Procedure associations’ for esthetic resolution of discolored and endodontically treated tooth

  • João Felipe Besegato Universidade Estadual Paulista "Júlio de Mesquita Filho"
  • Isabela Alves Matioli Universidade Estadual de Londrina
  • Adrieli Burey Universidade Estadual de Ponta Grossa
  • Daniel Poletto Universidade Paranaense
  • Adriana de Oliveira Silva Universidade Estadual de Londrina
  • Márcio Grama Hoeppner Universidade Estadual de Londrina
Keywords: Esthetics Dental, Tooth Bleaching, Composite Resins

Abstract

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.

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Author Biographies

João Felipe Besegato, Universidade Estadual Paulista "Júlio de Mesquita Filho"

Departamento de Odontologia Restauradora, Faculdade de Odontologia de Araraquara, Universidade
Estadual Paulista "Júlio de Mesquita Filho" (Unesp), Araraquara, SP, Brasil

Isabela Alves Matioli, Universidade Estadual de Londrina

Departamento de Odontologia Restauradora, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil

Adrieli Burey, Universidade Estadual de Ponta Grossa

Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brasil

Daniel Poletto, Universidade Paranaense

Universidade Paranaense (Unipar), Francisco Beltrão, PR, Brasil

Adriana de Oliveira Silva, Universidade Estadual de Londrina

Departamento de Odontologia Restauradora, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil

Márcio Grama Hoeppner, Universidade Estadual de Londrina

Departamento de Odontologia Restauradora, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil

Published
2019-07-17
Issue
Section
Case report or technical report