Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching

Introduction: One of the factors that affect aesthetics is the discoloration of the teeth. Causes of discoloration are generally divided into extrinsic and intrinsic, depending on localization and etiology. Case Description: A 18 year old male with the chief complaint of discolored upper front tooth...

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Main Authors: Mrs Diani Prisinda, Mrs Yuti Malinda
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:International Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653923008298
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author Mrs Diani Prisinda
Mrs Yuti Malinda
author_facet Mrs Diani Prisinda
Mrs Yuti Malinda
author_sort Mrs Diani Prisinda
collection DOAJ
description Introduction: One of the factors that affect aesthetics is the discoloration of the teeth. Causes of discoloration are generally divided into extrinsic and intrinsic, depending on localization and etiology. Case Description: A 18 year old male with the chief complaint of discolored upper front tooth and slight proclination. History revealed trauma in anterior teeth 10 years back. Intraorally there was no pain on percussion, the tooth was fracture of two-thirds of the incisal. Radiograph did not reveal any adverse findings.Root canal treatment was performed before and have a proper obturation. Gutta-percha was removed up to 2 mm. GIC base was applied over the stumped gutta-percha.Hydrogen Peroxide 35 % was the agent of choice. Access cavity was sealed with IRM and on the sixth day following to restored with composite resin. Discussion: Trauma to the tooth structure causes rupture of the capillaries in the pulp chamber and bleeding occurs then penetrates into the dentinal tubules resulting in a discolored tooth. The main composition used is 35% hydrogen peroxide. In this case the technique used was walking bleach. Making a cervical seal by reducing the guttapercha to a depth of 1-2 mm below the CEJ. Restoration with composite are carried out 1 - 3 weeks later, because the presence of hydrogen peroxide residue will inhibit the polymerization of the composite and reduce the bond strength to the enamel. Conclusion/Clinical Significance: Internal bleaching treatment with the walking bleach technique for discoloration due to trauma using hydrogen peroxide showed satisfactory results.
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spelling doaj.art-97e530d66825491b9e839abe5e6890712023-09-24T05:13:25ZengElsevierInternational Dental Journal0020-65392023-09-0173S44Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal BleachingMrs Diani Prisinda0Mrs Yuti Malinda1Corresponding author.; Universitas Padjadjaran, Bandung, IndonesiaUniversitas Padjadjaran, Bandung, IndonesiaIntroduction: One of the factors that affect aesthetics is the discoloration of the teeth. Causes of discoloration are generally divided into extrinsic and intrinsic, depending on localization and etiology. Case Description: A 18 year old male with the chief complaint of discolored upper front tooth and slight proclination. History revealed trauma in anterior teeth 10 years back. Intraorally there was no pain on percussion, the tooth was fracture of two-thirds of the incisal. Radiograph did not reveal any adverse findings.Root canal treatment was performed before and have a proper obturation. Gutta-percha was removed up to 2 mm. GIC base was applied over the stumped gutta-percha.Hydrogen Peroxide 35 % was the agent of choice. Access cavity was sealed with IRM and on the sixth day following to restored with composite resin. Discussion: Trauma to the tooth structure causes rupture of the capillaries in the pulp chamber and bleeding occurs then penetrates into the dentinal tubules resulting in a discolored tooth. The main composition used is 35% hydrogen peroxide. In this case the technique used was walking bleach. Making a cervical seal by reducing the guttapercha to a depth of 1-2 mm below the CEJ. Restoration with composite are carried out 1 - 3 weeks later, because the presence of hydrogen peroxide residue will inhibit the polymerization of the composite and reduce the bond strength to the enamel. Conclusion/Clinical Significance: Internal bleaching treatment with the walking bleach technique for discoloration due to trauma using hydrogen peroxide showed satisfactory results.http://www.sciencedirect.com/science/article/pii/S0020653923008298
spellingShingle Mrs Diani Prisinda
Mrs Yuti Malinda
Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching
International Dental Journal
title Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching
title_full Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching
title_fullStr Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching
title_full_unstemmed Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching
title_short Aesthetic Rehabilitation of Discoloured Anterior Tooth with Intra-Coronal Bleaching
title_sort aesthetic rehabilitation of discoloured anterior tooth with intra coronal bleaching
url http://www.sciencedirect.com/science/article/pii/S0020653923008298
work_keys_str_mv AT mrsdianiprisinda aestheticrehabilitationofdiscolouredanteriortoothwithintracoronalbleaching
AT mrsyutimalinda aestheticrehabilitationofdiscolouredanteriortoothwithintracoronalbleaching