In office vital bleaching: A case report

Abstract

A pleasing appearance and bright smile greatly enhance oneʼs personality. Discoloration, especially when the anterior teeth are affected, puts a significant disturbance of aesthetics and can decrease patient's self esteem. Public demand for esthetic dentistry, including tooth whitening especially anterior teeth has increased in recent years. Discoloration of a tooth is a common esthetic problem caused by either extrinsic or intrinsic factor. Now a days there are many advances for treating such teeth discolorations. The case report shows the remarkable change in the color of discolored teeth using in office bleaching.

Dental Fluorosis Management Using Power Bleach – A Magic Wand

“…To achieve faster tooth whitening, either higher hydrogen peroxide concentrations (25-40%) or application of accelerator LED light are employed. In our present case also, 35% of hydrogen peroxide used along with light activated power bleaching to enhance the bleaching action for better results [12,7].…”

“…Only with the use of bleaching lights or heat application, pulpal irritation and tooth sensitivity may be increase. In this case, we didn't encounter hypersensitivity [7,13].…”

“…Nearly all of the causes of tooth discolouration, including disintegration of the pulp tissue, internal bleeding, trauma cases, medication use, and systemic disorders including fluorosis, jaundice, and fetal erythroblastosis, are suitable for the use of a bleaching technique. The main contraindications to bleaching include using it on children under 10 years of age, new-borns, pregnant women, people who have exposed dentinal tubules on their teeth, smokers who can't quit during the treatment, and people who have extremely sensitive teeth [7].…”

“…The most commonly used In-office or Power bleaching techniques use hydrogen peroxides with high concentrations and are frequently referred to as "one-hour bleaching." These hydrogen peroxides at high concentrations have a range of 25% to 35% [7]. This paper demonstrates a method for Power bleaching technique using light cure unit and SDI pola office.…”