Association between bleaching techniques for the treatment of teeth with chromatic alteration - Case report

Ana Ferreira Souza,Marina Borges Tersi,Fernanda Pinto Murad,Giselle Maria Marchi,Gabriela Alves De Cerqueira

doi:10.33448/rsd-v9i8.5863

Ana Ferreira Souza, Marina Borges Tersi + Show 3 more

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https://doi.org/10.33448/rsd-v9i8.5863

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Abstract

Dental trauma is one of the most common causes of post-eruptive intrinsic color changes in teeth. The dissatisfaction with smile aesthetics is one of the main motivators for seeking dental procedures such as tooth bleaching, which stands out for being a little-invasive procedure with immediate and satisfactory aesthetic results. The objective of this paper is to describe a case report of a 24-year-old patient who attended the Postgraduate Program in Dental Clinic Practice at the Piracicaba Dental School – University of Campinas, which involved as main complaint tooth darkening after trauma in childhood. Internal bleaching of a dental element was performed using sodium perborate and distilled water associated with in office external bleaching with 37% hydrogen peroxide to provide a more harmonious smile to the patient. The association of bleaching techniques is an alternative widely indicated and effective in cases where it is desirable to maintain the integrity of dental elements, especially in young patients, avoiding more invasive restorative procedures and resulting in patient satisfaction.

Highlights

Dissatisfaction with smile aesthetics is one of the main motivators for seeking dental procedures and, among these, tooth bleaching stands out as a low-invasive procedure that promotes immediate and satisfactory aesthetic results (Demarco, Meireles, & Masotti, 2009)
The objective of this paper is to describe a case report of a 24-year-old patient who attended the Postgraduate Program in Dental Clinic Practice at the Piracicaba Dental School – University of Campinas, which involved as main complaint tooth darkening after trauma in childhood
Internal bleaching technique is commonly applied for non-vital teeth, in which the bleaching agent is inserted into the pulp chamber of the dental element (Kwon & Wertz, 2015)

Summary

Introduction

Dissatisfaction with smile aesthetics is one of the main motivators for seeking dental procedures and, among these, tooth bleaching stands out as a low-invasive procedure that promotes immediate and satisfactory aesthetic results (Demarco, Meireles, & Masotti, 2009). In-office treatment promotes immediate results and, while performing this, materials such as hydrogen peroxide (H2O2) or carbamide peroxide are applied in high concentrations, which can vary between 35 to 40% (Kwon & Wertz, 2015). Both are classified as efficient materials and render patient acceptance over time (Kwon & Wertz, 2015; Meireles et al, 2012).

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