INTERNAL BLEACHING AFTER ENDODONTIC TREATMENT

Puteri Vemita Sari D.

Universitas Airlangga, Surabaya
Background: Failure of root canal treatment usually accomplished because
the original treatment appears inadequate or has failed. Today, the bleaching
of non-vital, discolored teeth is a low-risk routine treatment for improving
esthetics. Some tooth discolorations in endodontic treated teeth are caused
by dental treatments. The three most popular techniques for non-vital tooth
bleaching are the walking bleach technique, internal/external bleaching, and
in-office bleaching.
Objective: The purpose of this case report are to evaluate endodontically
treated teeth to determine rate of treatment success and discolored anterior
teeth are often perceived as an esthetic detraction.
Case: This patient present with 21 pain and swelling since 2 weeks ago. The
teeth had done RCT 2 years ago. On radiographic there are diffuse
radiolucency at periapical and 3mm overfilling guttap. Clinically there is tooth
discoloration on 21. A procedure to remove root canal filling materials from the
tooth, revise the shape, and obturate the canals. Due to the clinical crown is
good enough, the walking bleach technique is possible treatment for this
case. The walking bleach technique using a mixture of sodium perborate in
the form of tetrahydrate and 30% hydrogen peroxide remained in place for a
week.
Conclussion: Success of endodontic treatment depends on the elimination of
root canal infection present when treatment starts, the prevention of both
contamination during treatment and reinfection later. The walking bleach
technique is a relatively reliable, fairly simple technique for dentists and
patients.
Key words: retreatment, bleaching, non-vital teeth, internal bleaching,
walking bleach technique.