Managing Discoloured Non-Vital Teeth: The Inside/Outside Bleaching Technique

From Volume 31, Issue 4, May 2004 | Pages 204-214

Authors

Neil J. Poyser

BDS, MFDS, RCS(Edin.)

Specialist Registrar in Restorative Dentistry, GKT Dental Institute of King's College London, St George's and Mayday Hospitals, London

Articles by Neil J. Poyser

Martin G.D. Kelleher

BDS, MSc, FDS RCPS(Glasg.)

Consultant in Restorative Dentistry, GKT Dental Institute of King's College London, Royal Surrey, Kent and Canterbury Hospitals

Articles by Martin G.D. Kelleher

Peter F.A. Briggs

BDS, MSc, MRD, FDS RCS(Eng.)

Consultant in Restorative Dentistry, GKT Dental Institute of King's College London and St George's Hospitals, London.

Articles by Peter F.A. Briggs

Abstract

The discoloured, non-vital anterior tooth is a common aesthetic concern for many patients. It can have a profound effect on their self-esteem, interaction with others and employability. Discoloured non-vital teeth are frequently compromised owing to previous trauma, caries, endodontic therapy and failed restorations. Destructive invasive treatment options are likely to weaken the residual structure of the tooth. This can reduce the prognosis and challenge the long-term viability of the tooth, thereby initiating further prosthetic predicaments. This paper discusses modern approaches to the treatment of discoloured teeth. The importance of preventing and eliminating the potential for discoloration will be highlighted. The paper will include a detailed technical account on the application of the inside/outside bleaching technique, with several clinical examples.

Article

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