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Why did my tooth turn gray after maxillary expansion surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had maxillary expansion surgery about one month and ten days ago. About a week later, I began expanding my jaw using a Hyrax appliance, turning it twice a day in the evening for two weeks.

Approximately two weeks later, I noticed that one of my front teeth had turned gray. I noticed it late, so it could have happened earlier. When I visited the dentist, they took an X-ray specifically of this tooth. The X-ray showed something unusual, as if the root was being deteriorated from the outside toward the inside.

During the cold test, there was no response from this tooth. However, the other front teeth also did not respond well, possibly because I currently have braces on only those six teeth.

The following day, when I ate ice cream, I actually felt the cold sensation. I have now been referred to an endodontist, but the first appointment, which does not include treatment, may take at least two weeks.

I also attempted to contact the surgeon, but the hospital claimed it is not their responsibility, even though the issue appeared after my surgery. At this point, I am unsure of what to do and worry that waiting might lead to losing the tooth. I have the X-ray and can send it if needed.

Please guide me.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Upon review of your case, it is noted that you underwent maxillary expansion surgery followed by hyrax palatal expansion. You are now presenting with complaints of gray discoloration of a front tooth, along with X-ray changes indicative of external root resorption.

This condition appears to be idiopathic, particularly affecting the tooth while you are undergoing treatment with braces on your anterior six teeth.

The recommended course of action includes removing the affected teeth from braces and conducting an endodontic evaluation and treatment.

Diagnostic tests should include an IOPA (intra-oral periapical radiograph) for the affected tooth. The treatment plan includes root canal treatment, including filling any accessory root canals, monitoring for further root resorption, pulp chamber restoration, and crown placement.

Follow-up should incorporate clinical evaluations alongside endodontic and prosthetic crown restoration assessments, with preventive measures focusing on tooth lining observation and ongoing monitoring of root resorption.

Hope I have addressed all of your queries and concerns.

Do follow up whenever needed.

Thank you.

Medically reviewed byiCliniq medical review team

Published At April 14, 2026
Reviewed AtApril 14, 2026

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