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White Spot Lesions: Early Signs of Tooth Decay & How to Treat Them | Longboard Dental

August 11, 2025

Learn what white spot lesions are, why they form, and the best no-drill dental treatments to restore your smile at Longboard Dental in Charleston, SC.

What Are White Spot Lesions?

White spot lesions are often the first visible sign of tooth decay—long before a cavity turns brown or black. These chalky, opaque spots appear when minerals are lost from the enamel, a process called demineralization.

They’re most common:

  • Around the gum line
  • Next to orthodontic brackets on patients with braces

Parents, take note: Orthodontic patients, especially teens, face a higher risk because braces can make thorough brushing more difficult. If your orthodontist notices these spots, address them right away.

Why Treat White Spot Lesions Early?

When caught early, white spot lesions can often be reversed without drilling or fillings. At Longboard Dental, we use advanced remineralization treatments to restore lost minerals and strengthen your enamel.

Two approaches:

  • Proactive: Treat early to stop decay before it becomes a cavitation in the tooth.
  • Reactive: Wait until it worsens, which can lead to fillings, bonding, or veneers.

Case Study: The Cost of Waiting

A patient once came to us right after getting their braces removed with white spots on nearly every tooth. We recommended immediate treatment, but they delayed care for several months.

When they returned, the lesions had progressed into cavitated decay. Instead of a quick fix, the patient required full bonding and composite veneers—extensive and costly treatment for such a young age.

Common Causes of White Spot Lesions

  • High-sugar, acidic diets
  • Poor brushing and flossing during orthodontics
  • Frequent snacking or sipping sugary drinks

Treatment Options at Longboard Dental

  • Remineralization therapy – Reverses early enamel damage
  • ICON resin infiltration – A no-drill solution that infuses a protective material into the tooth for strength and improved appearance
  • Cosmetic bonding or veneers – For advanced decay or severe cosmetic concerns

Protect Your Smile – Book a Consultation

If you or your child has white spots—especially during or after braces—don’t wait. The sooner we address the issue, the more natural enamel we can save.

📍 Longboard Dental – Charleston, SC
We specialize in preventive care, minimally invasive dentistry, and restoring smiles with confidence.

Call us today or book online to discuss proactive white spot lesion treatment.

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