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  Bleaching without a rct

The opinions within this web page are not ours. Authors have been credited
for the individual posts where they are. 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

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