Our Blog:
Archive:
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
- 2013
- 2012
Tags
- celebrity smiles (69)
- orthodontic treatment (10)
- common symptoms (1)
- oral health (14)
- snoring and sleep apnea (1)
- oral cancer (3)
- root canal (3)
- endodontics (1)
- dental injury (11)
- dental emergency (1)
- mouthguard (4)
- missing tooth (2)
- replacing teeth (2)
- dental implant (3)
- pregnancy (2)
- snoring (3)
- sleep apnea (4)
- teeth whitening (5)
- tooth bleaching (1)
- cosmetic dentistry (14)
- oral hygiene (16)
- gum disease (16)
- diabetes (1)
- tooth decay (2)
- mouthguards (4)
- braces (9)
- orthodontics (7)
- pediatric dentistry (9)
- teething (1)
- palatal expanders (1)
- periodontal disease (1)
- fillings (1)
- bonding (2)
- veneers (3)
- porcelain veneers (3)
- dental implants (11)
- dental anxiety (2)
- medication (1)
- dentures (1)
- crown (3)
- fluoride (1)
- floss (1)
- flossing (2)
- thumb sucking (2)
- clear aligners (2)
- pediatric care (1)
- cracked tooth (1)
- laser dentistry (3)
- athletic mouthguards (1)
- teeth wear (1)
- tooth pain (2)
- root canal treatment (2)
- crowns (3)
- chipped teeth (1)
- sedation dentistry (2)
- wisdom teeth (4)
- bone grafting (1)
- bad breath (1)
- mouth sore (1)
- toothache (1)
- abscessed tooth (1)
- gummy smile (1)
- blood pressure (1)
- teeth grinding (2)
- chipped tooth (3)
- artificial sweeteners (1)
- nutrition (3)
- sugar (2)
- periodontal surgery (1)
- facial pain (1)
- trigeminal neuralgia (1)
- retainers (2)
- tmj disorders (1)
- gum recession (3)
- crown lengthening (1)
- smile makeover (1)
- retainer (1)
- tooth grinding (1)
- lingual braces (1)
- bonded retainer (1)
- canker sores (1)
- dry mouth (1)
- smoking (1)
- pulp capping (1)
Categories:
After months of wearing braces it's time for the big reveal: your new and improved smile! Your once crooked teeth are now straight and uniform.
But a look in the mirror at your straighter teeth might still reveal something out of place: small chalky-white spots dotting the enamel. These are most likely white spot lesions (WSLs), points on the enamel that have incurred mineral loss. It happens because mouth acid shielded by your braces contacted the teeth at those points for too long.
Most mouth acid is the waste product of bacteria that thrive in dental plaque, a thin film of food particles that can build up on tooth surfaces. High levels of acid are a definite sign that plaque hasn't been removed effectively through brushing and flossing.
But normal hygiene can be difficult while wearing braces: it's not easy to maneuver around brackets and wires to reach every area of tooth surface. Specialized tooth brushes can help, as well as floss threaders that help maneuver floss more easily through the wires. A water irrigator that uses pulsating water to remove plaque between teeth is another option.
However, if in spite of stepped-up hygiene efforts WSLs still develop, we can treat them when we've removed your braces. One way is to help re-mineralize the affected tooth surfaces through over-the-counter or prescription fluoride pastes or gels. It's also possible re-mineralization will occur naturally without external help.
While your teeth are sound, their appearance might be diminished by WSLs. We can improve this by injecting a liquid tooth-colored resin below the enamel surface. After hardening with a curing light, the spot will appear less opaque and more like a normal translucent tooth surface. In extreme cases we may need to consider porcelain veneers to cosmetically improve the tooth appearance.
In the meantime while wearing braces, practice thorough dental hygiene and keep up your regular cleaning visits with your general dentist. If you do notice any unusual white spots around your braces, be sure to see your dentist or orthodontist as soon as possible.
If you would like more information on dental care during orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “White Spots on Teeth during Orthodontic Treatment.”