Extrinsic

Stains affecting the enamel, the surface of the tooth are the easiest to treat.

Intrinsic

When the dentin, the tissue between the enamel and pulp becomes stained, concealment is usually the best treatment.

Age-Related

Enamel can become worn and dentin becomes yellowed over time. This combination gives teeth a darker color.

Foods

Many common foods and condiments, including tomato sauce, red and white wine, mustard, berries, tea, coffee, and soda cause stains over time.

Meds and Supplements

Children 8 and younger can develop stains as tetracycline (an antibiotic) bonds to calcium in developing teeth. Ingesting large amounts of fluoride can result in brown dental stains.

Nicotine

When nicotine combines with oxygen, it turns yellow. Over the years, nicotine can stain enamel and the outer layers of dentin.

Genetics

Some of us are born with darker teeth, while others are born with weak enamel that can stain easily.

Should I just buy an over-the-counter whitener?

Brush after Meals

It is difficult to completely avoid foods that cause stains. Brushing immediately after meals or at least rinsing your mouth with water can curb staining.

Use a Straw

It's not the ideal way to enjoy every beverage, but if you indulge in tea, iced coffee, or cola, a straw can help keep your teeth bright.

Stop Using Nicotine

Quitting nicotine use of any kind is advisable for many reasons, but it can also help you avoid dental stains.

Two Key Assessments

1

The Appearance of Your Teeth

Dentists can often identify stain types just by looking at the tooth. Extrinsic stains are often yellow or yellowish-brown, and cover the tooth. Intrinsic stains are often localized, looking like an isolated patch.

2

Medical History

Teeth that have undergone a root canal will often develop intrinsic stains over time. If you were exposed to tetracycline in utero or in early childhood, or if you grew up in an area with heavily fluoridated water, this probably means your stains are intrinsic.

Stains Can Be Eliminated or Hidden

Teeth Whitening

If you have extrinsic stains, Dr Sohn may suggest a whitening treatment to achieve a brighter smile.

Porcelain Veneers

If you have intrinsic stains or if you don't qualify for whitening, you can conceal your stains with custom porcelain shells that attach to the front of your teeth.

Dental Bonding

Bonding is an affordable alternative to veneers. It involves applying resin to a tooth in a way that hides imperfections and looks natural.

Dental Crowns

If you have severe intrinsic staining resulting from a root canal or another factor, a dental crown may be the best solution.

I want a brighter smile. What should I do?