Abstract
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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