Tooth Discoloration

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Mohammed Alawad

Definition and Classification of Tooth Discoloration. (Intrinsic / Extrinsic)

Health & Medicine

Mohammed A. Alawadh
DEFINE AND CLASSIFY
TOOTH DISCOLORATION

Is the external expression of changes in the pulp-dentin
complex OR the tooth surface that become visible
through the almost transparent enamel. It results in
changes of tooth color, hue or translucency
DEFINTION
(Pinkham JR, et al, 2005)
"
"

Classification of
Discoloration
EXTRINSIC INTRINSIC

Direct stains
Tea coffee and other foods
Cigarettes/cigars
Plaque/poor oral hygiene/chromogenic
bacteria
EXTRINSIC IS SUBDIVIDE INTO:
Indirect stains
Polyvalent metal salts
Cationic antiseptics, eg chlorhexidine
Copper salts in mouthrinses
Potassium permanganate in mouthrinses

Metabolic
eg. Alkaptonuria
Aging causes
↓E ↑D
INTRINSIC IS SUBDIVIDE INTO:
Inherited causes
Amelogenesis imperfecta
Dentinogenesis imperfecta

Iatrogenic causes
Tetracycline (Systemic)
Fluorosis
INTRINSIC IS SUBDIVIDE INTO:
Traumatic causes
Enamel hypoplasia
Pulpal hemorrhage
Internal resorption

REFERENCES:
Pinkham JR, et al, Pediatric Dentistry - Infancy through Adolescence ,4th Edition, 2005, ISBN 0-7216-0312-2 P. 267
Hargreaves KM; Berman LH . Cohen's Pathways of the Pulp Expert Consult. Elsevier Health Sciences. ISBN
978-0-323-18586-8. P. 2212
M. Sulieman, An Overview of Tooth Discoloration; Extrinsic, Intrinsic, and Internalized Stains Page.2

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