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Dental health

White and brown spots on teeth: when are they a sign of decay?

Seeing a spot on a tooth can be worrying. Some spots are a sign of early decay and some are just surface staining or a feature of the enamel. An accurate diagnosis is only possible with an examination, but knowing the common causes helps you know when a check is needed.

Prepared by: Anodyne content team5 min read

White spots on teeth

  • Early decay: an opaque white spot, often near the gum line or in the grooves, especially after braces are removed.
  • Fluorosis: white spots or streaks caused by taking in too much fluoride while the teeth were forming in childhood.
  • Developmental enamel defect: opaque or white areas present since the tooth erupted.

Brown or black spots on teeth

  • Surface staining: from tea, coffee, tobacco or some foods; usually removed with scaling and polishing.
  • Tartar: a hard yellow or brown deposit, especially behind the lower front teeth.
  • Decay: it may look brown or dark. Sometimes old, arrested decay is also dark. Whether it is active or arrested is for the dentist to determine.

When should you see a dentist?

  • The spot is new or getting bigger.
  • The surface of the spot is rough or has a hole.
  • You have sensitivity to cold, heat or sweets.
  • Food gets stuck at that spot.
  • You haven't had a dental check-up for a long time.

Is a photo of your teeth enough for a check?

A dental photo can be useful for seeing suspicious areas, and tools like Anodyne analyze it. But telling surface staining from decay, and whether a lesion is active, requires a direct examination and sometimes an X-ray. Review the result of any image analysis with your dentist.

Resources

  1. National Institute of Dental and Craniofacial Research — Tooth Decay
  2. World Health Organization — Oral health (fact sheet)

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White and brown spots on teeth: when are they a sign of decay? | Anodyne