I have fluorosis stains and went to my dentist to get this “fixed”. He suggested dental bonding. We went forward and I’ve had problem after problem since. First, the bonding does not cover the stains. I mentioned I can still see them and he said to come back in a week and he’ll add another layer. Before that could even happen, they started falling off. Then, he went ahead and added the other layer. It’s a bit better but, again, they’re still falling off. He said I have a bite problem and suggested I get a night guard. I did that, but they’re still coming off. What do I do now?
I’ve posted an image above of some fluorosis stains for those who do not know what we’re referring to and can see how devastating these stains can be to someone. As to what you should do, the first thing I recommend is that you get a refund. You will not get this done correctly through this dentist. He can’t cover the stains properly, he can’t get the bonding correct, and he blames you for his lack of skill. While a mouth guard is a good idea if you are someone who clenches or grinds their teeth, it will not make bad bonding good.
Properly covering fluorosis stains in a way that covers the stains AND gives the teeth the look of a natural translucency you see on natural teeth is one of the hardest things to do. You need an extremely advanced cosmetic dentist. In your place, I would not use anything less than an AACD accredited dentist. This is different than just membership with the American Academy of Cosmetic Dentistry. Accredited dentists have passed stringent technical exams as well as a board of examiners that look at the artistry of their results on actual cases they have done. These dentists are in the top 1% of cosmetic dentists in the world. They can give you a stunning smile, even with fluorosis stains.
Don’t be surprised if they suggest porcelain veneers instead of dental bonding. First, they are easier to work with. More importantly, though, is they last significantly longer. Dental bonding may last a few years, but bonding can last decades.
This blog is brought to you by La Jolla Dentist Dr. Stephen Doan.