Brown cavitations represent areas where loss of enamel has exposed underlying dentin.
Appearance & Symptoms
- Anterior upper incisors are typically affected first as posterior teeth emerge later.
- Lesions are initially pale yellow and become progressively darker as they become stained.
- Teeth may be sensitive to thermal changes and sweet or sour foods or drinks.
- Young children are unable to articulate symptoms.
Treatment & Referral
- Immediate dental referral should be arranged.
- Small cavities may be treated with fluoride releasing restorative materials and not require local anesthesia or high speed drills to stabilize their progression.
- Provide dietary and oral hygiene counseling.
- Use fluoride to arrest lesions not requiring restoration