Tooth discoloration Light hitting a tooth undergoes reflection, absorption and transmission by varying degrees in each tissue layer of the tooth substance. Reflected light detected by the human eye determines the perceived appearance of a tooth. Teeth have a thin enamel layer on the outer surface. The enamel layer is whiter and semitransparent, and contributes blue, pink green tints to the tooth color. The underlying dentin layer is darker than enamel, yellow-brown in color, and less transparent. Dentin forms the bulk of the tooth substance, and contributes most to the overall tooth color. At the core of the tooth is soft connective
Human tooth with an abundance of chlorophyll, restorative materials, and medications. Stains from bacteria may cause colors varying from green to black to orange. Green stains also result from foods with chlorophyll or excessive exposure to copper or nickel. Amalgam, a common dental restorative material, may turn adjacent areas of teeth black or gray. Long term use of chlorhexidine, a mouthwash, may encourage extrinsic stain formation near the gingiva on teeth. This is usually easy for a hygienist to remove. Systemic disorders also can cause tooth discoloration. Congenital erythropoietic porphyria causes porphyrins to be deposited in teeth, causing a red-brown coloration. Blue