Akademik Veri Yönetim Sistemi
The 7th International Congress on Adhesive Dentistry, Konya, Türkiye, 01 Haziran 2023, ss.153
Treatment Approach to a Discolored Tooth
Due to Trauma
Arda BİNGÜL
Oya BALA
Introduction
The loss of vitality
of the teeth due to trauma may cause discoloration of the teeth over time. In
the rehabilitation of these teeth causing aesthetic problems, restorative
approaches can be applied in addition to whitening treatment. In this case
report, it is aimed to present the treatment approach applied to a male patient
who applied to our clinic due to discoloration in tooth #11.
Case Report
In the anamnesis
taken from the patient, it was learned that he was a professional football
player and had trauma to his upper jaw 16 years ago. In the clinical
examination, it was determined that there was a caries lesion on the mesial
surface of tooth #11 and that the tooth was devital. In the radiographic
examination, it was determined that the 1/3 coronal part of the root canal of
the tooth could not be observed. After root canal treatment, it was decided to
apply intracoronal bleaching treatment to the patient. After the patient was
informed about the treatments to be performed, written consent was obtained.
During root
canal treatment, the buccal wall of the root was perforated due to
calcification of the root canal entrance. MTA was placed in the perforated
area. At the second appointment, the main root canal was entered, enlarged and
filled with gutta-percha. The cavity was then closed with temporary filling
material.
At the third
appointment, after the temporary filling material was removed, 2 mm thick flowable
resin composite and bleaching material (Opalescence™ Endo, Ultradent Products,
Inc.) were placed on the coronal entrance of the root canal and closed with
temporary filling material. This application was applied until the desired
tooth color was obtained. After the bleaching treatment, the tooth was restored
with composite resin. The patient was asked to come for control after 3 months.
After 3 months, it was observed that
the patient had no aesthetic or functional complaints in the restored teeth.
Conclusion
Restoring with resin composite after bleaching can meet the
aesthetic demands of the patient in teeth discolored due to trauma.
Keywords: bleaching;
discoloration; endo bleach; non-vital bleaching; walking bleaching method.