External root resorption following bleaching of pulpless teeth with oxygen peroxide

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

Date: 01/1985
Journal: Dental Traumatology

Purpose:

To examine the correlation between bleaching and external resorption

Materials/Methods:

  • N = 11 previously treated and bleached teeth, 10 of which were traumatized
  • Teeth were endodontically treated and the pulpal chamber was filled with cotton pellets soaked in
  • 30% oxygen peroxide and repeated at 10/15 days. Upon completion of the bleaching treatment, the cavities in all teeth were sealed with only a silicate cement

Results:

1 tooth returned in 6 weeks later with external resorption. The rest showed resorption within 12 months and 2 showed ankylosis

Clinical Significance:

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.