There are 2 types of tooth stain: intrinsic (inside of the tooth) and extrinsic (on the outside surface of the tooth.) Extrinsic stains are typically removed during cleaning appointments when the hygienist scales and polishes the teeth. Most extrinsic stains come from food or drinks like coffee and tea. Intrinsic stain can be either stains that have soaked into the tooth over time, or ones that are developmental due to illness or medications taken when the teeth were experiencing key stages of development. One of the most severe developmental stains caused from an outside factor is the bluish-grey stain that is caused by taking tetracycline during tooth formation. This dramatic tooth staining can cause an overall hue to the teeth that is one of the most difficult cosmetic challenges for patients and their dentists to take on.
Eliminating the appearance of blue tetracycline stain is usually tackled by using one of two different approaches: whitening the teeth or covering the stain with a cosmetic restoration. New developments in professional grade whitening gels have made some treatments successful in the reduction of stain, but over the counter formulas are far too weak to have an affect on tooth appearance. If staining does not respond to a professional whitening solution, or is deemed too severe, then placing porcelain veneers over the teeth can provide instant results! The veneer is simply shaded to the patient’s preference and bonded directly over the front of the anterior teeth.
Thanks to the knowledge of tetracycline effects, it is now very rare for children to be giving this antibiotic. Adults whose teeth have already erupted and fully matured are not at risk to developing the staining, because it is strictly an internal developmental stain.
Posted on behalf of Dr. Mitul Patel
One of the most popular cosmetic dentistry procedures today is the installation of porcelain dental veneers, which are used to correct a number of appearance issues. In general, veneers are used to correct the appearance of teeth that are chipped; misaligned or badly stained, veneers are very cost effective and painless solution. In addition, they are long lasting and one of the most affordable of all of the cosmetic dentistry procedures.
There are two types of dental veneers currently on the market. The first type is the traditional veneer, which is requires the teeth to be prepped before the veneer is fabricated and installed. This veneer requires the surface of the tooth to be ground down slightly to allow for the thickness of the veneer. An impression is then taken of the patient’s mouth and a dental lab makes the veneers. While waiting for the permanent veneers, the dentist will provide temporary veneers. In most cases the prep work is painless, however a local anesthetic will be used if necessary. At least two visits to the dentist are required with traditional veneers.
The second type of veneer is a very thin veneer sold under the trade name Lumineers®, which is unique in that there is no prep work required on the teeth that the veneer is being installed on. The dentist simply makes adjustments to the veneer using a variety of dental tools until the fit is perfect. Then the veneer is cemented into place. Lumineers® are installed in a single visit to the dentist!
Both types of veneers are highly effective and an experienced cosmetic dentist will be able to make the appropriate recommendation based upon the patient’s needs, budget and the dentist’s experience.
Posted on behalf of Dr. Mitul Patel
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