Will porcelain veneers help fluorosis stains on my teen daughter’s teeth? I talked to my daughter’s pediatric dentist about the fluorosis stains on your teeth. Her upper and lower front six teeth are yellow and blotchy. My daughter is 14 and wearing braces, and the pediatric dentist is asking us to wait until her braces are off to begin treatment. I asked the dentist what she could do about the stains, but she seemed unsure. My daughter is so self-conscious about her smile. I don’t want her to feel insecure at school and social events. What are our options after braces? Thank you. Tammi

Tammi,

Depending on the extent of the stains in your teeth, several cosmetic dentistry options are available. However, a cosmetic dentist—not a pediatric dentist—can beautifully restore your daughter’s smile.

What Causes Fluorosis Stains in Teeth?

Fluorosis stains occur when a child has consumed too much fluoride while permanent teeth are still developing. Community water with too much fluoride or taking fluoride supplements can lead to fluorosis stains.

How Are Fluorosis Stains Treated?

A skilled cosmetic dentist can conceal fluorosis stains with dental bonding, porcelain veneers, teeth whitening, or a combination of treatments.

• Mild fluorosis – Chariside dental bonding can cover the affected brown or white spots on teeth. A dentist may use teeth whitening along with the bonding.
• Moderate fluorosis — If your daughter has extensive fluorosis stains on her teeth, a skilled cosmetic dentist may recommend porcelain veneers.
• Severe fluorosis – Porcelain veneers are the treatment of choice for severe stains.

Should You Treat Fluorosis Stains with Braces?

Braces put pressure on teeth as they move. And braces can add to tooth discoloration. Wait until your daughter completes orthodontic treatment before beginning cosmetic dentistry. Consult with a cosmetic dentist.

Although there is no minimum age for porcelain veneers, if a child’s teeth, jawbone, and face are not fully developed, you will eventually need to replace the veneers. Meanwhile, a cosmetic dentist may recommend a less expensive alternative like dental bonding to improve your daughter’s teeth until you and she are ready for porcelain veneers.

Dr. Steven Brooksher, a Baton Rouge accredited cosmetic dentist, sponsors this post.