yellowish discoloration on tooth 11
From: Maarten Meire
To: ROOTS
Sent: Monday, November 17, 2008 9:20 PM
Subject: [roots] question
This lady has a yellowish discoloration on tooth 11 since about 6 months,
which bothers her. She is free of symptoms. All front teeth respond to
cold testing. X ray shows partial obliteration of the canal on 11.
Sound periapex. Sound tooth. What treatment do you suggest?
Will bleaching correct this kind of discoloration? Would that be
internal or external bleaching? Or do we have to work with facings?
Suggestions are very welcome!
The central oval radiolucent structure on the xray has to be the
foramen incisivum. It looks rather big though... Is this pathologic?
- Maarten
pulp chamber & canal seem smaller in 1.1 (#8) than in 2.1 (#9)
history of trauma?
Maarten, my opinion is that external bleaching will not do much here
since it is an internal (dentin) discoloration - Marcos Arenal
I recommend an external home-bleaching procedure. Make an upper
bleaching tray and show the patient how to apply 10% Carbamide
Peroxide bleaching gel selectively to this tooth only in the tray.
Wear nightly for up to 4 weeks or sooner if the colour match is
acceptable. This can be a very good technique! - Stephen
Abrasive strip - Guy
Dear Michiel, Do you suggest that I use a contraster for my pics,
or that i do the RCT + internal bleaching or both? - Maarten
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