Everyone gets stains on their teeth from the type of food and drinks we consume. Most stains can be easily removed at the dentist by a scale and clean, polishing, or at times, tooth whitening procedures may be required.

But if after all these avenues have been exhausted, and the stains still remain…what then? If this is the case, you may have fluorosis of your teeth. Fluorosis occurs when fluoride from toothpaste is ingested during tooth development, usually before the age of 10. This leads to defects in enamel formation (the outer layer of tooth crown) that subsequently absorbs stains. This type of stains differ from superficial food/drinks stains in that they
are usually deeply embedded and cannot be removed by surface cleaning.

A patient came to see me complaining of her fluorotic teeth. The stains prevented her from
smiling or even wearing lipsticks as it might draw attention to her teeth. Fortunately, there are many ways around it. Microabrasion alone or combined with tooth bleaching, conservative composite resin restorations or porcelain veneers are common
treatment options.

Generally, if staining is less deep, microabrasions with tooth bleaching will suffice but the deeper staining may require composite resin restorations or veneers. For my patient, we achieved an aesthetic result with conservative composite resin restorations
that were placed on her 4 upper front teeth.

Needless to say, she was very happy with the results and couldn’t wait to buy her first lipstick in many years. During your next visit at the dentist ask how to remove those annoying stains.

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