Reviews: My daughter is 14 and self-conscious about many things. She wears braces to correct crowding but has fluorosis stains on multiple teeth. Can we do anything about the fluorosis stains before she finishes her braces (estimated completion date November 2025)? Will bleaching help? – Thanks Gianna from Atlanta
Gianna,
Fluorosis results from excessive fluoride exposure during tooth development. Many natural water sources contain fluoride, while others may have insufficient levels, making teeth more prone to decay. To optimize fluoride levels, communities often add fluoride to their drinking water. However, some regions naturally have high fluoride levels, requiring treatment to reduce fluoride concentrations. Prolonged consumption of such water during tooth development can lead to fluorosis. Additionally, accidental ingestion of fluoride supplements or excessive toothpaste swallowing can contribute to the condition.
How Can You Treat Fluorosis Stains on Teeth?
Treatment recommendations for fluorosis stains depend on the severity of stains.
- Mild fluorosis – Direct bonding often covers white or brown areas.
- Extensive fluorosis – Porcelain veneers offer a comprehensive solution to mask the discoloration.
If the teeth exhibit a uniform yellowish tint without mottling, teeth whitening may be a suitable initial treatment. In such cases, discoloration may have another underlying cause other than fluorosis.
It is crucial to consult a highly skilled and experienced cosmetic dentist. Such cases require specialized expertise beyond the capabilities of a general family dentist. The dentist must possess technical proficiency and artistic sensitivity to effectively address aesthetic concerns.
Should You Treat Fluorosis Stains While Wearing Braces?
It is advisable to treat fluorosis stains after your child’s braces are removed. A cosmetic dentist must carefully time the treatment, considering the eruption status of the front teeth. Temporary measures like direct bonding may be necessary if the teeth have not fully erupted. The approach will depend on the patient’s preferences and the dentist’s assessment.
While there is no minimum age for porcelain veneers, a cosmetic dentist will advise that a child’s growing teeth will create the need for replacement veneers until tooth development is completed. Other factors can affect whether veneers are advisable. Depending on the cause and nature of teeth stains, a cosmetic dentist can complete teeth whitening procedures for children. However, whitening makes some stains more noticeable, so avoid do-it-yourself whitening.
Metairie cosmetic dentist Dr. Duane Delaune sponsors this post. Read details about how Dr. Delaune strives to provide some of the best dental care in Metairie.