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Discolouration/staining

 

Teeth enamel discoloration can be caused by staining, tooth decay, aging, old amalgam fillings ,dietary and smoking habits which can damage the teeth. Some of the more common causes of teeth discoloration are medications, coffee, tea or cigarettes. 

Aside from staining, there are other factors that can affect the color of an individual's teeth. Genetics can play a role. Some people have naturally brighter enamel than others. Disease can also be a factor and certain medications can cause a discoloration of the teeth.

Several Solutions depending on the underlying cause includes

  • Cleaning/Polishing
  • Bonding/Laminates
  • Bleaching - Home
  • In surgery
  • Hybrid
  • Veneers Inlays Crowns

Scaling and Polishing regularly by your dentist or hygienist helps keep your teeth and gums healthy and your smile whiter. Scaling removes the hard tartar which cannot be removed by brushing. Stains from coffee, tea, cigarettes or red wine are removed with the polishing. We provide sodium bicarbonate-based jet polishing on a private basis which is used for extremely stained or smokers teeth.
Bonding can mask many types of stains to create a natural-looking and attractive smile. However, bonded teeth tend to stain easily and require periodic repair. Bonding may be the best option if you:

  • Have white or brown spots or staining due to excessive wear or silver fillings
  • Are not a heavy smoker or coffee drinker
  • Are willing to take extra care of your new smile
  • Want a less expensive and less invasive option (compared with porcelain veneers or crowns)

Bleaching:

  • Although the average treatment time is about 4 to 6 weeks, you may notice results after just a few days.
  • If you have decay, be sure to have your teeth treated prior to bleaching.
  • Patients who are not good candidates for in –office bleaching because of tooth sensitivity, time restrictions, or financial considerations can often be helped with home bleaching.
  • For most patients, a combination of home and in – office bleaching yields the best results.
  • You may need a "touch-up" bleaching session every 6 to 12 months.
  • Do not use any home bleaching product if you are pregnant or nursing a baby.
  • Home bleaching can have adverse side effects, including tooth sensitivity, a burning sensation and sores on the gums and sore throat
Polishing Bleaching Bonding Porcelain Veneers Crowns

Treatment Time

Usually a 15- to 30- min appointment

In office: 1-3 treatments as needed, about 30-90 min each

Home: Daily for 1-12 mo, depending on stain severity
1 office visit

2 office visits, 1-4 hours each

Usually 2 office visits of 1-4 hours each for up to 4 teeth (more time needed for additional teeth, esthetic temporaries, or more extensive treatment)

Maintence

Have a professional cleaning 4-6 times per year

Brush thoroughly after meals to remove plaque.

Avoid smoking and stain-causing foods (e.g., coffee and tea).

Have a professional cleaning 3-4 times per year.

Have a professional cleaning 3-4 times per year.

Avoid use of ultrasonic scalers and air abrasives during hygiene office visits.

Avoid biting down with front teeth, especially on hard foods.

See dentist for polishing or repair as necessary.

Have a professional cleaning 3-4 times per year.

Avoid use of ultrasonic scalers and air abrasives during hygiene office visits.

Take special care when biting into or chewing hard foods.

See dentist for resealing of margins as needed.

Avoid biting down on hard foods and ice.

Reduce intake of refined sugars.

Have a professional cleaning at least 3-4 times per year and yearly fluoride treatment.

Ask your dentist to recommend a fluoride toothpaste and mouthwash for home use.

Floss at least once daily.

Results

Surface stains easily removed Deep yellow stain can be considerably lightened; brown and gray stains are much more difficult to bleach. Immediate masking of stains Glazed, natural appearance and effective masking of stains. Can achieve the best results in tooth shade, shape, and size.

Treatment Longevity

Usually 2-6 mo Indefinite, although annual touch-ups may be required. 3-8 years; may need repair or replacement more frequently 5-12 years 6-15 years (directly related to fracture, problems with tissues, and decay)

Advantages

Least invasive procedure.

Can be least expensive option

Painless

Safe

No tooth reduction required

Safe

Usually painless to adults

No tooth reduction required

No anesthetic required

Less expensive than many other options

Painless

Results obtained in 1 appointment

Little or no tooth reduction required

Generally no anesthetic required

Less expensive than porcelain veneers or crowns

Easy to repair

Less chipping than bonding.

Extremely good bond to enamel.

Minimal staining and loss of color or luster.

Less tooth reduction required than crowning.

Lasts longer than bonding.

Gum tissue tolerates porcelain well.

Generally no anesthetic required.

Color change is possible.

Teeth can be lightened to any shade.

The dentist can improve shape of teeth.

Some realignment or straightening of teeth is possible.

Last longer than any other restoration.

Disadvantages

May not remove stains enough to please you

Natural tooth color may not be restored.

Can cause discomfort if large tooth pulp present.

Only 85% effective in selected cases.

Extended treatment time may be necessary.

May not achieve the whiteness you desire.

Can chip or stain.

Has a limited esthetic life.

May not cover dark stains well.

May involve minor tooth reduction to remove some of the stains.

Gum irritation may occur if margins are imperfect.

More expensive than bonding.

Difficult to repair if the veneer cracks or chip.

Irreversible if much enamel is removed.

Staining may occur between teeth, depending on how the veneer is prepared.

Margins may "wash out" and require repair.

Can fracture.

Require an anesthetic.

Tooth form is altered (most of the tooth enamel is removed).

Unsightly line may appear at junction between tooth and crown if tissue shrinkage occurs.

Much more expensive than bonding.

 
 

How to Find Us

Ashford Dental Care
Centre for Integral Implant and Aesthetics Dental Care
Upper High Street
8 New Rents, Ashford

Kent TN23 1JJ
 

Call today

01233 639 289
 

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Tuesday 8.30am to 5.30pm
Wednesday 8.30am to 5.30pm
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Saturday 8.30 am to 12.30pm

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Last Update: December 2018