Endodontics · single question

A tooth has become discolored two years after trauma. What causes this discoloration?

  1. Breakdown products of red blood cells (hemoglobin/iron in dentin)
  2. Breakdown of white blood cells
  3. Bacterial endotoxins
  4. Tetracycline staining
Show answer and explanation

Correct answer: A. Breakdown products of red blood cells (hemoglobin/iron in dentin)

  • A. Correct. Intrapulpal hemorrhage from trauma releases RBC breakdown products (hemoglobin → iron sulfide) that infiltrate dentinal tubules, darkening the crown.
  • B. WBC breakdown is not the source of post-trauma tooth discoloration.
  • C. Endotoxins relate to infection, not the chromogenic blood-breakdown staining.
  • D. Tetracycline staining is developmental/drug-related, not trauma-induced.

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