Pink Tooth Research Articles

Pink tooth of mummery in mandibular left incisor

A 76-year-old male patient reported to our department with a chief complaint of discolored lower front tooth since 2–3 years. He had a history of some minor trauma to the teeth 5 years back, post which no dental treatment was undertaken. There was no episode of pain or any other associated discomfort. His medical history was non-contributory. On clinical examination, tooth 31 was found to be discolored giving it a generalized pinkish-yellow hue, prominently on the labio-proximal aspect. Neither fracture nor dentinal caries were evident in relation to the concerned teeth [Figure 1]. However, the patient had resorbed ridges due to his age. No swelling, sinus tract or erythema were detected. The vertical and the axial percussions were unproductive. A provisional diagnosis of internal resorption of tooth was given based on the patient’s history and clinical picture, which confirmed the same.

Congenital erythropoietic porphyria presenting with recurrent epistaxis: a case report

BackgroundCongenital erythropoietic porphyria (CEP), also known as pink tooth or Gunther disease, is a rare hereditary disorder caused by an enzyme mutation in the heme biosynthesis pathway, which leads to the accumulation of immature and non-physiological protoporphyrin rings in various tissues. CEP is characterized by sun-exposed bullous skin lesions, hemolytic anemia, red/brown urine, and teeth staining.Case presentationWe present a unique case of a 10-year-old Asian boy with CEP who presented with recurrent epistaxis, an unusual presentation for this condition. Based on clinical presentation and laboratory findings, including elevated urine uroporphyrin and coproporphyrin I and III levels, microcytic anemia, a higher red cell distribution width (RDW), and a lower platelet count, a thorough assessment and detailed workup resulted in a diagnosis of CEP. The patient underwent a successful splenectomy and recovered without any complications.ConclusionThis case report aims to raise awareness among healthcare professionals about the uncommon and atypical presentation of CEP and its management options.

Study on the Mechanism of the Pink Tooth Phenomenon Using Bovine Teeth: A Pilot Study.

The pink teeth phenomenon has occasionally been observed in forensic autopsies. This study aimed to establish an experimental pink tooth model and an objective color tone evaluation method in order to clarify changes in the color tone of teeth and the relationship with hemoglobin monoxide and its decomposition products and with red pigment-producing bacteria, under various external environmental factors. It was confirmed that the color tone evaluation with ΔE and the L*C*h color space was useful. The results of various examinations using this model showed that color development was suppressed under aerobic conditions, faded early under light, became bright red under a low temperature and showed a tendency to be reddish at 3 days under high humidity and in the presence of soft tissue. The biochemical analysis revealed a significant increase in carboxyhemoglobin at 7 days and a tendency toward increasing the total heme pigment and bilirubin levels over time. The bacteriological analysis revealed that red pigment-producing bacteria increased over time but that the color faded after 7 days. These results suggest that putrefaction greatly affects the pink teeth phenomenon, whereas red pigment-producing bacteria have little effect on the occurrence of pink teeth. However, further studies are needed to clarify bacteriological involvement.

Conservative Restorative Management of External Cervical Tooth Resorption: A Case Report

Background: External cervical resorption (ECR) is one of the subclassifications of external root resorption. The etiology of ECR is still unclear. In most cases, it is not evident and asymptomatic before the involvement of the pulp. Case presentation: This paper reports a case of ECR in the mandibular right first molar of a 24-year-old patient who presented with an asymptomatic pink tooth. A two-dimensional radiograph and Cone beam computed tomography (CBCT) showed cervical resorption penetrating at the cementoenamel junction level from the mesio-lingual aspect. It approximates the pulp horn coronally within the lingual dentinal wall. Discussion: The treatment of the case involved debridement of the resorptive defect and Mineral Trioxide Aggregate (MTA) was applied as a direct pulp capping, glass ionomer as a base, and the tooth was restored using composite resin restoration. After 6-months of follow-up, the radiographic examination showed healthy bone and periodontal structures with no evidence of periapical pathology. Conclusion: ECR is an aggressive and invasive lesion that acts silently, requiring early diagnosis and treatment for a successful outcome. The lesion size, location, and accessibility are the main factors affecting the successful treatment of ECR.

Porfiria eritropoyética congénita bovina en la Estacion Experimetal de Choquenaira

We report a case of congenital erythropoietic porphyria in a 5-day-old black and white Holstein female born in Choquenaira Experimental Station of the Faculty of Agronomy of the Universidad Mayor de San Andrés. The clinical picture was characterized by the presence of pinkish brown color of the teeth (pink tooth) caused by porphyrin deposition, hempglobinuria, growth retardation. At 4 months of age. In addition to photosensitization, the most evident macroscopic changes were the reddish brown coloration of the bones and the pinkish brown color of the teeth, caused by porphyrin deposition.

Pink Tooth in Forensic Dentistry- A Short Review

A pink tooth is common phenomenon that can be noted by the forensic personnel during the postmortem and evaluations of their causes in forensic dentistry following death are important aspects. It was considered a cadaveric alteration expressed after violent deaths. More recently, studies explain that the phenomenon may manifest induced by the environment factors. Forensic experts and dentists must be aware of the occurrence of the pink tooth phenomenon. This article reviews the causes, pathogenesis and histological aspects of the pink teeth phenomenon in the forensics dentistry.

Conservative management of pink tooth of mummery: A case report

Resorption is a condition associated with either a physiologic or a pathologic process that results in loss of substance from a tissue such as dentin, cementum or alveolar bone”. It is of great concern to the endodontists. Early diagnosis, removal of the cause, proper treatment and reinforcement of the resorbed root is mandatory for achieving success. This paper present a case report of successful conservative management of internal resoption in maxillary incisor. Keywords: Calamus, Endoactivator, Internal resoption, Pink tooth, Thermoplastized obturation.

To investigate the role of blood/blood products in causing pink tooth phenomenon in teeth -An In vitro analysis

To investigate the role of blood/blood products in causing pink tooth phenomenon in teeth -An In vitro analysis

Pink Tooth of Mummery in the Maxillary Left Canine after Fixed Partial Denture (FPD) Preparation

Pink Tooth of Mummery in the Maxillary Left Canine after Fixed Partial Denture (FPD) Preparation

Internal root resorption

Root resorption is a process that leads to the loss of hard tissues of the tooth. It can either be physiologic or pathologic in origin. Depending on the site of the lesion it can be internal root resorption (IRR) or external root resorption (ERR). In this article internal root resorption is mainly focused. IRR is an asymptomatic condition that represents clinically with the classic sign of ‘pink tooth’. Due to its asymptomatic nature patients often delay treatment unless the esthetic reason is of concern. IRR can seldom be confused with ERR, here the advanced newer technology, CBCT can be of greater help to rule out the differential diagnosis. The treatment is often root canal treatment and is comparatively less invasive. Keywords: Internal root resorption, Pink tooth

Pink Tooth: An Obvious Manifestation of Insidious Pathology

Resorption is a condition associated with either physiologic or a pathologic process resulting in a loss of dentin, cementum, and/or bone. Root resorption is observed in a routine day to day practice and with its early detection, diagnosis, and management, the prognosis for rendered treatment can be favourable. This article highlights a simple interesting case report of internal root resorption.

Obturating the pink tooth: An in vitro comparative evaluation of different materials

Aim: The aim is to evaluate the obturating potential of thermoplasticized gutta-percha, mineral trioxide aggregate (MTA), and Biodentine in simulated internal resorption cavities. Materials and Methods: Thirty human extracted teeth with single canal and mature apex were collected for the study. Access cavity was prepared in each. For all the teeth, standardized instrumentation was done to apical size of ISO #50 K stainless steel hand file. Following instrumentation, at the length of 6 mm short of working length, internal resorption cavity was simulated using Gates–Glidden drill, as the canal of the selected teeth was wide enough and thus widening of the canal occurred only at the desired working length. The teeth were radiographed to check internal resorption cavity. The teeth were randomly divided into three groups; ten teeth in each group. Samples were obturated as follows: Group 1 – thermoplasticized gutta-percha, Group 2 – MTA, and Group 3 – Biodentine. Samples were stored at room temperature for 48 h. After 48 h, samples were evaluated radiographically and microscopically using Dental Operating Microscope. Statistical analysis of the results was performed using Kruskal–Wallis test. Results: Results obtained were statistically significant. Conclusion: MTA and Biodentine showed better sealing than thermoplasticized gutta-percha.

Pink Tooth –Diagnosis & Management- A Case Report

Pink Tooth –Diagnosis & Management- A Case Report

Resorption in the maxillary incisor with dens invaginatus

The management of root resorption is a challenge to the endodontist. It occurs in cases with chronic pulpal inflammation or due to trauma. Internal resorption, a rare phenomenon, has been a quandary from the standpoints of both its diagnosis and treatment. It is mostly asymptomatic and discovered by chance on routine radiographic examination or by a classic sign, the pink tooth. Early diagnosis, removal of the cause, proper treatment of the resorbed root are mandatory for successful treatment outcome. External tooth resorption usually follows trauma to the periodontal ligament. It is often confused with internal resorption. A combination of both external and internal resorptions can also occur on the same tooth, making the management more complex. Dens invaginatus is a developmental malformation of the teeth that most commonly affects the permanent maxillary lateral incisor. The clinical importance of dens invaginatus results from the risk of pulpal disease. The presence of dens invaginatus with internal resorption is extremely rare. This paper is an attempt to summarize the knowledge on internal root resorption and present cases, which were successfully managed by different treatment modalities.

İnternal Rezorpsiyonlu İki Pembe Dişin Endodontik Tedavisi

İnternal rezorpsiyonun etiyolojisi tam olarak anlaşılmış değildir. Genellikle semptomsuzdur ve rutin radyografik muayene sırasında ya da diş kronundaki pembeleşmeye bağlı olarak estetik kaygı ile fark edimektedir. Bu çalışmada, internal rezorpsiyonlu üst santral dişlerin endodontik ve restoratif tedavisi sunulmuştur. Çalışmada, dişlere lokal infiltratif anestezi uygulandı. Dişlerin giriş kavitelerinin açılmasının ardından ?rubber-dam? ile izolasyon sağlandı. Çalışma boyu elektronik apeks bulucu yardımıyla belirlendi. Kanalların biyomekanik şekillendirmesi, standardize preparasyon yöntemi kullanılarak, apikal genişletmeleri #80 K file olacak şekilde tamamlandı. Debrisin %2,5 NaOCl kullanılarak uzaklaştırılmasından sonra kanal medikamenti olarak kalsiyum hidroksit kullanıldı. İkinci seansta, kalsiyum hidroksitin uzaklaştırılmasında %17 EDTA ve %2,5 NaOCl kullanıldı. Kök kanalları gütaperka ve AH plus kanal patı kullanılarak lateral kompaksiyon yöntemi ile dolduruldu. Üst dolgusu kompozit rezin kullanılarak yapıldı. On iki aylık takip sonrasında klinik olarak semptomsuz ve olgunun görünümünün memnun edici olduğu gözlendi.

RETRACTED: Pink tooth phenomenon: An enigma?

The appearance of pink teeth is a common phenomenon which has been observed after death in certain circumstances on post-mortem examination. Extra fibrinolytic activity of pulp facilitates rapid breakdown of red blood cells and diffusion of hemoglobin and its derivatives to flow into dentine. We reviewed various studies on pink tooth phenomenon which have stated the various factors that lead to pink tooth formation. Most of the authors have stressed that post-mortem pink teeth must not be considered as a reliable odontological parameter for determining cause of death. No correlation has been found between the occurrence of pink teeth and the cause of death but condition of the surroundings certainly plays an important role in the development of this phenomenon. This paper reviews the factors and conditions responsible for formation of pink teeth.

Double ‘pink tooth’ associated with extensive internal root resorption after orthodontic treatment: a case report

Advanced internal resorption affecting the crown of teeth may result in the appearance of a 'pink tooth', which, when located in the root canal, can perforate the external root surface. Therapeutically, this condition represents a clinical challenge and normally requires a combined endodontic and surgical focus. Presented herein are cases of double 'pink tooth' which appeared at different times after orthodontic treatment. In the most severe case, upon radiographic examination and computed tomography, the maxillary right central incisor presented an internal resorption, extending from the pulp chamber to the root middle third. After pulp removal, the debridement of the defect was performed using a 2.5% sodium hypochlorite solution, a #80 Kerr file, and an ultrasonic tip ST-17, aided by a surgical microscope. During the cleaning process, various sites of periodontal communication were identified. Upon controlling the hemorrhaging, the root canal was completely filled with White mineral trioxide aggregate. Within the 3-month follow-up treatment, a pink spot appeared on the maxillary left central incisor, which received conventional root canal therapy. Clinically and radiographically, over 18 months of follow up, both cases responded favorably to the proposed treatments. Therefore, it is important to monitor the patient due to the fact that pulp and periodontal sequelae can develop at varied moments after orthodontic treatment. Furthermore, with the current technology and biomaterials, it is possible to resolve cases with extensive internal perforating resorption through endodontic treatment.

Invasive Cervical Resorption: A Case Report

Invasive cervical resorption (ICR) is a relatively uncommon form of external resorption, which may occur in any tooth in the permanent dentition. Characterized by its cervical location and invasive nature, this resorptive process leads to progressive and usually destructive loss of the tooth structure, the clinical features of which often resemble internal resorption ("pink tooth"). This article describes a case report of ICR and its management. The salient features were a large resorptive defect and localized fibrous in-growth located almost wholly on the cervicolabial aspect of the maxillary incisor crown involving the enamel and dentin.

Photosensitizaton: A literature review

Photosensitization is a skin disease caused by activation of a photodynamic agent by ligth energy (280–790 nm). Various drugs, chemicals and plants cause photosensitization in domestic animals; with skin erythema and swelling leading to necrosis and skin sloughing in advanced cases. Three types of photosensitization occur-primary (type I), aberrant pigment synthesis (type II), and hepatogenous (type III)-depending on the source of the photodynamic agent. Some of the common photosensitizations are Hypericism (type I), “pink tooth” (type II), Geeldikkop (type III), and facial eczema (type III). All produce identical skin lesions. Factors such as diet, climate, and health of the animal must be considered in determining the disease etiology.