I just recently got my braces off. I love how straight my teeth are, but I have very noticeable white spots on some of my teeth. When I asked my dentist about how to get rid of them, he suggested Zoom whitening. I did the Zoom, but for some reason it didn’t work. What went wrong? — Aliya
This is one of the problems that happens when general dentists try to do cosmetic dentistry. Unfortunately, in your case, your dentist doesn’t really know the right thing to do. While Zoom whitening is a very effective treatment, when teeth are uneven in color like you are describing, it simply doesn’t work and neither will at-home systems. As you might be noticing, the spots are probably getting worse rather than better.
The good news is that there are treatments available to help. For the most part, white spots are caused by calcification around the braces due to oral hygiene issues. There is a product called Tooth Mousse that was developed specifically to help re-mineralize these spots. Microabrasion is also an option, but it tends to result in more of a “creamy” look, rather than white.
Direct dental bonding is probably your best option because the softened and de-calcified enamel (which is actually the early stages of tooth decay) is removed and replaced with composite that can be matched to your exact tooth color.