Nonvital Tooth Bleaching, Noninvasive Technique: A Case Report

Tooth discoloration due to intra coronal bleeding after trauma can cause aesthetic disturbances and appearance. Internal bleaching is a non-invasive method to restore tooth color which is performed after endodontic treatment by placing a strong oxidizing agent in the pulp chamber. Aim of this study was to report the success of internal bleaching procedure to restore discolored teeth due to trauma. A 44-year-old female came to Conservative Dentistry Universitas Airlangga with chief complaint of the upper right insisor tooth looks darker than the adjacent teeth. The patient had fallen 10 years ago from her motorcycle and her tooth had been painful and then the pain disappeared. In intra oral clinical examination, it showed that tooth 11 had discoloured, vitality test of tooth 11 showed no response to electric pulp test. Radiographic view showed that radiolucen in periapical area and no fracture was found. At the first visit, treatment of single visit root canal using rotary instrument and gave dressing calcium hydroxide. A week later on the second visit, internal bleaching with hydrogen peroxide 35% was done. After bleaching, calcium hydroxide was applied to neutralize the oxidizing agent and then re-evaluated for the color. At the third visit, it showed that the tooth colour was obtain as desire from C3 to A3 (Vitapan Classical). The internal bleaching procedure on the traumatized tooth was the best option to restore the function and aesthetics according to the original tooth colour and also provided benefits in terms of saving time, lower price, and maximum results.

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“…In general, unstable peroxide becomes unstable free radicals. These free radicals oxidize other molecules [5][6][7] .…”

Section: Discussionmentioning

confidence: 99%

Management of Non-Vital Teeth Discoloration with the Internal Bleaching : A Case Report

Anugrahati¹,

Ernawati²,

Irsya³

et al. 2021

IJFMT

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“…4 Intrinsic discoloration may be caused by systemic or local factors, and systemic reasons include drug-related (tetracycline) metabolic fluorosis, and genetic (hyperbilirubinemia, amelogenesis imperfecta, and dentinogenesis imperfecta). 5 Local reasons may be because of necrosis of pulp, intrapulpal hemorrhage, pulp tissue remnants after endodontic therapy, endodontic materials, coronal filling materials, root resorption, and aging. 6 This article aims at presenting a case series that shows successful bleaching of discolored nonvital endodontically treated teeth with walking bleach technique performed with two different approaches associated with good prognosis and no side effects.…”

Section: Introductionmentioning

confidence: 99%

Nonvital Bleaching: A Case Series on whitening Procedure for Discolored Endodontically Treated Teeth

Agarwal¹,

Narang²,

Awadhiya³

et al. 2014

International Journal of Prosthodontics and Restorative Dentistry

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Discoloration of tooth can be extrinsic or intrinsic based on its etiology, site, appearance, and severity. It poses esthetic problem which could be a prime concern for many patients, especially in anterior region of teeth that may be compromised due to previous trauma, caries, or failed restorations. Bleaching is a more conservative approach which is noninvasive as compared with other prosthodontic options like crowns or veneers. Among various bleaching techniques, "Walking bleach technique" is preferred, as it provides better cosmetic outcome with limited side effects. However, some modifications of it were also introduced. This article aims at presenting a case series on walking bleach method performed on endodontically treated teeth showing good prognosis and superior esthetic results (with no reversal of tooth discoloration).

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Management of Discoloured Maxillary Central Incisor with Intracoronal Bleaching

Haridas,

George,

Muliyar

2023

Kerala Dental Journal

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Dentistry has an array of treatment options to harmonise a smile with discoloured teeth. Bleaching is an extremely promising option. Bleaching is a safe and conservative approach to tackle discolorations, hence gaining wider acceptance. Intracoronal bleaching of non-vital teeth involves the use of oxidising agents within the coronal portion of an endodontically treated tooth to remove tooth discolouration. The objectives of treatment are to reduce or eliminate discolouration, improve the degree of coronal translucency and alleviate present and prevent future adverse clinical signs or symptoms. The successful outcome depends mainly on the cause, correct diagnosis, case selection and proper application of bleaching technique.

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Nonvital Tooth Bleaching, Noninvasive Technique: A Case Report

Cited by 3 publications

References 3 publications

Management of Non-Vital Teeth Discoloration with the Internal Bleaching : A Case Report

Management of Non-Vital Teeth Discoloration with the Internal Bleaching : A Case Report

Nonvital Bleaching: A Case Series on whitening Procedure for Discolored Endodontically Treated Teeth

Management of Discoloured Maxillary Central Incisor with Intracoronal Bleaching

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