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Do your teeth stain easily? Are you worried that your new white fillings won't remain white for very long? Staining generally falls into one of two categories — extrinsic (external) staining, which affects the outside of the teeth, and intrinsic (internal) staining, which is discoloration of the tooth structure itself. The good news is that both can be treated and, once we determine the exact cause, there are a number of options to remedy it. You can have whiter teeth in almost no time!
External staining is generally caused by beverages or foods like red wine, tea, coffee and some spices, or even substances like tobacco. Stain that is brown, black or gray can become even worse in the presence of dental bacterial plaque and when the mouth is dry. On the other hand, internal tooth staining can make the teeth appear more yellow as a natural result of aging, or after root canal treatment when tooth structure can become more brittle and dry.
Treatment for external (extrinsic) staining includes:
- Lifestyle modification: You can help put a stop to your staining problem by reducing or eliminating the habits that cause it, such as smoking and drinking red wine.
- Practicing efficient oral hygiene: Preventing extrinsic staining can be as simple as brushing twice a day with toothpaste that contains tooth-whitening agents or other solutions to reduce the appearance of stains. Don't be embarrassed to ask our office about brushing and flossing because most people do it wrong until they're properly instructed.
- Professional Cleaning: We can remove some extrinsic staining with ultrasonic cleaning followed by polishing with an abrasive prophylactic paste.
Other treatment options to reverse either intrinsic or extrinsic staining include:
- Whitening by bleaching: Bleaching for extrinsic stains can be performed either in our office or at your home using a whitening kit. Bleaching for internal (intrinsic) stains can only be conducted in our dental office because it typically involves bleaching the tooth or teeth from the inside.
- Fillings and restorations: For teeth that have been stained due to decay, or for fillings that are old and discolored we can remove the decay and restore the teeth, which will restore them to their natural brighter color.
If you are ready to say goodbye to your stained teeth, call our office today to make an appointment. For more information about treating stained teeth, read the Dear Doctor magazine article “Tooth Staining: Getting To The Cause Of Tooth Discoloration Is The First Step Toward Successful Treatment.”

There are many ways to brighten and whiten teeth if they become dull and stained; but if you know the causes of staining on teeth, you may be able to avoid it in the first place. Here are some of the main causes of stained teeth. We hope this will help keep your smile stain-free.
Extrinsic Staining
- What we call extrinsic staining occurs when stain-producing substances collect on the enamel surface of your teeth. To stop or slow this process, cut down on consumption of coffee, red wine, and tea, which contains high tannin contents.
- Cut down on smoking. Tobacco can stain teeth, so it's best to stop the use of tobacco in any form.
- Some mouthwashes and toothpastes contain substances that can cause tooth staining. Mouthwashes containing chlorhexidine, a prescription antibacterial mouthrinse, or those containing cetylpyridium chloride, can cause dental staining after long-term use. Some toothpastes contain stannous fluoride, which can also induce brown discoloration.
- Dry mouth, a common problem, may contribute to extrinsic discoloration. This problem is sometimes a side effect of medications you are taking and drinking more water can often alleviate it. If drugs are the cause of mouth dryness, a consultation with your physician should be considered.
- Bacterial buildup by chromogenic (color or stain producing) bacteria in your mouth can cause staining. Hundreds of bacteria normally live in your mouth, and it is important to keep good regular dental hygiene habits to prevent bacteria from accumulating on your teeth and gums.
Intrinsic Staining
- Stains that are caused by various organic compounds that build up within the mineral matrix of your tooth's enamel are called intrinsic stains. They may be caused by tooth decay within the tooth or between the tooth and dental filling materials. Tooth decay is brown, it not only discolors teeth, but it also destroys tooth structure.
- Use of some medications, such as tetracycline antibiotics, can cause intrinsic staining.
Make an appointment for an examination and assessment of your teeth, so that we can determine why they are developing stains. Once we know the cause, we can draw up a plan for whitening and brightening your teeth.
Contact us today to schedule an appointment to discuss your questions about tooth staining and its treatments. You can also learn more by reading the Dear Doctor magazine article “Tooth Staining.”

Dentist - Fort Worth
2551 River Park Plaza
Fort Worth, TX 76116
817-732-4419
Our Blog
Archive:
- 2019
- January (6)
- Stay Hydrated in Winter for Better Year-Round Oral Hygiene
- 'Get Rid' of Those Unattractive Teeth with Porcelain Veneers
- A New Veneer with Minimal or No Tooth Alteration
- Your Case of Gingivitis Could Develop into Something More Harmful
- Moderate Fluoride Use Packs the Biggest Punch for Decay Prevention
- 3 Things You Might Notice with Your Child's Teeth That Need a Dentist
- 2018
- December (6)
- Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues
- Treating Gum Abscesses and the Underlying Gum Disease
- Take a Look into Your Future with a Trial Smile
- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Watch What Carbs You Eat to Reduce Your Risk of Further Gum Disease
- Treating Gum Disease may Require Invasive Procedures
- November (6)
- TMD and Fibromyalgia Could Share Links in Chronic Pain
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Regardless of What You've Seen Online, Don't Fear a Root Canal Treatment
- A Stainless Steel Crown Could Help a Struggling Primary Molar Last Longer
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- This November, Become a Non-Smoker
- October (6)
- Find Out Why You or Your Partner Snores - it may be Sleep Apnea
- Treating Gum Disease Important to Saving the Underlying Bone
- Good Oral Hygiene Isn't Just for Teeth
- What You Should Know About a Home Teeth Whitening Kit
- How to Help Your Kids Form Good Oral Hygiene Habits
- Keep up Regular Dental Care While You're Pregnant
- September (6)
- Keep an Eye Out for Problems if Your Children Grind Their Teeth
- Protect Your Teeth During Football Season
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- A New School Year, A New Beginning
- Keep Up Good Dental Habits in College to Protect Your Teeth and Gums
- Stop Gum Disease Before it Gets Started with Daily Oral Hygiene
- August (6)
- Dental Porcelain is a Great Option for Creating a Natural Appearance
- 4 Big Benefits for Beginning Early Dental Visits for Your Child
- Weighing the Pros and Cons of Teeth Whitening
- Can't Afford Dental Implants? Consider Partial Dentures
- Crown Lengthening Helps us Treat Hard to Reach Cavities
- Veneers may Offer a Less Invasive Way to Transform Your Smile
- July (7)
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- We'll Help You Maintain Your Oral Health After Gum Disease
- Take Care of Your Dental Appliance and It Will Take Care of You
- Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
- Answering Your Questions about Your Upcoming Teeth Whitening
- What You Can Do to Support Your Child's Dental Development
- Keep Alert for this Extreme Form of Gingivitis
- June (6)
- Do you need Simple Tooth Removal or Surgery? It Depends on a few Factors
- 3 Reasons for Blood Pressure Checks During Dental Visits
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Bone Grafting Might be Necessary Before You Obtain an Implant
- Saving a Diseased Primary Tooth Could Mean Better Oral Health Later in Life
- 4 Problem Areas That Could Affect Your Child's Teeth
- May (6)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Provisional Restorations let you Try out Your New Smile First
- Tooth-Colored Fillings Provide a Viable Alternative to Dental Amalgam
- Root Canal Awareness Week: A Time to Learn How Teeth Are Saved
- Bone Loss at the Roots can Put Your Tooth in Danger of Loss
- See How Well You're Removing Daily Plaque with a Plaque Disclosing Agent
- April (5)
- Keep Your Smile Beautiful...in April and Beyond
- OTC Pain Relievers Usually Enough to Relieve Post-Procedure Mouth Discomfort
- Don't Let Sports or Energy Drinks Rob you of Your Teeth's Enamel
- Learn How To Protect Your Teeth During Stress Awareness Month
- Keep on Course during the 3 Phases of a Smile Makeover
- 2017
- November (5)
- Not Your Granddad's Dental Care: the New Approach to Tooth Decay Treatment
- Consider Saving a Tooth Before you Decide to Replace it
- Lasers Could One Day be Commonplace for Treating Gum Disease
- Sometimes It's Good to Be a Quitter: Smoking and Oral Health
- Change Your Smile for the Better with Porcelain Veneers
- July (5)
- The Simple Bitewing X-Ray is a Game Changer for Maintaining Dental Health
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Your Dentist may have the Solution for Your Sleep Apnea
- Porcelain Veneers: A Less Invasive Way to Transform Your Smile
- 3 Common Sources of Fluoride You Might Not Know About
- March (5)
- Factors Besides Oral Hygiene that Influence Your Risk for Tooth Decay
- That Painful, Irritating Feeling Could be Burning Mouth Syndrome
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- Take These Actions to Make Your Child More Comfortable During Teething
- Local Anesthesia is a Key Part of Pain-Free Dental Work
- 2016
- October (5)
- Keeping Gum Disease at Bay Could Help Your Overall Health
- Stop Annoying Canker Sores with These Effective Treatments
- Reduce Sugar Consumption - for a Healthier Mouth and Body
- An Infected or Injured Primary Tooth Can Be Saved - but it's Complicated
- Treating "Burning Mouth" Depends on What's Triggering it
- March (5)
- Implant-based Overdentures may be a Better Long-Term Fit Option
- The Type of Mouthrinse you use Could be Doing More Than Freshen Breath
- Find out What Kind of Tooth Staining you Have Before Seeking a Solution
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- Erosion and Other Problems may be Signs of Bulimia
- 2015
- November (5)
- Bitewing X-Rays Provide Early Detection of Tooth Decay in Back Teeth
- Crown Differences Could Ultimately Affect Your Cost
- Regenerating Lost Bone Can Make Dental Implants a Reality
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- Changing Antibiotic Use Today will Help Ensure Their Effectiveness Tomorrow
- 2014
- August (5)
- Occasional Tongue Redness may be Irritating but not a Serious Health Issue
- Bad Breath Might be a Sign of a More Serious Oral Condition
- Major Benefits for Tooth Replacement With Dental Implants
- Minimizing X-Ray Exposure Risks in Children to Maximize Benefits
- Frequently Asked Questions about Gummy Smiles
- 2013
- 2012
- August (8)
- Bleeding Gums Mean Something is Wrong
- Treating Snoring & Sleep Apnea
- What Is Cosmetic Dentistry?
- How to Get What You Want in Your Smile Makeover
- Countdown To A Perfect Wedding Day Smile
- Teeth Whitening: What You Need To Know
- Matching Game: Which Smile Design Technique Is Right for You?
- Are You at High Risk for Tooth Decay?
- 2011
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