Factors influencing successful bleaching of the discolored root-filled tooth

By Brown, G

Date: 01/1965
Journal: OOO

Purpose:

To study the relationship between effectiveness of bleaching of a particular technique and various factors influencing bleaching case selection.

Materials/Methods:

  • 68 pts with 80 internally bleached teeth recalled 1-5yrs; records obtained
  • recorded kodachrome color records of each tooth and color changes noted
  • if teeth re-discolored to pre-op shade or failed to respond to bleaching, was considered a failure
  • teeth were bleached via: pumiced crowns, RD, GP removed 2-3mm from CEJ, crown dessicated with EtOH,cp soaked 30% H202 w/ heat source 5min intervals for 20min, ZOE to CEJ with bleach soaked CP for 48 hrs, tx repeated until proper shade achieved, then restored

Results:

  • 25% of bleached teeth subsequently failed esthetically
  • 17.5% failed to respond to tx, 7.5% re-discolored
  • of successes, 28.7% were complete successes and 48.3% retained improved esthetics
  • no relationship between pts age and bleaching success
  • if etiology of stain is internal, success was high: 87.8% (carious exposure) to 95.3% (trauma, necrosis)
  • discoloration due to medicaments/restorations cannot be bleached successfully
  • shorter discoloration time, see increased bleaching success: <1yr 87.5% success, 1-5yr 71%, >5yr 66.6%
  • gradual discoloration success? 82.3%. Rapid? 50%

Clinical Significance:

Internal bleaching has high success, especially if stain etiology is internal and shade discolored less time and more gradually.