Dead Tooth

Treasure Room

(page 4, column 1, row 5)

Dead Tooth is a passive item added in Afterbirth †.

Effects

• While firing, creates an aura around Isaac that poisons any nearby enemies.
• Poison damage is equal to Isaac's damage stat.

Interactions

• Azazel/ BrimstoneTears are replaced by a laser beam that pierces through all enemies and obstacles in its path and deals high damage. Can only be fired after a short charge-up period.: The green aura only activates when charging beams.
• Chocolate MilkGrants charged tears that deal greater damage when fully charged.: The green aura only activates when charging tears.
• DiplopiaDuplicates all pickups and item pedestals in the room.: No effect.
• Epic FetusIsaac's tears are replaced with guided missiles, like those used by the Doctor's Remote.: The green aura only activates when pressing the buttons to move the crosshair.
• The Forgotten: The green aura will activate when using melee and charging throw attack.
• Lilith: No effect.
• The Ludovico TechniqueInstead of firing tears, Isaac controls one floating tear that hover over obstacles. This tear deals constant damage when held in place over an enemy.: The green aura only activates when pressing the buttons to move Isaac's tear.
• MarkedIsaac will now fire tears automatically directed at a red target on the ground which is controlled by the player. This allows for a full 360 degree tear firing radius. Can be overridden by other tear modifiers such as Mom's Knife or Brimstone.: The green aura only activates when pressing the buttons to move the crosshair.
• Mega BlastUpon use, Isaac fires a laser similar to the one used by Mega Satan. This laser deals massive damage, lasts for approximately 15 seconds, and persists between rooms. Isaac is pushed backwards by the force of the laser while it is active.: The green aura will not activate while the beams are firing.
• Mom's KnifeIsaac's tears are replaced by a knife that pierces enemies, can travel through obstacles, and can hurt enemies while Isaac is holding it. Holding down the fire button before firing increases its range and power.: The aura only activates when charging knives.
• Monstro's LungIncreases damage and grants a charged shot that fires multiple tears in the same fashion as Monstro.: The green aura only activates when charging tear barrages.
• SprinklerUpon use, spawns a sprinkler that rotates and fires tears.: Green aura will not activate if only the sprinkler is firing, and the sprinkler does not get its own green aura.
• Tech XTears are replaced with laser rings that pierce through enemies and deal damage to enemies within them. Can be charged to increase the size of the ring.: The green aura will only activate when charging laser rings.

Trivia

• Halitosis is another term for bad breath.

Seeds

 Switch  H0RJ VTAY (First Floor Treasure Room; South from Start)

 Switch  3MPB Y7K1 (First Golden Treasure Room)

Bones

Items:

• Brittle BonesReplaces all red hearts with 6 empty bone hearts. Upon losing a bone heart, Isaac fires bones in 8 directions and permanently gains a tears up.
• Compound FractureIncreases range. Tears turn into bones, which shatter into 1-3 bone shards upon hitting an enemy or obstacle.
• Dead ToothWhile firing, Isaac gains a green aura that poisons nearby enemies.
• Dog ToothIncreases damage and speed. Upon entering a room adjacent to a secret room, a howl sound effect will play.
• Jaw BoneSpawns a familiar that flies the room while firing, dealing double Isaac's tear damage to enemies that come in contact and retrieving pickups.
• MarrowGrants one bone heart and spawns three red heart pickups.
• Monstro's ToothMonstro jumps onto a random enemy, doing area damage. Can damage/kill the player if summoned in an room without enemies.
• My Little UnicornUpon use, grants invulnerability and increased speed for five seconds, removing the ability to shoot tears and replacing it with the ability to deal contact damage to enemies.
• Pointy RibSpawns a bone familiar that can be aimed with the fire buttons and does contact damage.
• Slipped RibSpawns a bone familiar that circles around Isaac and reflects enemy shots.
• Unicorn StumpUpon use, grants invulnerability and increased speed for five seconds, but removes the ability to shoot tears.

Trinkets:

• Black ToothAdds a chance to fire a black tooth that poisons enemies.
• Cursed SkullIf Isaac has less than one full red heart after taking damage, he will be immediately teleported to the last cleared room he was in.
• Finger BoneGrants a chance to gain a bone heart upon taking damage.
• Rib of GreedPrevents Greed and Super Greed from appearing in Shops and Secret Rooms.
• Wish BoneTaking damage has a small chance to destroy the trinket and spawn a random item.