I have had white spots on my front teeth since I was a kid. In images, it looks good, but in person it is embarrassing. Is there a way to get the rest of my teeth to match the white parts? Would using Zoom whitening work?
Callie
Dear Callie,
While Zoom Whitening is a very powerful whitening procedure, it will not help in your particular case. Instead, it will whiten your teeth evenly, which will still mean you will have some spots on your teeth whiter than others. This is not what your goal is.
There are two types of white spots on teeth. I”m going to talk about the kind yours are NOT first so that people who are dealing with it will not think what I am going to explain to you is the right solution for them.
White Spots After Braces
When white spots appear after braces are removed, they are almost always decalcification spots. It is hard to get the teeth cleaned thoroughly with all those wires and brackets. When you don’t the teeth become decalcified. These are pre-cavities so it is important to treat this.
The proper treatment, in this case, is to have some microabrasion done in order to remove the decalcification and then have dental bonding done to repair the breach. This is not something that your average dentist can do. You would need an expert cosmetic dentist. We’ll talk more about how to find those in a moment.
Now, back to what you are dealing with, Callie. Your white spots are not from decalcification because you’ve had them your entire life. The best way for you to get uniform color on your teeth for this is with porcelain veneers. Again, like the dental bonding, this will require an expert cosmetic dentist.
Finding an Expert Cosmetic Dentist
Doing smile makeovers, along with other cosmetic procedures are not taught in dental school. Unfortunately, there is not a recognized cosmetic dentistry specialty either. This makes it challenging for the patient to know who has invested in the post-doctoral training necessary to do a good job.
The American Academy of Cosmetic Dentistry (AACD) recognized this issue and started an accreditation program to both help train dentists and give patients a guide as to who has done the work. If I were having cosmetic work done, I would use an AACD accredited dentist. Bear in mind this is different than just being a member of the AACD. When you go to their site to find a dentist, make certain you checkmark that you are looking for an accredited dentist.
This blog is brought to you by Hilton Head Cosmetic Dentist Dr. Bonnie Rothwell.