably ok..but buyer beware.

I dispense a large bottle of bleaching stuff so that patients will not run out. It is equilvalent to 60 syringes. I also do the "boil and bite" thing although the other kind is better.

I had one patient return to purchase a second bottle from me after a 2-year hiatus. Her teeth were dazzling! I mean white.

Tooth bleaching is now available for patients directly from the manufacturer. I found out about this piece of information at sci.med.dentistry last evening. See? Look at all we can learn right here!

Apparently, they send the patient some putty-like material for taking one's own impressions and then they send back custom-made bleaching trays. They send the trays plus the bleaching material directly to the patient. This is designed to eliminate the middle-man (or middle-woman), whatever is appropriate.

This is probably a better way to handle these things in my opinion. As for in-office bleaching, I have had 1,000 people ask about tooth bleaching very recently. People as old as 80 want their teeth bleached. I guess there are still plenty of acting opportunities available in Hollywoood for senior citizens.

"What? Not covered by my dental insurance? Are you sure?" Yes, I am sure.

Other times, a new patient buzzes in for the trays and the bleaching stuff and hands me a piece of paper with scribbling which turns out to be a rubber check. I drop it on the floor and it bounces right up to the ceiling. Instead of making money, I am losing $7 to the bank for trying to pass it off as authentic. That's why I prefer to add bleaching to my armamentarium for my REGULAR patients, but certainly not for the over- bleached, pop-in, going-here-and-there-anyway set.

One time, a guy in my neighborhood who is normally covered by some cheezy managed care plan asked me about tooth bleaching. He's not my patient - but he is in our neighborhood, and he knows that I am a dentist, so why not ask? I told "Yeh, sure. It'll cost you $200." Remember, I'm figuring that he's in the neighborhood, so its got to be done right and it might take a little time besides.

"How about if I give you $100 which is what I have right now and I will pay you the rest next month?"

Well, I noticed that my competitors' have a coupon in Val-Pak this month for $100 for tooth bleaching, which includes both upper and lower. I sent him right over there instead. I hear that they were scratching their heads and wondering why I did this. Its unusual that a dentist sends another dentist a patient!

They use bleaching as their loss leader over there, and then they try to convince the patient that besides the bleaching, that the patient needs an extra $4,340 worth of dentistry. Fine. Go for it. Meanwhile, the guy is back and forth for 3 or 4 visits, impressions, photos, the whole ball of wax.

I imagine that he might tell them, "How about if I give you $100 which is what I have right now and I will pay you the other $4,240 next month?" Good luck with this guy! Those sorts of business tactics are just not for me!

Basically, I prefer that in those circumstances, that the patients get the bleaching and the trays direct from the manufacturer for the $118 fee, or go with Vanna White which is okay too for the run-of-the-mill bleaching. If it works, okay. If it does not work okay too. That's how it happens with teeth. Meanwhile, there's no rubber check problem and there's no high pressure tactics either.

I got some custom whitening trays and whitening syringes from www.crackasmiledental.com for under $70 they trays work great. Most websites charge to much.


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