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PUBLISHED ON 20/05/22

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What you need to know about Chalky teeth in children and adults (molar hypomineralisation)

We often see patients coming to us to complain about a grainy, rough or “chalky” texture on their teeth. This sensation occurs with the hypomineralisation of our teeth and is commonly known as “chalky teeth.” This blog post will talk about chalky teeth in children and adults (molar hypomineralisation): the causes and treatments.

What are chalky teeth?

Chalky teeth result from a decrease in the mineral content found in our teeth’ protective enamel layer, causing a soft, chalky or rough texture on our teeth. Sufferers often experience pain as chalky teeth have 21% fewer minerals on the enamel than healthy teeth – resulting in a higher sensitivity to hot and cold temperatures. The condition can develop regardless of dental hygiene, dietary habits or socioeconomic background.

Chalky teeth in children

Chalky teeth are common in children, with 1 in 6 experiencing chalky teeth. In children, hypomineralisation of the molars is often caused by developmental issues in the jaw during infancy that results in teeth forming abnormally. These developmental issues can result from low birth weight, metabolic disorders, malnutrition, antibiotics, high fevers and respiratory problems. Chalky teeth present a soft, porous and rough texture that lacks adequate calcium – this texture often makes it difficult for fillings to form a bond. Therefore, chalky teeth must be detected early, as it can cause irreversible damage to teeth. In addition, severe damage can occur to affected teeth during everyday chewing and dietary acid.

Symptoms found in children include:

  • Bright white or light brown spots on teeth
  • Cream, yellow or brown patches on teeth
  • High sensitivity to hot or cold foods
  • Pain when eating
  • Toothache when brushing teeth

Children who experience chalky teeth often require ten times more the number of dental treatments than children without the condition.

Chalky teeth in adults

Chalky teeth in adults are also caused by hypomineralisation during the formation of the adult teeth. Besides, chalky teeth can be a temporary side effect of eating certain foods that are high in oxalic. The oxalic acid found in foods reacts to the calcium found in your saliva – this creates particle deposits on the surface of your teeth, resulting in a chalky texture. Common foods high in oxalate include leafy greens, soy products, almonds and some legumes. A quick mouthwash rinse or even swishing water around in your mouth will get rid of the sensation.

Symptoms found in adults with chalky teeth:

  • Gritty feeling on teeth
  • White spots
  • Fissures, depressions, pits and tiny grooves on teeth
  • Heat and cold sensitivity
  • Yellowish-brown stains
  • Irregular wearing of teeth
  • A build-up of harmful bacteria
  • Sensitivity to acids in food and drinks
  • Increased vulnerability to cavities and decay
  • Adults aren’t immune, but its less common

Prevention

In children:

           Chalky teeth in children often result from an underlying developmental issue. As such, it can be challenging to prevent chalky teeth. However, early protection is vital. Dentists may be able to save teeth from damage as they emerge if it is detected early enough. As such, regular check-ups are essential for children. In addition, to prevent chalky teeth from further developing, children should adopt a strong oral hygiene routine using toothpaste high in fluoride and avoid milk or juice after brushing their teeth.

In adults:

           Similarly, adults should adopt a strong oral hygiene routine using toothpaste high in fluoride and brushing after meals to remove any oxalate deposits on the teeth. Adults should also avoid milk and juice after brushing their teeth. Additionally, drinking water after a meal is recommended to wash away any residual particles, bacteria, and debris from food.

Treatments

Treatments for chalky teeth include:

  • Fluoride varnish
  • Interim stabilisation – using stainless steel crowns
  • Fissure sealing
  • Composites
  • Extraction
  • Implants
  • Brushing teeth often – if its caused by diet – and mouthwash after meals

Chalky teeth, when left unidentified, can be highly problematic. The lack of protection caused by the hypomineralisation of molars leaves teeth highly susceptible to damage. So it’s important that it’s identified early and can be easily identified through regular check-ups.

For more information, a check-up or if you experience any oral discomfort book an appointment today.

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