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Fixing Splotchy Teeth

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My teenager has always had thin tooth enamel. We tried to be very careful when she had braces. We seemed to avoid the splotchiness in all but her front two teeth. I’m glad her teeth are straight but these need to be dealt with. I’ve heard there is a procedure to fix it. Do you know if dental insurance will cover it?

Caroline

Dear Caroline,

before and after dental bonding for a chipped tooth

These white spots, as you probably know are decalcification— precursors to tooth decay. There are two possible solutions to this. The first only works sometimes. There is a product called Tooth Mousse that can sometimes re-calcify teeth. It doesn’t work all the time, but is inexpensive and worth a shot in my opinion. You can get it online.

If that doesn’t work, a sure-fire solution is dental bonding. You will need an expert cosmetic dentist for this so don’t expect your average family dentist to be able to do it. Above, I’ve shown an image of dental bonding that is being used to fix a chipped tooth. What your daughter will need is for the decalcification spots to be gently sanded off and then the composite bonding can fill in the gaps.

As I mentioned earlier this procedure needs an expert cosmetic dentist. The whole thing is done freehand, plus you want them to know enough color theory to be able to match her teeth perfectly. I would look for a qualified dentist on the mynewsmile.com website. Every dentist on their is prescreened for their cosmetic training and artistic skill.

As for your dental insurance, it varies from policy to policy, but do not expect it to cover the whole procedure. At the most, they will contribute to it, but that is about all I would expect.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

whitening teeth with white spots

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I have one tooth which has had two white spots on it my entire life, or at least for as long as I can remember. I like the white parts and want to get all my teeth to look that way. My dentist is suggesting I get Zoom Whitening but my sister says that won’t work that the spots will still be whiter than the rest. Who’s right?

Brianne

Dear Brianne,

Patient using Zoom Whitening light
Zoom Whitening Light

Your sister is correct. It worries me that you’re getting better advice from your sister than you are your dentist. He is supposed to be the professional.

Teeth whitening whitens teeth uniformly. This means that all the natural tooth structure will whiten, including the white spots. That doesn’t mean there isn’t a solution.

You can go ahead with the Zoom Whitening. This will get your teeth as white as possible in just one appointment. You’ll still have those two spots, but they can be fixed with either dental bonding or a porcelain veneer. Dental bonding costs less, but will have to be replaced a little more often.

Either procedure will require an expert cosmetic dentist. In your place, I’d look on the mynewsmile.com website. They pre-screen cosmetic dentists who want to be listed on their site for both their technical skill and artistry. Anyone on the list will do a beautiful job for you.

White Spots on Teeth

Sometimes there are white spots on teeth which are just the pigment. This seems to be your case because you’ve had it for as long as you can remember.

Other times, however, white spots are more serious. Usually, these are signs of decalcification and an early sign of decay. We see them most often with teenagers who’ve recently had their braces removed. These metal wires and brackets are hard to clean around. This is one of the reasons some parents prefer Invisalign for their teenagers.

This blog is brought to you by New Orleans Dentist Dr. Duane Delaune.

lumineers for white spots

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I just finished my braces and my teeth have white spots on them. It’s pretty embarrassing and my friends have pointed it out to me, so I know it is noticeable. Getting braces was pretty expensive. I want to cover the white spots, but I don’t want to ask my mom about it if it is going to be way too expensive for her. She’s a single mom and works super hard but we don’t have a lot of money.

Becky

Dear Becky,

Advertisement with Lumineers including a woman smiling and a single veneer being held by a tool
Lumineers are just one brand of porcelain veneers

First, I just want to tell you how proud I am of how you are handling this. You aren’t running to your mom demanding anything. Instead, you are doing research to see if this is even a possibility.

You should know up front, that Lumineers are just one brand of porcelain veneers. Many of the best cosmetic dentists actually prefer to use a different brand, so don’t be surprised if you go to a dentist and they suggest another type.

As far as the cost, that often depends on the quality, skill, and philisopy of the dentist you’re going to, but I would expect it to cost between $800 to $1,600 per tooth.

This may be out of the budget of your mother if finances are a struggle. That doesn’t mean you can’t have a beautiful smile though.

White Spots After Braces

When your braces are removed and there are white spots, it is a sign that food and bacteria became caught around your braces while you were wearing them. The white spots are the pre-cursors to decay, so you’ll want to see your dentist fairly soon to shore up and weak spots before they become full blown cavities.

Repairing the white spots cosmetically can be done with dental bonding. A dentist could hand sculpt the composite bonding onto your teeth and it will cover the white spots perfectly.

In your place, instead of suggesting a procedure to your mother, I would just let her know what’s going on and ask if the two of you can talk to the dentist about affordable solutions.

Best of luck to you!

This blog is brought to you by New Orleans Dentist Dr. Duane Delaune.

Getting rid of white spots…Zoom whitening didn’t work!

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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

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.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.