Pink tooth treatment. Local discoloration of enamel and dentin

A popular question today is: why did the tooth turn pink? Why can't doctors prevent cases of teeth turning pink or red? What does this mean? I went to the doctor to have my tooth treated, and when I returned, I discovered that it was pink. Could this have serious consequences? My answer is short: changing the shade of a tooth towards pink or red is bad. To what extent is up to you to decide after reading. Why did the tooth change its shade to pink?

First reason.

This is resorcinol-formalin paste. Why do doctors fill millions of teeth every year with this muck, which stains them red, brown, pink, gray-brown-crimson? Not only does the dental organ become like a carrot in a matter of weeks or months, but it is also full of other harm: it becomes “fragile”, after years it will be extremely difficult to remove it (as it will “grow” to the alveolus), they are not sealed tightly enough channels...

Yes, and in general, this dirty trick is banned in many countries of the world as a carcinogenic drug. Or is it just another weapon mass destruction, which does not take us?! So, we are not surprised why children and residents of remote villages still have pinkish teeth here and there.

The second reason.

Consequence of tooth trauma. For example, they hit you with a door with a fist hanging on it, and in the morning there was already a pink or red tooth. In children's practice, this fist usually hangs on a swing or on a slide in the kindergarten.

What to do?

If you have a tooth filled with resorcinol-formalin paste, hurry to treat it. Then it will be too late. If a dentist does this to a baby tooth, it can be difficult to turn it from pink back to white. For resorcinol-formalin permanent teeth there are methods intracanal bleaching with the replacement of materials with modern and non-staining ones.

If it has become pinkish as a result of an injury, then you should quickly run to the dentist, as irreversible processes can occur inside its canals: the tooth is easy to lose. Moreover, in addition to hemorrhage inside the canal, due to which the tooth turned red, there may be a fracture, crack or incomplete dislocation of the root.

Local discoloration of enamel and dentin

Acquired tooth color abnormalities

Local superficial damage or damage to limited areas of enamel occurs under the influence of unfavorable factors external environment. The cause of this condition is usually limited areas of demineralization of the enamel during the period of initial caries or early stages acid necrosis.

Initial caries. Initial caries called the appearance of a whitish cloudiness of the enamel, which is called a chalky spot. External surface the enamel does not change, it remains smooth, no roughness is formed. During examination, this area of ​​the tooth does not hurt. The optical properties of the enamel change during this period as a result of an increase in the microporosity of the subsurface layers of the enamel. It is these layers that undergo demineralization. It is believed that the cause of demineralization is the effect of organic acids, which are produced by microorganisms that live in dental plaque during their life activity as a result of the utilization of easily digestible carbohydrates. Hydrogen ions formed as a result of the dissociation of acids penetrate through the micropores of the surface layer of enamel and interact with hydroxyapatite crystals, as a result of which calcium is displaced from the crystals. In the affected enamel, the spaces between the crystals and prisms increase, the sizes of the crystals and prisms decrease. Outer layer the enamel remains intact in the first stages of the lesion. This is the superficial intact layer. Then there is a dark zone that surrounds the front of the spot. The front of the spot or the body of the lesion is the place where both the periphery and the core of the prisms dissolve. The enamel in this area becomes porous. The lesion may extend deep into the tooth or run parallel to the surface. Depending on the age and maturity of the enamel, such lesions can either spread along the surface without forming zones typical for caries, which is typical for immature enamel. In some cases, small chalk spots may form in the subsurface layer. The combination of subsurface demineralization with partial destruction of the surface layer of enamel occurs most often and is typical for people of different ages. age groups. This is related to the action high acidity content oral cavity. In this condition, it becomes impossible to restore the optical properties of the enamel using a conservative method. The formation of micropores in the body of the enamel lesion leads to a violation of the homogeneity of its structure. It loses its properties - transparency and shine. The affected area of ​​the tooth looks matte, this is especially noticeable when the tooth is dried with a stream of air. A carious spot can be pigmented and colored various shades Brown. This staining may be superficial, but in some cases hard tissues The teeth are stained to a sufficiently large depth.

Exogenous (caused by external influences) tooth staining. This staining can be superficial or deep. It occurs when enamel and dentin come into contact with metal fillings. Under the influence of copper amalgam, the tooth acquires green tint. Silver amalgam stains the tooth dark gray, sometimes black. Teeth and previously used materials were stained black: lapis, chromic acid. Tooth staining in different colors can also occur when dyes penetrate into tooth cracks. The degree, intensity and depth of pigmentation in this case turns out to be very different and depends on the type and depth of the crack. Food coloring easily penetrates into tooth tissue. This effect increases with age. Particularly pronounced coloration of cracked teeth is observed under the influence of nicotine. Gradually, the staining may spread to the entire tooth. The cause of tooth discoloration is sometimes necrosis (death) of the pulp. In this case, the color of the entire tooth crown changes.

Trauma to a tooth during its formation. Trauma to a tooth during its formation can lead to discoloration. More often this occurs when temporary (baby) teeth are injured, when the breakdown products of blood cells penetrate into the tissues of the rudiment. permanent tooth and then become part of the tooth enamel. Such changes are detected after tooth eruption. As a result internal hemorrhage the tooth may become stained pink color. Injured permanent teeth can remain alive, but the breakdown products of blood cells accumulate in the dentinal tubules and give the teeth a dark color. brown-yellow color or an opaque yellow tint deep within the tooth structure.

Pink tooth syndrome. Pink tooth syndrome is a result traumatic injury ligamentous apparatus tooth The pink color in this case is formed due to germination in dental cavity granulation tissue, which forms after the death of the pulp or rupture of the neurovascular bundle. This tissue gradually destroys dentin and the pink color of the tooth appears many years after the injury. Pink tooth syndrome is quite rare. Its treatment consists of removing granulations followed by filling the tooth cavity. During orthodontic tooth movement, if force is applied that exceeds the physiological endurance of the tooth, the vessels in the pulp may rupture. In this case, bleeding occurs. If hemorrhage occurs in peripheral parts tooth and the vessel is small, the nutrition of cells in a small area is disrupted, the cells atrophy, but great harm It doesn't do any good to the tooth. But if bleeding occurs from large vessel pulp, then all of it may undergo necrosis and die. The color of the tooth first turns pink due to the penetration of red blood cells into the dentinal tubules. The hemoglobin then breaks down and turns the tooth dark yellow. Subsequently, the tooth may become yellow, brown, dark gray and black.

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Darkening of a baby's tooth may become serious reason to worry his parents. This usually occurs as a result of injury. It is believed that about a third of all children before reaching the age of seven will injure their teeth in one way or another. A tooth that has changed color can confuse a child and worry his parents. However, more importantly, such a tooth can become a source of infection and pain. Tooth trauma may be accompanied by damage blood vessels. In such cases, blood particles can get into the tiny tubules inside the tooth. This process can cause discoloration, turning the tooth gray, brown, or even black. Usually the color change does not occur immediately. The first signs may appear 2-3 weeks after the injury. Also, the reasons for tooth discoloration can be deep caries or resorption (absorption), in which the tooth may become pink or red. Damage inside a tooth is usually irreversible, but in some cases the tooth can be restored, especially if the damage is caused by tooth decay. General rule: The darker the tooth, the more likely it is to be nerve dead. If your child's tooth is discolored, it is best to see a dentist right away so the doctor can see if there are any other signs that the tooth is dead, has a deep cavity, or is showing signs of inflammation or infection. Many of these signs can be seen on x-ray. After this, the dentist will be able to make a diagnosis and prescribe treatment. Depending on the situation, the range of treatment methods can be very wide: from treatment root canal, before filling, crown installation or tooth extraction. If there are no signs of infection or other symptoms, the dentist may decide not to touch the tooth. Eventually, the tooth will fall out on its own while helping to maintain space for the permanent tooth to emerge. Research results show that about 75 percent of discolored baby teeth fall out on their own, without any side effects for permanent teeth. The teeth may also appear pink or red. As in the cases described above, this can happen immediately after the injury or several weeks later. When a tooth turns red after injury, it usually indicates that the blood vessels have been damaged and the pulp is filling with blood. This condition, called pulp congestion, can be very difficult to diagnose and can also lead to darkening of the tooth over time. One of possible complications is that protective system The body begins to absorb the inner layers of the tooth (internal resorption). During the process of resorption, the pink or red color becomes more and more noticeable as the tooth structure gradually thins. In such cases, the teeth are either left untouched, waiting for complete resorption, or removed. Resorption can also precede the eruption of a permanent tooth, when its pressure leads to internal resorption of the primary tooth.

Is it possible to fix malocclusion at the age of 45?

Modern methods of orthodontic treatment make it possible to correct incorrect position teeth at any age. The main thing is that the teeth themselves are present.

To carry out treatment, special locking braces are glued to the teeth, with the help of which the teeth are moved. But in adults, treatment will be longer than in childhood. It will take from one and a half to two and a half years.

In addition, adults, as a rule, simultaneously with correcting the bite, have to undergo prosthetics of part of the teeth.

If a person puts on braces, will his diction change?

When treated with braces, diction is not impaired, since they are glued to the labial surface of the teeth and do not interfere with articulation.

Is it possible to restore a tooth if it is completely destroyed on top?

In most cases, this is possible using pin systems or stump inlays made laboratory method exactly for your tooth.

Sometimes it is necessary to carry out preparatory measures, and as a rule, the teeth restored from the roots are covered with a crown on top. Today there are methods of implanting teeth in place of lost ones.

After the nerve was removed, the tooth changed color and became pink. What is the reason and can it be fixed?

Changes in the color of a pulpless tooth occur for several reasons. Here, apparently, to fill the canal, an outdated paste composition was used, which has such side effect. It is possible that mistakes were made during the filling itself.

It is advisable to refill the canal and then try to “whiten” the tooth from the inside. If this cannot be done, use different kinds camouflage: vinyls (veneering only the front surface of the tooth) and crowns.

At what month of pregnancy is it better to have dental treatment?

Teeth need to be treated before conceiving a child. If you don’t have time, then it’s better not to go to the dentist in the first three and last three months of pregnancy. The exception is acute toothache.

In the second trimester, it is better to go to the doctor in the afternoon, especially if you feel nauseous in the morning. Be sure to notify your doctor about your pregnancy, this will help him decide on pain medications and choose a treatment plan.

X-rays should only be taken if absolutely necessary. And from the fifth month, teeth should be treated only in a sitting position, not reclining.

The child has black spots on his teeth. What could this be from and what should I do about it?

The child needs to be shown to a dentist and gastroenterologist. Most likely you will have to undergo examination for dysbacteriosis and infection with worms. It is with these pathologies that teeth are most often covered with black dots.

Today there is modern means and devices that will remove plaque quickly and painlessly. Teeth are cleaned with a stream of special fine powder based on soda and water droplets under pressure. But if the cause is not treated, the plaque will return.