Black Stains in Primary Teeth: Overview - Pediatric Dental C
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Black stain (BS) is a specific type of external discoloration observed at 2.4-21% of all children, on the buccal or lingual surfaces along the gingival margin and firmly attached to the tooth surface. According to some investigators, these stains are related to a lower frequency of caries. However, the cause of the black stain is still unknown.

The black stain particularly poses an aesthetic problem. Daily Tooth brushing is not enough to remove this external stain.The professional cleaning is necessary to remove stains and resolve this aesthetic problem. Although a simple scaling and tooth brushing with pumice powder are usually sufficient, frequently black stain is recurrent. The ultrasonic cleaning is not recommended, this modality can lead to enamel removal; therefore, their repeated use is undesirable. Nevertheless, it can challenge the dentist, especially when it is deposited on roughened or pitted areas of the tooth. In a professional dental hygiene appointment, removal through polishing with a rubber cup and fluoride pumice is possible. If the staining is resistant, the excess water can be blotted from the pumice and the tooth should be dried before the polishing procedure is performed. Also, sharp scaling instruments are of use against the firmly attached deposit.

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