Authors : Dr. Deepak Joby; Dr. Princy Paul; Dr. K. Radhakrishnan Nair; Dr. Amal Devadas; Dr. Praveena G
Volume/Issue : Volume 6 - 2021, Issue 5 - May
Google Scholar : http://bitly.ws/9nMw
Scribd : https://bit.ly/358cspg
Bleaching of non-vital teeth is the most conservative
approach to have a suitable aesthetic result for
endodontically treated teeth. Three techniques used for
bleaching are: the walking bleach technique, the
inside/outside bleach technique, and the in-office
bleaching procedure. Because of its simplicity, safety,
and less in office time required, walking bleach is the
most used technique. This case report describes the
management of a discoloured nonvital upper anterior
teeth through a combination of walking bleach and in
office bleaching.
A 35-year-old female patient reported to the clinic
with severe swelling and pain on the upper anterior teeth
since one week and had a previous history of trauma in
childhood. On examination, 11 and 21 were tender on
percussion, severely discoloured and the radiograph
showed periapical lesion in both. Root canal treatment
was done followed by walking bleach and
thermocatalytic bleaching in both teeth. Review showed
good aesthetic results and IOPAR after 18 months
showed good periapical healing.
Root canal treatment followed by nonvital
bleaching showed good results both aesthetically and
periapicaly in this case for a severely discoloured tooth.