My 6 yr old son had a playground accident at school in early April. The tooth is progressively getting darker. I took him to his pediatric dentist who said that the tooth is primary so it will eventually fall out so we shouldn’t worry about it. I didn’t expect my son to be so very embarrassed about the tooth but he is. He already has enough stress in school and I don’t want him to start being teased for a year or two until the tooth falls out and the permanent one comes in. How do I find a dentist who will whiten the tooth for us? Chadra

Chadra – The darkness of your son’s tooth is internal—from trauma. Tooth whitening removes stains that start from the outside and penetrate the teeth. For example coffee, smoking, certain berries, and other food or drink can penetrate the teeth and stain them. But the whitening won’t remove the darkness from trauma.

There is a way to whiten the teeth internally. The procedure typically follows a root canal treatment after the infected tooth pulp is cleaned out. The bleaching agent is placed inside the tooth and sealed in to prevent leaking. The procedure is repeated three to four times until the darkness is resolved. The procedure requires the cooperation of the patient, and it is not an option for primary teeth. Even teeth whitening for external stains is usually not recommend for children until they reach their teen years and all of their permanent teeth have erupted.

Although other children may notice your son’s tooth, a simple explanation that the tooth was injured in a playground accident may be enough to satisfy their curiosity. Based on your son’s age group, he may not be teased at all. If so, it is unlikely that he will be teased excessively or that teasing will be prolonged. You can consider preparing your son to take any teasing lightly and find a way to make a joke about it so he doesn’t feel self-conscious.

If the tooth becomes painful, you should schedule an appointment with your son’s dentist for an examination.

This post is sponsored by Lowell, MA cosmetic dentist Dr. Michael Szarek.