Minimum Intervention in Managing Two Cases of Tetracycline Staining of Different Severity

Abstract

Patient dissatisfaction with tooth discoloration as a result of tetracycline therapy is not uncommon. To address patients' aesthetic demands, conservative bleaching treatments were considered before more invasive, irreversible treatments such as dental veneers or crowns. Bleaching is a relatively non-invasive, safe, and cost-effective method of achieving a desirable result. However, due to many limiting variables, including the extended duration of active bleaching, tetracycline-stained teeth are one of the most challenging cases to obtain satisfactory bleaching outcomes. This clinical report presents two cases of management of tetracycline staining of the teeth with varying degrees of severity.

Management of Trauma-induced External Root Cervical Resorption and Discolouration of the Maxillary Central Incisors: A Case Report with a Four-year Follow-up

“…Gutta-percha was removed up to 2 mm below the CEJ, and glass ionomer cement was placed to seal the canal orifice and serve as an effective barrier to prevent the leaching of the bleaching agent into the periapical and cervical areas and thus prevent root resorption. The bleaching tray was adjusted to cover only teeth 11 and 21 labially, and the patient was instructed on how and when he should apply the bleaching agent [1,22]. For the colour change assessment, the Vita-pan classical shade guide, spectrophotometer (Vita Easyshade ® , Vita-Zhanfabrik, Bad Säckingen, Germany) and photography were used to assess the teeth shades [22 -24].…”