My dentist whitened my teeth and later placed bonding on them last February to hide fluorosis stains. The color still wasn’t right after three tries, so I let it go. I figured I would keep the bonding because my dentist said it would last five years. After that, I planned to find another dentist to replace it. But within the past week, the bonding started peeling off like old paint. This is so embarrassing. I called my dentist, who said bonding on fluorosis sometimes doesn’t stick to your teeth. He never mentioned that the bonding might peel before he placed it. Now, I am concerned that I must live with these stains. If my dentist cannot get this right, what are my options? Thank you. Jay

Jay,

We are sorry to hear about your experience with dental bonding from your dentist. Fortunately, you have options for concealing fluorosis stains, but you cannot rely on your dentist for them.

Types of Fluorosis Stains

Fluorosis stains occur from consuming too much fluoride as a child while your teeth are still developing. Tooth stains are white in mild to moderate cases and brown in severe cases. The stains usually affect the tooth enamel only.

How Do You Conceal Fluorosis Stains?

Concealing fluorosis stains in teeth is one of the most challenging aspects of cosmetic dentistry. Depending on the stains and condition of your teeth, an advanced cosmetic dentist may recommend dental bonding or porcelain veneers.

Dental bonding

• Applying dental bonding to tooth enamel securely requires these steps:
• Etch the tooth enamel
• Rinse and dry the enamel
• Apply a liquid bonding agent to the tooth and use a curing light to cure it
• Place the composite over the cured bonding

At least your dentist bleached your teeth before applying bonding, even though the color did not stay on. Bleaching teeth first is essential to matching bonding to your natural teeth. Whitening is an effective way to refresh your smile.

Porcelain veneers

After removing a conservative amount of tooth enamel, a cosmetic dentist will complete these steps:

• Take impressions of your teeth
• Provide a wax-up of your veneers
• Make temporary veneers for you to wear
• After you approve the temporary veneers, send pictures and instructions to a dental ceramist to make the final product
• Try the veneers on your teeth to ensure you are delighted with your smile makeover