Dental discolorations and side effects with iron and placebo tablets.

In a randomized double-blind cross-over study, 19 young women received iron tablets (Neo-Fer) containing 0.20 g ferrous fumarate (60 mg Fe++), and placebo tablets, twice daily during two periods of 8 weeks each. Development of discolorations on fillings and tooth surfaces was studied by careful clinical examination, and by paired comparison of color transparencies taken before and after each period of treatment. Any tendency of this oral iron preparation to cause dental discolorations could not be detected in the present group of women with good oral hygiene. Seven participants reported gastrointestinal discomfort, two of them only when receiving placebo tablets.