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How do I whiten patchy spots on teeth after braces are removed?

Hi. I saw the orthodontist last week and I will be getting braces soon. I have to wear them for 2 years. I am afraid that after wearing them so long I will get patchy spots on my teeth like some of the kids I go to school with. If I have patchy teeth when the braces are removed after 2 years, how can I get rid of the patches? Brooke Turner

Brooke – Instead of treating patchy spots on teeth after braces, we advise you to follow the steps required to avoid the patchy spots altogether.

Patchy spots on teeth after your braces are removed are the result of poor oral hygiene. When food is left on your teeth, it comes in contact with acid, causing bacteria to form on your teeth. When food and bacterial are trapped between braces and are not removed, calcium and phosphate are depleted from your teeth. The decalcification is the cause of the white spots on your teeth.

The white spots can be prevented if you avoid sugary and acid foods and drinks. Use fluoride toothpaste and brush your teeth thoroughly after every meal. Floss daily, and keep your regular appointments with your dentist for an exam or cleaning. Your dentist may recommend a fluoridated mouthwash or fluoride treatments.

When braces are removed and a person has white spots on their teeth, a cosmetic dentist can help. The teeth may need to be carefully remineralized with fluoride. Or, microabrasion—gently removing the damaged enamel from the tooth can help. If teeth are excessively spotted, they can be restored with porcelain veneers.

If you are diligent about oral hygiene you won’t have patchy spots on your teeth, but there may be stains on your teeth from the composite that was used to bond the braces to them. A cosmetic dentist can polish away the composite stains. After that your teeth can be whitened.

This post is sponsored by Plano dentist Dr. Miranda Lacy.