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Blog Post

Different Dental Stain Types and Treatment Options

  • By Admin
  • 17 Aug, 2019
Complete Dental Care — Portrait of Two Ladies Smiling in Washington, DC

Dental staining may be permanent or temporary. Before your dentist can recommend a treatment option to brighten your smile, you need to determine the cause of your tooth stains. Here are the different types of dental stains and their appropriate treatments.

Extrinsic Discoloration

Most dental stains are extrinsic, affecting only the tooth enamel. The pigments in foods and beverages typically cause these stains. Coffee, wine, tea, strawberries, chocolate, and beets can stain your teeth, as can cigarette smoking.

Brushing and flossing after eating stain-causing foods help prevent extrinsic tooth discoloration, as does limiting your consumption of highly pigmented foods. When consuming stain-producing beverages, drink them through a straw to minimize contact with your teeth.

Also, drinking your coffee with a splash of milk in it may also help prevent extrinsic staining. Highly acidic foods and drinks may make your teeth more vulnerable to stains. To help neutralize oral acidity, chew sugarless gum to help enhance salivary flow and eat more fiber-rich foods to help keep the teeth clean by the mechanical process of chewing.

Over-the-counter bleaching products and professional whitening treatments are effective in removing surface stains. Whitening toothpastes containing hydrogen peroxide and brushing your teeth with a baking soda and water mixture also help brighten the teeth. Baking soda is abrasive and hydrogen peroxide can damage your tooth enamel, so avoid using these remedies regularly.

Intrinsic Discoloration

Intrinsic dental stains refer to tooth discoloration inside the tooth, rather than those on the surface. This type of discoloration occurs during fetal development or during childhood. Intrinsic staining can also develop because of antibiotic use and traumatic injuries to teeth during childhood.

Intrinsic dental stains often look dark or gray. Another cause of intrinsic staining is enamel erosion. Enamel erosion makes your teeth look yellow or stained. However, the discolored appearance is not due to stains, but because of dentin exposure, which is naturally yellow in color.

Enamel erosion can be caused by tooth grinding. Your dentist may recommend that you wear a dental appliance when you go to sleep to help prevent grinding. Also, putting crowns on the affected teeth or filling them may conceal the discoloration.

Other types of intrinsic dental staining include calcium deficiencies and fluorosis, a condition that can cause white spots on the teeth, from fluoride overexposure. If your municipality adds fluoride to your water supply, talk to your dentist about the need for fluoridated dental products for yourself and your child.

If your water supply contains large concentrations of fluoride, you may not need to use fluoridated products such as fluoridated mouthwashes. Since most toothpastes contain fluoride to help fight cavities, you may have a hard time finding a high-quality fluoride-free toothpaste at your local grocery store or pharmacy. If you cannot find a suitable toothpaste, your dentist can recommend one.

Treatments for intrinsic dental staining include veneers. Veneers cover the affected teeth, concealing the underlying stains. Veneers are from porcelain or composite, and if your dentist recommends porcelain veneers, you may need multiple procedures. However, if your dentist uses composite materials, you may only require one procedure.

You dentist will need to make sure that your teeth are in good condition or sound enough to withstand a veneer restoration procedure. While veneer restorations are durable, you still need to take care of them by brushing regularly and seeing your dentist for examinations and professional cleanings.

As you would with your natural teeth, avoid biting down on hard objects, especially with your front teeth to help preserve your veneers.

To learn more about extrinsic and intrinsic dental staining and their treatment options, or to make an appointment for a checkup or cleaning, contact us today.

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