Children Losing Baby Teeth - In Your Local Palo Alto, CA Area

Dental Health Care: Discolored Primary Teeth

Discoloration of the primary (baby) incisors (front teeth) is most often noticed by parents. This discoloration may be extrinsic or intrinsic. Tooth brushing or a professional cleaning can remove extrinsic discolorations or stains. Intrinsic discoloration occurs within the tooth structure.

Some apple juices and grape juice may cause staining. This type of stain can usually be brushed off the teeth at home. If your child has a tendency to stain, try diluting the juice with water. Once the enamel begins to break down, the staining may be more difficult to remove because it is deep down in the tiny holes created by break down of the enamel. This could progress on to decay. If the teeth appear to be a dull, white color in some spots, discontinue juices completely or dilute the juice with water. Juice is twenty times more decay-causing than milk. Juices should be limited to mealtime only.

Liquid and chewable medicines have a high sugar content and most are colored with dye. A light yellow-brown film may cover the teeth. This occurs most often on the bottom front teeth. Bedtime tooth brushing is especially important when your child is taking liquid or chewable medicine. Tetracycline is the only antibiotic that could cause damage to the developing permanent teeth if given before eight years of age.

Iron in chewable or liquid vitamins may cause staining of the grooves of the primary (baby) molars. This is difficult to remove, but overall is harmless.

You must brush your child's teeth until six years of age. Bedtime brushing is the most important time of day. Staining may occur if plaque remains on teeth for a long period of time. Plaque is made up of cells from the inside of the mouth, bacteria, and food residues. Teeth may appear to be discolored, but a thorough brushing may remove this stain. Do not use toothpaste until two years of age. Baking soda toothpaste seems to be best for stain removal.

Bacteria called chromogenic (colored) bacteria may cause a dark green or brown stain on the teeth. This stain is usually along the gum line. These bacteria are harmless and will one day just disappear. We do not know why they grow in some mouths and not others. A professional cleaning is usually necessary to remove this stain.

Intrinsic discoloration cannot be removed by cleaning the teeth. This occurs because the enamel on the primary teeth did not form in the usual manner. This may be inherited from one or both parents. It does not necessarily mean that the primary teeth will be more susceptible to decay or that the permanent teeth will have the same appearance.

Trauma to a primary incisor (front tooth) may cause discoloration. If the blood vessels deep inside the tooth break, the blood may be absorbed into the tiny tubes that travel from the inside of the tooth to the outer enamel layer. This is similar to a black and blue mark on the skin. Enamel is translucent, so you can see the evidence of the damage. This may resolve without treatment, but your pediatric dentist should be consulted. A procedure to remove the tissue from the inside of the tooth (pulpectomy) may be necessary.

by Jane A. Soxman, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Facts About Dental Fluoride

We have all received the benefit that fluoride offers in preventing tooth decay. The following facts will provide you with information to assure that your child's teeth receive the optimum amount of fluoride.

• Fluoride strengthens the outer layer of enamel, making teeth more resistant to the acid attack of decay-causing bacteria. It can be of benefit not only when the teeth are forming, but also after they have erupted (come in).
• Primary (baby) teeth begin to develop at six weeks during pregnancy. Fluoride supplements for mom during her pregnancy do not benefit baby's developing teeth. Only tiny amounts of fluoride are found in breast milk.
• Well water may contain large amounts of fluoride. Before giving your child fluoride supplements, have your well water tested for fluoride content. Fluoride sticks to the sides of glass containers. Use a plastic container for an accurate test result.
• Bottled water may also contain significant amounts of fluoride. The amount of fluoride will vary with the season of the year, the water table, and the plant from which the water was obtained.
• Juices, tea, and soft drinks may contain fluoride. White grape juice has the highest concentration of fluoride. Fish and chicken baby food may also provide fluoride.
• Do not assume that your home water filter system removes all fluoride. The age of the system and the filter may have a significant effect on your fluoride level. Have your water tested before giving your child a fluoride supplement.
• Do not use fluoridated toothpaste before two years of age. Dispense only a dab the size of a match head for children under five. Children's toothpaste has the same amount of fluoride as the adult brands.
• If your home water supply is not fluoridated, the water at school, daycare, or the caregiver's home may be optimally fluoridated.
• Your physician or pediatric dentist may prescribe a fluoride supplement. Once the chewable tablet is begun, fluoride and vitamins should be taken separately. Vitamins work best with food, and fluoride is best absorbed from an empty stomach. Fluoride tablets should be taken at bedtime after the teeth are brushed. Chew, swish, and swallow.
• There are many sources of fluoride other than your home water supply. When considering a fluoride supplement for your child, remember your fluoride facts!

by Jane A. Soxman, DDS



+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.