Phone: 910-778-8485 fax: 910-778-8477

2980 Ray Road Spring Lake NC 28390 Near Overhills Schools

Vincent Vissichelli, DMD

Board Certified Pediatric Dentist

Specializing in the treatment of infants, children, teens and special needs patients.

Patient Forms

Teeth bleaching not for kids

Does bleaching harm your teeth?  No but they may make your teeth more sensitive.

Do the bleaching products really work? yes

Over the counter bleaching kits are  potentially less safe
Nightguard vital bleaching is safe and effective for adults

Bleaching is –
More successful on yellow color in teeth
Some relapse so may need to be repeated

3 things about toothpaste we want to know

Which toothpastes have more or less abrasive?

Hydrated silica, dicalcium phosphate dihydrate is the kindest of the abrasives
Smokers’ toothpastes are more abrasive
Baking soda is less abrasive

How are toothpastes flavored?


Early toothpaste — sugar or honey
Today — saccharin, sorbitol, mannitol, xylitol
Flavoring Agents used are:
Essential oils (thymol, eucalyptol, sanguinarine)
Synthetic flavors (spearmint, peppermint, wintergreen)

What’s in the “whitening” toothpastes and how do they work?

Peroxides, harsher abrasives
Pigments (tin oxide)

This removes the stained surface on the tooth surface

What makes Stainless Steel Crowns so Good.

What is a Stainless Steel Crown? A preformed metal crown silver in color that has been in use successfully for about 60 years.

Stainless Steel Crowns are an extremely durable restoration for baby teeth.vissichelli018

What are the indications for using Stainless steel crowns? They are used to restore baby teeth in which the failure of an amalgam or composite restoration
is high.

The use of Stainless Steel Crowns is indicated in cases in which the prognosis for
long term success of “regular” restorations is reduced by a high
possibility of:

a. restoration fracture
b. recurrent decay
c. Extensive tooth destruction by decay, erosion, or abrasion from grinding.
d. After tooth nerve treatment
Pulpotomy or Pulpectomy
e. for teeth with developmental abnormalities
f. Poor enamel on teeth.

Other Reasons:

1. Stainless Steel Crowns are durable and made to last the life of the baby tooth
2. Stainless Steel Crowns protect the tooth from future decay because they cover the whole tooth.
3. They are cost effective based on durability and longevity.
4. They are more conservative because no additional tooth preparation is needed for retention of the restoration.


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