For a band of brown/yellow discolouration across the front surface of the front teeth, what are my options to remove them? (photo)

Doctor's Answers 1

Brown/yellow discoloured bands are commonly seen in patients who have had fixed braces previously.

Options for improving the brown/yellow discoloured bands:

  1. Teeth whitening with in-office (for example, ZOOM) or take-home whitening systems.
  2. ICON resin infiltration of the discoloured areas (which are more porous than the surrounding tooth structure). This works well alone only for shallow lesions which can be assessed clinically. Deep lesions will usually require microabrasion of the enamel to get to the deeper layers.
  3. Veneers. This will require trimming of the tooth to be able to mask the discolouration.

I will normally start my patients with the least invasive option (whitening) before moving down the scale to more invasive treatments, depending on the response to treatment.

The chipped and worn edges of the teeth can be repaired with composite (the least invasive, fastest but most high maintenance option) or if veneers have been chosen, this will mask the discolouration and fill in the missing areas simultaneously.

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Thank you for your question and for including pictures of your smile. It appears to me that you may have had prior braces treatment with conventional braces and some of the teeth may have shifted such as the lower front teeth and the upper lateral incisors. The uploaded photo quality is not clear but there appears to be some white spot lesions or discolouration on your front teeth that could happen when oral hygiene and diet were not optimal during braces treatment. However the quality of the uploaded photo is a bit pixelated and I cannot be completely certain of this.

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