I am have enamel hypoplasia on my teeth and it is very embarrassing. I try my best not to smile, but sometimes you just have to. I want to have a smile that I am not ashamed of. Do you know what are the best ways to treat this? I suspect with today’s cosmetic dentistry, there are solutions.
Pamela
Dear Pamela,
You are correct that there are some good solutions for this situation. 
If you are reading this and wondering what in the world enamel hypoplasia is, it is when the enamel on teeth does not fully develop. This can happen because of a genetic defect, or because of an illness contracted during the formation of the the adult teeth. This is generally before age twelve.
Mild Enamel Hypoplasia
Some cases of hypoplasia is mild, such as on the case on the left image, which gives a mottled appearance to the teeth. If this is your situation, dental bonding would be a good solution. This is done using a composite that is bonded directly to the tooth. It is often used to repair tooth gaps or chips in teeth, such as in the example above.
Severe Enamel Hypoplasia
Some cases of hypoplasia are much more severe, such as with the image on the right. As you can see, the teeth are pitted and there is significant discoloration. Dental bonding will not work in this situation. Instead, I would look into having porcelain veneers done.
Both of these procedures are quite advanced and will require you go to an experienced and artistic cosmetic dentist. You may even want to look for an office that has an AACD accredited dentist. They are the top cosmetic dentists in the country.
Once you have this work done, you will no longer be ashamed to smile. In fact, a beautifully done smile makeover can completely change your life because of the confidence that comes with it.
I hope this helps. Enjoy your new smile!
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