Bilirubin pigmentation of human teeth caused by hyperbilirubinemia

Watanabe, Kazufumi; Shibata, Toshiyki; Kurosawa, Takao; Morisaki, Ichijiro; Kinehara, Michitoki; Igarashi, Seiji; Arisue, Makoto

doi:10.1111/j.1600-0714.1999.tb02010.x

Cited by 32 publications

(24 citation statements)

References 5 publications

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“…Inside intrinsic discolorations, there are several subgroups for a more accurate classification (Table ). Several metabolic disorders promote tooth discoloration . Tooth color can also be induced by medical treatments.…”

Section: Tooth Stainsmentioning

confidence: 99%

“…Several metabolic disorders promote tooth discoloration. 22,23 Tooth color can also be induced by medical treatments. A well-known group of antibiotics that causes tooth intrinsic discoloration is tetracyclines.…”

Section: Tooth Stainsmentioning

confidence: 99%

“…22 Medical treatments Tetracyclines chelate to form complexes with calcium ions on the surface of hydroxyapatite crystals primarily within dentin and the affected teeth tend to be yellow or brown-grey in color. 23 Inherited diseases Dentinogenesis imperfecta is an inherited disorder of dentine. The appearance is an amber, grey to purple-blue discoloration or opalescence, thought to be the result of the absorption of chromogens into the porous dentine after exposure of the dentine.…”

Section: General Classification Subgroups Examplesmentioning

confidence: 99%

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Tooth whitening: From the established treatments to novel approaches to prevent side effects

Rodríguez-Martínez

Valiente

Sánchez-Martín

2019

J Esthet Restor Dent

121

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Objective The aim is to review the most important aspects about tooth whitening treatments, their side effects, and the new emerging approaches to overcome them. Overview This review is focused on origin of tooth stains, the whitening systems and their chemistry, their side effects, and the new approaches. The search of bibliography of the period 1965‐2018 has been analyzed. Conclusions Tooth whitening has become one of the most requested dental treatments by the public. Tooth stains are classified according to their origin into two categories: intrinsic and extrinsic. The whitening systems are generally organized into two classes: in‐office and at‐home products. Most of the whitening systems use hydrogen peroxide as the active oxidative agent to degrade the organic compounds that cause stains. The concentration ranges depending on the treatment, and it may be applied directly or produced in a chemical reaction from carbamide peroxide that is more stable. Besides its popularity, tooth whitening still has some side effects being tooth hypersensitivity the most common. In order to decrease these side effects, new treatments are constantly in renewal processes. Clinical Significance Despite all the data and new strategies known about tooth whitening, there are many aspects that are not totally fully understood and methodologies that are not completely effective. Therefore, the development of effective, efficient, and long‐lasting whitening treatments is still necessary.

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Section: Tooth Stainsmentioning

confidence: 99%

Section: Tooth Stainsmentioning

confidence: 99%

Section: General Classification Subgroups Examplesmentioning

confidence: 99%

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Tooth whitening: From the established treatments to novel approaches to prevent side effects

Rodríguez-Martínez

Valiente

Sánchez-Martín

2019

J Esthet Restor Dent

121

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“…1 Nevertheless, in hard tissues bilirubin is permanently trapped, because after maturation these tissues lose metabolic activity. 2 Neonatal jaundice associated with elevated levels of serum bilirubin is never physiologic. It can be the result of infection, metabolic, genetic and anatomic abnormalities that can result in either mechanical obstruction of bile flow or impairment of the hepatic excretory function and bile secretion.…”

Section: Introductionmentioning

confidence: 99%

Green Teeth Associated With Hirschprung’s Disease- A Rare Case Report.

Goyal¹,

Mittal²

2013

jemds

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Green pigmentation of primary teeth is an uncommon condition which is associated with the deposition of bilirubin in the dental hard tissues. Prolonged hyperbilirubinemia has long been recognized as a frequent clinical manifestation of infection in newborn, although the green staining of teeth caused by Hirschprung's disease has not yet been reported. The purpose of this report is to present a case of green teeth in primary dentition in a 17-month old Indian boy. Medical history revealed systemic problems during the neonatal period of an infectious, neurological, renal and digestive in nature along with a high amount of serum bilirubin levels. The green pigmentation of primary teeth was due to hyperbilirubinemia caused by these systemic conditions. The reported case confirms the relevance of past medical history in establishing the diagnosis and the etiology of green primary teeth. The presence of green pigmentation in teeth is an indication of early hyperbilirubinemia which can determine when in life this disorder occurred. Thus, even if there is no prior information about a patient with green teeth, it is possible to estimate the type of systemic disorder he/she had previously and how long he/she had the disease.

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“…Diferentemente da pigmentação de tecidos moles, que é transitória devido à intensa renovação celular, a pigmentação dentária é permanente, pois este tecido perde a atividade metabólica após a maturação (Watanabe et al, 1999). Logo, o tratamento clareador nos dentes pigmentados pela bilirrubina pode não ser efetivo, pois a pigmentação está presente na dentina (Amaral et al, 2008 O atraso de erupção dentária provavelmente reflete o retardo geral do crescimento e desenvolvimento observado em pacientes pediátricos portadores de hepatopatias, os quais frequentemente são desnutridos (Seow et al, 1991).…”

Section: Condições Bucais Associadas à Hepatopatia Em Pacientes Pediáunclassified

Avaliação de manifestações bucais em pacientes pediátricos submetidos ao transplante hepático

Vivas¹

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Bilirubin pigmentation of human teeth caused by hyperbilirubinemia

Abstract: M: Bilirubin pigmentation of human teeth caused by hyperbilirubinemia. J Oral Pathol Med 1999; 28: 128-30. C Munksgaard, 1999.This study was conducted to identify bilirubin in deciduous teeth obtained from two patients with a history of severe liver dysfunction. Teeth were histologically

Cited by 32 publications

References 5 publications

Tooth whitening: From the established treatments to novel approaches to prevent side effects

Tooth whitening: From the established treatments to novel approaches to prevent side effects

Green Teeth Associated With Hirschprung’s Disease- A Rare Case Report.

Avaliação de manifestações bucais em pacientes pediátricos submetidos ao transplante hepático

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