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Treatment of Tetracycline Stains
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If we think about what attracts us to a person in general, the first thing that we can think of is a great, warm smile. A good set of well-aligned white teeth is an important aspect of this great smile. However, white teeth remain an elusive thing for most of us. Some of the common reasons for discolored teeth are as below.
- Hypo mineralized tooth structure
- Food habits
- Tobacco smoking/chewing (learn more for Smoking Effect on Teeth)
- Side effects of medication (tetracyclines, for instance)
The degree of discoloration varies widely and also is hereditary. Whatever the reasons, there is the option of tooth whitening, which is effective with optimal oral health and good oral hygiene habits. Tooth whitening is not for everybody though, the following are the definite contraindications.
- Teeth with fillings: The bleaching agents work best on natural tooth structure. Whether it is a crown or a veneer or a bridge, the bleaching agent will not work on these tooth-colored fillings and composite resins. On the contrary, using bleaching agent on a tooth filling can produce uneven whitening. The teeth without fillings will appear lighter than those with fillings. If the person has discoloration due to fluorosis or any other reason, then it is ideal to complete any pending restorative work before initiating tooth whitening procedure. This should be allowed to settle in for about 2 weeks. After that, whitening should be undertaken which will ensure the best results and match with the composite filling/veneer/crowns. In people with multiple restorations, whitening can result in uneven coloration of the teeth and so veneers or crowns would be better suited than whitening.
- Sensitive teeth: Sensitivity is an indication that the dentin is exposed or is covered by a very thin layer of enamel. Whitening agents will not work very well in these cases.
- Poor oral health (gingivitis, worn enamel, cavities, and root decay): The whitening agent can irritate the gums or penetrate the existing decay or worn enamel leading to sensitivity. The tooth whitening agent works on the enamel, and as the tooth surfaces do not have enamel, they do not produce a whitening effect.
- Age: Hydrogen peroxide which is the most common bleaching agent is not safe for use in children below 16 years of age. The pulp chambers are quite high and the tooth is still forming, so bleaching agents are not to be used.
While choosing to go for tooth whitening, one thing to bear in mind is that it is not a permanent solution to discolored teeth and might require repetition of the treatment. Having a detailed discussion will help set realistic expectations and achieve optimal results.
Hello Doctor My mother suffering from white ulcer and she is applying soregel but no relief. What should i do?
My dentine, enamel over my front teeth is scrapped off. What should I do? Is that recoverable by polishing or something equivalent of that?
My teeth are very yellow and I feel very uncomfortable while communicating or talking to people face to face. Please help.
Sir there are black spots on my tongue and some time they look like small ulcer what may be the reason and suggest the treatment.
My gums have started bleeding suddenly from last three days and in some parts they are swollen what should I do?
Which type of medicine are used in mouth opening because my mouth is not properly open and not eating any spicy food.
How does take care of my teeth by the black dot on tooth and which food to requires to take in food.
I am 22 years old yesterday I accidentally pore hot water on my tongue. I didn't drink it . From yesterday onwards my tongue is like sense less what to do so that I can bring my sense back.
I brush twice a day, clean my tongue twice a week but still I get some bad breathe. I used to brush well by universal brushing system and change my paste frequently as per my dentists suggestion. But still I have a problem regarding bad breathe. Please help me!
Am 75 years had RCT a few weeks back. Can I do now with cap or not ? Dr.Tells me the price of 5000 Rs.
I always suffer with mouth ulcers. When one comes to end another takes place. This happens from almost 2 months. Please help.
An immune system disorder distinguished by dry mouth and dry eyes is known as Sjogren’s Syndrome. It can also cause dryness in places that require moisture, such as throat, nose and skin. Sjogren’s syndrome is often linked to other diseases such as rheumatoid arthritis and lupus (disease in which the immune system destroys its own tissues and causes inflammations). Sjogren’s syndrome normally affects people over the age of 40, and it mostly affects women.
Sjogren’s syndrome has mainly two symptoms, and they include:
- Dry eyes: You feel like there is sand in your eyes as it burns and itches
- Dry mouth: You have difficulty speaking or swallowing
Sometimes, you might experience other symptoms as well, such as:
- Joint pain, stiffness and swelling
- Inflamed salivary glands
- Dry skin or skin rashes
- Vaginal dryness
- Continuous dry coughs
- Sustained fatigue
The exact cause of Sjogren’s syndrome is not known, but research strongly suggests that the autoimmune disease could be caused by genetic factors; especially if the illness has been found in more than one member of the family. Also, families with members suffering from type I diabetes, lupus and autoimmune thyroid disease can cause one or more members of the family to develop Sjogren’s syndrome.
The complications of Sjogren’s syndrome include:
- Dental cavities: Saliva protects the teeth from harmful bacteria that cause cavities. Since your mouth is dry, you become more susceptible to develop cavities.
- Yeast infections: Oral thrush, an oral yeast infection, is likely to develop if you have Sjogren’s syndrome.
- Vision problems: Dry eyes can cause corneal ulcers, sensitivity and blurred vision.
- Problems in the lungs, liver or kidneys: Inflammations can lead to bronchitis or pneumonia in your lungs; may cause cirrhosis or hepatitis C in your liver; and may lead to kidney malfunctions.
- Lymphoma: Some people with Sjogren’s syndrome might develop lymphoma, or lymph node cancer.
Peripheral neuropathy: Another complication of this illness is peripheral neuropathy, which is a tingling, burning and numbness sensation felt in your feet and hands.
Sjogren’s syndrome is either treated with drugs, or with surgery. Doctors may prescribe drugs to increase the production of saliva and to treat inflammations. Alternatively, surgery is done to either seal the tear ducts or insert silicon or collagen plugs to close the ducts temporarily. If you wish to discuss about any specific problem, you can consult a doctor.