Vital Tooth Bleaching: A Case Report 

Abstract

A dazzling white smile has been a symbol of beauty, health and vitality for hundreds of years. Discolouration, especially when the front teeth are affected, means a significant disturbance of aesthetics and can decrease a patient’s self esteem. Public demand for aesthetic dentistry, including tooth whitening, has increased in recent years. Compared with restorative treatment modalities, whitening, also referred to as bleaching, is the most conservative treatment for discolored teeth. This public demand for a whiter smile and improved aesthetics has made tooth whitening a popular and often requested dental procedure, since it offers a conservative treatment option for discolored teeth. Whitening often enhances the treatment and encourages patients to seek further aesthetic treatment. Dental bleaching offers a conservative, simplified, and low cost approach to change the color of discoloured teeth. Current bleaching techniques include a dentist-prescribed in-office technique, an at-home applied technique, or a combination of both. The pigments oxidation is responsible for tooth bleaching and can be carried out with two different products; carbamide peroxide and hydrogen peroxide. This case report reflects the remarkable change of tooth color by in-office bleaching.

In office vital bleaching: A case report

“…A "bleaching light" is used with in-office bleaching procedures as well. Some reports suggest that pulpal temperature can increase with bleaching light use, depending on the light source and exposure time [6] . Patients are recommended to use a desensitizing toothpaste and dental floss with a powered toothbrush.…”

“…Currently, the most popular systems for in-office bleaching use high concentration hydrogen peroxides and are often referred to as "one hour bleaching." These high concentration hydrogen peroxides range from 25% to 35% [6] . The case presented in this article shows technique for In Office Vital tooth bleaching.…”

Bleaching Gigi Vital pada Gigi Anterior sampai Premolar Pertama Maksila dan Mandibula (Laporan Kasus)

“…Perawatan bleaching merupakan cara terbaik untuk mengembalikan perubahan warna pada gigi karena lebih mudah, lebih memuaskan, dan lebih murah dibandingkan dengan metode lain. 10,11 Meskipun teknik home-bleaching merupakan pilihan pertama, teknik yang paling cocok untuk gigi vital, dan merupakan metode yang umumnya digunakan, namun banyak pasien menghindarinya karena beberapa alasan, seperti durasi prosedur yang panjang, rendahnya tingkat supervisi dokter gigi dan hasil perawatan yang kurang memuaskan. Pada kasus ini teknik in-office bleaching merupakan alternatif pilihan yang terbaik karena memberikan hasil yang signifikan hanya dalam satu kali kunjungan dan dibawah supervisi dokter gigi, sehingga metode ini lebih nyaman, lebih cepat dan memberikan hasil yang memuaskan dengan periode perawatan yang cukup pendek.…”