Incipient Lesions

If you see strange white spots lingering on your teeth, that’s not just a cosmetic issue. It’s the sign of an incipient lesion, meaning a developing cavity. We at The Oyster Bay Family Dentists specialize in replacing damaged teeth, but we want our patients to be able to exercise preventive care and see us early in the tooth decay process. To that end, we thought it would be a good idea to discuss the development of white spots.

When enamel is being chemically eroded, it takes on a glazed appearance. This can be observed on the upper back teeth of people with chronic acid reflux, but is more often seen in people experiencing the early stage of tooth decay. As bacteria consume sugar, they produce acid as a by-product of their metabolization process. The acid gets stuck in the biofilm covering teeth, causing breakdown of the nearby enamel’s mineral structure and recession in gum tissue. If the demineralization goes on for as few as thirty days, a cavity will develop.

Incipient lesions are likely to appear in places where patients have difficulty brushing, such as the sides of teeth and around orthodontic brackets. Doing a better job of brushing can usually kill the infection, although the demineralized tooth may still look chalky afterward. We can help patients by assessing whether the infection is still active and by covering up the scar with bonding or a veneer. Our hygienists can also demonstrate brushing techniques to patients during regular check-ups, so that lesions will be less likely to develop.

Drs. Denise VeyVoda and Robert G. West operate The Oyster Bay Family Dentists at 123 South Street, Oyster Bay, New York, 11771. To schedule an appointment, call 516-922-5730 or visit Oyster Bay Dentists and fill out a contact sheet.