About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
Dentistry - White/translucent spots on upper front teeth
Expert: Mark Bornfeld DDS - 4/18/2005
Question Towards the end of my upper front teeth, I notice some small white and translucent discoloring. What is it - merely a cosmetic issue or more serious?
No matter which, what can i do to either reverse or at least halt further discoloring?
Thank you very much in advance for any advice you may have. I am rather worried about this.
Answer Dear John K,
What you are describing could be any of a number of different things-- some innocent, some not. It could represent the beginning stages of decay, which would be more likely if you had a history of recent orthodontic treatment with bonded brackets in the area. However, the most common white opacities that occur in the incisor area are congenital-- that is, they are the result of some factor occurring in the embryonic development of the involved teeth. These so-called "Turner's Teeth" do not develop progressively worse discoloration, but remain stable. Other than the resultant cosmetic deformity (which may or may not be considered significant), there is usually no functional impairment of the teeth, and there is no need for treatment. However, you may wish to discuss with your dentist whether it may be appropriate to augment the cosmetic appearance of the teeth; this would be entirely at your discretion. In any case, a visit to your dentist is warranted, if only to rule out decay or other pathology that may need to be managed.
Hope this helps...
Mark Bornfeld DDS
www.dentaltwins.com
Brooklyn, NY