Prompt response to resin infiltration with or without bleaching in the treatment of teeth pigmentation and teeth discoloration

Abstract

Discoloration and pigmentation of teeth are two common esthetic issues in dentistry that prompt patients to seek treatment as soon as possible. Overall, the etiology of discoloration and pigmentation is multifactorial, with different treatment options showing long-term effects. Such treatment options have been evaluated and shown to reduce tooth pigmentation and discoloration; however, the long-term effects of resin infiltration with or without bleaching at a 1-year follow-up are not investigated. Therefore, we presented a case report of two cases that were successfully treated using resin infiltration with or without bleaching, and both of these cases responded well by the end of 2 weeks, with lasting effects at 1-year follow-up. For the case report, the care checklist was used. Two females with discoloration and pigmentation of teeth presented to the King Khalid University postgraduate dentistry clinic who wanted to get treated for these conditions. After taking their personal, dietary, medical, and family history, performing oral examination, and tooth analysis, treatment plans were made for both cases. The first case was a 54-year-old female who presented with mild-to-moderate fluorosis, and she was successfully treated mainly with bleaching plus resin infiltration with positive findings. A faint line and discoloration were present before treatment that got disappeared after the treatment, and the smile of the patient also got improved. There was also a significant difference found in the frontal view of the teeth before and after treatment. In contrast, the other case was a 20-year-old young girl who presented with the chief complaint of white teeth pigmentation after finishing orthodontic treatment. She was mainly treated with resin infiltration with positive effects of treatment with improvements in the smile and favorable changes in the frontal view of teeth, reduction in pigmentation, and improvement in oral hygiene. The response to the treatment in both the cases was rapid, and it appeared at the end of 2 weeks. The findings of these two case reports reveal the significance of the persistent favorable effects of resin infiltration with or without bleaching at the follow-up of 1 year. However, more randomized clinical trials are required to confirm these findings in many patients.