Bleaching of severely darkened nonvital tooth case report—48 months clinical control
Alana C. Machado MS
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorSheila R. M. Braga MS
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorDaniele Ferreira MS
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorFelipe F. Jacintho DDS
Department of Pharmacology, School of Medical Science, University of Campinas, Campinas, Brazil
Search for more papers by this authorTais Scaramucci PhD
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorCorresponding Author
Maria Angela P. Sobral PhD
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Correspondence
Maria Angela P. Sobral, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Prof. Lineu Prestes Avenue, 2227, São Paulo, SP, 05508-000.
Email: [email protected]
Search for more papers by this authorAlana C. Machado MS
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorSheila R. M. Braga MS
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorDaniele Ferreira MS
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorFelipe F. Jacintho DDS
Department of Pharmacology, School of Medical Science, University of Campinas, Campinas, Brazil
Search for more papers by this authorTais Scaramucci PhD
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Search for more papers by this authorCorresponding Author
Maria Angela P. Sobral PhD
Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
Correspondence
Maria Angela P. Sobral, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Prof. Lineu Prestes Avenue, 2227, São Paulo, SP, 05508-000.
Email: [email protected]
Search for more papers by this authorAbstract
Objective
To record in detail, the long-term success of a bleaching treatment employing hydrogen peroxide in a severely darkened tooth.
Clinical considerations
Tooth discoloration is an important aesthetic complain of patients. Because it is a relatively common condition, different materials and techniques capable of restoring the tooth color in a minimally invasive, conservative, and longstanding manner were developed. In this case, it was used the association between mediate (walking bleach) and immediate (internal/external) bleaching techniques using hydrogen peroxide as the main agent.
Conclusion
The association of techniques was a conservative therapeutic solution to restore the natural color of the right upper central incisor, which was darkened after an endodontic treatment performed more than twenty years ago. The bleaching protocol used presented no risk to the patient, such as cervical resorption and the color was stable over a 48 months period, showing the success of the protocol proposed for this case.
Clinical significance
There is a possibility to severely darkened teeth receive an adequate bleaching treatment protocol, which can successfully restore the aesthetics and natural color in a conservative and long lasting way.
REFERENCES
- 1Bersezio C, Martin J, Mayer C, et al. Quality of life and stability of tooth color change at three months after dental bleaching. Qual Life Res. 2018; 27(12): 3199-3207.
- 2Meireles SS, Goettems ML, Dantas RV, et al. Changes in oral health related quality of life after dental bleaching in a double-blind randomized clinical trial. J Dent. 2014; 42(2): 114-121.
- 3Attin T, Paque F, Ajam F, Lennon AM. Review of the current status of tooth whitening with the walking bleach technique. Int Endod J. 2003; 36(5): 313-329.
- 4Arens D. The role of bleaching in esthetics. Dent Clin North Am. 1989; 2: 319-336.
- 5Glockner K, Hulla H, Ebeleseder K, et al. Five-year follow-up of internal bleaching. Braz Dent J. 1999; 2: 105-110.
- 6Brown G. Factors influencing successful bleaching of the discolored root-filled tooth. Oral Surg Oral Med Oral Pathol. 1965; 20: 238-244.
- 7Faunce F. Management of discolored teeth. Dent Clin North Am. 1983; 4: 657-670.
- 8Niederman R, Ferguson M, Urdaneta R, et al. Evidence-based esthetic dentistry. J Esthet Dent. 1998; 5: 229-234.
10.1111/j.1708-8240.1998.tb00363.x Google Scholar
- 9van der Burgt TP, Plasschaert AJ. Bleaching of tooth discoloration caused by endodontic sealers. J Endod. 1986; 12(6): 231-234.
- 10van der Burgt TP, Eronat C, Plasschaert AJ. Staining patterns in teeth discolored by endodontic sealers. J Endod. 1986; 12(5): 187-191.
- 11van der Burgt TP, Plasschaert AJ. Tooth discoloration induced by dental materials. Oral Surg Oral Med Oral Pathol. 1985; 60(6): 666-669.
- 12van der Burgt TP, Mullaney TP, Plasschaert AJ. Tooth discoloration induced by endodontic sealers. Oral Surg Oral Med Oral Pathol. 1986; 61(1): 84-89.
- 13Davis MC, Walton RE, Rivera EM. Sealer distribution in coronal dentin. J Endod. 2002; 28(6): 464-466.
- 14Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J. 2001; 190(6): 309-316.
- 15Howell RA. Bleaching discoloured root-filled teeth. Br Dent J. 1980; 148(6): 159-162.
- 16Howell RA. The prognosis of bleached root-filled teeth. Int Endod J. 1981; 14(1): 22-26.
- 17Bersezio C, Sánchez F, Estay J, et al. Inflammatory markers IL-1β and RANK-L assessment after non-vital bleaching: a 3-month follow-up. J Esthet Restor Dent. 2020; 32: 119-126.
- 18Plotino G, Buono L, Grande NM, Pameijer CH, Somma F. Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod. 2008; 34(4): 394-407.
- 19MacIsaac AM, Hoen CM. Intracoronal bleaching: concerns and considerations. J Can Dent Assoc. 1994; 1: 57-64.
- 20Harrington GW, Natkin E. External resorption associated with bleaching of pulpless teeth. J Endod. 1979; 5(11): 344-348.
- 21Feiglin B. A 6-year recall study of clinically chemically bleached teeth. Oral Surg Oral Med Oral Pathol. 1987; 63(5): 610-613.
- 22Anderson DG, Chiego DJ Jr, Glickman GN, McCauley LK. A clinical assessment of the effects of 10% carbamide peroxide gel on human pulp tissue. J Endod. 1999; 25(4): 247-250.
- 23Salvas JC. Perborate as a bleaching agent. J Am Dent Ass Dental Cosmos. 1938; 25(2): 324.
10.14219/jada.archive.1938.0054 Google Scholar
- 24Apasser H. A simple bleaching technique using sodium perborate. NYS DentJ. 1961; 9: 332-334.
- 25Nutting E. A new combination for bleaching teeth. J South Calif Dent Assoc. 1963; 9: 289-291.
- 26Nutting EB, Poe GS. Chemical bleaching of discolored endodontically treated teeth. Dent Clin North Am. 1967; 10: 655-662.
- 27Serene TP, Snyder DE. Bleaching technique. (Pulpless anterior teeth). J South Calif Dent Assoc. 1973; 1: 30-32.
- 28Putter H, Jordan RE. The "walking" bleach technique. J Esthet Dent. 1989; 1(6): 191-193.
- 29Swift EJ Jr. Treatment of a discolored, endodontically treated tooth with home bleaching and composite resin. Pract Periodontics Aesthet Dent. 1992; 3: 19-21.
- 30Frazier KB. Nightguard bleaching to lighten a restored, nonvital discolored tooth. Compend Contin Educ Dent. 1998; 8: 810-813.
- 31Liebenberg WH. Intracoronal lightening of discolored pulpless teeth: a modified walking bleach technique. Quintessence Int. 1997; 12: 771-777.
- 32Carrillo A, Arredondo Trevino MV, Haywood VB. Simultaneous bleaching of vital teeth and an open-chamber nonvital tooth with 10% carbamide peroxide. Quintessence Int. 1998; 10: 643-648.
- 33Zimmerli B, Jeger F, Lussi A. Bleaching of nonvital teeth. A clinically relevant literature review. Schweiz Monatsschr Zahnmed. 2010; 4: 306-320.
- 34Higashi C, Rauski RD, Gomes JC, et al. One-year follow-up of non-vital discolored teeth after bleaching with an association of techniques: a case report. Gen Dent. 2007; 7: 676-682.
- 35Abbott P, Heah SY. Internal bleaching of teeth: an analysis of 255 teeth. Aust Dent J. 2009; 54(4): 326-333.
- 36Dahl JE, Pallesen U. Tooth bleaching—a critical review of the biological aspects. Crit Rev Oral Biol Med. 2003; 14(4): 292-304.
- 37Wray A, Welbury RUK. National Clinical Guidelines in Paediatric Dentistry: treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. Int J Paediatr Dent. 2001; 4: 309-315.
- 38Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract. 2014; 14: 70-76.
- 39Baratieri LN, Ritter AV, Monteiro S Jr, et al. Nonvital tooth bleaching: guidelines for the clinician. Quintessence Int. 1995; 9: 597-608.
- 40Papathanasiou A, Bardwell D, Kugel G. A clinical study evaluating a new chairside and take-home whitening system. Compend Contin Educ Dent. 2001; 4: 289-294. 96, 98; quiz 300.
- 41Auschill TM, Hellwig E, Schmidale S, et al. Effectiveness of various whitening techniques and their effects on the enamel surface. Schweiz Monatsschr Zahnmed. 2002; 9: 894-900.
- 42Warren MA, Wong M, Ingram TA 3rd. In vitro comparison of bleaching agents on the crowns and roots of discolored teeth. J Endod. 1990; 10: 463-467.
- 43Rotstein I, Torek Y, Misgav R. Effect of cementum defects on radicular penetration of 30% H2O2 during intracoronal bleaching. J Endod. 1991; 17(5): 230-233.
- 44Rotstein I. Role of catalase in the elimination of residual hydrogen peroxide following tooth bleaching. J Endod. 1993; 19(11): 567-569.
- 45Heithersay GS. Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int. 1999; 2: 83-95.
- 46Friedman S, Rotstein I, Libfeld H, et al. Incidence of external root resorption and esthetic results in 58 bleached pulpless teeth. Endod Dent Traumatol. 1988; 1: 23-26.
10.1111/j.1600-9657.1988.tb00288.x Google Scholar
- 47Holmstrup G, Palm AM, Lambjerg-Hansen H. Bleaching of discoloured root-filled teeth. Endod Dent Traumatol. 1988; 5: 197-201.
10.1111/j.1600-9657.1988.tb00322.x Google Scholar
- 48Friedman S. Internal bleaching: long-term outcomes and complications. J Am Dent Assoc. 1997; 128: 51s-55s.
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