Priestley's plaque - black plaque on a child's teeth

In pediatric dentistry, one of the most common reasons for visiting a doctor is black plaque on a child’s baby teeth. It can appear at any age, and sometimes completely unexpectedly: some parents say that the baby went to bed with normal teeth, and woke up with noticeable blackening. Why do young children’s teeth turn black, what should be done in such cases, and how dangerous is this blackening?

What is Priestley's plaque?

Priestley's plaque is dark stains on children's baby teeth, which are a consequence of the activity of certain types of bacteria.
The appearance of a dark, almost black plaque on a child’s teeth can be observed at any age - both at one year old and at an older age. This is a very common occurrence on baby teeth.

As a result, due to black teeth in children, the smile becomes unattractive, and bad breath often appears.

Priestley's plaque on a child photo

However, it is not the child’s black teeth that should alert parents, but the fact that the appearance of this symptom is a signal that some kind of malfunction has occurred in the baby’s body. And to eliminate it, the first thing you need to do is consult a doctor - a pediatric dentist.

White caries - black caries, time plays against teeth

The enamel is translucent and normally ranges in color from light yellow to grayish-white. The color of dentin and any material underneath the enamel greatly affects the appearance of the tooth. Surprisingly, caries begins in the form of the formation of a barely noticeable white matte spot on the enamel (Fig. 6) [3].

Figure 6. “Dental problems.” Over time, the white spots on the enamel caused by caries darken.

drawing by Anastasia Prokhorova

Further, such a stain darkens from frequent meals: the area of the tooth softens more and more, and in the lucky ones a painless hole is formed - a carious cavity [7]. For some unfortunate people, caries is accompanied by inflammation of the tissues around the tooth, infection, and sometimes even an abscess, which can lead not to the small aesthetic problem of “black spots”, but to the loss of the tooth itself.

Causes of black plaque on children's teeth

There are many factors that cause black plaque on baby teeth. It is almost impossible to independently identify the cause, so you need to consult a doctor.

The most common causes of its occurrence are the following:

Priestley's plaque in a child is the most common cause. This is due to special bacteria that produce a black pigment. It settles on the enamel, but goes away completely with age and almost never transfers to permanent teeth. This phenomenon is not dangerous to health and is considered only an aesthetic problem. Plaque can be removed at the dentist, but after a while it will still return. So you just need to wait until it goes away on its own.
Caries. An equally common, but much more serious reason, since baby teeth are susceptible to the development of disease. They first turn yellow, black spots and spots appear, after which they turn black. The danger is that the disease will spread to permanent teeth if treatment is not started immediately.
Dysbacteriosis. This disease can also cause problems with the digestive tract. Often occurs due to poor nutrition of the child, long-term use of antibiotics, and the presence of chronic liver or intestinal diseases.
Excess iron. Quite often, young children are prescribed iron supplements, which often leads to the appearance of dark deposits on the teeth. At the same time, the color of the plaque can change from black to dark purple or brown.

In addition to the reasons listed, plaque can appear due to a lack of calcium, which certainly affects the teeth first. Sometimes it occurs due to impaired intestinal microflora or as a result of poor heredity - if the child’s parents had the same problem in childhood. In any case, to find out exactly the cause, it is necessary to consult a doctor in a timely manner for examination.

Causes

If a child’s baby tooth or entire dentition has darkened, this may be evidence of:

carious lesion;
application of the silvering method in the treatment of caries;
predominance of carbohydrate foods in the diet;
calcium deficiency in tooth enamel;
dysbacteriosis;
changes in microflora in the oral cavity;
hidden tooth trauma;
the use of medications that stain tooth enamel;
endocrine disorders;
excess fluoride in water at the stage of formation of hard dental tissues.

In some cases, it is impossible to return the enamel to its original whiteness. But more often than not, a few visits to the dentist and patient training of the child in hygienic dental care are enough for his smile to once again delight his parents with radiant cleanliness.

Diagnosis and treatment methods of Priestley plaque

The appearance of black plaque can be the result of various diseases. In order to prevent them from starting and to prevent the development of complications, it is necessary to carry out a number of diagnostic measures. Even if a small spot appears on a tooth, you should visit a doctor and undergo laser diagnostics.

If it is caries, then at an early stage of development it is much easier to cure. In addition, the doctor may prescribe additional tests: blood and urine tests. Depending on the results obtained, appropriate treatment methods are selected:

If problems with the gastrointestinal tract are identified, it is necessary to review the child’s nutritional system. In this case, a special diet is prescribed and some foods are excluded from the diet.
Lack of calcium or excess iron can be easily treated by taking corrective medications and eating certain foods in greater or lesser quantities.
When identifying caries at an early stage , dental procedures such as silver plating or fluoridation can help. The doctor treats the teeth with a special solution, which helps prevent further development of the disease and wait for healthy permanent teeth.
Common Priestley plaque can be removed by professional cleaning by a doctor. But, unfortunately, this is not a guarantee that it will not appear again after a while.

If stains or plaque on the teeth cause pain or discomfort to the child, fillings are used to preserve the teeth and eliminate discomfort.

How to diagnose

At the diagnostic stage, it is important to determine why the tooth has darkened. The doctor will perform palpation and visual examination. But in order to make an accurate diagnosis, assess the degree of damage or carious lesion, one cannot do without radiography. Based on its results, the doctor determines what to do to eliminate the problem. In some cases, consultation with other specialists, such as a gastroenterologist or endocrinologist, may be necessary.

X-rays can also be used to rule out a fracture of the root or alveolar process due to a bruise. If the periodontal area is damaged, the defect will definitely be visible on the image. After the impact, the dentist should monitor the condition of the pulp for several days. For this purpose, electroodontodiagnostic methods are used. If even initial signs of death are detected, the affected areas will be removed so that an inflammatory process does not develop.

Why do you need to remove Priestley plaque?

Not all children develop dark plaque on their teeth. This is due to the fact that the body reacts differently to changes in diet, environment and other factors.

In some cases, the spots may develop gradually, and in others they form abruptly, in just a few days. At the same time, age is not important: spots can appear already in the first months after teething, although on average they form at 2 years.

There are several reasons for removing Priestley plaque in children:

Firstly, this is an aesthetic defect that attracts unnecessary attention to the baby’s mouth.
Secondly, bad breath due to bacterial growth.
Thirdly, under the guise of spots, the beginnings of carious lesions of the enamel may be hidden.

You can get professional services from a dentist and advice on this issue in Moscow at the Aesculapius dental clinic. Our specialists constantly encounter similar formations in children and know very well how to deal with it.

In just one session we will restore healthy enamel color using completely safe methods. At the same time, services for removing black plaque on a child’s teeth are available inexpensively in our clinic. We cooperate with each client on individual terms and adapt to the patient’s needs.

Also, if necessary, our doctors are ready to perform qualified treatment of childhood caries and other dental procedures. Our medical complex provides a wide range of services and can help with any oral ailment.

How does the procedure for removing black plaque on teeth work?

Reliably and safely getting rid of dark spots on enamel is possible only with a professional dentist. Self-removal of black plaque in children using various folk remedies can lead to damage to the surface of the teeth.

Therefore, you should not self-medicate, but it is better to immediately use the services of specialists. At the Esculapius clinic we will find the root cause of the violation of the natural microflora of the mouth and eliminate the aesthetic defect from the enamel. At the same time, we use only effective methods that guarantee the highest quality results.

To treat Priestley's plaque, the Air Flow device is used, as well as ultrasound. During the procedure, a mixture of water, air and soda crystals is sprayed onto the teeth under pressure. The flow removes various types of deposits not only from the surface of the tooth, but also from the interdental spaces.

For children who do not really like brushing their teeth using the Air Flow method, soft plaque is removed with special brushes and pastes. After professional cleaning, the teeth are polished and become smooth, due to which less plaque settles on the enamel.

This procedure is available in our clinic at a reasonable cost. In addition, it is inexpensive to perform silvering of baby teeth - a preventive measure to strengthen the enamel and protect against caries, as well as other hygiene procedures. With us, your child's smile will be healthy and beautiful.

Possible complications after plaque formation in children

It is strictly not recommended to ignore the problem and wait until it goes away on its own (unless diagnostics have been carried out and the absence of diseases has been revealed).

Black plaque on a child’s teeth can be not only an aesthetic problem, but also a symptom of more serious and health-threatening diseases, which in their advanced form will require expensive and difficult treatment.

In addition, they can cause complications, which will also lead to unpleasant consequences:

Inflammation and bleeding of the gums when eating or brushing teeth.
The risk of developing various dental diseases increases, in particular caries, stomatitis and periodontal disease.
Dense dark plaque quite often turns into tartar, so even with safe Priestley plaque, professional teeth cleaning is recommended at least once every six months.
The appearance of bad breath, accompanied by toothache and a feeling of discomfort.

If the progression of plaque is caused by the lack of treatment for caries, the disease begins to fill deeper cavities, which leads to the development of pulpitis, periodontitis and other related diseases. As a result, baby teeth may need to be removed, which is highly undesirable.

Disease prevention

Preventive measures to prevent the development of dental diseases and the formation of plaque should be applied from the moment the baby first starts teething. The risk of unpleasant problems occurring can be significantly reduced by the following simple measures:

Gentle oral care . Infants up to one year old can clean their gums with a cotton pad soaked in a decoction of chamomile, string, oak bark or sage. Special silicone attachments are also widely popular, which adults put on their fingers and thus clean the baby’s oral cavity. From the age of two, children must be taught to brush their teeth with a brush and toothpaste, and it is also advisable to rinse the mouth after each meal.
Proper nutrition. This does not imply following any diets, but the child’s nutritional system should be designed in such a way as to limit his intake of sweets, sugar, confectionery and increase the consumption of healthy natural products. Sweets from the store are an excellent substitute for candied fruits, fruits and dried fruits.
Timely abandonment of pacifiers and bottles. With prolonged use of a bottle or pacifier, an incorrect bite develops, dependence on accessories appears, and a black plaque forms, which in dentistry is called “bottle caries.” You should not delay in weaning your child off devices that he no longer needs.
Maintaining the immune system. It is important to ensure that even in winter, the child has enough vitamins to maintain healthy teeth and the body as a whole.

By following these simple recommendations, you will ensure your child’s dental health and the beauty of a child’s smile.

What is the treatment

If the darkening of dental tissues is associated with dental diseases, the doctor will act according to the protocol. It is important to eliminate negative factors and carry out correct treatment. In case of caries, the dentist will remove the damaged tissue and install a filling. If the disease is advanced, endodontic treatment may be necessary, in which pulp removal is performed and the canals are filled. When pigmentation is caused by a general disease of the body, to eliminate it you need to cure the disease itself.

It is worth considering the situation in more detail if the tooth has darkened after an impact. What to do in this case? It all depends on the force of the impact and damage. If the bruise is not severe, most often only medical supervision is required (even up to 2-3 months) without any treatment. The tooth is provided with rest, excluding chewing and pressure on it. You need to remove solid food from your child’s diet for several days. To remove the load from baby teeth, their cutting edge is ground off. This technique is not used for indigenous people.

If the bruise is severe, the first thing you can do is give your child painkillers. The doctor’s actions depend on the clinical picture. If the pulp is damaged, they are gradual:

tooth opening and pulp removal are carried out;
the dental cavity is thoroughly disinfected;
The channels are tightly filled with filling material.

If a permanent tooth has darkened as a result of a bruise, you can whiten it. After the procedure, the enamel will acquire a more or less natural color. To quickly restore oral health after injury, the dentist additionally prescribes physiotherapy and anti-inflammatory drugs.

Complete dislocation requires tooth extraction, after which the child’s condition returns to normal. In some cases, they may try to save the integrity of the dentition. To do this, the tooth is splinted using ligatures, caps, staples and other structures. The last steps are possible if the roots are sufficiently developed. Children aged 2–3 years often have to undergo removal.