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.

Ameloblasts: Specialized cells responsible for the formation of enamel on teeth. Enamel Hypoplasia: A developmental defect of enamel characterized by a reduction in the amount of enamel produced ...