Modified Technique for Nonvital Tooth Bleaching: A Case Report

The aim of this study is to report a case of a nonvital, discolored, maxillary central incisor bleached by 35% hydrogen peroxide gel with the use of glass ionomer cement as a mechanical barrier in an attempt to minimize the undesirable side effects of intracoronal bleaching. The patient was a 13-year-old boy complaining of a discolored nonvital upper-right central incisor and was selected for this study from the pedodontic clinic in the Shibin Elkom teaching hospital in June 2013. After successful endodontic treatment, the tooth was bleached by 35% hydrogen peroxide gel (Opalescence Xtra), activated by a standard curing light unit, and evaluated for any periapical changes by a periapical radiograph for a nine-months follow-up period. Radiographically, there was no evidence of cervical or apical resorption during the study period.