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Adult Braces London
Tooth Damage & Decay

Early Tooth Decay & White Spot Lesions

The earliest visible signs of enamel breakdown — reversible with a structured prevention plan.

Overview

White spot lesions represent the very first stage of tooth decay — enamel has lost minerals but has not yet collapsed into a cavity. At this stage, the process is often reversible with the right preventive strategy.

These lesions are particularly common after orthodontic treatment or in areas where plaque is difficult to clean. They can also appear around the gumline or between teeth.

Management focuses on remineralising the surface through high-fluoride toothpaste, varnish applications, targeted hygiene instruction and, in some cases, resin infiltration to cosmetically camouflage the white spot.

Common symptoms

  • White or chalky patches on teeth
  • Surface roughness
  • Mild sensitivity
  • Matte appearance where enamel was shiny

Common causes

  • Plaque build-up around brackets or in grooves
  • Frequent sugar or acid exposure
  • Poor saliva buffering (dry mouth)
  • Inconsistent fluoride use

Our approach

1

Comprehensive examination

We begin with a focused clinical examination, digital X-rays where indicated, and a full medical and dental history to build a complete picture of your symptoms.

2

Transparent diagnosis

You receive a clear explanation of what we find, shown on-screen with intra-oral imaging so you can see exactly what we see — no jargon, no pressure.

3

Options-based treatment plan

We present all suitable treatment options with realistic outcomes, timings and written costs so you can make an informed decision at your own pace.

Get a clear answer, without pressure

Our team will examine, explain and give you all suitable options — with written costs you can take home.

Membership — for info

Save 50% on every treatment

From £20/month. Add family for £10/month each. No joining fee.

  • 50% off check-ups & hygiene
  • 50% off cosmetic & restorative
  • Priority appointment booking
  • One simple monthly bill