Re-Aestheticization in Discolored Anterior Teeth with Walking Bleach Technique: Case Series

Yıl 2023, , 157 - 163, 28.12.2023

Sena Kaşıkçı , Sena Kolunsağ Özbek

https://doi.org/10.21306/dishekimligi.1315553

Öz

Devital tooth discoloration which mostly occur in the anterior region, creates important aesthetic problems. Devital tooth discoloration is mainly caused by trauma, pulp necrosis, and materials that cannot be cleaned from the pulp chamber after endodontic treatment. The intracoronal bleaching method is a cheap, simple and conservative option that is among the treatment methods for discolored teeth. Intracoronal bleaching treatments with the walking bleaching technique of the discolored anterior teeth of 3 patients who applied to Kocaeli University Faculty of Dentistry, Department of Endodontics are described in this case report. The teeth in Case 1 and Case 2 were discolored due to trauma, while the tooth in Case 3 was discolored after endodontic treatment. In all cases, the gutta-percha was removed 2-3 mm beyond the cementoenamel junction and a coronal barrier was placed. 35% hydrogen peroxide (Opalescence Endo, Ultradent Products Inc., South Jordan, USA) was used as the bleaching agent. As a result of the treatment, satisfactory aesthetic results were obtained in all three cases. Walking bleaching can be recommended as a safe alternative in the treatment of discolored devital teeth

Anahtar Kelimeler

Devital Bleaching, Hydrogen Peroxide, Trauma, Endodontic Treatment

Renklenmiş Anterior Dişlerde Estetiğin Walking Bleach Tekniği ile Yeniden Kazandırılması: Vaka Serisi

Öz

Çoğunlukla anterior bölgede oluşan devital diş renklenmeleri önemli estetik problemler oluşturmaktadır. Devital diş renklenmelerine başlıca travma, pulpa nekrozu ve endodontik tedavi sonrası pulpa odasından temizlenemeyen materyaller neden olmaktadır. Renklenmiş dişlerin tedavi yöntemleri arasında bulunan intrakoronal beyazlatma yöntemi, ucuz, basit ve konservatif bir seçenektir. Bu olgu raporunda Kocaeli Üniversitesi Diş Hekimliği Fakültesi Endodonti Anabilim Dalı’na başvuran 3 hastanın renklenmiş anterior dişlerinin walking bleaching tekniği ile intrakoronal beyazlatma tedavileri anlatılmaktadır. Olgu 1 ve Olgu 2’deki dişler travma kaynaklı olup, Olgu 3’teki diş ise endodontik tedavi sonrası renklenmiştir. Tüm olgularda güta perka seviyesi mine sement sınırının 2-3 mm altına indirilerek, koronal bariyer yerleştirilmiştir. Beyazlatma ajanı olarak %35’lik hidrojen peroksit içerikli ajan (Opalescence Endo, Ultradent Products Inc., South Jordan, ABD) kullanılmıştır. Tedavi sonucunda üç olguda da tatmin edici estetik sonuçlar elde edilmiştir. Renklenmiş devital dişlerin tedavisinde walking bleaching yöntemi güvenli bir alternatif olarak önerilebilir.

Anahtar Kelimeler

Devital Beyazlatma, Hidrojen Peroksit, Travma, Endodontik Tedavi

Kaynakça

• 1. Zimmerli B, Jeger F, Lussi A. Bleaching of nonvital teeth. A clinically relevant literature review. Schweiz Monatsschr Zahnmed. 2010;120(4):306-20.
• 2.Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J. 20012;190(6):309-16.
• 3. Sakalli B, Basmaci F, Dalmizrak O. Evaluation of the penetration of intracoronal bleaching agents into the cervical region using different intraorifice barriers. BMC Oral Health. 2022;22(1):266.
• 4. Uysal T, Er O, Sagsen B, Ustdal A, Akdogan G. Can intracoronally bleached teeth be bonded safely? Am J Orthod Dentofacial Orthop. 2009;136(5):689-94.
• 5. Lim MY, Lum SOY, Poh RSC, Lee GP, Lim KC. An in vitro comparison of the bleaching efficacy of 35% carbamide peroxide with established intracoronal bleaching agents. Int Endod J. 2004; 37(7): 483–8.
• 6. Demir N, Karci M, Ozcan M. Effects of 16% Carbamide Peroxide Bleaching on the Surface Properties of Glazed Glassy Matrix Ceramics. Biomed Res Int. 2020; 1864298.
• 7. Perchyonok VT, Grobler SR. Tooth-bleaching: mechanism, biological aspects and antioxidants. Int J Dent Oral Health. 2015;1(3):1-7.
• 8. Karadaş M, Seven N. Vital dişlerde beyazlatma. Ata Üniv Diş Hek Fak Derg. 2014; 24(3):126–35.
• 9. Sağlam BC, Koçak MM, Koçak S, Türker SA, Arslan D. Comparison of Nd:YAG and diode laser irradiation during intracoronal bleaching with sodium perborate: color and Raman spectroscopy analysis. Photomed Laser Surg. 2015; 33(2): 77–81.
• 10. Ingle JI, Bakland LK, Baumgartner JC. Ingle’s Endodontics. 7th ed., PMPH USA, 2019.
• 11. Plotino G, Buono L, Grande NM, Pameijer CH, Somma F. Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod. 2008; 34(4):394–407.
• 12. Frank AC, Kanzow P, Rödig T, Wiegand A. Comparison of the Bleaching Efficacy of Different Agents Used for Internal Bleaching: A Systematic Review and Meta-Analysis. J Endod. 2022;48(2): 171-78.
• 13. Bersezio C, Sánchez F, Estay J, Ledezma P, Vernal R, Garlet G, et al. Inflammatory markers IL-1β and RANK-L assessment after non-vital bleaching: A 3-month follow-up. J Esthet Restor Dent. 2020;32(1):119-26.
• 14. Attin T, Paqué F, Ajam F, Lennon ÁM. Review of the current status of tooth whitening with the walking bleach technique. Int Endod. 2003;36(5): 313-29.
• 15. Kwon SR. Whitening the single discolored tooth. Dent Clin North Am. 2011;55(2):229-39.
• 16. Newton R, Hayes J. The association of external cervical resorption with modern internal bleaching protocols: what is the current evidence? Br Dent J. 2020;228(5):333-7.
• 17. De Oliveira LD, Carvalho CAT, Hilgert E, Bondioli IR, De Araújo MAM, Valera MC. Sealing evaluation of the cervical base in intracoronal bleaching. Dent Traumatol. 2003;19(6):309-13.
• 18. Llena C, Amengual J, Forner L. Sealing capacity of a photochromatic flowable composite as protective base in nonvital dental bleaching. Int Endod J. 2006;39(3):185-9.
• 19. Demarco FF, Freitas JM, Silva MP, Justino LM. Microleakage in endodontically treated teeth: influence of calcium hydroxide dressing following bleaching. Int Endod J. 2001;34(7):495-500.
• 20. Machado AC, Braga SRM, Ferreira D, Jacintho FF, Scaramucci T, Sobral MAP. Bleaching of severely darkened nonvital tooth case report-48 months clinical control. J Esthet Restor Dent. 2021; 33(2):314-22.
• 21. Dahl JE, Pallesen U. Tooth bleaching--a critical review of the biological aspects. Crit Rev Oral Biol Med. 2003;14(4):292-304.