Case #2 – Your patient is a 21-year-old male presenting for…

Case #2 – Your patient is a 21-year-old male presenting for an appointment 16 months after his last appointment. He has no significant findings on his health history. He has sealants on all of his first molars and a veneer on tooth #9. There is a grayish ‘shadow’ to the occlusal surface of #31 and obvious cavitation to the occlusal of #18. You note generalized heavy biofilm deposits, especially at the cervical margin of the maxillary anterior teeth.Question: After the biofilm is removed, you dry the teeth and notice a dull, chalky white appearance to the enamel that was underneath the biofilm. What is your assessment?