Friday, August 31, 2018

Endodontic bleaching

Opalescence Endo non-vital whitening gel is formulated specifically to whiten endodontically treated discolored teeth using the “walking bleach” technique. Sodium hypochlorite ( bleach ) has long been routinely used in endodontic treatment because of its antimicrobial and tissue dissolving properties. But the use of any corrosive agent carries risks and we have received a small number of claims after patients suffered chemical burns and tissue necrosis from bleach which escaped into the surrounding tissues during root canal treatment. Intra-canal teeth whitening or endodontic bleaching is a method of endodontic bleaching of pulp cavity and root canals by the introduction of a special whitening gel.


Changes to pulp tissue from previous dental treatment can discolour a tooth, like after root canal treatment. Elimination or signiicant reduction of irritants and prevention of recontamination of the root canal after treatment are the essential elements for successful outcomes.

Many of the listed procedures do not fall under what is considered “mainstream endodontics ” as a specialty, but include procedures typically offered in a general practice or other dental specialties like oral surgery, periodontics, prosthodontics, etc. Schweiz Monatsschr Zahnmed Vol. Bleaching of nonvital teeth Research and Science. Endodontics has evolved tremendously in the past decade and its applications have immensely improved the quality of dental treatment. In clinical terms, endodontics involves either preserving part, or all of the dental pulp in health, or removing all of the pulp in irreversible disease.


Endodontic bleaching is an extremely effective use of lightening procedures for discoloured teeth with measurable improvement in brightness and colour. Patients and endodontists love this procedure, and for good reason. Download PowerPoint Version Download File Size 15.

The chemical properties and production of commercial sodium hypochlorite are reviewed. Opalescence Endo is a specially formulated whitening gel to whiten endodontically treate internal discolored teeth caused by disease, injury, or medical treatment using the “walking bleach” technique. The use of chemical oxidizing agents within the coronal portion of an Endodontically treated tooth to remove tooth discoloration. Once Opalescence Endo is delivered to the pulp chamber, it should be sealed with a temporary cement, and left in the tooth for three to five days. Oxidising agent for internal bleaching of teeth as part of endodontic procedures.


Non vital teeth must have apical seal. There is also a notable price difference between vital and non-vital bleach, with the latter being cheaper. Key words: bleaching , nonvital teeth, walking bleach technique, root resorption Introduction Discolored anterior teeth are often perceived as an esthetic detraction. Internal bleaching must be conducted by your endodontist and can only be performed after successful root canal therapy. Not everyone is a candidate for internal bleaching and Dr.


Ramesh will evaluate your case on an individual basis. First, root canal treatment is performed to remove any pulp that is infected. Then, a safe paste is placed inside of your tooth. This material dissolves stains, making your tooth teeth appear whiter. First, a root canal is performed to remove any pulp that is infected.


Then, safe sodium perborate paste is placed deep inside of the tooth. Although it is generally regarded as being very safe, potentially severe complications can occur when it comes into contact with soft tissue. This special formulation - with its paste-like consistency - is sealed in the coronal portion of the pulp chamber, whitening the tooth from the inside out.

When Endodontic treatment is necessary, the following procedures are regularly performed by Dr. Batniji, and our Endodontic teams in order to prevent the loss of a tooth. However, this solution can cause complications especially due to its cytotoxic features.

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