Digital Smile Makeovers

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Improving the color of tetracycline stained teeth using tooth-whitening treatments.

When this person submitted her photo for a digital makeover she said she simply wanted to see what her teeth would look like if they were whiter.

Case history and concerns:

As evidenced by her request, this person evidently is satisfied with the general shape and alignment of her teeth, she simply seeks a color change.
From only a picture, it's impossible to know exactly what process has caused her tooth discoloration. Since it appears that she is young, it's unlikely that the staining has just been caused by the cumulative exposure to chromogenic agents such as coffee, tea, cola or tobacco products.
Due to genetics, it could be that her tooth enamel is just naturally darker than other people's.
It is also possible (and probably most likely) that during the time frame when her teeth were forming that she had an exposure to a compound (such as the antibiotic tetracycline) that resulted in the staining.

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Teeth with tetracycline staining. Teeth with tetracycline staining.
Tetracycline tooth staining improved using whitening treatments. Tetracycline tooth staining improved using whitening treatments.

Photo submitted by website visitor.

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Treatment solutions:

1) There's no reason not to try tooth-whitening first. -

The hope is that teeth-bleaching treatments (either performed at-home, in her dentist's office, or a combination of both) can lighten her teeth and give her the improvement she desires.

We'll admit that it might be somewhat unrealistic to expect that any process will lighten her teeth quite as much as we've illustrated in our "after" picture. That's because so much of the success of tooth whitening is dependent on the underlying cause of the staining. And some types (like that caused by tetracycline) can be more difficult to treat than others. After an examination, her dentist could advise her as to what degree of results might be expected.

2) If whitening fails, then place porcelain veneers. -

If whitening treatments cannot provide the results that this person wants, then porcelain veneers may have to be considered. This treatment will, however, have a much greater expense. Additionally, the maintenance requirements associated with repairing and/or replacing the veneers at other points during this person's lifetime are likely to be greater too.

The effort and cost associated with any "failed" whitening attempt would not be wasted. Making a large tooth-color change with porcelain veneers is easier and more predictable, at least in terms of achieving a natural-looking result, if the teeth have been lightened first.

Closing spaces between teeth:
- Closing tooth gaps using porcelain veneers.
- Closing tooth gaps using dental crowns.
- Applications for tooth bonding.
Other cosmetic issues:
- Whitening teeth with deep stains.
- Gum tissue concerns with crown and veneer placement.
Orthodontic cases:
- Straightening teeth - Braces vs. Crowns.
- Straightening teeth - Braces vs. Veneers.
Repairing damaged teeth:
- Repairing teeth worn from tooth grinding.
- Repairing tooth wear due to a deep overbite.
Other ways to find cases:
- All digital makeovers by category.
- All digital makeovers by title.
Cosmetic Dentistry: Home

Input from site visitors.

Fidelis

Tue, 01/06/2015 - 17:54

tooth stain

I have similar problem, when I was growing up as a kid I noticed that the stain is in my tooth, I have tried doing anything I can to get it off, if I can get it off by any means I will the happiest person.

Staff Dentist -...

Wed, 01/07/2015 - 12:52

Tetracycline staining can be difficult but results are possible.

Fidelis,
Here's a link to information on our website that specifically discusses how at-home teeth bleaching techniques (either tray-based or whitening strip protocol) has been used by dentists to rid their patients teeth of tetracycline stains.
Hope it helps.

VG Pednekar

Sat, 08/22/2015 - 23:41

Discoulorization of molar premolar teeth

My age is 69 so far i have been going regularly to the dentist and there was no problem but from the last two months the color of teeth has changed i do not take coffee. What is the reason and please tell me the treatment.

Staff Dentist -...

Tue, 08/25/2015 - 14:34

VG

This page outlines some of the more common causes of tooth staining.

It probably won't take much for your dentist to figure things out. As that page describes, they'll consider issues such as these when looking for the answer:

It affects all of your molars and premolars but not the front teeth too?
The discoloration comes off (or doesn't come off) with a dental cleaning?

As they sort through these types of questions, they should be able to identify the cause and suggest a remedy for it.

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