Severe Tetracycline Stained Teeth

When tetracycline was first used, the effect it would have on permanent teeth that had not yet erupted was unknown. The drug was widely dispersed amongst young children and pregnant women. Tetracycline has been around for over 50 years and treats a lot of symptoms, without side effects, in adults. But when children who have not yet formed enamel on their permanent teeth are subjected to this antibiotic, mild, moderate and severe discoloration with dark stain banding can occur. Let our office walk you through the many options available to you so you, the patient, can make choose the option that meets your needs.

In some cases, tetracycline staining can be removed with ultra professional power bleaching like Aquabrite – KoR. However, often times, the staining is too deep, or the bleaching only works for a short time. When staining is too dark or too severe for bleaching, more conventional methods are used.

Veneers, because of their reputation, are often sought after to correct tetracycline staining. However, Dr. Koeppel, or Dr. Gianuzzi, or Dr. Gohari do not always use veneers to correct this type of stain because of the width of the porcelain on a veneer. Because the veneer is so thin, extremely dark stains might show through. When the stain is that dark, slightly more tooth structure must be removed to give enough room for the porcelain to block out the stain.

BEFORE - TETRACYLINE STAINED TEETH
AFTER TREATMENT WITH PORCELAIN RESTORATIONS – BEAUTIFUL SMILE
TETRACYCLINE STAINED TEETH
AFTER TREATMENT WITH PORCELAIN RESTORATIONS – NATURAL & BEAUTIFUL

Porcelain crowns can be the only restoration with the width of porcelain thick enough to block out severe stain. With porcelain crowns, the advantage of creating ideal biting relationships exists, as well as interproximal (in between the teeth) staining. Due to all the extensive continuing education all the doctors have extensive experience in maintaining proper bite relations and achieving optimal results. Sometimes a combination of veneers and crowns are used harmoniously to best suit the smile line. For our Doctors to achieve the best results possible, they always utilize the most conservative, yet enduring, approach. After all, giving a long-lasting result is paramount.

Our Doctors strive for excellence in every case, it shows in all the steps they take to insure the result will be nothing short of magnificent. Diagnostic wax ups allow us and the patient to collaboratively decide the best shape and size each tooth will be. The temporaries give the patient the option of changing size, shape, or color before the permanent ones are placed. “We always give the patient a chance to test drive the temporaries before we make final restorations. We always meet with them personally and get their opinion of what they like or dislike about the temporaries and transmit those adjustments to the master ceramist to include in the final fabrication of their restorations, thereby making sure we exceeded our patient’s expectations. “We obsess so you don’t have to, is our motto.”


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