Is there any way to cure brown stains from teeth permanently?

Question

Hello doctor,

I am 54 years old and I have never taken good care of my teeth until a couple of months ago when I started noticing rapid enamel erosion on my front teeth near the gum line. This area became thin and turned brown, despite various attempts to brush and clean it. So I visited a dentist for the first time in approximately 46 years and underwent a deep cleaning along with a brief consultation. The cleaning successfully eliminated the brown stains, but unfortunately, they reappeared within a week in the same thinning areas adjacent to the gum line. Despite my consistent efforts of brushing and trying various methods (such as using a whitener, baking soda, peroxide, mineralizing toothpaste, avoiding staining food and beverages, and brushing immediately after eating), the staining has continued to worsen and now affects all of my front teeth near the gum line. It has been around three weeks since the deep cleaning, and in a couple more weeks, I have an appointment scheduled with a different dentist who will perform another cleaning and hopefully provide me with advice on possible solutions, including dental bonding.

My question is, what can I do to eliminate these brown stains and prevent their recurrence? Will they continue to reappear and worsen regardless of my efforts? Did the deep cleaning procedure somehow contribute to making this condition worse? It appears that way. Can dental bonding effectively cover these stains and prevent them from growing larger? Additionally, I have made changes to my diet to promote healthier teeth, including consuming foods rich in Vitamin D, Magnesium, and Vitamin K2, ensuring adequate calcium intake, using Celtic sea salt instead of regular salt, and incorporating anything known to promote better oral health. Any advice you can provide would be greatly appreciated.

Answer 1

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern.

Just checked your given picture and thanks for detailed history (attachment removed to protect patient identity). These brown marks are a result of smoking. Based on the information you have provided, it seems that you have already tried home remedies, peroxides, and proper oral care. To prevent the recurrence of these brown lines, you will need to quit smoking. Additionally, I recommend correcting your brushing technique. It appears that you brush your teeth with excessive pressure, which has caused enamel erosion at the gumlines. This is a combination of erosion and abrasion. It is important to avoid applying excessive pressure in these areas. I advise you to stop this immediately. Stop getting angry. Do not be surprised, as your teeth reveal it. I suspect that either you are an introvert who does not express their feelings and instead channels their anger through teeth grinding, or you are someone who experiences excessive stress. Is that the case? Please let me know. I can say that you are suffering from a condition called bruxism, which involves clenching or grinding your teeth consciously or unconsciously, particularly at night. For that, you definitely need a night guard to prevent minor fractures and arrest any uneven occlusal surfaces right away. This is an additional finding I diagnosed by observing your ground teeth. Regarding your presenting complaint, bonding will definitely work in addressing these gumline abrasions caused by harsh brushing, and it will also help limit the brown stains from smoking. However, for a permanent solution, you need to quit drinking beer and smoking, as they are detrimental to your health. Please provide a follow-up after your next visit and once you have made changes to your habits.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

Is there any way to cure brown stains from teeth permanently?

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