This healthcare professional had waited her entire life to find the right circumstances to fix her smile. The treatment included orthodontics with Dr. Kort Igel, implant placement by Dr. Caleb Schadel and prosthodontic treatment with Dr. Michael Seseman and his staff. Everyone was extremely happy for how things turned out!


Matching 2 different man-made objects to natural teeth is extremely difficult to accomplish in the dental world. Dr. Michael Sesemann along with CDT Juan Rego of Smile Designs by Rego tamed that beast by giving Kristen a beautiful new implant abutment, crown and a Feldspathic veneer to match her natural teeth. Kristen is beaming ear to ear, everyone is so pleased with the outcome.


Elizabeth is singing praises after Dr. Sesemann transformed her smile. Invisalign positioned her teeth to ideal locations, Implants were placed in the edentulous spaces, lastly 4 gorgeous front restorations were done to complete her smile. Bravo!

Toothpaste Alert: Avoid Formulas With Stannous Fluoride

By Lisa Dennis, RDH

Most people are aware that some foods and beverages can stain teeth. But did you know that certain toothpaste and mouthwash products can, as well? It may seem counterintuitive, yet dentists and hygienists have found that oral care products containing stannous fluoride and cetylpyridinium chloride are causing brown stains that can be difficult to remove.

You may be surprised to learn that some of the most popular brands and formulas are the biggest culprits. Topping the list of offenders are Crest Pro-Health toothpaste and mouth rinse. This toothpaste formula contains stannous fluoride, and the mouth rinse contains cetylpyridinium chloride – and both can cause tooth discoloration. Other popular products also are formulated with these compounds.

Staining occurs as a result of the product dislodging bacteria, which then can cling to your teeth and turn into brown spots. The spots resemble coffee stains that become more apparent approximately five weeks after usage begins. Check out the before cleaning and after cleaning photos to see the difference that can be made by a hygienist who’s skilled at removing stannous fluoride and cetylpyridinium chloride stains.

Some people are more susceptible than others to this type of staining. However the best way to avoid a potential problem is carefully read the labels on your oral care products. Make sure to select toothpastes that do not contain stannous fluoride and mouth rinses without cetylpyridinium chloride.

Note: My recommendations for oral care products without stannous fluoride and cetylpyridinium chloride include Sensodyne Fresh Mint formula toothpaste and Sensodyne Pronamel products; basic cavity protection formulas of Crest or Colgate toothpastes; Closys products; and Act Anticavity fluoride rinse.