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White Spots on Teeth ? Smile Makeover

white spots

If you’ve ever wondered about those tiny white spots on your teeth, you aren’t alone! It sounds scary, but it’s actually a common cosmetic dental problem that most people will experience at some point in their life. If White Spots are your concerns then continue reading; if not then click here .

Healthy teeth, free of any decay, cracks or discoloration is a dream for many. Certain people do encounter white spots on their teeth. These spots are opaque, creamy or chalky white. They appear to by dried areas on the tooth surface. They may vary from tiny specs to larger spots or streaks. White spots may be present on a single tooth or multiple teeth. Presence of these spots reduces the pearly shine of the teeth or tooth, thus becoming a matter of concern. White spots have thin brittle enamel which tends to fracture easily. At time these may lead to cavities.

white spots on teeth
Beautiful young female but with a white spotted smile.

𝙄𝙛 𝙮𝙤𝙪’𝙫𝙚 𝙚𝙫𝙚𝙧 𝙬𝙤𝙣𝙙𝙚𝙧𝙚𝙙 𝙖𝙗𝙤𝙪𝙩 𝙩𝙝𝙤𝙨𝙚 𝙩𝙞𝙣𝙮 𝙬𝙝𝙞𝙩𝙚 𝙨𝙥𝙤𝙩𝙨 𝙤𝙣 𝙮𝙤𝙪𝙧 𝙩𝙚𝙚𝙩𝙝, 𝙮𝙤𝙪 𝙖𝙧𝙚𝙣’𝙩 𝙖𝙡𝙤𝙣𝙚. 𝙒𝙝𝙞𝙩𝙚 𝙨𝙥𝙤𝙩𝙨 𝙤𝙣 𝙮𝙤𝙪𝙧 𝙩𝙚𝙚𝙩𝙝 𝙖𝙧𝙚 𝙖 𝙛𝙤𝙧𝙢 𝙤𝙛 𝙖𝙘𝙪𝙩𝙚 𝙙𝙞𝙨𝙘𝙤𝙡𝙤𝙧𝙖𝙩𝙞𝙤𝙣 𝙠𝙣𝙤𝙬𝙣 𝙖𝙨 𝙙𝙚-𝙘𝙖𝙡𝙘𝙞𝙛𝙞𝙘𝙖𝙩𝙞𝙤𝙣. 𝙄𝙩 𝙨𝙤𝙪𝙣𝙙𝙨 𝙖 𝙗𝙞𝙩 𝙨𝙘𝙖𝙧𝙮, 𝙗𝙪𝙩 𝙞𝙩’𝙨 𝙖𝙘𝙩𝙪𝙖𝙡𝙡𝙮 𝙖 𝙘𝙤𝙢𝙢𝙤𝙣 𝙘𝙤𝙨𝙢𝙚𝙩𝙞𝙘 𝙙𝙚𝙣𝙩𝙖𝙡 𝙥𝙧𝙤𝙗𝙡𝙚𝙢 𝙩𝙝𝙖𝙩 𝙢𝙤𝙨𝙩 𝙥𝙚𝙤𝙥𝙡𝙚 𝙬𝙞𝙡𝙡 𝙚𝙭𝙥𝙚𝙧𝙞𝙚𝙣𝙘𝙚 𝙖𝙩 𝙨𝙤𝙢𝙚 𝙥𝙤𝙞𝙣𝙩 𝙞𝙣 𝙩𝙝𝙚𝙞𝙧 𝙡𝙞𝙛𝙚 𝙬𝙝𝙞𝙘𝙝 𝙞𝙨 𝙜𝙚𝙩𝙩𝙞𝙣𝙜 𝙬𝙝𝙞𝙩𝙚 𝙨𝙥𝙤𝙩𝙨 𝙤𝙣 𝙩𝙝𝙚𝙞𝙧 𝙩𝙚𝙚𝙩𝙝.

Dr Chirag Chamria
𝘿𝙧. 𝘾𝙝𝙞𝙧𝙖𝙜 𝘾𝙝𝙖𝙢𝙧𝙞𝙖,𝙍𝙤𝙮𝙖𝙡 𝘿𝙚𝙣𝙩𝙖𝙡 𝘾𝙡𝙞𝙣𝙞𝙘𝙨, 𝙜𝙤𝙚𝙨 𝙖𝙝𝙚𝙖𝙙 𝙖𝙣𝙙 𝙞𝙣𝙩𝙧𝙤𝙙𝙪𝙘𝙚𝙨 𝙪𝙨 𝙖𝙣𝙙 𝙚𝙙𝙪𝙘𝙖𝙩𝙚𝙨 𝙪𝙨 𝙤𝙣 𝙩𝙤 𝙩𝙝𝙚 𝙩𝙤𝙥𝙞𝙘 𝙤𝙛 𝙒𝙝𝙞𝙩𝙚 𝙎𝙥𝙤𝙩𝙨 𝙊𝙣 𝙏𝙚𝙚𝙩𝙝.

Common Causes:

Dental Fluorosis: This is more likely if you live in an environment which has high salt content in drinking water such as near desert belts. The recommended daily requirement of Flouride is around 2mg/day which roughly translates to 1 part per million fluoride in drinking water. Dental Fluorosis occurs due to excessive ingestion of fluorides when teeth are forming. The damage causes certain intrinsic changes creating this white spotty appearance on the enamel.

Developmental Anomalies: Developmental anomalies or enamel hypoplasia or deficient enamel are different terms of the same condition. These caused due to improper formation of enamel matrix. This in turn gives rise to opaque enamel surface which seen in forms of a pit, concavity, or groove. The four main causes are: Nutritional deficiency during childhood, Deficient calcium intake, Birth injury and Trauma from deciduous teeth.

Tooth Decay: White spots adulthood most commonly seen due to decay. In fact the first sign of decay is the white spot. This most often missed. So a filling can be done at this point or a topical fluoridation therapy can be advised.

Treatment Options for White Spots due to Dental Fluorosis.

Mild fluorosis: If you have minimal spots and not eroded then it may be mild fluorosis then. Its of very minimal aesthetic challenge and managed with teeth bleaching and whitening. To view homemade remedies for bleaching click here.

Moderate fluorosis: In cases of moderate fluorosis, the surface of the tooth is uneven with staining along with white spots. Usual treatment recommendation is Micro abrasion of enamel or enameloplasty along with bleaching.

Severe fluorosis: In such cases, the spots affect the whole arch which should be treated by tooth coloured bridge work or a full moth rehabilitation. 

The above is only for information purposes. It is always advisable to schedule a consultation before seeking treatment.

Treatment Options for White Spots due to Developmental Anomalies.

  1. Resin bonded sealants
  2. Crowns and bridges
  3. Composite fillings

Adequate calcium intake helps build healthy strong enamel during tooth development. Deficient calcium causes demineralized spots on the enamel surfaces. Hence, calcium is important and can be met with healthy balanced diet.

Certain antibiotics may cause spots on tooth surfaces. Hence one must consult their dentist for drug related spots. New born babies whose mother gives history of smoking during pregnancy, can develop white spots as tobacco interferes with the early stages of tooth formation.

Royal Dental Clinics

Treatment Options for White Spots due to Tooth Decay.

Milk Teeth – White spots in primary or deciduous teeth can be avoided by monitoring the child’s brushing techniques and toothpaste intake. One should avoid swallowing of the toothpaste. Brittle enamel can be repaired by cosmetic fillings or sealants.

In Permanent teeth—Adults show concern due to cosmetic reasons. It can be resolved by consulting your dentist for various treatment options that enhance the smile efficiency.

Mild cases which are minimal to one or two teeth only. These specs or pits of white spots can be repaired with composite fillings, pit and fissure sealants and enamel micro abrasions.

Moderate cases where multiple teeth involved, corrected by veneers, crowns and professional dental bleaching.

Severe cases affecting the whole arch should be treated by tooth colored bridge work or a full moth rehabilitation.

𝘛𝘩𝘶𝘴 𝘸𝘦 𝘤𝘢𝘯 𝘤𝘰𝘯𝘤𝘭𝘶𝘥𝘦 𝘵𝘩𝘢𝘵 𝘸𝘩𝘪𝘵𝘦 𝘴𝘱𝘰𝘵𝘴 𝘢𝘳𝘦 𝘯𝘰 𝘭𝘰𝘯𝘨𝘦𝘳 𝘢 𝘮𝘢𝘵𝘵𝘦𝘳 𝘰𝘧 𝘤𝘰𝘯𝘤𝘦𝘳𝘯 𝘢𝘴 𝘷𝘢𝘳𝘪𝘰𝘶𝘴 𝘢𝘥𝘷𝘢𝘯𝘤𝘦𝘥 𝘤𝘰𝘴𝘮𝘦𝘵𝘪𝘤 𝘥𝘦𝘯𝘵𝘢𝘭 𝘱𝘳𝘰𝘤𝘦𝘥𝘶𝘳𝘦𝘴 𝘤𝘢𝘯 𝘩𝘦𝘭𝘱 𝘦𝘷𝘦𝘳𝘺 𝘪𝘯𝘥𝘪𝘷𝘪𝘥𝘶𝘢𝘭 𝘸𝘪𝘵𝘩 𝘩𝘦𝘢𝘭𝘵𝘩𝘺 𝘴𝘱𝘰𝘵𝘭𝘦𝘴𝘴 𝘴𝘮𝘪𝘭𝘦𝘴. 𝘛𝘩𝘦 𝘧𝘶𝘯𝘥𝘢𝘮𝘦𝘯𝘵𝘢𝘭 𝘬𝘦𝘺 𝘩𝘦𝘳𝘦 𝘪𝘴 𝘵𝘰 𝘯𝘰𝘵 𝘥𝘰 𝘴𝘦𝘭𝘧-𝘥𝘪𝘢𝘨𝘯𝘰𝘴𝘪𝘴 𝘢𝘯𝘥 𝘷𝘪𝘴𝘪𝘵 𝘺𝘰𝘶𝘳 𝘋𝘦𝘯𝘵𝘪𝘴𝘵 𝘯𝘦𝘢𝘳 𝘣𝘺 𝘵𝘰 𝘳𝘶𝘭𝘦 𝘰𝘶𝘵 𝘢𝘯𝘺 𝘥𝘦𝘤𝘢𝘺. 𝘈𝘭𝘴𝘰 𝘵𝘩𝘦𝘳𝘦 𝘢𝘳𝘦 𝘤𝘰𝘴𝘮𝘦𝘵𝘪𝘤 𝘢𝘭𝘵𝘦𝘳𝘯𝘢𝘵𝘪𝘷𝘦𝘴 𝘢𝘷𝘢𝘪𝘭𝘢𝘣𝘭𝘦 𝘴𝘶𝘤𝘩 𝘢𝘴 𝘭𝘢𝘮𝘪𝘯𝘢𝘵𝘦𝘴, 𝘷𝘦𝘯𝘦𝘦𝘳𝘴, 𝘤𝘳𝘰𝘸𝘯𝘴, 𝘤𝘰𝘮𝘱𝘰𝘴𝘪𝘵𝘦 𝘦𝘵𝘤., 𝘪𝘧 𝘵𝘩𝘦 𝘸𝘩𝘪𝘵𝘦 𝘴𝘱𝘰𝘵 𝘪𝘴 𝘶𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘵𝘪𝘤. 𝘚𝘰 𝘪𝘵 𝘪𝘴 𝘢𝘥𝘷𝘪𝘴𝘢𝘣𝘭𝘦 𝘵𝘩𝘢𝘵 𝘺𝘰𝘶 𝘷𝘪𝘴𝘪𝘵 𝘺𝘰𝘶𝘳 𝘋𝘦𝘯𝘵𝘪𝘴𝘵 𝘸𝘩𝘦𝘯 𝘺𝘰𝘶 𝘯𝘰𝘵𝘪𝘤𝘦 𝘸𝘩𝘪𝘵𝘦 𝘴𝘱𝘰𝘵𝘴 𝘰𝘯 𝘺𝘰𝘶𝘳 𝘵𝘦𝘦𝘵𝘩 𝘢𝘯𝘥 𝘺𝘰𝘶𝘳 𝘋𝘦𝘯𝘵𝘪𝘴𝘵 𝘢𝘧𝘵𝘦𝘳 𝘦𝘹𝘢𝘮𝘪𝘯𝘢𝘵𝘪𝘰𝘯 𝘸𝘪𝘭𝘭 𝘣𝘦 𝘢𝘣𝘭𝘦 𝘵𝘰 𝘱𝘳𝘰𝘷𝘪𝘥𝘦 𝘵𝘩𝘦 𝘣𝘦𝘴𝘵 𝘴𝘰𝘭𝘶𝘵𝘪𝘰𝘯 𝘴𝘶𝘪𝘵𝘢𝘣𝘭𝘦 𝘵𝘰 𝘺𝘰𝘶.

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  5. This blog is so beneficial and fruitful. As I have white spots on my teeth already, this blog is so useful for me.

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