What causes black spots on children's teeth

Children's teeth with black spots are not a reason to panic


If children's teeth show dark spots, this does not always have to be caries. Often it is a harmless coating. The garland-shaped stains (a so-called melanodontia) can be removed by dentists with a powder jet procedure ...

Dark spots on children's teeth do not have to be a sign of plaque or tooth decay. The stains are often harmless, explains the proDente initiative in Cologne. The so-called melanodontia occurs mainly in children of primary school age and is harmless. Because the garland-shaped stains are unsightly, dentists can remove them with a powder jet procedure; at home, an ultrasonic toothbrush may help.

Usually, however, the stains reappear after a while. According to the initiative, health insurances do not classify melanodontics as a dental disease and therefore do not pay for the treatment.

Dental care starts as early as possible
Parents should take care of their first teeth. So you can gently dab it off with a cotton swab or gauze cloth, for example.

Baby teeth have a soft enamel that is not yet fully developed and therefore these teeth need special protection. Fluoride "hardens" the teeth: it accelerates the storage of minerals in the tooth enamel (remineralization) and can in some cases even reverse incipient caries. In addition, fluoride improves the acid resistance of tooth enamel, which is why early fluoride prophylaxis has been given in Germany for many years. Children in Germany in the first three years of life have received 0.25 mg fluoride / day in the form of tablets or drops, possibly also in combination with vitamin D.
Only at about three and a half years of age, as soon as children reliably spit out toothpaste, is a twice-daily dental care with fluoridated toothpaste for children (0.5g fluoride per kg toothpaste or 0.05%), from school age with fluoridated toothpaste for adults (1.0 to 1.5 g fluoride per kg toothpaste or 0.1 to 0.15%) makes sense.

The experts explain that toddlers can brush themselves when most of their teeth are there. The right technique is important: First the chewing surfaces, then the outer surfaces and finally the inner surfaces are cleaned in a circular motion (KAI technique).

At around twelve years of age, all permanent teeth have erupted. In this case, children are best to floss once a day in addition to the toothbrush. This also allows the spaces between the teeth, which are otherwise difficult to reach with a brush, to be cleaned.

Source: dpa