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Which Types of Deep Discolouration Can Be Considered for Veneers? Tetracycline-Related Grey-Black Discolouration as an Example|證據鏈

This article discusses just one discolouration scenario: deep discolouration caused by tetracycline during tooth development—the kind in which grey, blue-grey or brown bands cross the tooth surface. It is one of the most typical and most difficult forms of deep discolouration to manage. The conclusion comes first, in sequence, because the sequence itself is the answer: First, this discolouration is not on the tooth surface; it is within the tooth structure. Tetracycline discolouration results from use between 6 months and 6 years of age, while the crowns are forming, and the extent of its effects depends on the dose, duration of medication, stage of tooth mineralisation and degree of activity during the mineralisation process. Cleaning instruments cannot reach it—that is the subject of another article. Second, the sequence recommended in the literature is to bleach first. One literature review states this directly: for mild tetracycline staining, tooth bleaching is always the first treatment option; restorative treatment is indicated for severe staining.

Which Types of Deep Discolouration Can Be Considered for Veneers? Tetracycline-Related Grey-Black Discolouration as an Example|證據鏈

本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。

  • F1|Tetracycline staining of the dentition: a review of the literature and report of a clinical case. [PMID:38640005](https://pubmed.ncbi.nlm.nih.gov/38640005/)
  • F2|A randomized controlled trial of home bleaching of tetracycline-stained teeth. [PMID:28478214](https://pubmed.ncbi.nlm.nih.gov/28478214/)
  • F3|Bleaching: the initial treatment consideration for tetracycline-stained teeth. [PMID:34172864](https://pubmed.ncbi.nlm.nih.gov/34172864/)
  • F4|Effect of ceramic materials on the optical properties of porcelain veneers for tetracycline-stained teeth. [PMID:34041885](https://pubmed.ncbi.nlm.nih.gov/34041885/)
  • F5|A randomized controlled study on color stability of tetracycline teeth restored with ceramic veneer. [PMID:34041884](https://pubmed.ncbi.nlm.nih.gov/34041884/)
  • F6|Main Clinical Outcomes of Feldspathic Porcelain and Glass-Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis of Survival and Complication Rates. [PMID:26757327](https://pubmed.ncbi.nlm.nih.gov/26757327/)

FAQ

Do scaling or air polishing work on discolouration caused by tetracycline?
No. Tetracycline discolouration is intrinsic: it became incorporated into the tooth structure during tooth development. It results from medication during crown formation between 6 months and 6 years of age, and its extent depends on the dose, duration of medication, mineralisation stage and degree of mineralisation activity [F1]. Cleaning procedures act on material attached to the tooth surface and cannot reach colour within the structure. This is not a difference in how well they work; the principle involves different layers.
テトラサイクリンによる変色に、スケーリングやエアポリッシングは有効ですか?効果はありません。テトラサイクリンによる変色は内因性変色であり、歯の発育期に歯の構造へ取り込まれています。生後 6 か月から 6 歳までの歯冠形成期の投薬に由来し、その程度は用量、投与期間、石灰化段階、石灰化の活発さによって決まります [F1]。クリーニング処置が作用するのは歯面の付着物であり、構造内部の色には届きません。効果の良し悪しではなく、原理上、作用する層が異なります。
Do scaling or air polishing work on discolouration caused by tetracycline?No. Tetracycline discolouration is intrinsic: it became incorporated into the tooth structure during tooth development. It results from medication during crown formation between 6 months and 6 years of age, and its extent depends on the dose, duration of medication, mineralisation stage and degree of mineralisation activity [F1]. Cleaning procedures act on material attached to the tooth surface and cannot reach colour within the structure. This is not a difference in how well they work; the principle involves different layers.

Cite this article

Lucy・《Which Types of Deep Discolouration Can Be Considered for Veneers? Tetracycline-Related Grey-Black Discolouration as an Example|證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-tetracycline-veneer-indication-evidence

Updated 2026-08-19

更新 2026-08-19T13:24:34.830Z · server-rendered · four-language · IDAEO 知識庫