Management of Discolored Anterior Teeth with Pulp Canal Obliteration
The purpose of this article is to present the effect and follow-up results of combined single-tooth vital bleaching when discoloration is due to pulp canal obliteration. In these cases, discoloration was managed successfully via home bleaching with a customized single-tooth tray and in-office bleaching without root canal treatment.SUMMARY

(A) Preoperative photographs and (B) intraoral radiograph of discolored tooth (#8).

(A) Labial view and (B) occlusal view of customized single-tooth bleaching tray.

Isolation of structure adjacent to tooth #8 before in-office bleaching.

(A) After 1 week, (B) after 2 weeks, (C) after 3 weeks, (D) after 4 weeks, (E) after 5 weeks, and (F) after 6 weeks of combined vital tooth bleaching.

(A) 3-month follow-up and (B) 6-month follow- up photographs.

(A) 3-year follow-up photograph showed relapse of discoloration on tooth #8, (B) after 4 weeks of in-office bleaching once a week, and (C) after additional 2 weeks of combined bleaching.

(A) Preoperative photographs and (B) intraoral radiograph of discolored tooth (#8).

(A) Study model and (B) application of customized single-tooth bleaching tray.

(A) After 1 week, (B) after 2 weeks, (C) after 3 weeks, (D) after 6 weeks, and (E) after 9 weeks of combined vital tooth bleaching.
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