Dear, Dr I have a eight year old son.Now his 2 permanent central incisors in each jaw and 2 lower 1st molars have been erupted with yellowish color with white patches in upper central incisor.Please let me know the reason and suggest me the treatment/precaution.

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  • Dr.Ritz

    Dr.Ritz 21 - September - 2011, at 01:46 AM

  • Permanent adult teeth which erupt are usually yellower in color as compared to the milk teeth.  Refractive index of the adult teeth and milk teeth is different. During mixed dentition period that is when the child is 6-12 years old and has both milk and adult teeth present in the mouth, adult teeth appear yellower when compared with the milk teeth which is known as optical illusion. There is a possibility that the teeth appear yellow because of deposition of plaque and calculus onto the tooth. White patches on front teeth can be because of hypoplasia of teeth or can be because of incipient carious lesions. Hypoplasia can occur due to infections during pregnancy or infancy, nutritional deficiency or illness when teeth formation is taking place. Treatment option for this depends on the severity of condition present. Tooth bonding or crowns is given in this condition. If there are incipient carious lesions present, then fluoride treatment is given to the tooth. Along with that fluoride dentifrices may be given to the kid. Child has to maintain good oral hygiene by brushing and flossing regularly. Without clinical examination, it is difficult to give exact diagnosis; you have to refer to a pedodontist who is children specialist dentist for this. For more info on teeth health tips for kids, you can refer to following article….

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