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Table of Contents

Some stains can be harder to get rid of others. Read about why some stains remain permanently on teeth and the options available to people who want to get rid of them.

Genetic Disorders 

Certain conditions like Dentinogenesis Iimperfecta and Amelogenesis Iimperfecta affect the manner in which the different layers of teeth develop. Our teeth have three layers with enamel as the outermost layer, dentin inside and the pulp as the innermost layer.

The genetic conditions mentioned above cause a discoloration of the outermost layer, a decrease in the strength of the enamel and dentin or even prevent one layer from forming at all. The teeth are extremely short-lived in such conditions since they are very prone to developing disease.

Treatment

It is often impossible to ascertain as to what the exact cause for permanent discoloration was in patients, however, clinically speaking, it does not make much of a difference. The doctor will likely take a few X-rays to determine the structural makeup of the teeth and a likely prognosis.

If the teeth are found to be severely deficient in their development, then extraction followed by an acceptable prosthesis is the only option.

For teeth that are only affected aesthetically but are otherwise structurally sound, many options exist.

Bleaching

Mild fluoride stains, in particular, are quite likely to lighten or even resolve completely following tooth bleaching. The advantage of this method is that it is relatively affordable, can target a whole set of teeth in one sitting, and is minimally invasive.

Care should be taken in those patients that complain of sensitivity prior to treatment, as it will only worsen once bleaching has been performed.

Veneers

For teeth that have stains not conducive to bleaching and/or structural defects, veneers are the perfect option. Veneers are a thin layer of porcelain that is designed to form a façade over the front of the teeth.

They do not require much tooth preparation, however, those patients that have severely compromised teeth may need root canals prior to tooth preparation. The advances in structural quality of the veneers have meant that they last for decades without causing any trouble and can be quite easily replaced if they ever need to be.

This is by far the most common option that is used to treat permanent tooth stains.

Crowns And Bridges

For people that have lost a few teeth due to their structural deficiencies and need to have teeth replaced, bridges are a good option as they allow the correction of malformed teeth still in the mouth alongside as well.

This option is considered only secondary to veneers because it requires the cutting away of a lot more tooth structure. The aesthetic results, however, can be frequently achieved on par with what veneers can offer.

Conclusion

The presence of permanent stains can affect the self-esteem and psychological development of people due to their extremely visible nature. It is important to recognize their presence and look for suitable options at the right time.

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