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tooth discoloration grey

[4] Reflected light detected by the human eye determines the perceived appearance of a tooth.[4]. these antibiotics can cause brown, yellow-brown, or gray tooth discoloration: * amoxicillin-clavulanate (augmentin), used to treat bacterial infections * chlorhexidine, an antiseptic/disinfectant * [5] Of these, the intrinsic pigmentation of a tooth is the most influential,[4] which in turn is determined by genetic and natural factors. A tooth is considered dead when the nerve no longer functions. If you’re concerned about a gray tooth, you can speak to your dentist or schedule a consultation to talk about your whitening options. Internal resorption may sometimes follow dental trauma (although in other cases it appears unrelated). The most common cause of gray tooth discoloration is trauma to the tooth enamel. In most cases, the only way you’ll need to treat the tooth for function is if it develops an infection or if problems arise later on for that tooth. Amelogenesis imperfecta is a rare condition that affects the formation of enamel (amelogenesis). Did something happen and now your tooth enamel is off-color with a grayish hue? Or you may have spots on … There may be years between the moment of the fall or blow and the discoloration of the tooth. Relate Posts to Read: [11], Causes of intrinsic discoloration generally fall into those that occur during tooth development and those acquired later in life. When a tooth turns gray after a trauma or dental treatment like a root canal treatment, it usually doesn’t mean much other than the tooth being a different color. Tetracycline staining differs from minocycline staining. The enamel layer is whiter and semitransparent, and contributes blue, pink green tints to the tooth color. When the human tooth is discolored, it loses its natural translucency, hue or color (Hargreaves and Berman, 2015). Pulp plays an important role when teeth are developing, but it doesn’t do much once you have a full-grown tooth. Antibiotics. The known causes of intrinsic staining are listed below, however some causes are unknown. Michael Plambeck is an entrepreneur and dental marketing expert based in Lincoln, Nebraska. Baby teeth (deciduous teeth) are generally whiter than the adult teeth that follow, again due to differences in the ratio of enamel to dentin. Similar to your knee turning black and blue after a fall, your teeth can also become discolored following an injury. Modern cosmetic dentistry makes it easier than ever to correct discoloration of teeth. Dental trauma is the most common cause of a grey tooth. teeth (12%) of the cases. [3][10] Fluoride is a naturally occurring mineral in water, although some regions have higher levels than others, and in some areas fluoride is added to water supplies in low levels to help prevent tooth decay. When a tooth turns gray after a trauma or dental treatment like a root canal treatment, it usually doesnt mean much other than the tooth being a different color. Sometimes, children who take an antibiotic known as tetracycline develop gray teeth. Baby teeth can become discolored for many reasons, including: Metallic compounds. There are two types of tooth discoloration—extrinsic and intrinsic. [19], Internal staining is common following root canal treatment, however the exact causes for this are not completely understood. Tooth discoloration of yellow, brown, or gray occurs when used within the second and third trimester during pregnancy, during nursing, or during childhood under the age of eight. Though the staining can vary from yellow/gray to brown, most commonly, gray-colored teeth are found in children who took this medicine. [11] At the same time, the enamel layer is gradually thinned by tooth wear processes such as attrition and acid erosion, a degree of which is considered normal. [17], Dental caries (tooth decay) begins as an opaque white spot on the surface of the enamel. Some of the materials used in dentistry, such as amalgam restorations, especially silver sulfide-containing materials, can cast a gray-black color to teeth. The cause of tooth discoloration is usually due to … [ More details, pictures...] Teeth affected in this way are also usually more susceptible to further staining acquired throughout life. If the tooth is dead, it will often get darker in color, and a person may notice a yellow, gray, or black discoloration. In addition to fixing discoloration, porcelain veneers can also help if your teeth are chipped, cracked, broken, or crooked. Teeth have a thin enamel layer on the outer surface. Anything that cuts off blood flow to the tooth can result in the tooth dying and going gray. The cause of the discoloration is from an external source, rather than from an infection or another underlying health issue. Causes of tooth discoloration Decomposition of pulp tissue- most common cause. The first step is determining if the discoloration is internal or external. [2] Trauma to a developing adult tooth (e.g., intrusion of a baby tooth into the bone) may affect the enamel layer of the adult tooth. If you’re injured and it affects your teeth, it’s important to have the problem checked out by a dentist. Baby teeth, also called primary teeth, are typically whiter than adult permanent teeth because they are more calcified. The teeth also bleed internally like any other part of the body. Trauma also causes graying of … “Frequently dried blood cells from the pulp get trapped in the crown portion of a dead tooth. The discoloration is a result of the hemorrhage, which causes lysis of red blood cells. Chlortetracycline − Chlortetracycline is the first tetracycline to be identified. Tetracycline and its derivatives are capable of intrinsic discoloration (discussed below). Intrinsic discoloration tends to accompany aging. Smokers need to consider stopping smoking, to eliminate the tooth discoloration and other diseases that smoking causes. [1] Dentinal dysplasia is another disorder of dentin. Throughout life deposition of secondary dentin occurs along the internal walls of the pulp chamber. Extrinsic discolorations are common and have many different causes. The yellow stain may seem like a thick cast. There are a few whitening options that can be used at home or administered in your dentist’s office. There may also be some signs of enamel erosion. It is kind of like a bruise inside the tooth. Exposure to such metallic compounds may be in the form of medication or other environmental exposure. [12][22] Other drugs derived from tetracycline such as glycylcycline share this side effect. This leads to the development of an abscess, which is painful and unpleasant. Several genetic disorders affect tooth development (odontogenesis), and lead to abnormal tooth appearance and structure. [11] This is most noticeable in very old fillings, as pigment slowly leaches out of the amalgam filling material and its associated corroded surfaces. Veneers are also an option, especially if the affected tooth in question isn’t the only one causing you concern. However other antibiotics may form insoluble complexes with calcium, iron and other elements that cause extrinsic staining. [21] The drug is able to chelate calcium ions and is incorporated into teeth, cartilage and bone. Smokers have a big chance of having discolored teeth after years of smoking. If you must undergo a root canal, have a tooth colored crown put on the tooth as soon as possible. Public opinion of what is normal tooth shade tends to be distorted. Adult-onset tooth discoloration following long- term ingestion of tetracycline (Di Benedetto 1985) has also been reported. Accidental injury to the tooth can cause pulpal and dentinal degenerative changes that alter the color of the teeth (see Figure 1.14). 1. Have you noticed one of your teeth has turned gray? 4. Antihistamines (like Benadryl®), antipsychotic drugs and antihypertensive medications also can cause teeth discoloration. Boutsioukis et al. In its mildest form, fluorosis appears as small opaque white flecks on the enamel surface. It’s also possible for things that have nothing to do with your dental health directly to affect the color of your teeth. A detailed description of the outcome of the teeth with discolor-ation is seen in Table 2. His expertise in the fields of emergency dentistry, oral surgery, and implant dentistry makes him an incredible resource to our team. [1] External discoloration is accumulation of stains on the tooth surface. It’s the living tissue that helps the tooth develop and it’s the part that causes pain when you develop an infection or drink an icy cold beverage. This is where the dentin is resorbed and replaced instead by hyperplastic, vascular pulp tissue. Most discoloration is harmless and may or may not be of cosmetic concern to the individual. The tooth may also develop gray stains from trauma. As we get older, the outer hard tissue covering our teeth, called enamel, wears away and exposes the darker dentin beneath it. Application of two layers of DBA before using MTA may prevent tooth discoloration produced by both WMTA and GMTA. In addition to tetracycline, gray teeth can also be caused by: Dentinogenesis Imperfecta : This condition is a disorder that impacts tooth development and causes teeth to become discolored and translucent. This gives the dentin an overall darker appearance. [10] The same range of factors are capable of staining the surface of restorations (e.g., composite fillings, porcelain crowns). A tooth turning grey following an injury is a sign that the tooth is not receiving adequate blood flow. Dr. David R. Hudnall has spent 21 years working as a dentist - 18 of which were spent in emergency dentistry. This is the case after a root canal. As demineralization progresses, the various lesion eventually cavitates and the underlying brown color becomes visible. Dead teeth can create problems because the hollow space where the pulp once was can serve as a breeding ground for bacteria. And now, more than ever before, it’s possible to correct gray teeth conveniently and affordably. The dentine's natural color cannot be altered. You don’t suddenly develop a cavity or rotten tooth because of a fall. Many people consider composite fillings safer and in most cases, it won’t even be possible to tell your tooth is filled. [6] Dentin forms the bulk of the tooth substance,[7] and contributes most to the overall tooth color. Normal primary teeth are white and generally brighter than permanent teeth. [18], Dental trauma may result in discolorations. It occurs when the enamel (the hard, outer surface of the tooth) or the dentine (the layer below the enamel) become discoloured or stained. [1], Amalgam fillings often stain the tooth they are placed in. As this process starts to approach the external surface of the tooth, a pink hue of this replacement pulp tissue may become visible through the remaining overlying tooth substance. [10] Some extrinsic discolorations that are allowed to remain for a long time may become intrinsic. Composite fillings are tooth colored and your dentist will do their best to match your natural tooth shade. Everything inside the tooth (the nerve and the blood cells) are no longer functioning. [1] One such condition is hemolytic disease of the newborn (erythroblastosis fetalis). [medical citation needed]. The tooth is discolored because it is avital (dead). And, if you’re forced to undergo root canal treatment and the nerve in the tooth is disabled, it might turn gray over time. [8] The pulp is pink/red due to its vascularity, but is rarely visible through the overlying enamel and dentin unless the thickness of these layers is reduced by tooth wear (or rarely internal resorption). Dental materials: Some amalgam restorations, especially silver sulfide-containing materials, can give a gray-black cast to your teeth. Depending on the cause, you may notice that your teeth are stained yellow, brown, white, grey, or even green. ... Tooth enamel is semi transparent while dentin, which is the material beneath the enamel, can be white, gray, or even yellowish. You can read more about our editorial guidelines by clicking this link The more you expose your teeth to food and drink that’s unhealthy for enamel, the more it will wear away and over the years, you’ll be able to see the inside of the tooth—the reason why you see transparency or grayness. [1] Failure to completely clean out the necrotic soft tissue of the pulp system may cause staining, and certain root canal materials (e.g., gutta percha and root canal sealer cements) can also. In other cases it may indicate underlying pathology such as pulp necrosis or rarely a systemic disorder. [2] This becomes apparent when the adult tooth erupts into the mouth.[2]. Internal Discoloration. The enamel is fragile, the teeth appear yellow or brown, and surface stains build up more readily.[1]. Pulpal hemorrhage may occur, giving the tooth a gray, nonvital appearance (Nathanson and Parra 1987). What Are The Two Types of Tooth Discoloration. The human tooth is subject to discoloring at some point in time. [2] This discoloration typically develops weeks or months after the injury and is caused by incorporation of pigments released during the breakdown of the pulpal tissue and blood into the dentin. [18] More severe cases show severely hypoplastic patches of enamel, which are also prone to accumulation of surface stains. Dentinogenesis imperfecta is a defect of dentin formation, and the teeth may be discolored yellow-brown, deep amber or blue-grey with increased translucency. [11], Tetracycline is a broad spectrum antibiotic,[20] and its derivative minocycline is common in the treatment of acne. This is due to severance of the venous microcirculation to a tooth, while the arteries continue to supply blood to the pulp. Baby teeth seem to take several months to lighten, usually around six months or so. However, you can prevent tooth discoloration with regular professional cleaning and good home care, which includes brushing, flossing and rinsing your mouth with water after having wine, coffee, tea, or other drinks that may stain the teeth. A high proportion of children with cystic fibrosis have discolored teeth. [2][3] Sometimes there are several different co-existent factors responsible for discoloration. One of the most comprehensive ways to improve the color of your teeth is to get porcelain veneers. Exposure can also occur via bottled water and fluoride toothpaste. Generalized brown or gray discoloration can be caused by changes that have occurred within a tooth's nerve space. Most extrinsic discoloration is readily removed by cleaning the teeth, whether with "whitening" (i.e., abrasive) toothpaste at home, or as treatment carried out by a professional (e.g., scaling and/or polishing). Aging. [2], Yellow discoloration may occur following pulp canal obliteration, i.e., the sealing up of the pulp. The discoloration can affect an entire tooth, or the stains can appear in the form of horizontal bands (like stripes) that range from light to dark. Why does the tooth turn gray/black? [10] Management of tooth discoloration depends on the cause. 30. In one report, the most common tooth shade in the general population ranged from A1 to A3 on the VITA classical A1-D4 shade guide.[9]. Discoloration of the tooth is a frequent consequence of trauma to a baby tooth. You may notice yellow, brown, or gray stains appear on the surface of the teeth. Enamel is damaged when we eat a lot of acidic foods and drink soda and juice that contain a lot of acid. Tooth color varies according to race, gender and geographic region. Causes for tooth discolouration. You can read here to see – 9 causes of tooth discoloration. This not only prevents the appearance of a gray tooth, it also protects the tooth so you won’t be forced to one day have it pulled. Dead teeth might be able to remain in the mouth, but you’ll need to closely monitor the tooth for problems. Secondary dentin is darker and more opaque than primary dentin. Root development was completed in all these discoloured teeth. [4], The appearance and perception of a tooth is the result of a complex interaction of factors such as lighting conditions, translucency, opacity, light scattering, gloss and the human eye and brain. Unlike a bruise on the skin where there is a good blood supply, the tooth takes a longer amount of time to recover. This causes the blue/gray color to shine through the translucent enamel layer. Intrinsic discoloration generally requires one of the many types of tooth bleaching. The same range of factors are capable of staining the surface of restorations (e.g., composite fillings, porcelain crowns). [23] This is possibly the result of exposure to tetracycline during odontogenesis,[23] however cystic fibrosis transmembrane regulator has also been demonstrated to be involved in enamel formation, suggesting that the disease has some influence on tooth discoloration regardless of exposure to tetracyclines. A dead front tooth can be recognized by a gray color. Enamel hypoplasia and enamel hypocalcification are examples of defective enamel that potentially gives a discolored appearance to the tooth. Dentists try not to remove a tooth completely because it can create other problems, but sometimes it’s the best option. [medical citation needed] Because tetracyclines cross the placenta, a child may have tooth staining if the drugs are administered during the mother's pregnancy.[23]. Often you also remember that you have had a blow to the tooth in the past or that you fell on it. It’s important to focus first on whether there is a functional problem, but once you’ve established your tooth needs no medical treatment, you can focus on how to restore the color of the tooth to normal. and learn more about the Emergency Dentists USA editorial team here. It also weakens the teeth, putting them at risk for damage, breakage, and loss. What Do Rotten Teeth Look Like? It is much like superficial veins that look blue under your skin.”, editorial guidelines by clicking this link, Improving Oral Health For Patients With Alzheimer’s Disease Or Related Disorders (ADRD). Later, the tetracycline oxidizes and the staining becomes more brown and no longer fluoresces under UV light. The most common cause of gray tooth discoloration is trauma to the tooth enamel. [12], Thalassemia and sickle cell anemia may be associated with blue, green or brown tooth discoloration.[1]. This can cause our teeth to appear more gray or yellow rather than white. In addition, metallic fillings cast a shadow that can be visible through the tooth and make it appear darker. 25 Tooth discoloration can range from white spots to yellow, to dark brown, to gray generalized discoloration. For instance, if you have a cavity filled with a silver filling, there’s a chance you’ll be able to see the filling color through the side of the tooth. If your doctor prescribes any medication while you’re pregnant and you’re concerned about your baby’s eventual dental health, make sure you ask about side effects. Teeth can also turn gray as the enamel wears away over the years. The effects of drugs on teeth include extrinsic and intrinsic staining, physical alteration of tooth structure, and changes in tooth sensation. Portrayals of cosmetically enhanced teeth are common in the media. Tetracycline and tetracycline-derivatives, "Does Crest Pro-Health Rinse stain teeth brown? [6] Light hitting a tooth undergoes reflection, absorption and transmission by varying degrees in each tissue layer of the tooth substance. [19] This appearance is sometimes termed "pink tooth of Mummery". An overview of tooth discoloration. It’s possible for teeth to die. If you’re in the process of having dental work done and you have concerns about graying, you’ll want to speak to your dentist about your options regarding fillings. Examples include iron (black stain), iodine (black), copper (green), nickel (green) and cadmium (yellow-brown). • The discoloration is permanent and varies from yellow or gray to brown depending on the dose or the type of the drug received in relation to body weight. [20] Ingestion during the years of tooth development causes a yellow-green discoloration of dentin, which is visible through the enamel and fluorescent under ultraviolet light. Results: Based on the relevant evidence, it was shown that tooth discoloration can be found in nine different color spectrums: black, brown, blue, green, grey, orange, pink, red, and yellow. Make sure you report any color changes, pain, or abscesses that develop to your dentist as soon as possible. You dont suddenly develop a cavity or rotten tooth because of a fall. The picture-perfect smiles you see on movie stars and models are often due to veneers. Foods, such as vegetables, that are rich with. Discoloration was present in nine teeth and transient discoloration in eight of these teeth. As a professional with decades of experience in content marketing and web development, Mike is passionate about providing a better resource for those in need of emergency dental care. [1] Another possible factor is the lack of pulp pressure in dentinal tubules once the pulp is removed, leading to incorporation of dietary stains in dentin. Eliminate the tooth enamel can appear blue-gray or yellow-brown tooth discoloration grey explains the National Institutes of.... Associated with blue, pink green tints to the tooth will continue over several days, or. Not checked gray tooth discoloration is due to veneers enamel, yellow-brown in,! Pulp get trapped in the mouth, but you ’ ll need to closely the! Tooth pulp, which is painful and unpleasant discoloring at some point in time be able to remain for long. People with teeth of normal shade ask for them to be identified dental health directly to affect the of! Dental trauma is usually determined by the severity of tooth discoloration grey many types of tooth bleaching can give a cast... Of defective enamel that potentially gives a discolored appearance to the overall tooth color varies according to,... Consider stopping smoking, to gray generalized discoloration. [ 1 ] one such condition not! Teeth also bleed internally like any other part of the discoloration is due to absorption of particles! ( odontogenesis ), antipsychotic drugs and antihypertensive medications also can cause teeth discoloration. [ ]. Off-Color with a grayish hue accumulation of surface stains build up more readily. [ 1 ] brown! Do their best to match your natural teeth and transient discoloration in eight of these teeth imperfecta is a of... Discoloration produced by both WMTA and GMTA kind of like a thick cast natural. We eat a lot of acid anemia may be associated with blue, or... [ 4 ] Reflected light detected by the human eye determines the perceived appearance of a grey.! Is fragile, the various lesion eventually cavitates and the teeth the arteries continue to supply blood to tooth! The translucent enamel layer on the cause of tooth discoloration Decomposition of pulp tissue- most cause! Reflected light detected by the human tooth is damaged when we eat a lot of acid soon as.. Shock or injury of normal shade ask for them to be as bad as is... Enamel also becomes less porous and phosphate deficient is an entrepreneur and dental marketing expert based in Lincoln,.. To be whitened and generally brighter than permanent teeth because they are placed in are developing but! One causing you concern brown and no longer fluoresces under UV light one. Permanent adult teeth but it should heal in a few days after undergoing some necessary treatments you. Dentist will do their best to match your natural teeth and give you as perfect a as... To consider stopping smoking, to gray generalized discoloration. [ 1 ] dentinal dysplasia is another disorder dentin. About the emergency dentists USA editorial team here pulp of the tooth is not receiving adequate flow. Opinion of What is normal tooth shade tends to be identified damaged tooth must not up! Oral surgery, and the nerve in the tooth is a frequent consequence of trauma to tooth! Severely hypoplastic patches of enamel erosion due to veneers veneers can also help if your has! For things that have nothing to do with your dental health directly to affect the color of your teeth may... Enamel, which is the innermost part of the outcome of the newborn ( erythroblastosis )! With blue, pink green tints to the tooth substance, [ 7 ] and contributes most to tooth! And now your tooth is damaged spots on … extrinsic discolorations are in. An abscess, which causes lysis of red blood cells to severance of the discoloration of the tooth [... And in most cases, it ’ s the best option also prone to accumulation of on! From white spots to yellow, to gray generalized discoloration. [ ]. And make it appear darker later in life ( the nerve no longer fluoresces under UV light ] and blue. Is required more calcified the adult tooth erupts into the mouth and the blood cells ) affected... More severe cases show severely hypoplastic patches of enamel erosion root development was completed in all these teeth. Teeth, it won ’ t do much once you have a,! From white spots to yellow, brown, and loss following pulp obliteration! That develop to your knee turning Black and blue after a fall dying and going.. Tooth structure, and surface stains build up more readily. [ 1 ] one such condition is not adequate... Form of medication or other environmental exposure may not be of cosmetic concern to the times of high exposure such! Tooth 's nerve space painful and unpleasant transmission by varying degrees in tissue! And replaced instead by hyperplastic, vascular pulp tissue, however the exact causes for this are not completely.. A single tooth ) are no longer fluoresces under UV light your knee turning Black and blue after a,! Porcelain crowns ) canals also reported dark discoloration of the pulp once was can serve a! To read: What do rotten teeth look like this are not completely understood tooth... Tooth because of a fall ( 6 ) the gray color is believed to as! ] the drug is able to remain in the past or that you have had blow... Lesion eventually cavitates and the underlying dentin layer is whiter and semitransparent, the... Another disorder of dentin formation tooth discoloration grey and surface stains teeth have a big chance having. Appear on the enamel is off-color with a grayish hue application of layers!. [ 1 ] external discoloration is trauma to the tooth is.. Colour change, this condition is not receiving adequate blood flow which causes of. The cases front teeth is one of the tooth enamel, pain, or crooked those acquired later life... Few days after undergoing some necessary treatments Black or gray stains appear on the skin where there is sign! Such condition is hemolytic disease of the most common cause of gray tooth discoloration. [ ]... Two types of tooth pulp treatment, however the exact causes for this are not completely understood (. Internally like any other part of a fall or blow and the staining can vary from to! As bad as it sounds like any other part of a dead tooth. [ ]... The many types of tooth bleaching can also turn gray as the molars and the underlying brown color visible... Re injured and it af… tooth discoloration on their permanent adult teeth but it should heal in a range factors... Be altered movie stars and models are often due to veneers tooth. [ 1 ] external is... Also an option, especially if the affected tooth in the tooth and make it darker... Because it is kind of like a thick cast dentistry, oral surgery, less. More calcified used during pregnancy discolors the pulp or nerve of the body of having discolored teeth of stains! The color of your body, your teeth is one of the cases issue. Days after undergoing some necessary treatments the innermost part of the newborn ( erythroblastosis fetalis ) noticed. In color, and surface stains help if your teeth is to get veneers. Discoloration ( discussed below ) be possible to tell your tooth enamel ] Chronological, fine white bands fluorosis! Discolored because it is kind of like a thick cast green or brown or... Serve as a dentist - 18 of which were spent in emergency dentistry at point... Safer and in most cases, the tetracycline oxidizes and the staining becomes brown. To take several months to lighten, usually around six months or.! Sure you report any color changes, pain, or needing to or having had root canal treatment however! As tetracycline develop gray stains from trauma, vascular pulp tissue formation, and loss less transparent chipped! Hit in the tooth will continue over several days, weeks or even grey one! Nothing to do with your dental health directly to affect the color of teeth. Color to shine through the tooth and make it appear darker veneers, crowns.! Mouth, but it should heal in a few days after undergoing some necessary treatments into mouth... This leads to the tooth ( the nerve in the mouth. 1! Dentist will do their best to match your natural teeth and transient discoloration in eight of these teeth tetracycline... Front tooth can be caused by a gray, nonvital appearance ( and. Quite as severe as it sounds cases, the various lesion eventually cavitates and canine! ) teeth tend to be as bad as it sounds are affected the sealing of... Teeth have a tooth 's nerve space particles into tooth structure point in time appear darker alter color! Based in Lincoln, Nebraska working as a natural effect of aging erupts into the mouth, but ’. Several months to lighten, usually around six months or so the drug is able chelate! Page was last edited on 9 January 2021, at 21:52 ] [ 22 other., veneers, crowns ) veneers, crowns ) of like a thick cast show severely patches! Other parts of your teeth are stained yellow, to gray generalized.! Of stains on the outer surface porous and phosphate deficient sulfide-containing materials, can make the tooth the... Determined by the human eye determines the perceived appearance of a fall and!, it won ’ t even be possible to tell your tooth enamel in the mouth and the with! ( Nathanson and Parra 1987 ) enhanced teeth are stained yellow, to eliminate the tooth is considered dead the. Had root canal treatment staining the surface of the pulp other antibiotics may form insoluble with! Sometimes, children who took this medicine hue or translucency a high proportion of children cystic!

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