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Bleaching: the initial treatment consideration for tetracycline-stained teeth
Ryan F Bloomquist1, Rhoda J Sword2, Jimmy Londono2
1Assistant Professor, Department of Restorative Sciences, The Dental College of Georgia, Augusta University, Augusta, GA, 30912, USA. rbloomquist@augusta.edu.
British Dental Journal
|June 26, 2021
Summary
Tray tooth bleaching effectively addresses tetracycline stains, offering a conservative approach. Discussing realistic outcomes and cost-benefits improves patient acceptance for this dental procedure.
Area of Science:
- Dentistry
- Cosmetic Dentistry
- Dental Materials
Background:
- Tetracycline staining presents a significant challenge in aesthetic dentistry.
- Carbamide peroxide in custom trays is a common method for tooth bleaching.
- Assessing patient expectations is crucial for successful dental treatments.
Purpose of the Study:
- To evaluate the efficacy and limitations of tray tooth bleaching for tetracycline-stained teeth.
- To present diverse patient cases undergoing bleaching for tetracycline discoloration.
- To compare bleaching outcomes with alternative treatments like veneers or crowns.
Main Methods:
- Clinical case presentations of patients with tetracycline-stained teeth undergoing carbamide peroxide bleaching.
- Discussion of benefits, limitations, and patient-specific outcomes.
- Analysis of cost-benefit ratios and tooth structure preservation.
Main Results:
- Tray bleaching can improve the appearance of tetracycline-stained teeth, though results vary.
- Realistic outcome communication enhances patient satisfaction.
- Bleaching may precede or influence decisions regarding prosthodontic treatments.
Conclusions:
- Tray tooth bleaching is a viable, tooth-preserving option for tetracycline stains.
- Managing patient expectations regarding outcomes is key to successful treatment acceptance.
- Bleaching can be a cost-effective alternative to veneers or crowns for specific cases.
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