Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 28 Nov 2022

Management of Discolored Anterior Teeth with Pulp Canal Obliteration

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Page Range: 1b – 5
DOI: 10.2341/22-015-T
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SUMMARY

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.

Copyright: © Operative Dentistry, 2023 2023
Figure 1.
Figure 1.

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


Figure 2.
Figure 2.

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


Figure 3.
Figure 3.

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


Figure 4.
Figure 4.

(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.


Figure 5.
Figure 5.

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


Figure 6.
Figure 6.

(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.


Figure 7.
Figure 7.

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


Figure 8.
Figure 8.

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


Figure 9.
Figure 9.

(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.


Contributor Notes

*Corresponding author: 61452, 309, Pilmun-Daero, Dong-gu, Gwang-ju, Republic of Korea; e-mail: joyendo@hanmail.net
Accepted: 20 May 2022
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