Tooth - abnormal colors

Alternative Names

Home Care

Good oral hygiene will help if the teeth are staining from a food or fluid, or if the abnormal color is the result of poor hygiene.

It is appropriate to consult your dentist for abnormally colored teeth. However, if the color seems to be related to a medical condition, your regular health care provider should also be consulted.

When to Contact a Medical Professional

Call your health care provider if:

• Teeth appear to be an abnormal color without ready explanation
• Abnormal tooth color lasts even after good oral hygiene has been maintained
• Other symptoms are present

The medical history will be obtained and a physical examination performed.

Medical history questions documenting abnormal tooth color in detail may include the following:

• Time pattern
  • Have the teeth been abnormally colored since they erupted, or did they change color over time?
  • When was this first noticed?
  • How long has it been present?
  • Is the abnormal color temporary or permanent?
  • Does it improve when good oral hygiene is maintained?
• Quality
  • What is the discoloration (what color)?
  • What is the pattern of the discoloration (uniformly discolored, or spots or lines)?
• Dietary history
  • What is the diet like?
  • What foods and drinks are consumed frequently?
  • Does the person drink coffee or tea?
  • How much milk and dairy products are consumed?
• Medication history
  • What medications are being taken?
  • What medications have been taken in the past (particularly, did the child ever take tetracycline)?
  • What medications did the mother take when pregnant?
• Health history and family history
  • Do other members of the family have teeth that are abnormally colored?
  • How has the general health been?
  • Was the child jaundiced as a baby?
• Fluoride exposure
  • Is the water fluoridated where the person lives or visits frequently?
  • Is a fluoride supplement being taken?
• Oral hygiene habits
  • Are there frequent problems with the teeth such as cavities or gum inflammation?
  • What are the dental habits?
  • How often are the teeth brushed and flossed?
  • What kind of toothpaste, mouthwash, or similar substances are used?
• What other symptoms are also present?

Testing may not be necessary in many cases. However, if the health care provider suspects the coloration may be related to a medical condition, testing may be needed to confirm the diagnosis. Dental x-rays may be taken.