Dear Dr. B, Recently, I was prescribed Doxycycline (antibiotic) by my dermatologist. I take a pretty high dose for my acne - the treatment is supposed to last for about 3 months. I've heard that both Doxycycline and other Tetracycline antibiotics stain your teeth yellow. Is there any truth to this or is this just a rumor? Thanks! - Anisha B.
The guideline of age 10 includes the fetus as well: Pregnant women, at any age, must not take Tetracycline or Doxycycline. Teeth form inside the womb and the antibiotic appears inside the teeth of the fetus (which are forming inside the jawbone). Typically, these teeth cannot just be whitened; they need to be completely covered with crowns in order to cover up the severe staining. In extreme cases, the teeth could be so weak in structure that they could break and need to be removed and replaced with implants.
If you’re over age 10, your teeth will not be stained however there are other effects, among them photosensitivity, skin reactions, and anaphylaxis. This antibiotic is not just for acne; it’s given for Lyme disease, malaria, and urinary tract infections (UTI).
You are in the clear in terms of staining after the age of 10. Speak with your dermatologist immediately about an alternative if you are or decide to become pregnant. All I can say, Anisha, having been a teenager and now a dentist, let’s just be thankful that you can’t get pimples on your teeth.
Mark Burhenne DDS
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Hey Dr B,
Yepp, I must say its nice to have “clear teeth”. Haha!
Thank you for such an informative response. This has definitely given a lot for me to talk about with my dermatologist during my next appointment. The alternative to the tetra antibiotics is Accutane (for me, at least) which as I’m sure you heard, is a pretty severe acne drug with a lot of side effects. I want to stay far, far away from that.
Maybe it’s about time I try more natural methods of skincare! Thanks for all your help.
Anisha
The tetracyclines can stain a permanent tooth and the soft tissues. The mechanism different than that during odontogenesis.
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Though rare, I think there may be more room for adult staining than this post expresses. I am an adult who has recently experienced staining while taking Doxy for Lyme disease (200mg/day). You might want to read this article in the Australian Dental Journal, which discusses 4 similar cases: http://onlinelibrary.wiley.com/doi/10.1111/j.1834-7819.2005.tb00373.x/epdf
My teeth were pretty white when I started taking Minocycline at age 45. My teeth are now gray with banding. I recently moved and went to a new dentist who commented on my “tetracycline stained teeth”. I can’t be the only adult this has happened to.