Abstract

Discoloration of anterior teeth is an esthetic problem that is often significant enough to induce patients to seek corrective measures. Restorative methods, such as crowns and veneers are available, but discoloration can often be corrected totally or partially by bleaching procedures. Bleaching procedures are more conservative than restorative methods, as no additional tooth structure needs to be removed to complete the procedure aside from what was removed during the root canal procedure. They are relatively simple to perform and less expensive than restorative methods. This chapter reviews tooth discoloration of nonvital teeth and its prevention and correction. Discussed are the causes and management of discoloration as related to the location of the discoloration, the approach used for correction, and the predicted short- and long-term success of bleaching. Also are discussed the causes of discoloration, commonly used bleaching materials, mechanism of tooth bleaching, internal bleaching techniques (usually in conjunction with or after root canal treatment), and possible complications and safety of the various procedures.

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