Pink tooth

image captured with TelScope Telehealth System

Pink tooth

image captured with TelScope Telehealth System


The mother of a 10 year old girl was concerned about a “pink tooth”. There was no report of pain or other concerns.


The first image, captured with TelScope Telehealth System, reveals an emerging upper left permanent tooth (first premolar), with the primary (“baby”) tooth still present. The primary molar has a pink color to it because it has resorbed internally as the permanent tooth moved into position, and the underlying gum tissue is showing through. This situation is not uncommon, but can be evaluated by a dentist through a teledentistry examination and appropriate questioning to determine if any treatment is indicated. In this case, the baby tooth was loose and can be allowed to be lost naturally if no other problems develop. The parent was informed that an extraction of the primary tooth may be required if it is still present in several weeks.


The second image, marked using the TelScope app, highlights the red gum margins of other teeth in this area. This inflammation is called gingivitis, and is commonly seen in children with a loose tooth because they are often hesitant to brush the area near that tooth. The child should be supervised when brushing and encouraged to gently but thoroughly brush at the gumline twice per day as normal. The gingivitis will heal with improved hygiene.

About the Author: Dr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service.

This content is for information only. This content is not for advice, diagnosis, or
guarantee of outcome for patients. No patients should use the information,
resources, or tools contained within to self-diagnose or self-treat any health-related

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