Bleaching without a rct
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Photos courtesy: Marga Ree - ROOTS
From: Marga Ree
Sent: Wednesday, September 27, 2006 1:48 AM
Subject: [roots] Bleaching without a rct
Here is a case of pulp canal obliteration (PCO), on which I did
bleaching without performing a rct. I have done several cases like
this, usually with a good result, also on the long term.
Patient had a cosmetic complaint, 11 was discolored due to PCO,
no pathosis. I decided to bleach without doing a rct, end. access
lined with GIC, sodium perborate. Result was satisfactory, and
remains stable, see 5 year follow-up.
According to Robertson, the incidence of pulp necrosis subsequent
to PCO is 9% - Marga Ree, DDS, MSc
Thanks very much, Marga!
First I will try to find the canal (keep your finger crossed)
and in case that I canīt, I will do the internal bleaching - Marcela
Maybe just a stupid question.
What about external bleaching in these cases ?
- Jan Berghmans Endodontie BVBA
Usually not so effective as internal bleaching. - Marga
Marga: Do you place any base or protective liner at the base
of the access, or just make the access and place the perborate.
- gary L Henkel
I always place a liner of GIC. I found out that if I don't do
this, the patient may report sensitivity or even pain - Marga
Which one (brand) do you use Marga? - Marcela
Fuji II LC or Vitrebond , both are resin modified GIC .
But any RMGIC is OK - Marga