A Baby Tooth Turned Grey After a Fall
Colour can change after a baby-tooth injury. Learn why colour alone does not decide treatment, what symptoms to report and why follow-up matters.

The fall happened weeks ago. Now one baby front tooth looks darker in a photograph. Contact the dentist and mention the earlier injury, even if the child is eating normally. Colour changes can appear after trauma, and an examination is needed to interpret them alongside the rest of the tooth's condition.[1][2]
Grey does not automatically mean removal
A 2025 review of primary-tooth injuries explains that darkening can be temporary or persist. Colour alone is not an indication for root-canal treatment or extraction; the clinician looks for signs of disease or other problems. Equally, a tooth that does not hurt is not automatically cleared of concern. The decision depends on the assessment.[1]
Give the approximate date and circumstances of the fall, any treatment already received, and when the colour changed. Mention whether the tooth moved, broke or bled at the time. If you already have a photograph from before or after the accident, it may help explain the sequence. You do not need to create a daily photo session.
Changes to report promptly
Alder Hey advises reporting increased looseness, swelling, persistent tenderness when biting or colour change after an injury. A new gum swelling or increasing pain deserves a call rather than waiting for the next routine check. Describe changes in eating or brushing too, especially if a young child cannot explain the discomfort clearly.[2]
Do not scrub the colour away, apply whitening products or try to loosen the tooth. If appearance is upsetting your child, say so at the appointment. That concern can be discussed without treating a photograph as proof that a procedure is necessary.
Why review can continue after the child feels better
An injured baby tooth sits close to a developing permanent tooth. Trauma and later complications can affect that successor, so the follow-up plan matters. Ask what the dentist is monitoring, whether imaging is needed and when to return. Keeping the review does not mean a poor outcome has been predicted; it allows changes to be assessed.[1][2]