Patient Stories

Told She Couldn’t Whiten: Tetracycline Stains, 12 Crowns and a Natural Smile Before the Wedding

For years she was told her tetracycline-stained teeth couldn’t be whitened. With a big wedding 3 months away, 12 upper crowns and a longer whitening process gave her a beautiful, natural smile in 5 appointments.

After 12 upper crowns and whitening of tetracycline-stained lower teeth
Before 12 upper crowns and whitening of tetracycline-stained lower teeth
BeforeAfter

Lauren* had always felt she had “bad teeth.” Before she came to our office, another dentist told her she needed a lot of dental work. She didn’t love that dentist. She had been following our office for a few years, and she knew I would take the time to learn what she was looking for and deliver it.

What Mattered Most to Her

Lauren would love straight bottom teeth someday, but that wasn’t her priority. Fixing her upper teeth was most important, because they are what shows the most in photos.

She also had a deadline: a big wedding she was attending in 3 months. Her dental work needed to be finished by the wedding date.

“Not a Candidate for Whitening”

For years, dentists told Lauren she had tetracycline staining, so she was not a candidate for teeth whitening.

“Yes, whitening tetracycline-stained teeth is hard, but it’s not impossible. It requires a longer whitening process, but very often the results can be breathtaking.”

Dr. Nadia Rodriguez

Her Treatment

We completed 12 upper crowns, including a bridge, and we whitened her lower teeth to match. Her whole smile transformation took 5 appointments.

Her whitening had three steps:

  1. A 45-minute in-office conditioning appointment to start the whitening process.
  2. 8 weeks of nightly whitening at home with custom trays.
  3. A final 1-hour in-office deep whitening session.
After upper crowns and whitened lower teeth, front view with the teeth apart
Before upper crowns and whitened lower teeth, front view with the teeth apart
BeforeAfter

The Result: About 8 Shades Whiter

Her lower teeth whitened about 8 shades, and they now match her upper crowns. To give you perspective, that is the lightest “natural shade” a patient can achieve. Anything whiter is considered a “bleach shade,” and it is often so white that it looks unnatural.

In the future, Lauren hopes to straighten her lower teeth. For now, she is thrilled with how beautiful and natural her teeth look. I’m in love with her smile too.

See more results in our before and after gallery.

*All photos and stories are of actual patients. Patient names changed for confidentiality.

Tetracycline Stains, Crowns & Whitening Questions

Can tetracycline-stained teeth be whitened?

Yes, in many cases. Whitening tetracycline-stained teeth is hard, but it is not impossible. It takes a longer whitening process than usual, and very often the results can be breathtaking. Lauren’s lower teeth whitened about 8 shades.

How long does whitening tetracycline-stained teeth take?

Longer than regular whitening. Lauren had a 45-minute in-office conditioning appointment, then 8 weeks of nightly whitening at home with custom trays, and a final 1-hour deep whitening session in our office.

What is the whitest natural-looking shade?

There is a lightest “natural shade” that teeth can reach and still look natural. Anything whiter is considered a “bleach shade,” which is often so white that it looks unnatural. Lauren’s lower teeth were whitened to match her upper crowns at the lightest natural shade.

Should I get crowns or whitening for stained teeth?

It depends on your teeth. Lauren’s upper teeth also needed restoring, so crowns made sense there. Her lower teeth were healthy, so we whitened them to match. Dr. Nadia will recommend what fits your teeth and your goals.

Can you finish my smile before a wedding or event?

Often, yes. Lauren had 3 months before a big wedding, and her treatment was planned to finish in time, in 5 appointments. Tell us your date at your consultation so we can plan around it.

Can I fix my top teeth first and my bottom teeth later?

Yes. Your treatment can focus on what matters most to you. Lauren chose to focus on her upper teeth, because they show the most in photos. She hopes to straighten her lower teeth in the future.

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