Dental discoloration
Dear Dr.
Tseng,
Hello, I have brown stains on the inner side of my lower teeth (not at the tooth/gum junction).
After getting a dental cleaning, I learned that my health insurance does not cover that area, and the doctor mentioned that I would need to undergo teeth whitening or similar procedures, which would be out-of-pocket expenses.
I would like to ask how I can remove those stains myself, and if you have any recommended toothpaste or toothbrushes.
If I leave it untreated for a long time, will there be any long-term consequences?
P.S.
I do not smoke or chew betel nut.
Thank you!
WEI, 30~39 year old female. Ask Date: 2012/12/06
Dr. Zeng Guanghui reply Dentistry
Hello: The brown stains on the inner side of the lower teeth are generally due to extrinsic staining, which can be caused by pigmented beverages such as tea, coffee, and red wine.
If the staining is not severe, it can be removed using polishing powder or a polishing paste.
However, if the staining is deep, further consideration for teeth whitening may be necessary.
Over-the-counter toothpaste or brushing methods are often not effective in removing brown stains, so it is advisable to consult a dentist for diagnosis and treatment.
Wishing you peace and happiness.
Reply Date: 2012/12/06
More Info
To effectively remove brown stains from teeth, it's essential to understand the underlying causes and the appropriate methods for treatment. Brown stains on teeth can result from various factors, including dietary habits, poor oral hygiene, and certain medical conditions. Here are some tips and recommendations to help you address this issue.
Understanding the Causes of Brown Stains
1. Dietary Factors: Consuming beverages such as coffee, tea, red wine, and cola can lead to staining due to their high pigment content. Foods with strong colors, such as berries and sauces, can also contribute to discoloration.
2. Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, which can harden into tartar and appear as brown stains on teeth.
3. Tobacco Use: While you mentioned that you do not smoke or chew betel nuts, it's worth noting that tobacco products are significant contributors to tooth discoloration.
4. Medications: Certain medications, particularly those containing tetracycline, can cause intrinsic staining of the teeth.
5. Fluorosis: Excessive fluoride exposure during childhood can lead to white or brown spots on teeth.
Home Remedies and Over-the-Counter Solutions
1. Whitening Toothpaste: While regular toothpaste may not effectively remove deep stains, whitening toothpaste can help reduce surface stains. Look for products containing baking soda or activated charcoal, which can be more abrasive and effective in stain removal. However, be cautious with abrasive products, as excessive use can damage enamel.
2. Baking Soda Paste: You can create a paste using baking soda and water. Gently brush your teeth with this mixture a few times a week. Baking soda is mildly abrasive and can help remove surface stains.
3. Hydrogen Peroxide: Diluted hydrogen peroxide can be used as a mouth rinse or mixed with baking soda to create a whitening paste. However, it should be used sparingly, as overuse can lead to tooth sensitivity and gum irritation.
4. Oil Pulling: This ancient practice involves swishing coconut oil or sesame oil in your mouth for about 15-20 minutes. Some people find it helps reduce plaque and stains, although scientific evidence is limited.
5. Regular Dental Cleanings: While you mentioned that your insurance does not cover certain treatments, regular professional cleanings can effectively remove tartar and surface stains. It's advisable to visit your dentist for a cleaning at least twice a year.
Professional Treatments
If home remedies do not yield satisfactory results, consider discussing professional whitening options with your dentist. These may include:
1. In-Office Whitening: Dentists can provide stronger bleaching agents that are more effective than over-the-counter products.
2. At-Home Whitening Kits: Your dentist may prescribe custom trays and whitening gel for at-home use, which can be more effective than store-bought options.
3. Veneers or Bonding: For severe discoloration that does not respond to whitening, cosmetic options like veneers or bonding may be considered.
Potential Consequences of Ignoring Stains
If brown stains are left untreated, they may worsen over time, leading to further discoloration and potential dental issues such as cavities or gum disease. Stains can also affect your self-esteem and willingness to smile, impacting your social interactions.
Conclusion
In summary, while there are several home remedies and over-the-counter products available to help remove brown stains from teeth, the effectiveness can vary. Maintaining good oral hygiene practices, including regular brushing and flossing, is crucial. If stains persist or worsen, consulting with a dental professional is the best course of action to ensure your oral health is not compromised. Regular dental visits can help monitor your dental health and provide professional cleaning and treatment options tailored to your needs.
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