A lovely young lady came into the office last week with a complaint of brown spots on her teeth. She needed to know that these brown spots were decayed spots (cavities). The spots were not merely cosmetic but needed to be restored immediately before further damage occurred to her teeth. The spots (really pitted areas in the enamel) were caused by plaque accumulation around her orthodontic brackets. As a teenager her oral care was not as thorough as it could have been. The acids from the bacteria resting on the plaque destroyed the enamel. She did not visit the dentist the entire time of her orthodontic treatment. Luckily I will be able to restore her teeth and she is determined to take better care of her teeth from now on.