Bleaching of non-vital teeth, five-year follow-up: case reports
Journal Title: International Dental Journal of Student Research - Year 2017, Vol 5, Issue 2
Abstract
In 2009, a study was conducted for the purpose of comparing the effectiveness of two bleaching agents: sodium perborate and 37% carbamideperoxide gel. Thirteen patients diagnosed with “non-vital teeth with traumatic dyschromias” were treated at the Universidad Autónoma de Santo Domingo School of Dentistry, Dominican Republic. The findings showed that both bleaching agents were effective; however, 37% carbamideperoxide worked more rapidly and was easier to administer. Because it comes in individualised pre-measured syringes, the gel is immediately ready for application, thereby giving patients the results they desire in a considerably shorter amount of time. After five years, the 13patients previously treated with the non-vital dental bleaching products were recalled to be re-evaluated for possible reversal of tooth discolouration and the development of cervical resorption. Only four patients came to this follow-up dental visit. In all four of the patients’ radiographic findings, there was a complete absence of external cervical resorption. Three of the patients had reversal of tooth discolouration; however, for one patient there were no observable dyschromias. Regardless of the bleaching agent used, if the patient had poor final dental restoration(s) post-bleaching procedure and a lifestyle counter to the maintenance of proper dental health (i.e. smoking, excessive alcohol consumption, and excessive simple sugar consumption), the dyschromias tended to return.
Authors and Affiliations
Marlin Duran, Mercedes Martinez, Nayma Fabian
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