If it is an anterior tooth, and you do not want an unsightly smile, you could have the tooth bleached from the inside to give it a lighter shade and match the other teeth.
This antibiotic may be the cause of your tooth turning gray, if your mother took it while she was pregnant with you, or if you took it before you turned 6 years old.
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In addition to these main causes, there are rare cases when bleeding inside the tooth can cause it to turn gray.