Endodontics · single question

A necrotic tooth has a one-year history of trauma. What causes the resulting discoloration?

  1. Breakdown of red blood cells (hemoglobin byproducts)
  2. Breakdown of white blood cells
  3. Bacterial endotoxins
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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.

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