News

I have white spots on my teeth!

Incisive Bite

Dr Sharon Robinson

Sunday, January 21, 2018



Inherited Condition

Amelogenesis imperfecta is an inherited condition that affects the teeth and causes weakened enamel. The tooth enamel doesn't develop normally in primary or adult teeth; it's soft and easily worn away, or it may form only a very thin layer over the dentin.

Calcium Loss

Acids from mouth bacteria or acidic foods or drinks break down the calcium in tooth enamel. This loss of minerals is also called demineralisation, and it's the first step on the path to cavities.

Calcium helps strengthen tooth enamel, and wherever it's lost, the tooth becomes weaker in that area. The first signs of calcium loss are white spots or stains on teeth because the structure of the enamel has changed. Hypocalcified enamel is more porous and chalky than healthy enamel. When left untreated, the calcium loss continues, the enamel breaks down entirely, and a cavity appears.

Poor oral care is often to blame for demineralisation of tooth enamel. Patients who have their braces removed after orthodontic treatment might see white spots where the braces were attached to their teeth. White patches on teeth can also seem to appear after teeth whitening treatments, but, in fact, the treatments only make the condition more noticeable.

Hypocalcification Treatments

Finding the cause of the hypocalcification provides the best guide to the correct treatment. When the calcium loss is due to acid attacks, the enamel may respond to remineralisation through pastes, creams or fluoride treatments, preventing further calcium loss and cavity development. Patients can also improve the strength of their enamel by brushing with a toothpaste that helps replenish natural calcium, providing the demineralisation hasn't progressed to a cavity.

In amelogenesis imperfecta patients, hypocalcification cannot be cured, but dentists can provide artificial replacements for the unhealthy enamel. Full crown restorations or specialised dentures for defective teeth cover and protect the dentin, preventing decay and relieving the tooth sensitivity patients with this condition often experience.

Tooth enamel provides the best protection for teeth, and losing calcium sends a warning signal that the enamel is becoming weaker. If your dentist detects the problem in time, he or she can stop it from developing into something more serious. If you notice white spots or patches on your teeth, book an appointment with your dentist to have them checked out and treated, and to ask for advice on how to prevent them from reoccurring.

Dr Sharon Robinson DDS has offices at the Dental Place Cosmetix Spa, located at shop #5, Winchester Business Centre, 15 Hope Road, Kingston 10. Dr Robinson is an adjunct lecturer at the University of Technology, Jamaica, School of Oral Health Sciences. She may be contacted at 630-4710. Like their Facebook page, Dental Place Cosmetix Spa for an opportunity to take advantage of weekly specials.

ADVERTISEMENT




POST A COMMENT

HOUSE RULES

1. We welcome reader comments on the top stories of the day. Some comments may be republished on the website or in the newspaper � email addresses will not be published.

2. Please understand that comments are moderated and it is not always possible to publish all that have been submitted. We will, however, try to publish comments that are representative of all received.

3. We ask that comments are civil and free of libellous or hateful material. Also please stick to the topic under discussion.

4. Please do not write in block capitals since this makes your comment hard to read.

5. Please don't use the comments to advertise. However, our advertising department can be more than accommodating if emailed: advertising@jamaicaobserver.com.

6. If readers wish to report offensive comments, suggest a correction or share a story then please email: community@jamaicaobserver.com.

7. Lastly, read our Terms and Conditions and Privacy Policy



comments powered by Disqus
ADVERTISEMENT

Poll

ADVERTISEMENT
ADVERTISEMENT

Today's Cartoon

Click image to view full size editorial cartoon
ADVERTISEMENT