Endodontics · single question
A necrotic tooth has a one-year history of trauma. What causes the resulting discoloration?
Show answer and explanation
Correct answer: A. Breakdown of red blood cells (hemoglobin byproducts)
Trauma-related pulpal hemorrhage and subsequent necrosis lead to breakdown of red blood cells, releasing hemoglobin degradation products (like hemosiderin) that diffuse into the dentinal tubules and stain the tooth a dark grey/brown color from within — this is the classic mechanism of post-traumatic tooth discoloration.