Tooth discolouration and internal bleaching after the use of triple antibiotic paste

Kirchhoff, Alison Luís; Raldi, Denise Pontes; Salles, A. C.; Cunha, Rodrigo Sanches; Mello, Isabel

doi:10.1111/iej.12423

Cited by 37 publications

(41 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…D’Mello & Moloney () recently reported a case of a discoloured maxillary central incisor which was successfully managed by cutting back 1 mm of the coronal MTA, leaving over 3 mm apically, and internally bleaching with sodium perborate for 2 weeks. Kirchoff et al () also reported success with sodium perborate internal bleaching (Kirchhoff et al ). However, other studies have reported limited success with this technique (Kim et al , McTigue et al ).…”

Section: Discussionmentioning

confidence: 99%

Management of discolouration following revitalization endodontic procedures: A case series

2019

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Management of discolouration following revitalization endodontic procedures: A case series

2019

View full text Add to dashboard Cite

show abstract

“…Bleaching of discoloured teeth is generally effective to improve the aesthetic outcome (Kirchhoff et al . ). As discolouration is a known adverse outcome from teeth treated with RET, this issue must be discussed prior to treatment with RET being commenced as part of the informed consent process.…”

Section: Crown Discolourationmentioning

confidence: 97%

“…To minimize the risk of discolouration, Biodentine instead of MTA can be used (Marconyak et al 2016, Shokouhinejad et al 2016, Yoldas ß et al 2016. Bleaching of discoloured teeth is generally effective to improve the aesthetic outcome (Kirchhoff et al 2015). As discolouration is a known adverse outcome from teeth treated with RET, this issue must be discussed prior to treatment with RET being commenced as part of the informed consent process.…”

Section: Crown Discolourationmentioning

confidence: 99%

Regenerative endodontics: a comprehensive review

et al. 2018

View full text Add to dashboard Cite

The European Society of Endodontology and the American Association for Endodontists have released position statements and clinical considerations for regenerative endodontics. There is increasing literature on this field since the initial reports of Iwaya et al. (Dental Traumatology, 17, 2001, 185) and Banchs & Trope (Journal of Endodontics, 30, 2004, 196). Endogenous stem cells from an induced periapical bleeding and scaffolds using blood clot, platelet rich plasma or platelet-rich fibrin have been utilized in regenerative endodontics. This approach has been described as a 'paradigm shift' and considered the first treatment option for immature teeth with pulp necrosis. There are three treatment outcomes of regenerative endodontics; (i) resolution of clinical signs and symptoms; (ii) further root maturation; and (iii) return of neurogenesis. It is known that results are variable for these objectives, and true regeneration of the pulp/dentine complex is not achieved. Repair derived primarily from the periodontal and osseous tissues has been shown histologically. It is hoped that with the concept of tissue engineering, namely stem cells, scaffolds and signalling molecules, that true pulp regeneration is an achievable goal. This review discusses current knowledge as well as future directions for regenerative endodontics. Patient-centred outcomes such as tooth discolouration and possibly more appointments with the potential for adverse effects needs to be discussed with patients and parents. Based on the classification of Cvek (Endodontics and Dental Traumatology, 8, 1992, 45), it is proposed that regenerative endodontics should be considered for teeth with incomplete root formation although teeth with near or complete root formation may be more suited for conventional endodontic therapy or MTA barrier techniques. However, much is still not known about clinical and biological aspects of regenerative endodontics.

show abstract

“…In opposite, bleaching agents are applied directly over the dentinal tissue only when internal bleaching procedures are performed in non-vital teeth, while the agent is placed into the pulpal chamber. [15][16][17][18] Usually, internal tooth bleaching procedures are carried out with sodium perborate or carbamide peroxide based bleaching agents in a so-called walking bleaching (mediate technique). 15,17,18 However, high-concentration hydrogen peroxide is also used for immediate internal tooth bleaching.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17][18] Usually, internal tooth bleaching procedures are carried out with sodium perborate or carbamide peroxide based bleaching agents in a so-called walking bleaching (mediate technique). 15,17,18 However, high-concentration hydrogen peroxide is also used for immediate internal tooth bleaching. [19][20][21] This last approach was simulated in the present study seeking out to evaluate the effects of the same bleaching agent over the different tooth hard tissues.…”

Section: Discussionmentioning

confidence: 99%

Impact of 35% Hydrogen Peroxide on Color and Translucency Changes in Enamel and Dentin

et al. 2018

View full text Add to dashboard Cite

This study evaluated the effects of tooth bleaching with high-concentration of hydrogen peroxide on alterations of translucency parameter (TP) and color of dentin and enamel. The crown of five human molars was sectioned into four slices parallel to buccal surface. The dentin of external slices containing buccal/ lingual enamel was fully removed with diamond bur; while these slices were used to assess alterations on enamel. Alterations on dentin were assessed into the center of internal slices. The color of specimens was measured over white and black backgrounds using a spectrophotometer (CieL*a*b) at baseline, allowing to calculate the TP by difference between the color measured over each background. Specimens were submitted to three 15-min applications of 35% hydrogen peroxide followed by their storage in water for one-week. Afterwards, the color measurements were repeated at both backgrounds. Color (∆L, ∆a, ∆b and ∆E) and translucency (∆TP) changes were calculated and data individually analyzed by T-test (α = 0.05). Influence of hard tissue and assessment time on each color parameter was also analyzed by 2-way repeated measure ANOVA (α = 0.05). Tooth bleaching resulted in increased lightness for the enamel, whereas no alteration on this parameter occurred for dentin. No difference between the tooth hard tissues was observed regards the other color parameters and ∆E. A slightly reduction on TP was observed only for the enamel. In conclusion, 35% hydrogen peroxide caused similar color and translucency changes on dentin and enamel.

show abstract

Tooth discolouration and internal bleaching after the use of triple antibiotic paste

Abstract: TAP discoloured the tooth structure, but discolouration could be reversed with sodium perborate paste. In general, teeth with closed and open apices had the same rates of discolouration and bleaching.

Cited by 37 publications

References 24 publications

Management of discolouration following revitalization endodontic procedures: A case series

Management of discolouration following revitalization endodontic procedures: A case series

Regenerative endodontics: a comprehensive review

Impact of 35% Hydrogen Peroxide on Color and Translucency Changes in Enamel and Dentin

Contact Info

Product

Resources

About