Oral Side Effects of Medications. Unlike the usual yellowish color, it looks grayish. Drugs – Some prescription drugs like tetracycline can cause tooth discoloration if they are taken by children while the teeth are forming. 1. Stannous fluoride mouthwash, a popular desensitizing agent, will also yield brown stains in the teeth. Antibiotics. Although it has positive use systemically, it also has adverse effects dentally. Tetracycline Antibiotics: Tetracycline and other antibiotics causes stains that are generally blue-gray or yellow-brown in color, often in a horizontal striped pattern. Users of mouth rinses with copper salts often complain of greenish teeth. Your dentist can advise you on the best course of … on Learn more about the causes and treatment of tooth discoloration here. Parents exposing their children to antibiotics tetracycline or doxycycline before the age of 8 years might also suffer from a tooth stain effect. Philadelphia, Elsevier, 2007. Alfred D. Wyatt Jr. Walsh, D. Palliative Medicine, 1st ed. Some medications cause tooth discoloration, particularly the antibiotic tetracycline and its relatives. If you think you may have a medical emergency, immediately call your doctor or dial 911. Usually the staining starts out as yellow and turns dark brown over time due to a chemical reaction triggered by exposure to light. Philadelphia, Elsevier, 2007. The dentist will remove the damaged part of the tooth and fit a dental crown over the remaining part of the tooth. 2. This is commonly caused by food, drinks, and smoking. Iron salts taken by mouth can lead to black teeth. Foods/drinks. Intrinsic tooth discoloration is a result of a structural change in either the thickness or composition of the dental hard tissues. A particular type of medicine which may lead to staining is tetracycline . Absolutely white teeth do not exist in nature. The most critical time during which tetracycline can be incorporated into baby or milk teeth is from 4 months in utero to 5 months after birth. Medicines: Certain drugs can cause discoloration of teeth. Sunrise Dentistry serves the entire family. Examples of causes are provided in Box 7.5.The most common examples are the brown discoloration, known as mottling, caused by excessive intake of fluoride (Fig. Medications that stain the outer surface of your teeth may be caused by metallic or non-metallic products. Symptoms are sore and inflamed gums or jaw, wobbly teeth, lack of or a heavy sensation in the jaw, edema (fluid) in the gums and jaw, and bone that is exposed. Various medications can directly or indirectly result in tooth discoloration. As clinicians, it is our responsibility to know these therapeutic drugs which can cause tooth discoloration and educate our fellow colleagues to … The complaint is a result of mild-to-severe discoloration of any or all portions of the teeth, typically the anterior teeth. Intrinsic types of staining involve the inner part of the tooth, which makes it more difficult to remove manually using over the counter cleaning and whitening products. These broad-spectrum antibiotics can cause tooth discoloration when given during the formation of teeth. Once the enamel starts to wear out, it will leave a yellow appearance. Philadelphia, Saunders, 2008. Primary Care Companion Journal of Clinical Psychiatry, 2006. If your condition will allow, you might be given an alternative drug. ", American Academy of Periodontology: "How to Keep a Healthy Smile for Life. A drug dose of more than 3 grams or when use exceeds 10 days often can cause teeth staining. Several drugs may also cause intrinsic tooth discoloration. Tooth decay, excessive fluoride, or any tooth injury commonly cause intrinsic tooth discoloration. It is often necessary to know the cause, because it also determines what treatments are possible and which treatment will give you the best results. These medications often contain chromogens, a substance that converts into a dye or other colored compounds. While there are several over-the-counter teeth whitening products available, in-office treatment with a dentist remains to be one of the best options for antibiotic teeth stain removal. While the exact mechanisms of the processes involved in teeth staining remain unclear, it is believed that when metals interact with dental plaque, their sulfide salts will cause stains. (19 – 33) Fluorides: Although fluoride therapy makes the tooth more resistant to dental caries, after chronic use fluorides have adverse effects on tooth. Dental Fluorosis – Fluoride is essential for oral hygiene, but if taken in excess it can cause white lines to form on the teeth. The most prevalent cause of pre-eruptive intrinsic discoloration is the excess fluoride intake while permanent teeth are still developing. The worst offenders of teeth discoloration are medications that actually alter the structure and composition of teeth: Ciprofloxacin: used to treat skin, urinary tract and respiratory infections, Ciprofloxacin may cause a color change in children’s developing permanent teeth. Ciancio, S. Journal of the American Dental Association, vol 135. Permanent teeth tend to appear less intense but more diffused than primary teeth. The best treatment for discolored teeth depends on the underlying cause of the discoloration. THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. Can medications change your sense of taste? [] Extrinsic dental stains are caused by predisposing factors and other factors such as dental plaque and calculus, foods and beverages, tobacco, chromogenic bacteria, metallic compounds, and topical medications. Designed by Advanced Digital Media Services — an SEO, Website Development, and a Digital Media Marketing Company. These antibiotics can cause brown, yellow-brown, or gray tooth discoloration: Amoxicillin-clavulanate (Augmentin), used to treat bacterial infections Chlorhexidine, an antiseptic/disinfectant Doxycycline, used to treat acne Tetracycline, used to treat acne and some respiratory infections Tooth discoloration is caused by multiple local and systemic conditions. Teeth stains and discoloration are fairly normal, but that doesn’t mean they’re something to ignore. Sunrise Dentistry practices holistic dentistry. by 8/11/2020, American Heart Association: "Possible Side Effects of Drugs That Lower Blood Pressure. These are just some of the most common drugs that may cause stained teeth. So where can we classify medications? It is intended for general informational purposes only and does not address individual circumstances. Discoloration or stains that appear inside your teeth, known as intrinsic stains, can be caused by tooth decay, an injury, or a medication. For example, if there were trauma to the tooth and the tooth discoloration is caused by internal bleeding. Antiseptic mouthwashes like Chlorhexidine … It also depends on the color of … Duthie, E.H. These antibiotics can cause brown, yellow-brown, or gray tooth discoloration: These antibiotics may cause greenish or a blue-green grayish color: Too much fluoride can lead to white streaks on the tooth enamel, or a whitish-brown discoloration. on. Reviewed Tooth color depends on the transparency and color of the tooth enamel. Padala, K.P. Tooth discoloration is a common problem for which patients seek dental care. What should I do after I've had a tooth pulled? Yes, certain medication such as antihistamines and antipsychotic drugs can easily cause teeth staining. Glibenclamide, which treats neonates with diabetes, may also cause staining because the ingested chromogens precipitate onto the dental surface. The staining may occur before or after the formation and eruption of teeth. My mother, who had brace treatment when she was young, also suspects orthodontics had made her teeth turn yellow. A visit to your prescribing physician may be necessary. Other antimicrobial agents, such as Amoxicillin-Clavulanic Acid and Linezolid, are said to cause pseudo-discoloration. Age-Related Teeth Stains: This type of tooth discoloration combine the results of both intrinsic teeth stains and extrinsic tooth discoloration because the core tissue of your teeth, the dentin, naturally yellows over time, teeth discolor with age. Certain foods and drinks can cause teeth stains, and as we’ve talked about, tooth discoloration is also a product of several biological factors, including the transparency of your tooth enamel. When you don’t remove plaque regularly, it can harden, turning into tartar. To understand tooth discoloration better, let us first discuss the different categories of staining. ", Cancer Research UK: "Types and Causes of Mouth Problems. Tetracycline was observed to cause brownish discoloration of the baby’s teeth even when the little one was not administered the drug (3). Drugs used locally or systemically are directly linked with both extrinsic and intrinsic tooth discoloration. Antibiotics. Medications – Some antibiotics are known to discolor teeth when given to children whose teeth are still developing. T here are many causes for the discoloration of teeth and molars. The color of a tooth stain is influenced by what causes it. The type and severity of antibiotic teeth stain depends on the type of tetracycline used, its dose, and the duration of exposure. Rees, T.D. Amoxicillin-clavulanate (Augmentin), used to treat bacterial infections, Chlorhexidine, an antiseptic/disinfectant, Tetracycline, used to treat acne and some respiratory infections. We specialize in mercury-free, whole-body health & dental care. There are lots of factors that can cause teeth discoloration, lots of reasons to get your teeth checked out, and plenty of things you can do to reverse it. From: Factors that can cause tooth discoloration, and the type of stains they produce, include the following. Did you know that there are certain medications that can cause tooth discoloration? Let’s check what kinds of drugs may cause stained teeth and what you can do to keep your pearly whites healthy and looking their best. Drugs containing metallic compounds such as iron supplements may cause a dark brown to black discoloration. Practice of Geriatrics, 4th ed. Antihistamines, antipsychotic drugs, and drugs for high blood pressure also cause teeth discoloration. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Infants treated with Ciprofloxacin for Klebsiella infection had decalcification and greenish stains on the teeth. They can also stain permanent teeth from 4 months postpartum to 7 years old. Below are a number of causes of tooth discoloration and their specific treatment. For older people, it is normal to have stained teeth. When the affected teeth erupt, they may have a greenish tint. Medications taken during enamel formation Certain medications can also cause permanent discoloration of teeth. Heidelbaugh, J. Antihistamines (like Benadryl®), antipsychotic drugs and antihypertensive medications also can cause teeth discoloration. Reviewed Porcelain veneers are the treatment of choice for tetracycline-caused stains. Minocycline and Doxycycline react with the glycoproteins of the dental pellicle, a protein film that coats the tooth enamel to help prevent the deposition of salivary calcium phosphate, which increases one’s risk of periodontitis. Potassium permanganate mouthwash, which is used to treat oral candidiasis, causes violet-black stains. Tetracycline is well known for making teeth look yellow, brown, or grey. Color is one of the important characteristics of teeth. It is extremely difficult to treat internal staining of teeth since it affects the dentin layer below the enamel. Check the labels carefully or ask your doctor. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. In most cases, once the pill is stopped, the dark spots fade. Tooth Discoloration: Types, Causes, Prevention and Treatment. Aging – As you age, the outer layer of enamel on your teeth wears away, revealing the natural color of dentin. These will cause superficial stains that can be removed via professional cleaning. A root canal may be necessary and part of the tooth may have been chipped off or damaged. Tetracycline can stain the teeth anywhere from a bright yellow shade to dark brown. Intrinsic discoloration which occurred before your teeth erupted may be caused by fluoride and medications. Get regular dental cleanings with a holistic dentist in Durango, CO to help reduce the appearance of tints and spots. This tool does not provide medical advice. The tooth is slightly backwards American Pregnancy Association: "Acne treatment during pregnancy. This interaction causes oxidation and produces stains when exposed to bacteria or sunlight. WebMD does not provide medical advice, diagnosis or treatment. The pill is a VERY common cause of dark spots in women. Tooth discoloration associated with dental hygiene products is commonplace in the field of dentistry; in dermatology, tetracycline is a known cause of tooth discoloration in children. Extrinsic tooth discoloration refers to stains that are only affecting the enamel. Drugs and Oral Solutions Causing Non-metallic Stains:. Would I need a tooth pulled because of gum disease? How does the dentist fix a chipped tooth? Tooth discoloration is a common dental issue that may occur due to several causes, including medications. I find the whole set of my teeth become more and more yellow after few weeks of invisalign treatment and the discoloration is even, not like patches of coffee stain. August 11, 2020, Medically Intrinsic discoloration. Periodontology 2000, October1998. Even some mouth rinses containing chlorhexidine and cetylpyridinium chloride can result in dental staining. Journal of the American Dental Association, June 2005. It may cause tooth discoloration on primary and permanent teeth depending on the length of treatment or exposure, the dosage, and the stage and degree of mineralization. This is common in young children. additional information. Stains associated with foods (eg, blueberries), beverages (eg, tea, coffee), tobacco products, medications (eg, tetracycline), and other causes … August 2006. Do not forget that these medications can be sold under a different brand name depending on the manufacturer or your location. Applies to amoxicillin: oral capsule, oral powder for suspension, oral tablet, oral tablet chewable, oral tablet extended release What's a temporary fix for a chipped or broken tooth? Therefore, tetracycline should not be given to expectant and lactating mothers or children below 8 years old, unless required. Coffee, tea, colas, wines, and certain fruits and vegetables (for example, apples and … While tooth discoloration is largely a cosmetic problem, it can affect your self-esteem. © 2005 - 2019 WebMD LLC. Reviewed In most cases, age-related staining is also induced by both extrinsic and intrinsic factors. Tartar. Tooth discoloration can result from stains on the surface or changes within the tooth. … As a broad … Osteoporosis drugs known as bisphosphonates can occasionally cause an unusual condition called jawbone osteonecrosis, which causes degradation of the jawbone. Dental materials: Some amalgam restorations, especially silver sulfide-containing materials, can give a gray-black cast to your teeth. About 30% of women using oral estrogen report having melasma like facial pigmentation.Treatment of hormone-induced melasma works best after breastfeeding has stopped, a woman is no longer pregnant, or her contraceptives have changed. Some drugs, such as tetracycline, may have the risk of discoloring the baby’s teeth if the mother has them during pregnancy. ", National Institutes of Health: "Taste Disorders.". Antiseptic mouthwashes like Chlorhexidine can produce a brownish stain among people with plaque-covered teeth. Contact Sunrise Dentistry at (970) 247-3303. The good news is that most drug-induced stains are treatable and preventable. Tetracycline: Clinical evidence began to appear in the early 1960s showing that tetracycline antibiotic could cause tooth discoloration. Clinical Men's Health: Evidence in Practice, 1st ed. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Medically Teeth stains have many causes. Tetracycline and related antibiotics are known to cause discoloration in children’s teeth. In Restorative Dentistry (Second Edition), 2007. Other medications associated with brown spots on … Privacy Policy   Terms and Conditions   Disclaimer, 5 Bad Oral Health Habits That Greatly Affect Your Smile, Dental First Aid Kit: Importance and Tips. Nelson, R. Archives of Dermatology. Tartar can range in … While fluoride supplements are helpful in the prevention of dental cavities, when taken excessively, it can cause defective tooth mineralization or dental fluorosis, which is characterized by brown-colored teeth. on ", Academy Of General Dentistry: "Treatments For Depression Have Dental Side Effects.". All rights reserved. Copyright © 2009 - 2020 Sunrise Dentistry. Stains that penetrate deep into the tooth or that are caused by decay may require fillings, crowns, veneers, or other types of restorative procedures to improve the health and appearance of the teeth. Depending on where these chromogens are deposited, that’s the only time the type of staining involved can be determined. 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