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Whitinsville, MA 01588
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Whitinsville Family Dentistry

Do you have questions about whitening your smile? – Dr. Ben Tubo

September 23, 2015

Many of my patients ask me about whitening their teeth: it might be when we first meet at their exam, or it might be during a hygiene check, or a cleaning appointment.  Most patients I see have staining on the outside of their teeth, called extrinsic staining, which can be caused by food and beverages, hygiene problems and especially tobacco products. A lot of patients ask, “How do my teeth get stained?” Our teeth have very, very small imperfections like pits, scratches and grooves, that make the surface rough and can collect colored molecules from foods, drinks and habits. As the molecules collect more and more in those imperfections they start to show dark stains. Extrinsic staining can often be removed with the use of a whitening tooth paste, modifying any behavior that has a high risk of causing staining, or a professional prophylaxis (or “cleaning”). Whitening tooth paste has pumice, an abrasive ingredient, that helps get rid of stain by polishing away the rough imperfections on them. The staining goes away because the imperfections have been smoothed out, so they cannot collect stain. This is just like when you get a cleaning at the Dentist. The Hygienist uses a polishing paste, that removes even more stain and surface imperfections than whitening tooth paste, which is why your teeth feel so smooth afterwards.

Many patients who use whitening tooth paste and have regular hygiene visits are still not happy with how white their teeth are. This is usually due to intrinsic staining, which is when the tooth is discolored internally. Intrinsic staining cannot be removed by polishing away surface stain… it must be chemically whitened. Our teeth have a few layers: the outside is enamel, it is very hard and usually has a clear, milky, or white color. Dentin is the second layer, it makes up most of the tooth, and can have many different colors, anywhere from whitish-yellow to brownish-black. The tooth color that we see is determined by how dark the dentin is and how much light bounces off of it. There are several ways to whiten our teeth including over-the-counter whitening products, professional whitening products and even restorations like composite or porcelain.

In the next few weeks, I’ll go into greater detail about ways to get your smile to its whitest and brightest. Maybe you have tried whitening before and it did not work for you?  The good news is that there are other options that may help! For some people, whitening alone is not an option due to older fillings or crowns… so you may need some additional treatment to make your smile as white as you want it.  I’ll go over these situations as well. I will be careful to discuss some of the pros and cons of each treatment; so that if you are interested in whitening and brightening your smile, you can have a better understanding of what is best for you.

If you have questions about whitening, please feel free to leave a comment below, and I’ll do my best to answer them here!

Warm Regards,

Dr. Ben Tubo

Northbridge, MA Dentist Receives AGD Fellowship Award

July 7, 2014

This is our very own Dr. Jason Tubo!  Did you know that less than 5% of U.S. dentists ever achieve Fellowship Award status with the AGD!

Northbridge (July 7th, 2014)—The Academy of General Dentistry (AGD) is pleased to announce that Jason R. Tubo, DMD, FAGD, of Northbridge, Massachusetts, received the association’s Fellowship Award during the AGD 2014 Annual Meeting & Exhibits, which took place June 26 to 29 in Detroit.

The AGD Fellowship Award is presented to dentists who seek to provide the highest quality dental care by remaining current in their profession. To earn this prestigious honor, Dr. Tubo completed 500 hours of continuing dental education, passed a comprehensive written exam, and fulfilled three years of continuous membership in the AGD.

As a Fellowship Award recipient, Dr. Tubo joins more than 6,400 active AGD Fellows who have gone above and beyond the basic requirements to care for their patients’ oral health.

“We are proud to honor Dr. Tubo for his commitment in reaching this lofty goal,” says AGD President W. Carter Brown, DMD, FAGD. “He has distinguished himself professionally among his peers and is a role model for both his fellow dentists and the Worcester community.”

Dr. Tubo graduated from The University of Connecticut School of Dental Medicine in 2008 and currently practices dentistry in Whitinsville, MA (a village of Northbridge, MA). He and his wife Erin live in Douglas, MA, and have two daughters, Claire and Natalie.

Dr Tubo - color 3

About the Academy of General Dentistry

The Academy of General Dentistry (AGD) is a professional association of 38,000 general dentists dedicated to providing quality dental care and oral health education to the public. AGD members stay up-to-date in their profession through a commitment to continuing education. Founded in 1952, the AGD is the second largest dental association in the United States, and it is the only association that exclusively serves the needs and represents the interests of general dentists. A general dentist is the primary care provider for patients of all ages and is responsible for the diagnosis, treatment, management, and overall coordination of services related to patients’ oral health needs. For more information about the AGD, visit www.agd.org. The AGD is a member of the Partnership for Healthy Mouths, Healthy Lives, a first-of-its-kind national dental coalition composed of 37 leading dental health organizations. The Partnership’s campaign is designed to educate parents and caregivers on how to improve their children’s oral health in simple ways. The campaign offers families oral health resources through the website 2min2x.org.

Not all Cosmetic Dentistry is Expensive… or Invasive

August 2, 2013

I usually ask my patients at their examination appointments if there’s anything they would ever want to change about their smile – about the way things look, feel, or work.  A lot of times, I get an answer like, “Well, I’d like to have whiter/brighter/straighter teeth… but I know I can’t afford it … or it would take too much time …or I’m afraid of the procedure.”  Here is a patient I saw under similar circumstances a few weeks ago.  When asked if there was anything he would like to change, he only noted that he didn’t like the white spots on the two front teeth.  In the past, treatment options would have been limited to porcelain veneers, or maybe some cosmetic bonding with composite.  Both veneers and cosmetic bonding are cosmetic dentistry procedures I love and perform regularly here in Northbridge, MA.

But in this case, we only wanted to reduce the white spots… there were no cavities present, and we didn’t want to (or need to) change the color or the shape of the entire tooth.  Instead of veneers or bonding, we chose to use a modern, minimally invasive procedure using something called “infiltrative resin.”  What does minimally invasive mean?  In this case, it meant no drilling, no needles, no numbness.  We simply polished the dark spots and then used modern materials, chemistry, and time, to let a water-like resin flow deep into the white spots.  The result is about 85-90% of the white spots are gone by the time my patient left the office. (continued below)

Infiltrating Resin - Jason Tubo, DMD

This is part of why we schedule longer hygiene appointments at my practice, compared to most others.  We want to make sure that our patients have time to tell us their concerns… and the time to have their questions answered!  Many patients have discoloration on their teeth like this and believe that $10,000-40,000 in crowns or porcelain veneers is their only solution.  (And sometimes it is the only solution.)  But by telling your dentist that there IS something you may want to change about your smile… you may only be a 5-minute conversation away from finding out your best options are not as expensive or invasive as you would have thought!

It’s AWESOME living in the future!

Jason R. Tubo, DMD

The #1 Most Life-Changing Dental Procedure

January 30, 2012

Like I’ve said before – I have a passion for cosmetic dentistry.  But my absolute favorite dental service to provide to my patients has much less to do with cosmetic change and so much more to do with function and quality of life.  The procedure is called an “implant retained over-denture” and I promise you from the moment that denture is first clicked into place, it forever changes that individual’s life.

Denture wearers often tell me, “Dr. Tubo, my upper denture is OK because I get that suction effect on the roof of my mouth and that holds things pretty still – but I HATE my lower denture!  It just swims around and doesn’t really hold onto anything.”

Well, today we have dental implants to make all the difference!  These pictures show one of my patients for whom I placed two implants in the lower jaw – a relatively minor surgery that I do here in my Northbridge dentist office.  The implants were allowed to heal for about 4 months before placing the attachments in the bottom of the denture.  Once the attachments are connected, the denture literally snaps into place – and those two implants provide a lot of stability!

I still love the instantaneous look of astonishment on my patients’ faces when that denture clicks in for the first time.  It’s the immediate realization that their quality of life will be forever changed.  You have to imagine – some of these people have not been able to lick an ice cream cone in 40 years.  This procedure gives back so much ability and confidence.  Every smile, every meal, every conversation – is changed.

And then about one week after the lower denture is attached, I’ve had some of those patients come back and say, “Dr. Tubo, I love my lower denture, but I hate my upper denture!  Is there a way to make my upper denture snap into place too?”  And the answer is a resounding “YES!”

Jason R. Tubo, DMD

One tooth, one hour, a brand new smile!

January 16, 2012

Filed under: CEREC One-Visit Crowns,cosmetic dentistry — drtubo @ 9:32 pm

I saw this patient last week to replace the crown seen in the center of the “before” photo. The out-dated technology of the original crown used metal and porcelain and shows the classic “black metal line” at the gum. When that crown was first done in 1995, it took 4 weeks to make at a lab and the patient had to wear a temporary crown until it came back.

Look how far technology has come! The new crown was made by taking a 3D picture of the tooth, designing the crown shape and color in the room on the CEREC computer, milling the custom design from a CAD/CAM milling unit in our office, and permanently bonding the highly esthetic, all-ceramic, metal-free crown the same day!

I love technology. It’s making treatment faster, prettier, more predictable, and more accessible for our patients everyday! But what’s even better? I get to take part in improving the quality of life of my patients by bringing advanced education, technology, and materials to the table.

I have an absolute passion for extreme makeovers, full-mouth rehabilitation, and other areas of complex cosmetic and implant dentistry. But it is these smaller projects – where changing something small about one or two teeth makes such huge difference – that I still get most excited about for my patients!

Jason R. Tubo, DMD

One-Visit Crowns from Your Whitinsville Dentist

January 13, 2011

A cracked, broken, or badly decayed tooth can ruin a smile and wreck self-confidence. You don’t have to live with the discomfort and inconvenience of damaged teeth. With modern dental technology, treatment is faster, safer, and more reliable than ever before! For over 10 years, Dr. Cnossen and Dr. Tubo have been at the forefront of a revolutionary, crown-making device: CEREC.

What is CEREC?

CEREC stands for CEramic REConstruction. It’s 3D, digital software and an on-site milling machine that facilitates one-visit crown design and placement. With CEREC, here’s what you can expect:

  • No messy impressions
  • No temporary restorations
  • No second visits
  • Beautiful, all-ceramic restorations
  • Long-lasting crowns, inlays, and onlays (more…)

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12 Prospect St., Whitinsville, MA 01588 USA
Jason R. Tubo, DMD DESCRIP (508) 234-8107