Article: Volume 45 Number 7 Page 601 - July/August 2018

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  Dent Update 2018; 45: 601-608

Restorative dentistry:  An Update on Discoloured Teeth and Bleaching Part 1: The Aetiology and Diagnosis of Discoloured Teeth

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Abstract: A variety of bleaching materials and techniques are available across the dental market, and these are being used by the profession as a conservative approach to improving the appearance of discoloured teeth. The array of materials available and misunderstandings around the legality of their use has complicated the practitioner’s approach to making an informed choice regarding dental bleaching. This article aims to provide an overview of the common causes of dental discoloration and presents a simple approach to diagnosing potential causes of discoloured teeth.

Clinical relevance: A sound and systematic approach to understanding and diagnosing causes of dental discoloration are fundamental in ensuring the correct management approach and treatment outcome. This is key to ensuring that patients are not over-treated and receive appropriate, safe and effective treatment.

Author notes: Raj Dubal, BDS, MFDS RCS, MClin Dent Pros, MRD RCS, FDS RCS, PG Cert Dent Ed, Specialty Trainee in Restorative Dentistry and Richard WJ Porter, BDS, BSc, MFDS RCS, FDS(Rest Dent) RCS, Consultant in Restorative Dentistry, St George’s Hospital, Tooting, London, SW17 0QT, UK.

Objective: To provide an update of the common causes of dental discoloration and a diagnostic tool to facilitate rapid and accurate diagnosis of discoloured teeth.