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Pregnancy causing staining?

My patient thinks her staining got worse on her last pregnancy. She has not changed her diet at all. I have done some research (PubMed), & haven’t found anything on this. I told her I don’t have the answer for this. If you know of anything…..



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7 Answers

Home care has probably declined due to morning sickness or new baby. Not brushing effectively can leave stain behind. Discuss dry brushing until the teeth Taste and Feel clean. It could be 5 minutes to 20 minutes to get the taste and feel clean feeling. Rembrandt is a great toothpaste that isn’t very abrasive compared to other whitening brands. Have her is the IS or D in the AM and PM and dry brush once or twice during the day. Also, mouth watchers has an awesome toothbrush and everyone that has used it in my practice has said their teeth have never felt so clean. Check it out. It has antibacterial bristles that last 4-5 months instead of only 3 months like all other toothbrushes.
I tried a specialty tea once that cause horrible stain…..I never stained before until this certain tea wether hot or cold. Never drank it again and never had the issue again.

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Peptobismul stains the teeth. Has she been taking that?

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You might be on to something. She admits to taking “tons” of Tums the last 2 months before delivery.

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On a side note regarding “taking tons of Tums:” too much calcium can cause kidney stones (this happened to my boyfriend directly related to Tums, not fun!), constipation, calcium buildup in blood vessels, and impaired absorption of iron and zinc. Tums is also cariogenic.

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Yes, I know about the side effects of Tums-since I am also a RN.

Thanks for your help.

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I know Pepto can cause black hairy tongue. I am not sure about the Tums causing it. Having too much calcium in the diet can cause excess supragingival calculus on the lingual of mandibular anteriors. Did the patient have a lot of calculus this time vs. previous, in addition to the stain? Because the calculus can act as an adherent for stains.

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Her hygiene was better this time than ever before. (I don’t see my comment on this thread-but I addressed that as her hygiene was awesome). Very little supra calculus, if any. Both the patient & I were puzzled w/ the staining-which had never been before. On a side note, she has been my patient for around 14yrs-& I have gone through all of her 5 pregnancy’s and this was the 1st time her tissue was healthier than previous-so I was stumped!!!

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