<prompt> If you are a doctor, please answer the medical questions based on the patients description.Granddaughter was treated for eczema with topical steriods - became adrenal suppressed - taken off topical steroids and for 6 months needed emergency cortisone when she became sick - ie: extremely high fever with a virus or cold - 1 year later her adrenal system recovered - however, she now has very weak tooth enamal - tooth absesis, cavaties, etc Some medications can effect tooth enamel - is cortisone one of them?  <response>: Thanks for your query, I have gone through your query. The topical steroids will not cause damage to the enamel, the HPA axis suppression can result in altered immune system, which makes you develop gum infection, abscess formation and fungal infection in the oral cavity. So consult an oral physician and get the teeth filled and maintain the oral hygiene. Consult an oral physician regularly once in 6 months. I hope my answer will help you, take care. 