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Chromogenic stains on the teeth are a common problem among people who are taking iron supplements, however it is not only limited to those people.

In some cases, the bacterial flora in your mouth is such that it can react to certain elements in your food and cause stains.

These stains will not be removed without a visit to your dentist's office. The stains and tartar once formed on your teeth are attached to them via small physical forces and even chemical attachment.

Your toothbrush is too weak to adequately remove these stains. Your dentist will probably schedule an appointment for you with your dental hygienist who will use an ultra sonic scaler to remove the stains from your teeth.

Once this is done, it is important to prevent this from happening again. To do this you have to follow a two pronged approach. Ask your dentist to identify the cause for your stain like an iron medication or an abnormality on the surface of your teeth which is making them rougher than normal and more prone to staining, any other habits that you have like cigarette smoking or even dietary causes like tea and coffee.

It is likely that the cause will be more than one. A dietary cause like tea and coffee drinking can cause chromogenic stains if it is coupled with teeth that are inherently rougher. Cigarette smoking has been associated with a number of diseases, and all of them are far worse than simple staining of the teeth. There are plenty of reasons to quit smoking now.

The second part of the prevention approach is to maintain a high level of oral hygiene. Simple things like brushing twice daily in a manner that covers your entire dentition is something that is simple and inexpensive for anyone to follow. However, it is something that is mundane and routine to do and so a lot of the people skip it limiting themselves to only brushing once a day.

It has been scientifically proven that by missing brushing an area for 24 hrs allows it to be colonized by a bacterial population. This becomes irreversibly attached within 72hrs. It is this bacterial population that plays a huge role in the development of tartar and chromogenic stains in the oral cavity.

There are other products on the market which claim to remove the stains and even make it whitener without going to dentist. None of these products work. They all show minute amounts of improvement in lab settings which do not translate to the clinical setting.

Apart from this, these whitening products (like tooth pastes and powders) have a much higher abrasive content in them. This can cause sensitivity in predisposed individuals.

The only thing that can work is an at home bleaching solution, however for that to be effective it is necessary that you have undergone a scaling procedure to remove the stains in the first place.

The best long term solution is to see a dentist for a cleaning and then follow rigorous oral hygiene methods as a routine practice.

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