Beautiful Smiles        Microscopically Assisted Dentistry        Gentle Dentistry


 Gregory C. Dilger D.D.S.           General Dentist            1353 Edgewater St.          West Salem          (503) 378-0466   

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Dental Cosmetic Concerns: White Spots


One of dentistry’s more frustrating cosmetic concerns is white spots on the teeth. White spots show up for a variety of reasons, the most common are from too much fluoride while the teeth are growing, and poor oral hygiene while wearing braces.  New advances in dental research provide some resolution for these spots.


The white spots are where there is a different amount of calcification in the enamel compared to the surrounding tooth structure.  Our goal is to even the density and therefore the color for the entire tooth. While we cannot get everything exactly the same color, we can vastly improve the esthetics.


To accomplish this we use both an in office and at home treatment protocol, and usually combine this with bleaching.  Meticulous oral hygiene in required to see improvement.


In the office, we first isolate the teeth to be treated. We then clean them with plain pumice and etch them with a mild acid etch.  This step is repeated 3 to 4 times and evaluated for the frosty appearance that indicates the enamel tubules are open and ready to receive the recalcifying paste.  The paste is the applied to the treatment area and allowed to work for 5 minutes.  This in office treatment is repeated every 3 weeks for 6 months.


While undergoing the in office portion of the treatment, the patient is given trays to wear at home twice per day for the duration of the treatment.  The same recalcifying paste we use in the office is used in the trays at home.  The patient in instructed to keep the teeth clean and avoid staining foods such as dark colored soda pop, grape juice, coffee, tea, red wine and smoking.



by Dr. Gregory Dilger - June 7, 2011

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Patient Testamonials


Dear Dr. Dilger:


It all started with my initial phone call to Dr. Dilger's office. I felt so comfortable from the start and after I came in for my first visit it's been all about what I want and what Dr. Dilger and his staff recommends for me. All around, it's been the best dental experience I've ever had.


Al P.




Going to the dentist used to be a nightmare experience for me. That's all changed when I came to Dr. Dilger. Dr. Dilger's office staff are so warm and welcoming. Visiting them is like going home. Dr. Dilger's calm and caring manner erased all my dental anxiety and for the first time in my life I found myself relaxed in a dental chair. Dr. Dilger and his staff really took the time to get to know me and my concerns. They talked with me about my fears and helped me address my anxiety. Now I visit the dentist and I'm not afraid. I can not express the difference Dr. Dilger has made in my dental life! Thanks so much Dr. D.


Molly F.




I love my new smile.  It was so easy too.  Nearly pain free.  I am considering my lower teeth at a later date.


Debbie E.