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Post-treatment enamel marks Options · View
Posted: Wednesday, May 6, 2009 12:06:21 PM

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Help please!

I am an orthodontist practicing in Australia for 30 years now and have recently encountered something new and puzzling.

A patient who underwent uneventful routine fixed appliance treatment has residual yellow marks on his upper anterior teeth where the bonded pads were.

He, his parents, and I are very disappointed as the marks are noticeable and haven't responded to polishing out. His parents are concerned about using a bleaching process in case it exaggerates the problem. They would like an explanantion regarding why it happened and can it be rectified.

Do you know why this happens and is there anything that can be done to rectify it?

Any assistance would be much appreciated.
Robert Cerny, BDS, MDS
Newcastle, NSW
Posted: Thursday, August 27, 2009 2:58:39 PM

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in my opinion this patient has had very bad oral hygiene and what you can see is demineralization everywhere except under the brackets which were protected by bracket bases. we are always ready to blame ourselves even shen the patient did not listen to us and did not brush.
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