Tooth discoloration
Hello Doctor: I have a black line on my front tooth.
My dentist previously mentioned that it is a discoloration at the junction of my natural tooth and an old filling from years ago.
If I want to remove this black line, would using whitening products (such as laser whitening or air abrasion whitening) help? Or is it necessary to replace the old filling? If replacement is necessary, does health insurance cover this procedure (since there is no cavity, just discoloration)? Thank you for taking the time to respond amidst your busy schedule; I appreciate your hard work!
tjp, 10~19 year old female. Ask Date: 2022/11/12
Dr. Lin Jiayong reply Dentistry
Hello: Dental resin fillings can originally be replaced every two years.
It is recommended to first refill with resin.
If severe staining still cannot be removed, then consider other out-of-pocket treatment options later.
Reply Date: 2022/11/12
More Info
Teeth whitening products, including methods like laser whitening or air abrasion, are designed to lighten the color of natural tooth enamel. However, they are generally ineffective on dental fillings or restorations. The black line you mentioned at the junction of your natural tooth and the filling is likely due to staining or discoloration of the filling material itself, which can occur over time due to various factors such as food, beverages, and even the natural aging process of the material.
When it comes to removing stains from dental fillings, whitening treatments will not work because the materials used in fillings (such as composite resin or amalgam) do not respond to whitening agents in the same way that natural tooth enamel does. Therefore, if you want to eliminate that black line and improve the aesthetic appearance of your teeth, the most effective solution would be to replace the old filling with a new one. This would not only address the discoloration but also ensure that the filling is in good condition and functioning properly.
Regarding insurance coverage, it varies by provider and plan. In many cases, dental insurance may cover the cost of replacing a filling if it is deemed necessary for health reasons, such as if the filling is damaged or if there is a risk of decay. However, since you mentioned that there is no decay and the issue is purely cosmetic, it is less likely that insurance would cover the replacement. It is advisable to check with your dental insurance provider to understand what is covered under your plan.
In addition to considering a replacement filling, maintaining good oral hygiene practices is essential to prevent further staining and to keep your teeth and gums healthy. Regular dental check-ups and cleanings can also help manage any potential issues before they become more significant problems.
If you are concerned about the appearance of your teeth and the black line, I recommend discussing your options with your dentist. They can provide you with a thorough examination and help you decide on the best course of action, whether that involves replacing the filling or exploring other cosmetic options, such as veneers or bonding, which may also help improve the aesthetics of your smile.
In summary, while teeth whitening treatments are effective for natural teeth, they will not remove stains from dental fillings. The best approach to address the black line is to consider replacing the old filling. Always consult with your dentist for personalized advice and treatment options tailored to your specific dental needs.
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