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How Teeth Become Discolored

What are some of the common problems dentists see in their patients that lead to dental disease, destruction and discoloration?  Let’s review some of what they have to say:

Abscessed tooth.

Infection of the tissue surrounding a tooth that usually fills with pus which has a very smelly odor.

Alcoholism.

Immoderate use of alcohol causes decreased production of saliva causing dryness of the mouth.  Dry mouth is a leading cause of tooth decay.

Atrophic rhinitis.

This is an inflammation of the nasal mucous membrane usually a result of nasal drip due to colds or sinusitis.  Bacterial changes in the mouth can increase risk for dental disease.

Cancers.

Cancers such as esophageal, pharyngeal, oral tumors, leukemia, pulmonary and stomach cancer all present severe complications due to the decay that is taking place.  Additionally, the medical treatments for these cancers can exacerbate a problem with bad breath and certain medications can cause severe discoloration of the teeth.

Oral Candida.

This is a fungal infection of the mouth cavity.  Also known as thrush, it is fairly common among infants, diabetics, chemotherapy patients and people with HIV or AIDS.

Cavities

Cavities are much less prevalent today than they were in the middle of the last century.  The reason is attributed to the good education with regard to dental health, but more importantly the introduction of fluoride into municipal water systems which began in 1945.  

Diabetes.

People who have diabetes may also have poor teeth.  This occurs because of poor control of blood sugar, the problem with most diabetics.  The two situations go hand in hand.  Gum disease is a problem for diabetics.  And, diabetes is a problem for people with gum disease.

It can be difficult to determine which comes first, the diabetes or the gum disease, but the underlying problem is clear.  High blood sugar contributes to gum disease.  Diabetics have trouble controlling the high blood sugar.  Gum disease is a leading cause of bad breath, hence the correlation.

The American Dental Association reports that people with type 1 diabetes 5 are at greater risk for gingivitis.  

Drugs and drug abuse.

Certain drugs such as antihistamines, antidepressants, blood pressure meds, steroids, cancer therapy drugs, diuretics and oral contraceptives are all known to increase the propensity for gum disease.

Drug abuse is a different matter entirely.  This is a sad footnote to our culture today.  In years past this subject wouldn’t even be considered in a guide such as this.   A study conducted in 2003 revealed that 12.3 million Americans 12 years old and over tried methamphetamine at least once.  This number is staggering when you consider that represents 5.2% of our population.

Not only are the health risks tremendous but the damage to the teeth is often irreversible.   Dentists have reported that the teeth of methamphetamine users are described as rotting, black, stained and literally falling apart and crumbling.  The drug is highly acidic and reduces the production of saliva.  Users tend to grind their teeth and crave sugar in any form.  The drug also remains in the system for up to 12 hours prolonging the exposure during a period when the user probably will not even consider brushing or flossing.

Removal of the teeth is often the only course of action.  

 

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