tooth discoloration

Causes of Tooth Discoloration and Its Prevention

The oral cavity plays significant jobs in the insurance and protection of overall wellbeing; it is associated with communication, food intake, and defense. Teeth are associated with all three jobs, and dental sicknesses can be a starting point of various issues, including oral infections causing difficulty and trouble for biting, eating, and speaking.

Many people think that stained teeth do not have any effect on their overall health. But the truth is that discolored teeth not only make your smile look unattractive but can also cause different gum and tooth diseases.

What is tooth discoloration?

It is the discoloration of your teeth when they lose their original color and start getting stains. Tooth staining can be the reason for incredible embarrassment and can cause individuals to feel hesitant about smiling. Remember that nobody’s teeth usually are white, and it’s normal for our teeth to get more stained as we age.

Types of teeth stains:

There are usually two types of teeth stains. Let us discuss the types and their nature.

Intrinsic tooth stain:

This happens when the inward structure of the tooth, the dentin, obscures or builds up a yellow tint. This can be brought about by various things:

Medications, for example, Antibiotic medication and Doxycycline Anti-infection agents, a few Antihistamines, Antihypertensives, and Antipsychotics.

A few illnesses can influence the shade of the dentin or enamel. Furthermore, treatment, for example, chemotherapy, can likewise cause staining.

Drinking an excessive amount of fluids during childhood.

Broken teeth which can cause staining because of enamel damage.

Extrinsic tooth stain:

This happens when the external layer of the enamel becomes discolored because of the utilization of specific substances. Eatables that can cause tooth staining to include:

Poor dental cleanliness that outcomes in the gathering of stain-causing particles

Food and drink, for example, coffee, tea, wine, cola, tobacco, and certain vegetables and fruits, such as apples and potatoes.

Chewing tobacco or smoking.

Causes of tooth discoloration:

Many things can cause your teeth to get stained. Here are a few reasons why your teeth lose its original color:

  1. Eating and drinking habits:

Your eating and drinking habits might have a huge impact on the color of your teeth. There are several types of food that can cause your teeth to stain. Eating an excessive amount of these foods are harmful to your teeth. These foods include:

A few fruits and vegetables, too much coffee, tea, wine, carbonated drinks, etc.

  1. Bad oral hygiene:

Another reason for tooth discoloration is poor dental hygiene. Deficient brushing and flossing to evacuate plaque and stain-creating substances like coffee and tobacco can cause tooth staining.

  1. Smoking or tobacco:

Smoking is not only harmful to your lungs, but it also makes your teeth stained. Smokers might tend to get more dental issues as compared to non-smokers. Thus, smoking is injurious for your overall health, including your oral health. Also, chewing tobacco can accelerate the process of teeth staining and discoloration.

  1. Several medications:

Some antibiotics, when given to children when their teeth are developing, can cause tooth discoloration. Also, some mouthwashes and rinses contain substances that can discolor your teeth.

  1. A few diseases:

A few illnesses that influence enamel (the hard surface of the teeth) and dentin (the basic substance under the enamel) development can prompt tooth staining. Moreover, medical treatments for specific conditions can likewise influence tooth shading. For instance, head and neck radiation and chemotherapy can cause teeth staining. Furthermore, certain infections in pregnant moms can cause tooth staining in the newborn child by affecting enamel development.

Tooth discoloration preventions:

The ideal approach to prevent tooth stains is to brush your teeth regularly after eating foods that can cause staining and to ensure you are brushing your teeth two times every day and flossing. Additionally, eat tooth-discoloring foods and drinks with some restraint.

Eating sugarless gum can help kill the acids in the mouth. High-fiber foods can help bring down the corrosive level too; vegetables, for example, beans or spinach, can help produce more saliva in the mouth and can keep the teeth clean.

When you consume foods and drinks that cause teeth staining, you can alleviate their belongings in a few different ways. Drink tea or coffee through a straw. The equivalent goes for natural product juices, sodas, and other carbonated drinks; utilize a straw at whatever point conceivable.

If tooth discoloring has just happened, you can use at-home brightening remedies or get yourself a tooth recoloration. One home remedy is brushing teeth infrequently with a small amount of baking soda, yet this is not prompted for regular use, as it tends to be rough. Some home solutions for teeth brightening is to use hydrogen peroxide, and these cures additionally should be utilized with water, since peroxide is incredibly acidic and can damage your teeth.

ortho consultation

Things to Consider for Your First Orthodontic Consultation

Visiting your orthodontist for the first time can be a bit overwhelming; you might feel nervous or confused about how your appointment will go.

Most of the people acquire orthodontics treatment to achieve a perfect smile, while others visit the orthodontist to maintain their oral hygiene. If you haven’t visited the orthodontist yet and planning to get an appointment in the future, here is all you need to know before getting the orthodontic consultation.

What is orthodontic treatment, and who needs it?

Many people have different orthodontist consultation questions in their minds, and the most common one is what the treatment is all about. The orthodontic treatment is used to Not only make your teeth properly aligned and provide you with the perfect smile possible but also to align your jaws position and their relationship to your face.

You can visit renown and experienced orthodontists, Dr. Azita Abbasi if you have following dental issues:

  1. Malocclusion:

Malocclusion is a common name for misaligned teeth. When your teeth are not appropriately aligned, it causes difficulty in eating and speaking. It could appear as buck teeth or overbite, which is one of the most common cases of misaligned teeth.

  1. Crossbite:

In a crossbite, your teeth are either too close to the tongue or your cheeks, which is not the standard alignment.

  1. Open-bite:

Open bite is when your upper and lower front teeth are not in alignment when the mouth is closed.

  1. Crowded teeth:

Crowding of teeth occurs when there is not enough room for the teeth to grow; this maybe because of early tooth loss or issues with the jaws.

If you have any of the issues mentioned above or any other dental or jaw misalignments you should consult a specialists in Orthodontics and Craniofacial Orthopedics, Dr. Azita Abbasi at Top Nova Orthodontics is a Board-certified.

Preparing for the first orthodontic consultation:

To get the most out of your first orthodontic appointment, here are some of the things you can consider:

Ask questions:

To understand your orthodontic treatment, you can ask your orthodontist these questions:

  1. What is the underlying problems causing my teeth or jaws misalignment?
  2. Which is the best treatment for my dental issue?
  3. What types of braces or treatments you can get and why that type is the perfect pick for your dental issue?
  4. What will be the total cost of my orthodontic treatment?
  5. The cost of the treatment is one of the essential things to ask before getting your treatment done. One should not start getting the treatment before knowing all the costs involved.
  6. What will be the time duration of my treatment?
  7. It is one of the most common questions people ask. We all know how unattractive the braces are considered. Thus, people want to know for how long they will have to keep the braces on their teeth.
  8. How to take care of my treatment?
  9. Maintaining good oral hygiene is one of the essential things during your orthodontic treatment. Hence, you should understand properly about how to take care of your braces and oral health. Note the points which the orthodontist might suggest to you.
  10. How often I must visit during the treatment?

You should know about how often you must visit the orthodontist during your treatment for the follow-ups.

Stay confident and relaxed during your consultation:

Keep in mind that you are doing this to achieve good oral health and a perfect smile for life.

What to expect?

The aim of your first appointment is to have detailed knowledge about your dental issues and which treatment would be suitable. Dr. Abbasi will perform a thorough examination of your mouth, teeth and airways.

At Top Nova Orthodontics we are equipped with the latest advanced technologies. All our images are 3D. We will take a few photographs of your teeth and mouth and a 3D Xray of your skull. We also have a 3D iTero Element scanner.

Dr. Abbasi will have a close look at your problem and will suggest your treatment and course of action accordingly. Dr. Azita Abbasi will exam Not only your teeth but also your jaws, airways, sinuses. She will ask you questions related to any history of allergies, mouth-breathing, sleep Apnea, TMJ problems, grinding and oral habits like thumb sucking or tongue thrust.

If an expansion treatment is needed, the impression of your teeth will also be taken. These Xrays and impressions will be beneficial for your treatment plan according to your issue. Dr. Abbasi works closely with your sleep doctor as well as your ENT to help improve your life quality not only your smile.

When you come prepared for the consultation, you can learn the most about your dental health as you have already practiced the questions to ask.

Top Nova Orthodontics, is recognized as one of the best orthodontic clinics. The orthodontic adjustment usually takes place every 5 to 10 weeks to check the progress of your treatment. Dr. Abbasi will determine the progress of your treatment and advise you accordingly.

If you have any dental misalignment, and planning to give your teeth a perfect smile, then book an appointment with us today. We have the best orthodontists on board who will provide you with the most suitable treatment at a very competitive price.

Palatal Expanders

The Importance of having Palatal Expanders for Children

We know how important it is to have properly aligned teeth even for the kids.

Among many other treatments, the palatal expander for children is one of the effective ways to deal with dental crowding.

What is a palatal expander?

A palatal expander is a technique utilized by orthodontists to broaden the upper jaw of a youngster’s mouth. This extending of the upper jaw can assist with guaranteeing that there is sufficient room in the child’s mouth when their permanent teeth come in. It makes more space in a kid’s mouth by expanding the upper jaw. Even though this may sound alarming, it’s actually effortless, the procedure is pain-free. That is because the upper jaw expands as two separate parts that don’t totally meld until adolescence. Before that occurs, the two bones can delicately be isolated and balanced out within a few months.

When does your child need Palatal Expanders?

These are some of the reasons which might lead you to take your child to an orthodontist and get Palatal Expander for your child.

1. Crowding of teeth:

Even when the child has no teeth or hasn’t got all the teeth grown, the orthodontist can tell when there won’t be sufficient space for all the teeth. This is known as crowding of the teeth. If your kid’s teeth are overlapped, then they may need Palatal Expander. Palatal expander may prohibit the need for tooth extraction; the expansion of the upper jaw can make the vital space for the teeth to accommodate.

2. Crossbite:

If the upper jaw of your kid is too narrow, and it does not fit appropriately with the lower jaw, then this case is called crossbite. The teeth in crossbite are not in proper alignment. Crossbite is also referred to as malocclusion in the medical term. With crossbites, it gets difficult to close your mouth properly. Also, malocclusion can cause difficulty in speaking and eating. This improper growth of the teeth can affect the whole structure of your child’s face. Your child’s teeth can be properly aligned with the Palatal Expanders for children.

3. Impacted teeth:

An impacted tooth is a condition in which the tooth cannot erupt properly as other teeth block it. This can cause tremendous pain and can damage other teeth too. Also, leaving the impacted tooth untreated can make it susceptible to any tooth disease or damage. Another damage which can occur because of an untreated, impacted tooth is that it grows in the wrong direction, which can cause more pain and damage. This usually happens to your canine or eyetooth. You must get the expansion done for your child’s impacted tooth to prevent any damage or disease. Expanding the jaw can make room for the tooth to grow in proper direction and alignment.

Benefits of Palatal Expanders:

1. Relieve Airway Obstruction:

If your child snores too much, encounter heavy breathing, or teeth grinding, then it might be possible it is because of the airway obstruction. With a Palatal expander, the widening of the jaw can make it easier for your child to breathe properly. It lets the child breathe through their nose as it widens the nasal airway. It also created more space for the tongue to fit in as oppose to smaller mouth that pushes the tongue back to the airway and blocks the path of air.

2. Achieve perfect wide smile:

Many children lose self-confidence if they find anything inappropriate in their facial structure. When your child has perfectly aligned teeth and an amazing wide smile, it will give them a confidence boost.

3. Make room for teeth to grow:

When the jaw is expanded, it gives space to the teeth to grow in proper alignment. Who does not want to have a set of teeth which are in a straight, perfect position? Thus, by expanding the jaw, your child can achieve the appropriate growth of teeth.

How Palatal expanders feel?

At the start of the treatment, your child might feel some tightness, which can be a little bit uncomfortable. But as with the passage of time, this soreness will fade, and the treatment will show its effects. Taking care of the appliance is quite easy as it is cemented in the mouth. But proper care is a must as food particles might get stuck in it. Cleaning the appliance properly with a toothbrush and Waterpik several times a day is essential.

Being proactive is recommended when it comes to the oral hygiene of your child. The results of this treatment might surprise you. If your child is encountering any of the mentioned oral issues, you should consider Top Nova Orthodontics. Also, if you need to know more about our Palatal Expanders for children, you can get an appointment and visit Dr. Abbasi at Top Nova Orthodontics.

Sleep Apnea

What is Obstructive Sleep Apnea? The Symptoms, Causes, and Risk Factors

Did you ever experience that in the middle of the night when you are sleeping; suddenly you feel that there is shortness of your breath? Your partner might think it is a scene from some horror movie and will assume that some paranormal entity had possessed you and making you uncomfortable in breathing. And in all this situation, you are unaware and start breathing again with a gasp. But the truth is, this is a medical issue which is known as Obstructive Sleep Apnea or OSA. In this article, Top Nova orthodontics will discuss everything you need to know about OSA.

What is Obstructive Sleep Apnea?

Obstructive sleep apnea is when something blocks some or the entire of your upper airway when you are sleeping. Your stomach and chest muscles need to work more enthusiastically to open your airway route and maneuver air into your lungs. Your breath can turn out to be shallow, or you may even quit breathing quickly. You ordinarily begin to inhale again with a wheeze, grunt, or a jerk in your body. You may not sleep soundly, yet you likely won’t realize that it’s happening.

Symptoms of Sleep Apnea:

Here are some of the obstructive sleep apnea symptoms for your awareness:

  • Excessive sleepiness in the daytime
  • Uproarious snoring
  • Patterns of breathless sleeping
  • Unexpected awakening in the middle of sleep
  • You got a dry mouth or sore throat when you wake up
  • Morning migraine
  • Trouble concentrating during the day
  • Encountering mood swings
  • Hypertension
  • Low self-esteem and different desires

When Should you Consult the Doctor?

Counsel a doctor if you or your partner experiences the following symptoms:
  • Snoring too loudly that it wakes you or others up.
  • Awakening because of shortness of breath
  • Irregular delays in your breathing during sleep
  • Unnecessary daytime laziness, which may make you nod off while you’re working, for instance, driving, talking, etc

Numerous individuals may not consider snoring an indication of something conceivably genuine, and not every person who snores has obstructive sleep apnea.


There are various obstructive sleep apnea treatments which you can consider a few of them are:

Dental Appliances:

To treat your sleep apnea, there are multiple dental appliances that your orthodontist might offer you. The oral appliance is a top-notch, custom-fitted dental appliance produced for the treatment of snoring and OSA. It is convenient and comfortable. By wearing a dental appliance while sleeping, your lower jaw will be pushed ahead into a comfortable position. It allows relaxation of the tissues at the rear of your throat and guaranteeing the base of your tongue doesn’t collapse and obstruct your airway route, giving you a sound sleep. Most patients and experts favor oral apparatus treatment for its effectiveness and comfort.

CPAP (Continuous Positive Airways Pressure)

With CPAP, your doctor suggests you wear a mask over your mouth and nose while you sleep. The mask is connected to a machine that conveys a consistent progression of air into your nose. This flow of air helps keep your airway routes open so you can inhale how you should. CPAP is the most widely recognized treatment for rest apnea.

UAS (Upper Airway Stimulation)

With Upper Airway Stimulation, your health physician puts a little pulse generator under the skin on your upper chest. A wire that goes to your lung distinguishes your normal breathing pattern. Another wire up to your neck sends mellow signs to the nerves that control your airway muscles, keeping them open. You can utilize a handheld remote control to turn it on before bed and turn it off after you wake up.


When oral appliances and CPAP fail, the doctor would recommend you to go for surgery to treat your sleep apnea. The operation is done to address issues like tonsils, adenoids, etc. which are the main reasons for OSA. Also, more complex surgery needs to be done to adjust the craniofacial bone structures.

Causes of Sleep Apnea:

In adults, the obstructive sleep apnea causes could be excessive body weight and obesity.

In children, enlarged tonsils, large overbites, and adenoids can cause OSA.

Risk Factors:

  • Anyone who has a family history with Obstructive Sleep Apnea.
  • People with the endocrine issue.
  • Smokers
  • Those that are experiencing nighttime nasal blockage because of unusual morphology, rhinitis, or both.
  • People who are overweight and obese.
  • Men and ladies with huge neck sizes.
  • Middle-aged and older men and post-menopausal ladies.
  • People who have abnormal soft and hard tissues of the neck and head.
  • Adults and youngsters with Down syndrome.
  • Children with enormous tonsils and adenoids.

Hence, these were a few things that you must know about sleep apnea, and if you experience uneasiness during your sleep, please consult your health practitioner.

Everything you Need to Know About the Upper Jaw Expanders

People who suffer from a misalignment of teeth, usually go for different braces, as braces are the most convenient way to give your teeth an appropriate alignment. There are various options available for you when it comes to opting for the braces. You can go for conventional metal braces, or ceramic braces, or even the newest Invisalign. Also, you can choose braces if there are gaps between your teeth. But in some cases, there are too many teeth crowding, and it is almost impossible for your teeth to fit in properly. The solution to this crowding is Jaw expansion treatment.

What are Upper Jaw Expanders?

Upper jaw extension is a type of orthodontic treatment that is utilized in specific cases. By extending the palate’s circumference, there is an increment made in the circumference of the upper dental arch to create more space for teeth development. Removing a tooth as a part of orthodontic treatment is one form of a solution, yet an upper or lower jaw expander can make more room for your teeth.

Why you need Upper Jaw Expanders?

Upper jaw expanders help in treating these Dental issues


The crossbite is the bite problem (malocclusion) in which the upper teeth and lower teeth do not come together or bite in proper arrangement. Crossbites occur due to incorrect jaw or teeth positioning or both. The crossbite that occurs in the front teeth is called underbite or anterior crossbite whereas, the crossbite in the back teeth is named as a posterior crossbite. The crossbite results in asymmetrical teeth growth, which can cause facial asymmetry. Thus, the crossbite need to be dealt at the correct time; this upper jaw or lower jaw expanders can help treat severe cases of crossbites in children as well as adults.


When your jaw does not have enough space for your teeth, and they do not grow in proper alignment, it is said to be overcrowding of teeth. In overcrowding, your teeth might bunch up, twisted, pushed towards the back or front. Overcrowding can be a hurdle for you while brushing or flossing your teeth. Thus, when your teeth are not appropriately cleaned, it might result in the cavity, plaque and other oral hygiene issues. Jaw expansion treatment can help to address overcrowding of your teeth with high effectiveness. With jaw expansion, your orthodontist will make space for your teeth to erupt in the correct position.

Breathing issues

When you have a deep or narrow upper jaw, it makes it quite difficult for you to breathe through the nose. This might lead you to constant mouth breathing, which causes an unhealthy inhalation of polluted air, halitosis, and dry mouth. To address the deep upper jaw, which causes breathing issues, you can opt for upper jaw expansion, as it is one of the most reliable solutions.

How do These Expanders Work?

An expander is uniquely made for individuals to fit over a few top teeth in the rear of the mouth. The apparatus has two parts that are associated in the centre with a screw. To activate this device, you just turn the screw a small amount every day with a unique key. This prompts pressure at the intersection of the two palatal bones, making them gradually move apart. When the ideal position of teeth is accomplished, your orthodontist will leave the device for a couple of more months to allow new bones to grow accordingly in the gap and let the expansion to be stable. Usually, expanders are worn for 3-6 months.

What Problems Can you Face Wearing These Expanders?

The two most basic issues that can emerge while having the upper or lower jaw expander is that food can get caught between the expander and the top of the mouth can make it difficult to make the complete turn. When the expander is placed, your orthodontist will tell you the best way to clean around it. However, if the food gets stuck, you can rinse or swish with water, or take a cotton swab and delicately wipe your mouth’s palate.

The other issue that can emerge is that it might be challenging to make a complete turn of the key. In some cases, you think you made the full turn and afterwards remove the key. It seems up as though the turn was completed effectively, however when you go to make another turn; the key won’t go into the new opening.

What to Expect?

When you get the upper jaw expanders placed, you might feel a bit of soreness or pressure for a few minutes when the key is turned. However, this soreness will be gone on its own. Choosing expanders over braces can be beneficial for you in terms of comfort. Eventually, when your jaw expansion is done, your teeth will be appropriately aligned with accurate spacing.

Oral Hygiene Tips For Whiter Teeth

Your teeth do not only help you in eating and chewing, but they also represent your appearance.  Zoom Whitening treatments are available at  Top Nova orthodontics .

But they do not brighten teeth permanently. Every time you eat or drink  you may see the whiteness begin to fade in as little as one month after treatment. The individuals who stay away from food and drinks that stain might almost certainly hold up one year or longer before another whitening treatment or cleanup is required.

Orthodontist Sterling

Here are some secrets for keeping your great whites healthy.

  • Stay away from the utilization of items that stain your teeth, for example, coffee, tea, and red wine. If you eat food that leaves a stain, consider utilizing a straw with the goal that the fluid does not go through your front teeth.
  • Brush or wash your teeth immediately after consuming stain-causing drinks or food particles.
  • Dr. Azita Abbasi, Orthodontist inn Sterling, VA encourages her patients to pursue great oral hygiene practice. Brush your teeth regularly twice a day, floss at any rate once every day to expel plaque, and rinse with a sterile mouthwash at any rate once per day to eliminate bacteria that causes plaque. Utilize a whitening toothpaste (more than once per week) to expel enamel stains and cleans yellowing. Utilize a conventional toothpaste most of the time.
  • Considering orthodontics treatment, Depending upon the whitening strategy utilized, you may need cleaning at regular intervals for a year or two.
  • Utilize a tongue scrubber each morning to evacuate tongue plaque and renew your breath. One primary reason for bad breath is the development of bacteria on the tongue, which a regular tongue scrapping will help expel. Additionally, utilizing a tongue scrubber is more effective than brushing your tongue with a toothbrush.
  • Chewing on hard things can prompt breaking the tooth. The crack can be small to such an extent that it isn’t noticeable. All that you eat and drink starting here can get to the inside pieces of the tooth. Inevitably, the wall of the tooth will decay from the back to the front. You may wind up with a tooth that is a complete loss and should be pulled out.
  • Tooth inflammation and sensitivity can be a sign that you have a cavity. Schedule a meeting with your orthodontist when the pain strikes your teeth in the very first place. There may be any treatment like sterling orthodontics or Top Nova orthodontics treatment, to fix the issue and relieve the inflammation or uneasiness.
  • Pick a medium coral or light red lipstick. These hues make your teeth look whiter, though lighter-hued lipsticks will, in general, enhance the yellow in teeth.
  • Brush your teeth with baking soda once a week. This will expel stains and brighten your teeth. Use it similarly as you would toothpaste. Do not forget to spit it out.

Excellent oral hygiene and regular visits to orthodontists are the most valuable techniques you have in maintaining white and bright teeth. Make an appointment today with dental specialists for sterling orthodontics and Top Nova orthodontics treatment and keep your grin bright and white.