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Tetracycline TreatmentSam Muslin, DDS, MAGDHow Tetracycline Stains got startedTetracycline stains are unfortunately the most problematic and difficult to manage and remove. Many years ago tetracycline was prescribed by doctors as an effective antibiotic for treating many illnesses. It was even perceived to be a more effective treatment than penicillin. The devastating long term cosmetic effects on teeth enamel were not known at the time.Many of today's adult population who received tetracycline treatment are now faced with teeth stains that are seemingly unmanageable and frustratingly untreatable. Tetracycline ResearchVarious dentistry professionals and researchers discovered that tetracycline staining actually becomes darker as the tooth is penetrated below the surface.Endodontic specialists at USC discovered an effective method of tooth whitening that involved bleaching each tooth - starting from the inner part of the tooth and bleaching "outwards." A fairly invasive technique however that required a complete root canal on each affected tooth. For many people this would be unfeasible. 
Successful Tetracycline TreatmentThe young lady in the adjacent photo expressed a desire of treating her severely stained teeth. She too received tetracycline treatments as a youngster... for an extended time. All of her teeth had a "stain band" (see photo's below for detail)Her primary goal was to have the "whitest of white" teeth. It was determined that her teeth would respond to a "customized" application of teeth whitening procedures. Different Patients - Different Teeth WhiteningNo two patients will respond identically to a particular teeth whitening procedure. we use any and all combinations of BriteSmile, Zoom, Crest Whitening Strips, Rembrandt and laser teeth whitening methods that will be effective for the individual patient.Tetracycline Bleaching - Cosmetic DentistryDuring the patient's consult with us, she learned that additional procedures could help her address some other cosmetic concerns. She had gaps between her upper teeth and also had teeth that were too narrow. Crowns that were placed by another dentist were too dark. Lastly, gumline symmetry was not balanced.It was decided by the patient that she would not only acquire and ultra bright smile but undergo some popular cosmetic procedures incorporating the use of porcelain materials to match the whiteness achieved on her natural teeth. The first step, before selecting the porcelain materials, was to achieve the highest degree of whiteness for all of her teeth. Laser teeth whitening procedures were performed to obtain the shade of whiteness desired by the patient. Her teeth responded well to the laser treatments. Porcelain crowns were recommended to widen the narrow appearance of her smile... thereby closing up the apparent gaps in her upper teeth. The patient understand that the net effect would be an even broader, natural looking and whiter smile which would certainly enhance her attractiveness. 
Precision Dental CeramicsMatching the color of the new porcelain materials to the patient's new whiteness level of her lower teeth was no small task... requiring close coordination between the patient, the dentist and the ceramist.This extra effort had a very dramatic impact on this reconstructive effort, as can be seen in this second photo. The patient overwhelmingly achieved her primary goal of having the "whitest of white" teeth. No unsightly stains. The gum reshaping and recontouring produced a symmetrical gum line that was desired by the patient. Precision ceramics produced a smile line (the arc of the lower biting edge of the upper teeth) that established the final "harmony" of her smile (the pictures tell the story). Review the photos below for closer detail   Click here to go back to the Tetracycline Gallery |
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