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The enamel is fragile, the teeth appear yellow or brown, and surface stains build up more readily. [1] Dentinogenesis imperfecta is a defect of dentin formation, and the teeth may be discolored yellow-brown, deep amber or blue-grey with increased translucency. [1] Dentinal dysplasia is another disorder of dentin.
Severe fluorosis is characterized by brown discoloration and discrete or confluent pitting; brown stains are widespread and teeth often present a corroded-looking appearance. [ 1 ] People with fluorosis are relatively resistant to dental caries (tooth decay caused by bacteria), [ 2 ] although there may be cosmetic concern. [ 2 ]
Dental plaque is a biofilm that attaches to tooth surfaces, restorations and prosthetic appliances (including dentures and bridges) if left undisturbed.Understanding the formation, composition and characteristics of plaque helps in its control. [6]
Since 1920, various derivatives of "chalky teeth" have appeared in the academic literature to describe specific dental anomalies. Most references are to enamel defects that have a chalky appearance (white, cream or brown) and are of developmental origin (i.e. amelogenesis imperfecta, enamel hypomineralisation, dental fluorosis, molar hypomineralisation).
Discoloured teeth - teeth may be amber, brown, blue or opalescent Bulbous shape to the tooth crown due to cervical constriction Tooth wear /Non-carious tooth surface loss (NCTSL) - due to the poorly mineralised dentine, the enamel of the tooth is unsupported and subsequently shears or chips off as it is subjected to biting forces.
In some cases of pulp necrosis there is a yellow, grey or brown crown discolouration. Dark coronal discoloration is believed to be an early sign of pulp degeneration. [ 16 ] Teeth with said discolouration need to be treated with special care and further investigations are required before pulp necrosis can be diagnosed.
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The teeth most likely affected are the maxillary anterior teeth, but all teeth can be affected. [95] The name for this type of caries comes from the fact that the decay usually is a result of allowing children to fall asleep with sweetened liquids in their bottles or feeding children sweetened liquids multiple times during the day.