My child is 6 years old and has already lost 5 baby teeth. 3 of the lower adult teeth have erupted and are up maybe 1/4 of the way or so. The lower teeth seem a bit yellowish (more so than they should be even for new adult teeth). The surface of the teeth also seems a bit rough. My child has been treated with antibiotics (azithromycin, and oflaxacin) multiple times over the past 7 months and was also put on flonase nasal spray and oral zyrtec for the past 3.5 months. Should I be concerned that her teeth will all be this way and they wont ever look normal?
Hi. Thanks for the query. As per your complaint yellowish appearance of the permanent erupting teeth along with rough surface can be due to enamel hyperplasia in which there is defective mineralization of the teeth leading to soft surface as well as roughness and yellowish discoloration. Many a time the enamel is normal, but it is thin enough so that the inner layer that is dentin that is yellow gets more clearly reflected from the transparent enamel surface and gives yellow appearance to teeth. As her teeth have not yet erupted completely, it is not appropriate to give a specific diagnosis as of now, and you should wait for her teeth to erupt completely and then only it can be evaluated and treated accordingly. You can send me images of her teeth once they erupt completely so that I can advise you how to proceed further for her management of yellow teeth. Hope your query is resolved. Regards.