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Nonvital tooth bleaching: a review of the literature and clinical procedures.
J Endod. 2008 Apr; 34(4):394-407.JE

Abstract

Tooth discoloration varies in etiology, appearance, localization, severity, and adhesion to tooth structure. It can be defined as being extrinsic or intrinsic on the basis of localization and etiology. In this review of the literature, various causes of tooth discoloration, different bleaching materials, and their applications to endodontically treated teeth have been described. In the walking bleach technique the root filling should be completed first, and a cervical seal must be established. The bleaching agent should be changed every 3-7 days. The thermocatalytic technique involves placement of a bleaching agent in the pulp chamber followed by heat application. At the end of each visit the bleaching agent is left in the tooth so that it can function as a walking bleach until the next visit. External bleaching of endodontically treated teeth with an in-office technique requires a high concentration gel. It might be a supplement to the walking bleach technique, if the results are not satisfactory after 3-4 visits. These treatments require a bonded temporary filling or a bonded resin composite to seal the access cavity. There is a deficiency of evidence-based science in the literature that addresses the prognosis of bleached nonvital teeth. Therefore, it is important to always be aware of the possible complications and risks that are associated with the different bleaching techniques.

Authors+Show Affiliations

Department of Endodontics, Catholic University of Sacred Heart, Rome, Italy. gplotino@fastwebnet.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18358884

Citation

Plotino, Gianluca, et al. "Nonvital Tooth Bleaching: a Review of the Literature and Clinical Procedures." Journal of Endodontics, vol. 34, no. 4, 2008, pp. 394-407.
Plotino G, Buono L, Grande NM, et al. Nonvital tooth bleaching: a review of the literature and clinical procedures. J Endod. 2008;34(4):394-407.
Plotino, G., Buono, L., Grande, N. M., Pameijer, C. H., & Somma, F. (2008). Nonvital tooth bleaching: a review of the literature and clinical procedures. Journal of Endodontics, 34(4), 394-407. https://doi.org/10.1016/j.joen.2007.12.020
Plotino G, et al. Nonvital Tooth Bleaching: a Review of the Literature and Clinical Procedures. J Endod. 2008;34(4):394-407. PubMed PMID: 18358884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nonvital tooth bleaching: a review of the literature and clinical procedures. AU - Plotino,Gianluca, AU - Buono,Laura, AU - Grande,Nicola M, AU - Pameijer,Cornelis H, AU - Somma,Francesco, Y1 - 2008/02/15/ PY - 2007/09/17/received PY - 2007/12/23/revised PY - 2007/12/26/accepted PY - 2008/3/25/pubmed PY - 2008/6/18/medline PY - 2008/3/25/entrez SP - 394 EP - 407 JF - Journal of endodontics JO - J Endod VL - 34 IS - 4 N2 - Tooth discoloration varies in etiology, appearance, localization, severity, and adhesion to tooth structure. It can be defined as being extrinsic or intrinsic on the basis of localization and etiology. In this review of the literature, various causes of tooth discoloration, different bleaching materials, and their applications to endodontically treated teeth have been described. In the walking bleach technique the root filling should be completed first, and a cervical seal must be established. The bleaching agent should be changed every 3-7 days. The thermocatalytic technique involves placement of a bleaching agent in the pulp chamber followed by heat application. At the end of each visit the bleaching agent is left in the tooth so that it can function as a walking bleach until the next visit. External bleaching of endodontically treated teeth with an in-office technique requires a high concentration gel. It might be a supplement to the walking bleach technique, if the results are not satisfactory after 3-4 visits. These treatments require a bonded temporary filling or a bonded resin composite to seal the access cavity. There is a deficiency of evidence-based science in the literature that addresses the prognosis of bleached nonvital teeth. Therefore, it is important to always be aware of the possible complications and risks that are associated with the different bleaching techniques. SN - 0099-2399 UR - https://www.unboundmedicine.com/medline/citation/18358884/Nonvital_tooth_bleaching:_a_review_of_the_literature_and_clinical_procedures_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0099-2399(08)00005-8 DB - PRIME DP - Unbound Medicine ER -