Ek dant ka rang doosron se alag ho gaya — thoda grey, bhoora ya kaala। Scaling karwayi, whitening try ki — koi fark nahi pada। Yeh is liye kyunki yeh daag andar se hai, baahri nahi। Dr. Ritu Goyal, MDS is guide mein internal tooth discoloration ke karan aur ilaj samjha rahi hain।
Baahri Daag Vs Andar Ka Daag — Fark
Baahri (extrinsic) daag: Chai, coffee, tobacco, scaling se saaf ho sakta hai। Whitening se theek hota hai।
Andar ka (intrinsic) daag: Dant ke structure ke andar hai — pulp mein ya dentin mein। Scaling aur regular whitening kaam nahi karta। Alag treatment chahiye।
Internal Discoloration Ke Karan
1. Dead Tooth (Non-Vital Tooth)
Chot lagne ke baad ya severe cavity se dant ka nerve aur blood supply band ho jaata hai। Dant "marta" hai aur andar se grey ya kala ho jaata hai। Dard kabhi kabhi nahi hota — sirf rang badal ta hai।
2. Purana Trauma Ya Chot
Bachpan mein koi chot lagi thi — dant pe aakar bhoola gaya। Saalon baad woh dant dheere dheere grey hone lagta hai। Internal bleeding hoti hai jo breakdown hoke discoloration deti hai।
3. Old Metal (Amalgam) Filling
Purani silver filling dant ko andar se grey-black kar deti hai kyunki metal oxidize hota hai aur dentin mein seep karta hai।
4. Tetracycline Antibiotic (Bachpan Mein)
Agar 8 saal se pehle tetracycline antibiotic li gayi thi — yeh dant ke andar set ho jaati hai aur permanent grey-brown bands deti hai। Poori dentition affected hoti hai।
5. Excess Fluoride (Fluorosis)
Bachpan mein bahut zyada fluoride se enamel pe white chalky spots ya brown patches — fluorosis।
Dead Tooth — Symptoms Kya Hote Hain
- Dant ka rang grey/bhoora/kala ho jaana
- Kabhi kabhi purana dard tha jo ab theek ho gaya (nerve mar gayi)
- Gum pe ek chhota sa fooda (abscess sign)
- X-ray mein root pe dark area (periapical abscess)
Treatment Kya Hai
- Dead tooth: Root canal karwana zaroori hai (infection rok ne ke liye) phir internal bleaching ya crown
- Internal bleaching: RCT ke baad whitening agent dant ke andar rakh ke rang theek kiya jaata hai — kaafi effective
- Veneer: Dant ke agale surface ko cover karna — natural result
- Crown: Poora dant cover ho jaata hai
- Tetracycline staining: Veneers ya crowns — bleaching kaam nahi karti
Real case — Mangolpuri, 2024, 26 saal: Front tooth grey tha — 3 saal se, koi dard nahi। Scaling se kuch nahi hua। X-ray mein dead tooth aur chhota infection mila। RCT + internal bleaching ke baad dant kaafi natural color mein aa gaya। "Mujhe laga yeh permanently kala rahega।"
Dant ka ranga nahi badal raha — check karwayein, treatment hai। 9759864222।
Aksar Pooche Jaane Wale Sawaal (FAQ)
Dead tooth (nerve mar gayi), purani chot, old metal filling, bachpan mein tetracycline antibiotic, ya excess fluoride — yeh andar ke daag ke karan hain. Regular whitening kaam nahi karta.
Jab cavity ya chot se dant ki nerve aur blood supply band ho jaati hai — dant 'marta' hai. Andar se grey/kala hone lagta hai. RCT zaroori hai infection rokne ke liye.
RCT ke baad whitening agent dant ke andar chamber mein rakh ke discoloration theek ki jaati hai. Dead tooth ke liye effective treatment — natural color wapas aata hai.
Regular bleaching kaam nahi karti. Veneers ya crowns best option hain — poori smile coverage ke saath natural result. Bachpan mein li gayi antibiotic ka yeh permanent effect hota hai.
Kyunki nerve mar gayi hai — dard feel hi nahi hota. Lekin infection grow ho sakta hai silently. Isliye grey/bhoora hone pe X-ray zaroori hai — dard na ho tab bhi.