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Cervical Resorption Associated with Bleaching

External cervical resorption: a review.

By Patel S, Kanagasingam S, Pitt Ford T

Date: 01/2009
Journal: JOE

Early recognition of ECR is important to improve prognosis. Treatment requires complete removal of the resorptive tissue and proper restoration.

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Effect of bleaching agents on inorganic components of human dentin and cementum

By Rotstein, I., Lehr, Z., and Gedalia, I.

Date: 01/1992
Journal: JOE

30% hydrogen peroxide treatment may cause alteration in the chemical structure of the dentin and cementum making them more susceptible to degradation.

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Cervical root resorption following bleaching of endodontically treated teeth

By Madison, S. and Walton, R.

Date: 01/1990
Journal: JOE

From the results of this study, heat plus 30% H202 was the combination associated with resorption. Etching alone is not responsible for the resorptive process

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Incidence of external root resorption and esthetic results in 58 bleached pulpless teeth

By Friedman, S., Rotstein, I., Libfeld, H., Stabholz, A., and Heling, I

Date: 01/1988
Journal: Dental Traumatology

These results caution against indiscriminate use of bleaching with hydrogen peroxide, and emphasize the importance of preventive measures and postoperative follow-up of bleached pulpless teeth.

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External root resorption following bleaching of pulpless teeth with oxygen peroxide

By Cvek, M. and Lindvall, A.M.

Date: 01/1985
Journal: Dental Traumatology

Oxygen peroxide can injure the periodontal tissue and cause resorption and ankylosis by allowing bacteria to penetrate dentinal tubules
If this procedure is used, the orifice of the root canal should be covered, e.g. with a zinc-oxide eugenol cement, in order to prevent oxygen peroxide from reaching the root dentin.

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External resorption associated with bleaching of pulpless teeth

By Harrington, G.W. and Natkin, E.

Date: 01/1979
Journal: JOE

In cases of traumatic pulp devitalization, internal bleaching may cause cervical resorption

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    • Obturation
    • irrigation & apex locater
    • Coronal Leakage
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