Procedure associations’ for esthetic resolution of discolored and endodontically treated tooth
Objective: The aim of this study was to present the clinical treatment performed in order to solve an aesthetic problem resulting from a color change of the upper central incisor (21) endodontically treated and with an unsatisfactory composite resin restoration. Case description: After anamnesis, clinical and radiographic examination was performed the dental bleaching of the tooth 21. The bleaching agents (sodium perborate and/ or hydrogen peroxide) were used in different application techniques: intracoronal and external; “waking bleach” and “in-office” bleaching. For the indication and treatment’s prognosis were considered: quantity and quality of the dental tissue, quality of endodontic treatment and time of chromatic alteration reported by the patient. After the bleaching sessions, the result obtained was not satisfactory in front of the patient’s wishes. Thus, a direct composite resin restoration was performed. Conclusion: Considering the clinical outcomes achieved it can be concluded that the dental bleaching, although conservative to the dental structures, was not effective in order to solve the color change. Besides, direct composite resin restoration, although less conservative, was satisfactory to solve the aesthetic problem and it has been effective after two years of follow-up.
Copyright (c) 2019 João Felipe Besegato, Isabela Alves Matioli, Adrieli Burey, Daniel Poletto, Adriana de Oliveira Silva, Márcio Grama Hoeppner
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