I have some white spot lesions on my teeth. My dentist prescribed tooth mousse for me. It is a nine week treatment. After that, if the white spots are not gone, then we will finish it up with Zoom Whitening because it is fast. However, we are hoping the mousse will take care of it on its own. Is there a chance that both those things together won’t work and I’ll need a third treatment?
I’m glad you wrote. Your dentist is sort of close on this, but not close enough for me to not give you some warnings. First, tooth mousse is a decent treatment option. However, I’m concerned he doesn’t understand the point of the treatment. It is designed to treat white spots, but mostly to remineralize the area.
White spots are precursors to decay. Using the tooth mousse will repair the demineralization that occurred to cause the spots in the first place. The company makes no claim that it will change the aesthetics of the tooth.
As for the Zoom Whitening finishing that up, it will actually make things worse. Teeth whitening, no matter what method you choose, will whiten your teeth evenly. This means the white spots will get whiter along with the rest of your teeth.
While the remineralization is a great idea. The thing that will make the teeth even in color is dental bonding. However, I would not ask your dentist to do the bonding himself. This is an advanced cosmetic procedure. If he did not understand how teeth whitening works, he will not be able to do the bonding well.
When my daughter’s braces were finally removed, she ended up with white spots on her teeth. Her orthodontist said her dentist could help us with that. The dentist recommended Zoom Whitening to even the teeth up, but for some reason, they now look worse than ever instead. Did something go wrong? Where do we go from here?
While Zoom Whitening is an amazing and powerful teeth whitening system, your dentist doesn’t understand teeth whitening principles. When your teeth are whitened, they whiten evenly. That means the white spots they had will still be different from the remainder of her teeth. The difference between Zoom and take-home whitening systems is that Zoom is faster, whitening her teeth in just one appointment, rather than over several weeks.
When there are white spots after braces, it is generally a sign of decalcification. It’s difficult to brush efficiently with all those metal wires and brackets on her teeth. That’s one reason we often recommend Invisalign for teens and adults. Because these use aligners, you can simply remove them to brush and floss and then put them back on.
As for the decalcification, you do want to address that before it turns into actual decay. There is a product on the market called Tooth Mousse which is specifically designed to recalcify teeth.
Another option is to have the decalcified spots gently removed and then have composite bonding placed on top to match the remainder of the tooth.
One caveat here. Your current dentist likely isn’t qualified to do the dental bonding. Teeth whitening principles are quite basic and she missed the boat with that. Bonding is more advanced and takes some post-doctoral cosmetic dentistry training.