When children under the age of four eat excess toothpaste, a condition called dental fluorosis can occur in the enamel of permanent teeth. This fluorosis in the appearance of a slight whiteness in the teeth to a dark coloration and desquamation of the teeth in rare cases. What I found was curious, many children had stained or poor quality enamel of their permanent teeth or only their front teeth. This staining pattern did not match the normal pattern of fluorosis, but I could not explain why it happened. Maybe we have an answer now.
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A study published by my alma mater has found a cause and effect link between the early application of amoxicillin for tooth infection and the staining of permanent teeth. Amoxicillin is now used to treat ear infections or middle ear infections in children. It is a broad-spectrum antibiotic that is cheap and knows how to chew gum, a great advantage for children.
The children who receive amoxicillin at the age of 3 to 6 months develops more than twice as many permanent dental stains as children who were not exposed to the antibiotic. What you know, permanent molars begin to calcify immediately after birth, and permanent anterior teeth form their enamel-forming cells in about 12 months!
What can we do with that? First, this is just a study and you need to accumulate more research to get better answers. But to stay on the safe side, I urge my patients to families to be careful with the aggressive treatment of ear infections (they are viral or bacterial) and amoxicillin when the yolks of permanent teeth, just before their first year of life begins to form. I also sent this study to all the pediatric offices in the city!
Nothing is worse than an earache, except maybe a toothache, but parents should be aware of over-treatment, just as we know that eating toothpaste before age four could be a problem for your teeth previous permanent. I was prepared for further development and I can always ask questions.