A problem not only for aesthetics, but also for health.
The appearance of black spots on the teeth can be a serious problem in a person’s life: beyond the health risk, they often cause problems with self-confidence, communication inhibitions and low self-esteem.
Discoloured teeth give the impression of being unkempt.
In order to avoid this inconvenience, it is important to know the causes of its development and the correct treatment method. What is even more important, however, is to attach special importance to prevention.
From our entry you can get answers to the following questions:
Why can teeth turn black?
Black spots can appear in different forms on the teeth.
Black teeth because of tartar
Tartar occurs in the form of brownish-black spots on the tooth surface. It is not only aesthetically disturbing: it leads to caries, gingivitis, periodontosis and ultimately to tooth loss.
Causes for the development: Regular smoking and the consumption of dark soft drinks, tea and coffee lead to tooth discoloration due to the colorants found in them. The imperfect oral hygiene habits also promote the formation of tartar.
Treatment: The tartar is removed by a dentist or dental hygienist using an ultrasound device – a so-called depurator – after which the tooth surface is polished to make later tartar formation more difficult.
Prevention: Brush your teeth with special toothpaste after each meal. Avoid consumption of tea, coffee and other dark drinks.
Black teeth because of tooth decay
Caries appears as greyish-blackish spots and causes holes especially in hard-to-reach areas of the teeth (e.g. in interdental spaces or on molars). It results from a lack of minerals that are necessary to build the teeth: the tooth thins and breaks off. Without treatment, tooth decay can reach the dental nerves and lead to inflammation and pain.
Causes for the development: When carbohydrates are consumed, carbohydrate-splitting bacteria produce acids and plaque forming substances.
In the plaque live the bacteria that produce the enamel eroding acids. Even acidic food itself breaks down the enamel. The more often we eat, the more often plaque develops, and the longer the food remains in the mouth, the stronger the destruction.
Treatment: Removal of tissues affected by caries and replacement of tooth substance (e.g. with filling). The most modern caries therapy is currently ozone treatment. If the tooth is so badly destroyed that it can no longer be saved, the tooth is pulled out and replaced or bridged with an implant.
Prevention: A healthy diet plays an important role, especially the avoidance of acidic, sticky foods, sugary drinks and sweets. Sugary snacks should be avoided! Careful tooth brushing after every meal can effectively help prevent tooth decay.
Fluorides can be replaced with fluoride toothpaste or fluoride salt for food seasoning. We should be careful not to overdose the fluorides, because consumption of more than 5 mg per day softens the enamel and makes the teeth yellow. We can significantly reduce the risk of tooth decay by sealing healthy teeth.
Discoloured teeth due to amalgam filling
On teeth with amalgam fillings a greyish-black discoloration often occurs. Causes: The black discoloration is caused by the filling material. Treatment: Application of porcelain dishes or crowns. The discoloration of the teeth by amalgam filling is very difficult to remove by tooth whitening. Prevention: Avoidance of amalgam fillings.
For taking tetracycline antibiotics during childhood
Streaky, bluish-brownish-black discoloration of the tooth surface. Causes: Tetracycline antibiotics taken during childhood when teeth are still developing. Treatment: Teeth whitening or application of porcelain shells. Prevention: Avoid taking tetracycline antibiotics in childhood.
Black teeth due to dead dentine
Dead dentin can result in a greyish-black tooth. Causes: In the case of untreated caries or dental trauma, the dentin can become inflamed and die. Treatment: After the root canal treatment, the black tooth is whitened and the porcelain shell or crown is used to restore the original tooth colour. Prevention: Timely treatment of developing dental diseases.