Toddlers: 12 - 24 Months

Teeth coming in discolored :(

My son has 4 teeth on bottom & top-- ALL came in same translucent color. Went to dentist & they said they've never seen it before. Anyone dealing with this?

Re: Teeth coming in discolored :(

  • When teeth very first pop out they tend to look kind of grey and translucent. How far are the teeth in? If it is just barely I wouldn't worry. If they are all the way or half way in, I have no idea other than maybe some sort of vitamin deficiency. 
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  • I had pneumonia as a child and the high doses of antibiotics they gave me made some of my permanent teeth look discolored. Could it be something like that?
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  • Look up dentinogenesis imperfecta-my son has it, not saying your little one does, but it's not common, so your dentist would be confused as maybe he's never seen it before.
  • Does anyone in your family have weak enamel or other genetic dental issues?  
    Maybe you should talk to your pedi about doing some blood work (for deficiencies) or ask if they have any ideas.

    @quidditchcapn1120
    (she's a dentist who posts on the parenting board sometimes so I'll page her for you and maybe she has an answer)

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  • ERINVP120- My dentist said theyve never seen it before, so I am going to see another one.  Im thinking it might be dentinogenesis imperfecta.  Can you please tell me what they do for this?  Did they give your little one any type of medicine?  IS there anything they can do for it?  Has your little one ended up with any cavities or complications due to this condition?

    Thanks so much!
  • Thank you EMOmomma!!  I would love to hear what she has to say!
  • Unfortunately there is nothing they can do for it. My son has a mild case, but some of his teeth are discolored. Basically it's lack of, or little enamel. So we make sure my son brushes his teeth every day, 2-3 tomes per day and he gets fluoride drops at bedtime. The more severe cases require teeth being pulled and/or capped. Please understand that the chances of your baby having DI is slim, as its a genetic issue, but I just thought id try and help out. Good luck! Teeth are a huge deal, and it's scary!
  • My son has had no complications due to this so far. We are VERY careful and make sure he never goes to bed or nap with a bottle and he always always brushes his teeth. I would recommend giving your baby water with fluoride in it.
  • UGH, Im thinking that is what he has because his teeth are clear like the pictures of DI on google. Its ALL his teeth.  Every single one.  They all look exactly the same- clear.  Breaks my heart.  Im just praying we find the right dentist who has experience with this or something.  Thanks for you help.
  • Go to a dentist at a children's hospital. Mine goes to Boston children's. if you want, send a pm picture of his teeth, ill see if I think it's di. My whole husbands side is pretty much affected so I've seen mild cases like my son to severe cases
  • edited September 2013

    From your description, it does sound a lot like dentinogenesis imperfecta.  Find either a dental school or hospital with a pediatric dentistry residency (if you tell me the general area in which you live I can tell you where the closest one is), or go to aapd.org and use the finder tool to find a board-certified pediatric dentist.  General dentists see that condition very infrequently, especially in baby teeth, so it is best to see a pediatric dentist.

    As far as treatment, it will depend on what type of DI that he may have.  Usually they will place crowns for esthetics and function when he is older and more cooperative (assuming DI is what is going on here).

    There are other comorbidities associated with DI too- do you or the baby's father have a family history of teeth problems?  Just be aware that there is a type of DI that can affect bones too.  So, don't ignore or brush off times when he complains of pain after a minor fall or things of that nature.  If he (as he gets older) breaks bones easily, make sure to mention to his pediatrician or the orthodpedic that he has DI and ask about osteogenesis imperfecta (they will likely do this anyway, just something to keep in mind).  This is pretty rare but important.

    Please PM me or let me know if you have any questions!

  • From your description, it does sound a lot like dentinogenesis imperfecta.  Find either a dental school or hospital with a pediatric dentistry residency (if you tell me the general area in which you live I can tell you where the closest one is), or go to aapd.org and use the finder tool to find a board-certified pediatric dentist.  General dentists see that condition very infrequently, especially in baby teeth, so it is best to see a pediatric dentist.

    As far as treatment, it will depend on what type of DI that he may have.  Usually they will place crowns for esthetics and function when he is older and more cooperative (assuming DI is what is going on here).

    There are other comorbidities associated with DI too- do you or the baby's father have a family history of teeth problems?  Just be aware that there is a type of DI that can affect bones too.  So, don't ignore or brush off times when he complains of pain after a minor fall or things of that nature.  If he (as he gets older) breaks bones easily, make sure to mention to his pediatrician or the orthodpedic that he has DI and ask about osteogenesis imperfecta (they will likely do this anyway, just something to keep in mind).  This is pretty rare but important.



    Please PM me or let me know if you have any questions!

    Great information! My son has both DI and OI, mild cases, but still has had 2 fractures just by being a toddler. May I ask how you know all about OI and DI? Do you have family with it? It's so rare to see people who know anything about it!
  • Erinvp120 said:


    From your description, it does sound a lot like dentinogenesis imperfecta.  Find either a dental school or hospital with a pediatric dentistry residency (if you tell me the general area in which you live I can tell you where the closest one is), or go to aapd.org and use the finder tool to find a board-certified pediatric dentist.  General dentists see that condition very infrequently, especially in baby teeth, so it is best to see a pediatric dentist.

    As far as treatment, it will depend on what type of DI that he may have.  Usually they will place crowns for esthetics and function when he is older and more cooperative (assuming DI is what is going on here).

    There are other comorbidities associated with DI too- do you or the baby's father have a family history of teeth problems?  Just be aware that there is a type of DI that can affect bones too.  So, don't ignore or brush off times when he complains of pain after a minor fall or things of that nature.  If he (as he gets older) breaks bones easily, make sure to mention to his pediatrician or the orthodpedic that he has DI and ask about osteogenesis imperfecta (they will likely do this anyway, just something to keep in mind).  This is pretty rare but important.



    Please PM me or let me know if you have any questions!

    Great information! My son has both DI and OI, mild cases, but still has had 2 fractures just by being a toddler. May I ask how you know all about OI and DI? Do you have family with it? It's so rare to see people who know anything about it!
    No family experience. I'm a pediatric dentist so I have patients with it and am brought into the hospital to diagnose it in young children at times.
  • Gotcha! Where do you practice? My son goes to boston children's and I feel like it's more common than I thought, but so hard to connect with parents with kids of OI and DI
  • Erinvp120 said:

    Gotcha! Where do you practice? My son goes to boston children's and I feel like it's more common than I thought, but so hard to connect with parents with kids of OI and DI

    Currently I am in Chicago. We will be moving to Missouri in July and I think will settle there. It probably is more common than usually thought but I still don't see tons of patients with either problem. I feel like I see more patients with amelogenesis imperfecta. Good luck in you and your son's journey!
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