The white spots are not caused by the braces but by poor oral hygiene. Enamel hypoplasia is when tooth enamel doesn’t form properly, causing it to be thin, pitted and more prone to cavities.

Horizontal grooves in skeletal teeth (linear enamel hypoplasia) are an indication of physiological stress on an individual in early childhood, between six months and six years of age. Disclaimer ...

Topical fluoride treatments in the form of gel or varnish are effective in preventing tooth decay in children and adults with enamel defects from enamel hypoplasia and related conditions.

Increased tooth wear, enamel hypoplasia, and calculus suggest dietary stress during the village’s early role supplying urban Jerusalem, while later improvements reflect growing prosperity.