What Causes Tooth Discolouration?

Tooth discolouration can occur for a wide range of reasons. In some cases, it’s the result of external staining from the food and drinks we consume. In others, the cause may be internal and linked to past trauma, ageing, medication, or even developmental factors.

The causes can be broadly divided into two categories:

1. Extrinsic (Surface) Discolouration

This affects the outer enamel of the teeth and is often caused by:

  • Tea, coffee, red wine, and dark-coloured soft drinks

  • Tobacco use (both smoking and chewing)

  • Certain foods like berries, curries, or soy sauce

  • Inadequate oral hygiene leading to plaque and tartar build-up

These types of stains usually respond well to professional cleaning or whitening treatments, as they affect only the surface layer of the teeth.

2. Intrinsic (Internal) Discolouration

This originates from within the tooth structure and may be due to:

  • Ageing, which naturally darkens dentine over time

  • Trauma to a tooth causing internal bleeding or pulpal changes

  • Certain antibiotics (such as tetracycline) taken during tooth development

  • Fluorosis from excessive fluoride intake in early childhood

  • Previous dental treatments such as root canal therapy

  • Genetic conditions or enamel development disorders

These cases require a more targeted and often more advanced approach. Dr Malik will always investigate the root cause before recommending a treatment plan.


Is Tooth Discolouration a Sign of a Health Problem?

Not always—but it can be. While surface stains are largely cosmetic, sudden or uneven discolouration of a single tooth may indicate an internal issue, such as trauma or nerve damage. In other cases, discolouration may result from decay, demineralisation, enamel erosion or even a genetic condition.

At your consultation, Dr Malik will assess whether the discolouration is purely aesthetic or part of a wider medical issue that needs to be addressed. This is what sets specialist care apart—there’s no guesswork involved, only clinical insight and evidence-based planning.


What Are the Treatment Options for Discoloured Teeth?

The right treatment depends entirely on what’s causing the discolouration and what your goals are. Dr Malik doesn’t believe in a one-size-fits-all approach. Instead, he builds personalised solutions that balance aesthetics with health, longevity, and your comfort.

1. Professional Teeth Whitening

For extrinsic stains and general yellowing, professional whitening is one of the most effective options. Dr Malik uses safe, dentist-supervised whitening systems that deliver consistent results without damaging the enamel.

You may be offered:

  • In-practice whitening for immediate results, often completed in a single visit

  • Take-home custom whitening trays, designed specifically for your teeth and lifestyle

  • A combination of both, for long-term brightness and maintenance

Dr Malik always ensures the health of your teeth and gums is fully assessed before any whitening begins.

2. Internal Whitening (for Non-Vital Teeth)

If a tooth has darkened due to root canal treatment or trauma, standard whitening won’t work. In these cases, internal whitening may be the solution. This involves placing a whitening agent inside the tooth, then sealing it temporarily to allow the internal dentine to lighten over time.

This method is highly effective in the hands of an experienced clinician and can save you from needing a crown or veneer on the tooth.

3. Composite Bonding

When discolouration is patchy, uneven, or linked to surface irregularities, composite bonding may be the most appropriate solution. This involves applying a tooth-coloured resin directly to the enamel, masking imperfections while preserving healthy tooth structure.

Bonding is minimally invasive and can be completed in a single visit. Dr Malik ensures the shade, shape, and finish are carefully customised to match your natural smile.

4. Porcelain Veneers

For more complex cases—particularly when discolouration is intrinsic and widespread—porcelain veneers can offer a transformative solution. Veneers are thin ceramic shells bonded to the front of the teeth to improve colour, shape, and alignment.

Dr Malik works with master ceramic technicians to ensure every veneer is indistinguishable from natural enamel. He will always discuss the process in detail, including preparation, trial mock-ups, and expected outcomes.

5. Airflow Stain Removal

For patients with stubborn surface stains caused by smoking, tea, or coffee, airflow stain removal offers a gentle yet powerful solution. This non-invasive technique uses a fine jet of water, air, and powder to clean the enamel thoroughly and safely.

It’s an excellent option for maintenance, especially after whitening, or as part of your regular hygiene appointments.


What Results Can I Expect?

Dr Malik’s approach is based on transparency and long-term satisfaction. That means setting realistic expectations for whitening and restoration, and choosing materials and techniques that stand the test of time.

Depending on the type of discolouration and treatment chosen, patients can expect:

  • Noticeably brighter, cleaner-looking teeth

  • More youthful and harmonious smile aesthetics

  • Long-term colour stability (especially with porcelain veneers)

  • Elimination of dark or stained areas from trauma or old restorations

  • A tailored maintenance plan to keep your results looking their best

Every result is unique because every patient is different. What matters is that the solution is right for you—not just in terms of appearance, but comfort, health, and confidence.


Dr Junaid Saleem Malik’s Specialist Approach

Dr Malik brings a wealth of experience in cosmetic, restorative, and periodontal dentistry—meaning he doesn’t just focus on the surface, but understands the deeper layers that contribute to both the appearance and function of the smile.

His process includes:

  • Comprehensive diagnostics to uncover the source of discolouration

  • Photographic shade analysis and smile design planning

  • Patient education and transparent discussions about options

  • Gentle, minimally invasive techniques whenever possible

  • Collaboration with top-tier dental laboratories for the most natural aesthetic restorations

Dr Malik is especially known for his conservative philosophy—preserving tooth structure while achieving elegant, age-appropriate, and authentic results. You’ll never feel rushed or pressured, and you’ll always know what to expect at every stage.


How Can I Prevent Tooth Discolouration in the Future?

After treatment, keeping your smile bright and healthy is all about daily habits and ongoing care. Dr Malik will work with you to create a personalised plan that might include:

  • Tailored hygiene appointments with airflow stain removal

  • At-home whitening top-ups where appropriate

  • Dietary advice to reduce staining (e.g., limiting coffee or red wine)

  • Use of an electric toothbrush and fluoride toothpaste

  • Avoiding tobacco products

  • Regular monitoring to assess for changes or relapse


Ready to Love Your Smile Again?

Tooth discolouration might feel like a minor concern, but its impact on your confidence and wellbeing can be significant. Whether you’re preparing for a special event, looking to refresh your appearance, or simply want to feel better about your smile, Dr Junaid Saleem Malik can help you achieve safe, subtle, and striking results.

Book a consultation today and begin your journey towards a brighter, more radiant smile—designed just for you.

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Need more information?

As a specialist Dr Junaid Saleem Malik offers a full range of prosthodontics, restorative and aesthetic dental treatments.