Q: My twin daughters just had their braces removed. They now have ugly white spots on all their front teeth. The orthodontist says he does not treat this. We are all very concerned about their appearance. Please Help!! Aphrodite in Jupiter
A: After putting twins through braces, I am more concerned that you won’t have any money left to subscribe to the Post. That means no way to catch up on corrupt politicians and no way to use my column to roll up and kill Florida cockroaches the size of Buicks.
Rest assured, white-spot lesions (WSL) associated with orthodontic treatment occur in about 50% of patients. Keep in mind patients not undergoing orthodontic care show an 11 to 24% occurrence of (WSL). Under and near the brackets, patients accumulate plaque, which results in a lower pH causing acid decalcification. Prevention: Brush with fluoride toothpaste with a .01% concentration or greater, rinse daily with rinses of 0.05% sodium fluoride and placement of fluoride varnishes. Newer bracket cements called glass ionomers produce a sustained fluoride release during treatment.
To get rid of the white spots if already formed: micorabrasion, bleaching, Recaldent paste or covering with cosmetic resin bonding. For a free copy of the Hi-Tech Dental Office Check-list, contact us.
Dr. Mitchell Josephs practices Cosmetic, Implant and General Dentistry in Palm Beach and hosts “Tooth Talk” on WBZT AM1230 (www.radiotoothtalk.com) Dr. Mitchell Josephs is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.
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