Management of discolouration following revitalization endodontic procedures: A case series

Abstract

Aim To discuss the causes and management of tooth crown discolouration following regenerative/revitalization endodontic therapy (RET) and to present the decision‐making process affecting three RET‐related cases of crown discolouration. Summary This case series outlines several approaches used in the management of post‐RET discolouration. The cases highlight the influence of the material used in creating a coronal seal on the choice and success of the management techniques provided. The first two cases highlight successful management of post‐RET discolouration through the use of internal–external bleaching. The use of internal bleaching in the third case was not recommended; therefore, external bleaching followed by a direct composite veneer was carried out.

Severe Case of Delayed Replantation of Avulsed Permanent Central Incisor: A Case Report with Four-Year Follow-Up

“…Regarding the poor esthetic as a consequence of MTA [ 26 , 27 ], indirect composite veneers were revealed to be a suitable solution, considering their properties of surface texture, occlusal stability, tooth integrity, and marginal discoloration resistance [ 28 , 29 ].…”

Management of an Unsuccessful Regenerative Endodontic Procedure after Tooth Fracture: A Case Report

“…After REP or MTA apexification, discoloration of the tooth is a common side effect and the pediatric dentist must be prepared for its management [19]. The reason for the discoloration is the presence of bismuth oxide, one of the components of MTA, which induces tooth discoloration [5].…”

“…The reason for the discoloration is the presence of bismuth oxide, one of the components of MTA, which induces tooth discoloration [5]. Moreover, it is imperative to take the age of the patient into consideration, mainly because up until the age of 20, the options are limited [19,20]. Ceramic veneers are contraindicated in children and adolescents because of oral and facial development, complexity, longevity, and cost of treatment [21].…”

“…In the case that the tooth fragment is available, reattaching the original tooth fragment to restore a fractured tooth would be a very reliable option [24], since it would be more prone to better esthetics with the original tooth contours, texture and radiolucency, and function [25]. One other alternative is internal and/or external bleaching, although in some cases, the degree of shade is limited, might result in cervical resorption, and child compliance is required [19]. Despite all these limitations, bleaching and/or direct composite veneers are the most frequent treatment option in growing children [19].…”

“…One other alternative is internal and/or external bleaching, although in some cases, the degree of shade is limited, might result in cervical resorption, and child compliance is required [19]. Despite all these limitations, bleaching and/or direct composite veneers are the most frequent treatment option in growing children [19].…”