White Spots and Braces

White spots are marks on teeth that appear brighter and more opaque than the rest of the tooth.

Braces patients who get white spots on their teeth during orthodontic treatment need to know what to do to prevent more white spots from forming. Braces patients also need to know how white spots can be treated.

In this article, you will learn the causes, preventive measures and treatments that we recommend at Viechnicki Orthodontics.

If white spots are already present – skip ahead and see how to treat white spots.

Poor brushing during braces caused white spots.

Preventing white spots while wearing braces is important. White spots have a chalky-white appearance. White spots form when acids dissolve teeth. In this picture, poor brushing resulted in white spots forming around braces.

What are White Spots?

White spots represent the first stage of a cavity. Specifically, white spots are areas of hypomineralization on teeth—areas on the enamel surface that has lost its hard minerals.

A white spot forms when acid begins to dissolve the mineralized surface of a tooth.

As acid attacks a tooth, thousands of small holes are created in the tooth’s enamel. These small holes give the tooth a chalky-white appearance that is characteristic of a “white spot.”

In the rest of this article, you are going to learn about how to prevent and treat white spots, but first here is why reading about the cause of white spots is important:

  • White spots are 100% preventable with perfect brushing and flossing (Hadler-Olsen et al., 2012).
  • 10-20% of kids get white spots during braces, according to a 2012 national survey of general dentists and orthodontists. (Hamdanan et al., 2012).

What Causes White Spots?

Poor brushing causes white spots.

Removing plaque from teeth is important because the bacteria in plaque produce acid that dissolves teeth. The risk of getting white spots is greater during braces, but white spots can occur without orthodontic treatment.

Decalcification is caused by failure to remove plaque from teeth and braces.

Plaque sticks to braces and teeth. The trickiest areas are at the corners of the smile (the lateral incisors and canines). Plaque is dangerous because it causes white spots. (Chapman et al., 2012).

Gum disease during braces

Poor brushing and flossing leaves plaque on teeth that can cause white spots and gum disease.

Orthodontists can predict the chances of getting white spots because we know that plaque causes white spots around braces and are aware of the risk factors. Risk factors for getting white spots include poor oral hygiene before braces, starting braces before middle school and being male (as boys get more white spots than girls).

How to Prevent White Spots

The best way to prevent white spots is with perfect brushing and flossing.

Choosing tooth-healthy foods and beverages can also help prevent white spots. Make sure to use a fluoride toothpaste to prevent decalcification. Here are 5 healthy habits that protect teeth from white spots: drink water instead of soda, eat meals instead of snacks, brush after eating, floss nightly, visit the dentist every 6 months.

No white spots after braces.

Prevent white spots with perfect brushing and flossing.

Braces patients often need extra help. We recommend that kids take extra steps to make sure that they stay protected. Some enhanced oral hygiene techniques:

  1. special techniques for brushing and flossing
  2. prescription strength fluoride
  3. a new cavity-fighting product CCP-ACP

The next section is going to give you all the information that you need to protect teeth from getting white spots during orthodontic treatment.

1. Special Techniques for Brushing and Flossing

Prevent white spots with a sonicare toothbrush

A power toothbrush helps prevent white spots because it removes plaque effectively.

If you’ve read this far, you know how important brushing and flossing are for braces patients.

By the end of this section, you will know how braces patients can benefit from:

  • Sonicare toothbrush
  • Pre-threaded flossers
  • Plaque-disclosing Tablets
  • Positive motivation

Sonicare Toothbrush

The first way that we improve oral hygiene for braces patients is to recommend the Sonicare toothbrush.

The Sonicare toothbrush has been shown to improve the plaque index and gingival index in orthodontic patients in 3 separate studies (Costa, Marcantonio, & Cirelli, 2007). This means that patients using the Sonicare toothbrush build up less plaque and get less gingivitis.

In fact, our braces patients get a free Sonicare toothbrush because we believe so strongly in its effectiveness!

Braces compatible pre-threaded flossers are available from Plackers.

Braces-compatible pre-threaded flossers are available from Plackers.

Pre-Threaded Flossers

The second way that we improve oral hygiene for our braces patients is to recommend interdental aids.

These help kids get floss between their teeth. There are so many options out there – floss threaders, SuperFloss, and pre-threaded floss picks.

We recommend the Plackers Orthopick to our braces patients.

Plackers Braces Orthofloss

Flossing with a pre-threaded flosser is possible with braces. Just get the Plackers Orthopicks and use the skinny end that slides between the tooth and the wire.

When our orthodontic patients get braces we go over everything they can do to enhance their oral hygiene. If you ever have any questions, just ask!

Plaque-Disclosing Tablets

The third way that we encourage excellent oral hygiene in all of our braces patients is through plaque-disclosing tablets.

Plaque-disclosing tablets are proven to improve brushing by over 20%. The reason that they work is they give visual feedback to kids – it shows how well they are brushing.

We know that removing plaque is the #1 most important part of oral hygiene. Sometimes kids have trouble completely removing plaque – even if they brush the full 2 minutes.

That is why plaque-disclosing tablets are essential!

Kids need to see the spots that they miss when brushing.

Otherwise, kids will never learn to remove plaque from those teeth. When plaque sticks on teeth, then white spots can start to form.

Plaque-disclosing tablets work by staining the plaque that sticks to teeth and around braces. Once the plaque is stained red, then kids can look in the mirror to see the spots that they missed.

The best time to use plaque-disclosing tablets is at night after brushing.

We recommend parents watch their kids use plaque-disclosing tablets weekly.

Positive Motivation

The “Viechnickels” program (Viechnicki + Nickels) is available for all of our braces patients. This token-based motivational program has proven itself to be successful with kids of all ages.

When our braces patients come in with excellent oral hygiene, they earn points. And when they accumulate enough points, they can redeem their points for great prizes!

The whole point is to get patients motivated to maintain healthy habits that they can use for the rest of their lives.

2. Prescription-Strength Fluoride

After improving brushing and flossing, the next most effective way to prevent white spots is with prescription strength fluoride. Fluoride has been proven to reduce cavities in kids.

The effectiveness of fluoride has been studied over 131 times and in over 65,000 children (Marinho et al., 2003, 2004).

Fluoride fights cavities by incorporating itself into the surface of the tooth. When fluoride replaces the hydroxyl group in hydroxyapatite (the mineral content of teeth), tooth enamel becomes more resistant to dissolution by acid.

4 effective methods of topical fluoride application have been recommended:

  • Fluoride toothpaste
  • Fluoride mouthrinse
  • Fluoride gels
  • Fluoride varnish

Fluoride Toothpaste

When fluoride toothpaste is applied daily, kids get fewer cavities.

Kids who use over-the-counter fluoride toothpaste daily have 24% fewer decayed, missing, or filled surfaces then kids to brush without fluoride toothpaste.

When stronger doses of fluoride are used, teeth are even more protected (Wong et al., 2011).

Colgate PreviDent 5000

PreviDent 5000 Booster is a prescription-strength fluoride toothpaste that helps prevent white spots.

Prescription-strength toothpaste (PreviDent 5000 Booster) can have up to 5000 ppm fluoride. Unfortunately, you cannot just use five times as much ordinary toothpaste (1000 ppm F) toothpaste to get the effect of a prescription toothpaste (5000 ppm F).

Prevention of cavities depends on the concentration in the paste, not the amount applied (so use a pea sized amount).

The good news is that brushing twice daily with 5000 ppm F alone provides greater protection than brushing with a 1000 ppm paste and rinsing with a 0.05% NaF mouthrinse (Alexander & Ripa, 2000).

Fluoride Mouthrinse

Fluoride mouthrinses are effective when used as prescribed.

Daily mouthrinses (230 ppm F) and weekly mouthrinses (900 ppm F) can help reduce cavities. Studies have shown up to a 26% reduction in cavities with fluoride mouthrinses.

Many over the counter mouthrinses are available. Check to make sure that the concentration of fluoride is high enough to be effective!

  • ACT Anticavity Fluoride Rinse (Sodium Fluoride 0.05% = 226 ppm F)
  • Colgate Phos-Flur Rinse (Sodium Fluoride 0.044% = 200 ppm F)
  • Crest Pro-Health FOR ME Rinse (Sodium Fluoride 0.022% = 100 ppm F)
  • Listerine Smart Rinse (Sodium Fluoride 0.02% = 90 ppm F)
Fluoride Mouthrinses for Braces

Fluoride mouthrinses are available over-the-counter at concentrations ranging from 226 ppm fluoride to 90 ppm fluoride.

PreviDent Fluoride Rinse

Prescription-strength fluoride rinse (905 ppm F) should be used weekly to prevent white spots.

Prescription mouthrinses are available. These are intended to be used weekly instead of daily.

The most popular prescription fluoride rinse is Colgate’s PreviDent Rinse (Sodium Fluoride 0.2% = 905 ppm F).

There is bad news about mouthrinses: only 42% of patients use mouthrinse frequently enough to prevent white spots (Geiger et al., 1988)

We know that the patients that most need the help of a fluoride mouthrinse are the exact same patients who have not felt motivated to brush and floss regularly.

Because cooperation with mouthrinses is so poor, we do not regularly recommend fluoride mouthrinses.

Fluoride Gels

In-office fluoride application with fluoride gels is incredibly effective. In one study from the 1960s, cavities were completely eradicated from a population by applying fluoride gels 140 times per year.

There is a risk of fluoride ingestion when applying gels. Gels can have very high concentrations of fluoride (12,300 ppm F). In small children, the amount of gel used to fill fluoride trays can approach the probable toxic dose.

For that reason, we typically recommend a substitute to gels: fluoride varnish.

Fluoride Varnish

In-office fluoride varnish is amazing.

It has been shown to reduce cavities by 46%.

In order to get the best effect of fluoride varnish, it needs to be applied 2-4 times per year – even when braces are on teeth.

The success of fluoride varnishes comes from its high concentration of fluoride (22,600 ppm). It is safe for use, even in kids, because a small volume of varnish is applied individually to each tooth.

In a randomized controlled clinical trial of 273 braces patients, fluoride varnish prevented nearly all white spot lesions (Stecksén-Blicks et al., 2007).

We recommend that all of our braces patients ask their dentist for a fluoride varnish treatment every 6-months.

In summary, fluoride is a time-tested, proven way to prevent 100% of white spot lesions.

3. CPP-ACP

MI Paste Plus for Braces

Prevent and treat white spots with MI Paste (CPP-ACP). Available by prescription for treatment of white spots.

The two sections above on perfect brushing and flossing and prescription strength fluoride are the 2 classic ways to prevent white spots. Recently, an additional preventive paste has become available with an active ingredient called CCP-ACP.

The active ingredient, Amorphous Calcium Phosphate (ACP) is poised to revolutionize the way dentists and orthodontists prevent and treat white spots.

ACP is like a tooth in a bottle. The particles of ACP crystallize to form apatite – the mineral content of a tooth.

Casein phosphopeptides (CPP) helps to stabilize ACP while it is still in the tube. CPP also helps to increase the amount of calcium and phosphorous in plaque – which can help remineralize white spots.

The goal of both fluoride and CPP-ACP is to remineralize the surface of a tooth.

The reason to use CPP-ACP is that it works slowly and gradually and may be able to remineralize deeper into the tooth.

We recommend CPP-ACP for patients who may have gotten a white spot and still have braces on their teeth.

How to Treat White Spots





Once kids get their braces off, they may notice white spots in the areas where plaque stuck to the teeth.

If no treatment is provided for 6 months, most white spots stay the same or get better:

White spots disappear after braces

After braces are removed, most white spots get better or stay the same size. Only 10% of white spots get larger. Only 6% need to be restored. (van der Veen et al., 2007)

Current treatments remove white spots in 1 of 2 ways: remineralize or restore.

Remineralize

Remineralization is a way to naturally fill in the microscopic holes that give white spots their chalky-white appearance. This is why some white spots fade when brushing and flossing improve.

Until the late 1990s, the best treatment available for most white spots was fluoride. High doses of fluoride were used to stop white spots from getting bigger.

Unfortunately, some of these high-dose fluoride regimens turned white spots into brown spots.

Fluoride Arrests White Spots

White spots can turn brown if high-dose fluoride is used immediately after braces.

The good news about these brown spots is that most of them represented cavities that stopped getting bigger. Stopping cavities from progressing is a main goal of remineralization.

Trident Xtra Care for Braces

After braces are off, we recommend Trident Xtra Care because it contains CPP-ACP (Recaldent). The active ingredient (ACP) can fix white spots.

Fortunately, today we have ways of remineralizing while maintaining esthetics.

Prescription pastes containing CCP-ACP and less than 1000 ppm fluoride may aid the remineralization process.

After braces are off, we recommend therapeutic chewing of Trident Xtra Care gum.

In-office procedures have been shown to improve the appearance of white spots.

Microabrasion is a technique that helps repair damaged enamel beneath the surface of the tooth. Since the best improvements are seen when subsurface decalcification is remineralized, microabrasion is currently the best solution to mild white spots.

Remove white spots with microabrasion treatments

Microabrasion treatment is the highest level of remineralization. Before microabrasion, white spots are present on teeth (left). After microabrasion, white spots disappear from teeth (right).

Restore

Restoration of a tooth replaces the surface of the tooth with a different material. Resin infiltration, composite bonding and porcelain veneers are some of the techniques available improve the appearance of white spots.

Veneers after braces to cover white spots

Porcelain veneers cover the front surface of teeth to hide white spots.




Summary

White spots can be prevented and treated.

We emphasize prevention in many ways. If you did not have time to review the entire article, the prevention recommendations that we give all braces patients are the following:

  • Avoid acid by drinking water instead of soda, juice, and sports drinks.
  • Remove plaque with a Sonicare toothbrush
  • Use prescription-strength fluoride

Treatment of white spots includes (from least invasive to most aggressive):

  • Improved oral hygiene
  • CPP-ACP gum
  • CPP-ACP paste
  • Microabrasion
  • Resin infiltration
  • Composite bonding
  • Porcelain veneers

As always, if you have any questions, please contact us. Feel free to leave a comment if this article helped you!

Works Cited

Alexander, S. A. & Ripa, L. W. (2000, December). Effects of self-applied topical fluoride preparations in orthodontic patients. The Angle Orthodontist: An International Journal of Orthodontics and Dentofacial Orthopedics, 70 (6), 424-430. Retrieved from http://www.angle.org/doi/full/10.1043/0003-3219%282000%29070%3C0424%3AEOSATF%3E2.0.CO%3B

Chapman, J. A., Roberts, W. E., Eckert, G. J., Kula, K. S., & González-Cabezas, C. (2010, August). Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. American Journal of Orthodontal Dentofacial Orthopedics, 138(2), 188-94. doi: 10.1016/j.ajodo.2008.10.019 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/20691360

Costa, M. R., Marcantonio, R. A. C., & Cirelli, J. A. (2007, May). Comparison of manual versus sonic and ultrasonic toothbrushes: A review. International Journal of Dental Hygiene, 5(2), 75–81. doi:10.1111/j.1601-5037.2007.00234.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1601-5037.2007.00234.x/abstract

Geiger, A. M., Gorelick, L., Ginnett, A. J., & Griswold, P. G. (1988, January). The effect of a fluoride program on white spot formation during orthodontic treatment. American Journal of Orthodontal Dentofacial Orthopedics, 93(1), 29-37.

Hadler-Olsen, S., Sandvik, K., El-Agroudi, M. A., & Øgaard B. (2012, October). The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen–a prospective study. European Journal of Orthodontics, 34(5), 633-9. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/21750245

Hamdan, A. M., Maxfield, B. J., Tüfekçi, E., Shroff, B., & Lindauer, S. J. (2012, July). Preventing and treating white-spot lesions associated with orthodontic treatment: A survey of general dentists and orthodontists. Journal of the American Dental Association, 143(7), 777-83. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22751981

Marinho, V. C., Higgins, J. P., Logan, S., & Sheiham, A. (2003). Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews 1. doi:10.1002/14651858.CD002278. Retrieved from Cochrane Database of Systematic Reviews: Plain Language Summaries. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0011515/

Marinho, V. C., Higgins, J. P., Sheiham, A., & Logan, S. (2004). Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews 1: CD002781. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14973992

Pendrys, D. G. (1999, December). The differential diagnosis of fluorosis. Journal of Public Health Dentistry, 59(4), 235–238. doi: 10.1111/j.1752-7325.1999.tb03275.x Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1752-7325.1999.tb03275.x/abstract

Stecksén-Blicks, C., Renfors, G., Oscarson, N. D., Bergstrand, F., & Twetman, S. (1999). Caries-preventive effectiveness of a fluoride varnish: A randomized controlled trial in adolescents with fixed orthodontic appliances. Journal of Public Health Dentistry, 59 (4), 235–238. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17827963

van der Veen, M. H., Mattousch, T., & Boersma, J. G.. (2007). Longitudinal development of caries lesions after orthodontic treatment evaluated by quantitative light-induced fluorescence. American Journal of Orthodontics & Dentofacial Orthopedics, 131(2), 223-228. Retrieved from http://www.ajodo.org/article/S0889-5406%2806%2901259-5/abstract

Wong, M. C., Clarkson, J., Glenny, A.M., Lo, E.C., Marinho, V.C., Tsang, B. W., … Worthington, H. V. (2011, May). Cochrane reviews on the benefits/risks of fluoride toothpastes. Journal of Dental Research, 90(5), 573-9. doi: 10.1177/0022034510393346 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/21248357

About Dr. Bryon Viechnicki

Dr. Bryon Viechnicki is an orthodontist and university professor. He specializes in braces and Invisalign ... Continue reading

    Comments

  1. I’ve had my braces for about a month and I woke up this morning and saw some white spots. I immediately started brushing my teeth and I noticed that some of it was getting less noticeable.. If I keep brushing my teeth 6 times a day, floss and drink water will it go away ? I don’t want my teeth looking disgusting when I get them off which isn’t for like 11 or more months.. Is there anything I can do ? Please help !

  2. How much does it cost? I live in Georgia and I would love to know how much money I need to fix white spots. I’m hoping they aren’t permanent but if they are how much does it cost to fix my teeth?

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  4. Thanks for this 🙂

  5. I’ve had my braces for three months. I brush and floss two-three times daily. About a month into having my braces, I noticed “white spots” on a couple of my teeth. It’s getting worse! Almost all of my teeth have them. 🙁 Help

    • I have had my braces for over a year. I went to the dentist the other day and they told me that I need to start flossing 2-3 times a week to help prevent white spots. For those who have brace I recommend a water flosser. Even if you have one you have to floss both with the water flosser and reguarly floss. For the most part my dentist says i take good care of my teeth and for the whole time I’ve had them not once have I or my dentist seen white spots. If you try these things they will help, they’ve helped me.

    • I noticed this too… keep brushing and maybe you want to try switching toothpastes/mouthwashes

  6. Austin Three rivers :

    Ok, I have little white spots on my shark teeth and at my orthodontist we get grades I get a b and a but I just wanna make sure I have perfect white teeth i brush 2 times a day in the moring and at night but sometimes I forget to brush my teeth at night I just want perfect white teeth so how can I perfect white teeth every one I asked says brush your teeth but I want some more tips

    • Lol I forget too xD but I have little ones too. It kinda looks like they glue but I don’t think it is. But dats wat my mum says. Idk im just gonna keep brushing n start flossing n using mouthwash cuz I want them nice n clean n white for my 15th birthday so yea

  7. I’ve had braces for about a year now. Lately I have been noticing white spots on my four front-most teeth. So embarrassing! I can’t smile anymore! What do I do? I have been brushing longer and more after noticing these, but they seem to be getting brighter. (By the way, I’m 12 and a girl. My mom says I’m over reacting and that it’s my hormones but I am so insecure right now. ) Any way to make them blend in?

    • I have noticed some white spots on my teeth too, just make sure to brush, and try to get some of the bristles of the brush above the wire and the bracket. Those are where most of mine are showing up. My mom got me these things called Christmas trees, they are used for flossing and removing the plaque from between your teeth. I’ve also tried mouthwash alot for extra cleaning. Good Luck ?

  8. Diana, Houston Tx :

    Help! I’ve had these two white spots on my two front teeth since I was little, and now they have gotten even bigger, almost covering up the bottom part of my teeth. To make it even worse, my right canine and my other teeth from the left side also now have a tiny, small white spot as well. I quit drinking soda years ago. I drink mostly water, I brush and floss twice a day but they seem to be not getting any better? No I don’t drink any fluoride water either and my dentist isn’t much of a help since he tells my mom the same thing which is if he actually do something about it, my enamel will be damaged but he’s been saying that to her every single time she asked him to do something about it. He doesn’t tell me about other options, just tell me to leave it, but now it’s even bigger than before!

    • Jenna form New Jersey :

      Try the MI paste Plus twice a day. It really works. It will reminerslize your teeth and reverse the white spots. Also do not drink any extra fluoride. Fluoride is a good topical treatment, but ingesting it is foolish,as it is a neurotoxin that should not be put in water. Too much of a good thing does not make it better, but may be dangerous to your health.

  9. Hello everyone,
    So I got braces about a month ago and recently I noticed white spots on my four front, lower teeth. I’ve been brushing longer, flossing and using mouthwash ever since. But alas I don’t seem to notice a change. Can anyone suggest anything, I’m scared that they’ll get bigger if I don’t do anything.

    • Hi there!
      I would suggest doing what you are doing right now, and I say if you don’t get rid of them within 2 weeks, you should probably see your dentist or orthodontist. I’m no expert at this stuff, but I dunno, It seems like a sensible thing to do 🙂

  10. Hey, i got braces and i used to not brush my teeth but now I brush I’m scared that if I take them of my teeth will get white spots , how do you know you got white spots when u got braces. My teeth look white and healthy but I’m not 100% sure

  11. Hi My Dentist (which I visited yesturday) told me that I need to brush my teeth better…. (by the way I have braces). I did have plack build put but not like really bad…. she said that I need to start brushing my teeth better or I will get white spots on my teeth. I have had my braces for 6 months and I started brushing like she said. Now I do an electrical tooth brush for 2 minutes circuling around each brace and with those little tooth brushes (I forgot what they are called) but I have three of them and brush them in each bracket ….. the three little tooth brushes are different sizes but just to be sure I use all of them. Then when that is all over I use fluoride for 2 minutes swishing it back and forth in my mouth. But when that was done this morning I notices this morning there was a little white thing at the top of my brace…. I dont know if that has always been there, or it just started , or its from the sument of the braces. Them I did my whole cleaning teeth thing again and it didnt go away. If that is the beginig of a white spot can I get rid of it by doing my cleaning routine??? Sorry, just one more question…… If I continue my cleaning routine and when its time to take my braces off will they have white spot or no white spots???? And now sorry this is my last question……. When I take of my braces is there always going to be alittle bit of a spot and they clean it after????

    Please help I really want nice teeth, I just hope that little white thing at the top of tooth (brace) is not the beging of a white spot.

  12. I think I may have white spots and I’m scared to death. I floss every single day, use a water flosser, use a manual toothbrush and electric toothbrush. I’m so scared. I brush my teeth for at least 5 minutes. I also use the fluoride for braces that prevent white spots. I see teeth that are weird and whiter than the rest

  13. i have noticed some white spots on my tooth which has the metal rings around is this normal and what can I do about it

  14. I have my braces on still right now and I sorta been drinking soda here and there And I been sorta been drinking more then just one can a day I haven’t seen any spots on my teeth or anything I wanted to know if I stop drinking soda would I still get white spots when I get my braces off ?

  15. I have my braces on still right now and I sorta been drinking soda here and there And I been sorta been drinking more then just one can a day I haven’t seen any spots on my teeth or anything I wanted to know if I stop drinking soda would I still get white spots when I get my braces o

  16. I’ve had my braces for over a year now and I have really bad white spots on my upper teeth but none on my lower ones. I never thought that much of them but now that I know I’m utterly terrified to get my braces off because I’m scared how my teeth are gonna look. I brush my teeth 3-4 times a day but I’m not seeing a difference and I don’t know what to do!

  17. Ok, i got my braces off like three weeks ago and i don’t like smiling because i have big white spot on my top front teeth. My orthodontist when he took my braces off didn’t tell me how i could get rid of them he just said you will have marks on your teeth then dismissed me. I really hate then and I’m not rich but i want them gone!!!! Please someone tell me the most efficient way to get rid of then so i can smile with out being self conscious

  18. Can bleaching your teeth take the white spots away?

  19. I’m kind of freaking out I don’t want my teeth to look gross when I get them off and honestly I haven’t been taking great care of them. If I start religiously taking care of them for the next two years that I have them, will that help prevent spots?

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  21. Hi, I’ve had my braces for 12 months and they are hopefully coming off in November (fingers crossed!) and I have just realised I have a tiny white spot on my canine, I don’t floss, and I never have ,even before I had braces and my teeth have been fine. Should I begin flossing so the white spots don’t spread? Or should I just brush extra carefully and use my interdental brush? I really don’t know, but I want my teeth to be absolutely perfect when my braces are off!

  22. WilliamLaro :

    I appreciate you sharing this article.Much thanks again. Really Great. Steinfeldt

  23. I’m 24, and my teeth are not doing so hot. When I was a kid, my parents never really taught me the importance of maintaining healthy exercising or brushing habits, and being a poor family the one who needed dental care the most was the one who got treatment. (my sister) I brushed my teeth usually once per day, and never flossed.

    Around 10th grade I realized how yellow my teeth were and changed my routine. Ever since then I’ve tried to avoid soda, juices, and added sugars and brushed and flossed twice per day, but I still ate poorly until college where the dental problems kicked into overdrive.

    Now, in college (I recently graduated) I chugged a bunch of coffee pretty much all day. It was a very demanding and stressful program. I started grinding my teeth at the end of high school and got worse with the caffeine.

    I stopped drinking coffee for the last month, I don’t drink soda anymore, and I only eat twice per day, sometimes one.

    However, my enamel is disappearing like mad. My two front teeth have deep grooves in them, white spots, and the tips are a jagged and transparent. The transparency is growing to to the sides now instead of just the bottoms of the teeth. And the teeth on wither side of them also have white spots, which seem to be going completely transparent all the way through, not just the tips. My bottom front teeth are okish, but in the last two months they have begun the enamel erosion process as well. I have no idea what to do. It’s disgusting.

    I brush, floss, and wash my mouth out with Listerine 2X per day like clockwork. I use to have a Panasonic electric brush but I had to toss it because it broke. (Still searching for that magical after college job to pay for a new one) I don’t wait long after brushing when I haven’t eaten acidic food. If I do eat acidic food like oranges, I wait a half hour to an hour so I don’t push the acid into my enamel.

    I now wear a mouth guard that I’m still trying to get used to to reduce incidents of the jaggedness on my back teeth.

    Now, here’s the kicker behind my gross, depressing front teeth: They don’t even touch. They can’t. There is a good 1/4 inch gap between my upper and lower front teeth. They’ve never touched. But I sure do have undiagnosed acid reflux because I can’t afford the pills to cut the acid down, even though eating everything from celery, bread, corn, and peanut butter gives me acid attacks. Pretty much anything does, sometimes even water sets it off.

    What can I do, is there anything else that could be an underlying cause of the decay? I realize that my lack of oral hygiene habits and overeating as a child and early teen ruined my teeth, as well as my acid reflux that I’ve had since 10th grade, but the enamel loss didnt happen until I started really taking care of my teeth. I can’t afford veneers to cover up my shame, and I can’t smile anymore.

    People look at my teeth when we talk or when I smile, and it makes every day a little harder to get out of bed. A little more difficult to look at the wretch in the mirror. I don’t have much in this life, and I don’t expect to, but having teeth that don’t make me ashamed to go outside would be super. I’d appreciate your help.

  24. Alison,rosewood :

    Hi I have braces on at the moment and I have a few white spots is their anything I can do to get rid of them?

  25. I am getting my braces off in four days! Is it possible to prevent white spots in that time?!?

  26. Look.. I know so give me the details I want

  27. I never had braces but I have the white spots since I’m a kid and now am 29.. Is this something I can fix without having to do the cover ups?