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At least 19 recordsLinked to original sources

Tooth discoloration and resolution following a luxation injury: significance of blood pigment in dentin to laser Doppler flowmetry readings.

Discoloration of teeth is common sequel of dental trauma and is often taken as a sign of irreversible pulpal degeneration, particularly if the crown becomes gray or blue-gray in appearance. If a viable blood supply remains or revascularization occurs following trauma to teeth, removal of blood pigments by normal biologic processes can occur. The assessment of blood flow with laser Doppler flowmetry is an additional diagnostic aid following dental injuries. This technology has been used to monitor the clinical progress of two central incisors that had been palatally luxated in a sporting accident. Color changes were observed and were correlated with symptomatic and radiographic evaluation, sensibility tests, and laser Doppler readings. The results of these examinations indicated that the blood pigment within a discolored tooth crown interfered with laser light transmission. The limitation of this new technology in the assessment of teeth discolored following trauma is significant. Visual radiographic and symptomatic assessment remain as the principal diagnostic criteria at the present time.

Adolescent↗

[Differential diagnosis of tooth discoloration, staining and pigmentation].

Tooth discoloration and developmental defects of enamel and dentin are frequently observed in the pediatric dental clinic. Proper diagnosis may improve the clinicians dental care in many aspects: caries and risk assessment, esthetic restorations and their prognosis, adhesion of restorations and orthodontic appliances, individual and community perspectives of prevention (dental trauma, fluorosis, genetic counseling, financial considerations), behavioral management, and medico-legal issues. This article presents a differential diagnosis of tooth discoloration. External and internal causes for staining and pigmentation are presented in a form resembling the differential diagnosis of developmental defects of enamel. The correlation between these two entities is emphasized and elaborated to schematically review the etiology for developmental and acquired tooth discolorations.

Child↗

Evaluation of extrinsic tooth discoloration.

Extrinsic brown tooth discolorations are frequently detected in connection with antibacterial agents used for chemical plaque control. The present investigation confirmed the staining ability of an antibacterial quarternary ammonium salt, benzethoniumchloride, used as a 2% additive to a dentifrice. A weak chelator did not alter the discoloration tendency. Extrinsic discoloration was evaluated both by direct inspection, from color photographs and by using a microphotometric technique. The discoloration tendency was well demonstrated by all three techniques. Evaluation from the color photographs, however, may be preferable in epidemiological surveys while the microphotometric technique may possess certain advantages in detailed experimental discoloration studies.

Adult↗

Tooth discoloration induced by dental materials.

Tooth discoloration after endodontic treatment is frequently attributed to drugs and filling materials. In this in vitro study the staining potential of various dental materials was investigated by means of a visual method to determine tooth color. Extracted human premolars were prepared, and the following materials were introduced into the pulp cavities: Cavit, Durelon, Dycal, Fletcher's cement, IRM, AH26-silver free, gutta-percha, Duo Percha, Fuji ionomer, and zinc phosphate cement. Before the materials were applied, the original tooth color was assessed on the external buccal tooth surfaces. Further color determinations were undertaken at regular intervals for 6 months after the materials were introduced. Durelon, Fuji ionomer, Fletcher's cement, and zinc phosphate cement did not induce measurable tooth discoloration. Cavit, Dycal, gutta-percha, and IRM caused a mild stain. For the teeth filled with AH26-silver free and Duo Percha, a moderate discoloration was recorded.

Color↗

Tooth discoloration induced by endodontic sealers.

Endodontic therapy often results in discoloration of the tooth crown. The main causes are blood, necrotic pulp tissue, and endodontic materials. The staining potentials of various materials were examined in vitro by means of a visual method for tooth color determination. Extracted premolars were prepared, and the following sealers were introduced into the pulp cavities: Zinc oxide eugenol cement, Grossman's cement, AH26, Diaket, N2, Riebler's paste, Tubliseal, and Endomethasone. Before the sealers were applied, the original tooth colors were assessed on the external buccal tooth surfaces. Further color determinations were carried out at regular intervals up to 6 months after introduction of the sealers. Each material induced measurable tooth discoloration within 3 weeks. Riebler's paste caused the most severe discoloration while Diaket caused a mild stain. The other materials produced intermediate discolorations between those of Riebler and Diaket.

Administration, Topical↗

Single discolored tooth: an alternative treatment approach.

A single discolored tooth is often difficult to treat, but one with an obliterated pulp chamber and root canal presents an even greater challenge. The use of nightguard bleaching is offered as a simpler, alternative treatment to either root canal therapy or the removal of sound tooth structure for fabrication of a facial veneer or a complete-coverage crown.

Adult↗

Minocycline-associated tooth discoloration in young adults.

After observing a patient with adult-onset tooth discoloration coincident with minocycline administration, we retrospectively surveyed a cohort of patients with severe cystic acne during therapeutic trials with isotretinoin. Four of 72 patients who had minocycline therapy during adolescence were found to have minocycline-associated tooth discoloration, which occurred in one case after only four weeks of treatment. Thus, minocycline must be considered as an uncommon cause of tooth staining in adults.

Acne Vulgaris↗

Nightguard bleaching to lighten a restored, nonvital discolored tooth.

Traditional techniques to lighten discolored endodontically treated teeth have used bleaching materials that had to be applied and directly monitored by dentists. These bleaching techniques have been associated with cervical resorption in nonvital teeth, and the treatment outcome is often difficult to predict. This article describes the use of nightguard bleaching to obtain an esthetic result for a restored nonvital tooth that had been treated with limited success with traditional office-based bleaching procedures.

Adult↗

An overview of tooth discoloration: extrinsic, intrinsic and internalized stains.

The causes of tooth discoloration are varied and complex but are usually classified as being either intrinsic, extrinsic or internalized in nature. Dietary chromogens and other external elements deposit on the tooth surface or within the pellicle layer either directly or indirectly to form extrinsic discoloration. Stains within the dentine or intrinsic discoloration often results from systemic or pulpal origin, while internalized stains are the result of extrinsic stains entering the dentine via tooth defects such as cracks on the tooth surface.

Age Factors↗

Chemical plaque control and extrinsic tooth discoloration. A review of possible mechanisms.

The etiology of extrinsic tooth discolorations due to chemical, plaque-preventive agents is not fully understood. However, information from experimental investigations point to at least 3 possible mechanisms. (A) Non-enzymatic browning reactions (Maillard reactions). (B) Formation of pigmented metal (Fe, Sn)-sulfides. (C) Reaction products of food and beverage constituents and chemical, plaque-preventive compounds. Available evidence indicates that browning (A) and formation of pigmented metal sulfides (B) are the most likely causes of these discolorations while dietary factors (C) may play a modifying rôle.

Animals↗

Bleaching teeth: history, chemicals, and methods used for common tooth discolorations.

This article reviews the history of bleaching teeth to lighten tooth color. The last 2 years have seen a dramatic increase in new bleaching methods and bleaching chemicals. The following categorizes bleaching chemicals and methods in relation to their use in treating common tooth discolorations. Special attention is given to home bleaching methods.

Carbamide Peroxide↗