BLEACHING OF NON VITAL ANTERIOR TOOTH A CASE REPORT

Abstract

Aim&Background: Discoloration of anterior teeth can greatly affect a patient’s appearance, making it a challenging issue for clinicians. Various treatment options for discolored non-vital teeth include bleaching, crowns, and veneers. Bleaching is a simple and conservative method for eliminating intrinsic stains. The present article reports the successful bleaching of discolored non-vital endodontically tretaed tooth using walking bleach technique,where there was no evidence of reversible discoloration or cervical root resorption.

Case Description: A 30-year-old female patient presented with discoloration in the anterior maxillary region that had persisted for the past 7 years. She provided a history of dental trauma that occurred 8 years prior and noted that she had received root canal therapy one month before. Radiographic imaging revealed radio-opaque structures within the canal spaces of teeth 12 and 11, indicative of prior endodontic treatment. The diagnosis of non-vital teeth was confirmed using an electric pulp tester and cold testing. Conventional endodontic therapy was performed, followed by treatment with the walking bleach technique.

Conclusion: Effective results have been seen, with no return of discolouration and no external cervical resorption concerning the tooth that has been bleached. The walking bleach procedure is a non-invasive, safe, and effective therapy option for treating teeth that have undergone endodontic treatment that are discolored.

Clinical Significance:In contrast to other post-endodontic treatment choices such as complete veneer crowns, non-vital bleaching is considered a cautious approach.On the other hand, non-vital bleaching is a non-invasive treatment. Not only is it less expensive and time-consuming, but most significantly, the patient's natural tooth structure is kept intact.