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Intra-coronal bleaching in young permanent and primary tooth with biologic perspectives
Divya S Sharma1, Khushboo Barjatya, Anuradha Agrawal
1Department of Pediatric and Preventive Dentistry, Modern Dental College & Research Centre, Indore (MP), India. drdivyaagra@yahoo.co.in
The Journal of Clinical Pediatric Dentistry
|November 4, 2011
Summary
Intra-coronal bleaching effectively treats discolored pediatric teeth caused by trauma or necrosis. This conservative approach, using agents like sodium perborate, offers a minimally invasive solution for restoring aesthetics and improving psychological well-being.
Area of Science:
- Restorative Dentistry
- Pediatric Dentistry
- Dental Aesthetics
Background:
- Tooth discoloration in pediatric patients can cause significant psychological distress.
- Common causes include dental trauma and pulpal necrosis, leading to intrinsic tooth discoloration.
- Conservative treatment options are crucial for maintaining tooth structure in young patients.
Observation:
- Two case reports detail successful intra-coronal bleaching of discolored pediatric teeth.
- The 'walking bleach' technique was employed, utilizing a mild and tissue-friendly bleaching agent.
- Sodium perborate was the chosen agent, known for its gentle yet effective bleaching properties.
Findings:
- Intra-coronal bleaching is a viable and conservative treatment for non-vital, discolored teeth in children.
- The walking bleach technique with sodium perborate demonstrated successful shade improvement.
- The procedure was minimally invasive, preserving the intact tooth structure.
Implications:
- This approach offers a valuable aesthetic solution for pediatric patients experiencing tooth discoloration.
- Successful treatment can positively impact the psychological well-being of affected children.
- Dentists can confidently consider intra-coronal bleaching as a first-line treatment for such cases.
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