I was horrified one day to find black stains all over my then 2 yr old’s teeth which I couldn’t remove with a toothbrush. I thought they were cavities and brought him to the pediatric dentist right away. Surprisingly the dentist didn’t know what caused the stains or what the stains were even called. After ruling out foods, iron intake and poor brushing habits, he suspected something had changed the flora in my child’s mouth. Perhaps the xoponex (an asthma medication) that he had taken for a cold a few months earlier. Other patients also had similar stains and those stains were not cavities and on the contrary, often associated with a low incidence of cavities.
What are the stains?
I discovered that the stains are caused by chromogenic bacteria and they feed off of the plaque on the teeth. The fact that our kids were not consumers of tea, coffee, iron supplements, dried fruit and other stain-creating foods leads us to believe that their stains were not caused by these culprits as commonly suggested by dentists. Our pediatric dentist said anecdotally that the stains seem to occur more frequently with the Asian and Hispanic population. It varies in degree of severity. I see many posts where adults complain of having these stains, and not being able to keep the stains at bay (frequent dental visits not enough, regular brushing, etc). I also read about one frustrated woman whose children had lots of stains recurring as quickly as the day after their dental visit. Because it’s bacteria, it needs plaque to grow so it tends to appear along the gumline and in grooves and spots where it is difficult to brush well or where food sugars tend to linger between brushing sessions.
Our dentist also suggested that the stains decrease and may even disappear with age. However, it was unclear to him if this was from better brushing habits or something in the child’s mouth flora that changed. Unfortunately, bacteria can be transmitted from one child to another and even to an adult! My oldest had the staining first, followed by his brother and eventually their dad got it, too. Fortunately (knock on wood), my teeth don’t show signs of the bacteria yet (4 years of exposure and counting) which suggests that there can be something in your mouth flora that also prevents its growth. After all, I kiss my kids and share drinks and food with my kids all the time.
What can be done?
There doesn’t seem to be any definitive treatment or solution for keeping these stains at bay. However, from first hand experience and tips from a couple of different dentists, I’ve compiled this list, starting with what has worked best for us:
- Sonicare toothbrush (most effective with my kids, recommended by the pediatric dentist, something about the vibration of the toothbrush)
- Swimming in chlorine pools frequently We saw a noticeable reduction over one spring break week spent daily in the pool. We saw even more reduction over a summer when swimming occurred 4 days/week. Remember, this is a 2-child data set. However, I suspect the chlorine kills the bacteria or changes the mouth flora. Update as of 1/23/20: despite not swimming in chlorinated pools for the last 3 months, the reduction of black stains on our kids’ teeth seems to be holding steady.
- Listerine mouthwash (helpful for my husband)
- Periodic hydrogen peroxide mouth rinse (didn’t dare try it with my kids and this would be too abrasive to do on a long-term basis)
- Toothpaste with some pumice powder, before you go out to buy it, ask your dentist for a sample to see if it works for you (didn’t really work for us). Also, overuse of pumice and abrasive agents will erode your tooth enamel long-term.
- Regular visits to the dentist The dentist uses a polisher with some pumice powder and a scaler to scrape off the parts that remain after polishing. Even our dentist can’t remove all the stains, as some of the stains along the gumline and in the grooves are particularly stubborn.
- A dental scraper (added as of 5/21/20) – During this coronavirus period, we’re not making it to the dentist routinely, and I notice that the black stains seem to be gaining ground (particularly with my 9 yr old with braces!), so I started using a dental scraper tool like this one. The results aren’t perfect, but I’m able to easily scrape off the black stains on the flatter parts of the teeth and loosen some of the stubborn black stains that build up along the gumline. I noted that when I scraped the stains along the gumline, it would often seem like I hadn’t removed anything. However, when we brushed afterwards and over the course of the following few days, some of the stains could be brushed away, so I think the scraper can agitate or loosen the stains a bit.
- Provides some medical explanation of the black stains:
- A hygienist explains in layman terms: https://dentistrydonedifferently.com/2015/06/15/black-line-stain
- Read the posts in response to this topic and realize that you are not alone: http://www.steadyhealth.com/topics/chromogenic-bacteria-stain-on-teeth
This page will definitely be updated if I find out a way to remove or prevent these stains permanently!