Tetracycline stains and short roots. Porcelain Veneers or Dental Crowns?

There are many causes of stained teeth, but one often overlooked is Tetracycline stains caused by the antibiotic Tetracycline, which can cause permanent discoloration due to the formation of insoluble calcium-tetracycline orthophosphate complexes in the enamel. Tetracycline stains are often found in children. However, it can also happen in adults. Unfortunately, it doesn’t take long for the discoloration to take effect and is often reported after just four weeks of taking medication for things such as blepharitis.

As an experienced cosmetic dentist in Los Angeles, I have helped countless patients resolve their Tetracycline stains and enjoy a healthy and beautiful smile. One patient we helped just turned 70 and recently contacted my office to embark on cosmetic dental work. His general dentist told him his roots were short from braces and, after being on tetracycline, bleaching would not work. So, his question was, what is the best option? Veneers or crowns? Her general dentist was suggesting crowns. Although at her age, she only wanted to get the work done once and was seeking a permanent solution to her Tetracycline stains. 

As a cosmetic dentist in Los Angeles, I would prefer porcelain veneers over dental crowns. OLYMPUS DIGITAL CAMERAIt all depends on how dark your intrinsic stains are, for the tetracycline-stained teeth, and your bite! Your short root is a compromise no matter if you choose porcelain veneers or porcelain crowns, so that is what the cosmetic dentist needs to work with anyway.
It doesn’t matter how good your cosmetic dentist is, they cannot increase the root length. If the stains are deeply intrinsic, you might need a little more aggressive preparation of your teeth if you choose dental veneers, but any time of the day, this is better than 360 degrees removal of your tooth structure.
If the back of your teeth is healthy, do not do porcelain crowns! Make sure your dentist or cosmetic dentist has a great master ceramist to block out the color underneath and simultaneously give you the color you desire.
Porcelain veneers can easily take off some years from your face, and you will have a great smile.
If you or someone you love is struggling with Tetracycline stains, contact Dr. Anthony Mobasser, Los Angeles cosmetic dentist to arrange a complimentary consultation and let my 40 years of experience work for you.
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