
Why Teeth Turn Yellow: Surface Stain or Dentine Showing
Teeth turn yellow for two reasons: pigment from coffee, tea or tobacco settling on the enamel, or thinning enamel letting yellow dentin show through.
Clinical experience, misunderstood concepts and frequently asked questions. Notes from many years of practice.

Teeth turn yellow for two reasons: pigment from coffee, tea or tobacco settling on the enamel, or thinning enamel letting yellow dentin show through.

A laminate veneer is a 0.2 to 0.5 mm ceramic or composite shell bonded to the front of a tooth with little or no enamel removed; a crown runs 1.5 to 2.0 mm.

After wisdom teeth removal, eat cool, soft, spoonable food and skip the straw: liquids on day 1, soft foods from day 2; most eat normally by weeks 3 to 4.

Across 29 studies covering 2,300 resin-bonded bridges, survival was 91.4% at five years and 82.9% at ten, with de-bonding the leading complication at 15%. A Maryland bridge needs little or no drilling.

Memory, attention, visuomotor function and nerve conduction showed no significant differences at any time point (P 0.29 to 0.91), even though urinary mercury rose. Composite showed lower longevity than amalgam.

The story behind that smile is a real dental condition, and an uncommon one: a meta-analysis of 14 prevalence studies found reported rates of supernumerary teeth from 0 to 3 percent, averaging 1.6 percent in European white populations. What it does to the bite, and why he chose to keep it.

Not every irregular smile needs fixing, and the distribution shows why: across 53 studies, Class I made up 74.7 percent of permanent dentition cases, Class II 19.56 percent and Class III 5.93 percent. Which patterns cause functional trouble, and which are simply character.

Gummy smile has graded treatments with measured effects: in a meta-analysis of botulinum toxin A, gingival display fell by a mean 2.51 mm at two weeks and 2.24 mm at three months, while lip repositioning surgery reduced it by 2.87 mm. Which cause calls for which option.

Crowding, rotation, spacing and crossbite each need a different fix, and aligners have limits worth knowing: a systematic review rated the certainty of evidence for specific tooth movements as low to moderate and noted most movements may not be fully expressed. Braces, aligners and veneers compared.