Conservative Esthetic Rehabilitation of a Traumatized Tooth Using Internal Bleaching and Ceramic Veneer: A Clinical Case Report
Richa Ranjan *
Department of Conservative Dentistry and Endodontics, DAPM RV Dental College, Bangalore, India.
B. S. Keshava Prasad
Department of Conservative Dentistry and Endodontics, DAPM RV Dental College, Bangalore, India.
N. Vanamala
Department of Conservative Dentistry and Endodontics, DAPM RV Dental College, Bangalore, India.
Sachin Mangal
Department of Conservative Dentistry and Endodontics, Maharana Pratap College of Dentistry and Research Centre, Gwalior, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Traumatic anterior teeth may develop intrinsic discolouration and positional changes even after endodontic treatment. Internal bleaching followed by ceramic veneer restoration offers a conservative aesthetic approach.
Aim: To describe the aesthetic rehabilitation of a traumatised, endodontically treated maxillary central incisor using internal bleaching followed by a minimally invasive ceramic veneer.
Case Presentation: A 38-year-old male presented with greyish discolouration and mild incisal displacement of tooth #21 following trauma. Internal bleaching was performed using the walking bleach technique with sodium perborate and hydrogen peroxide. After satisfactory colour improvement, a minimally invasive facial preparation was performed, followed by placement of a lithium disilicate ceramic veneer.
Conclusion: Internal bleaching followed by ceramic veneer restoration provided a conservative approach for improving the colour and aesthetics of a traumatised, endodontically treated maxillary central incisor while preserving tooth structure.
Keywords: Internal bleaching, dental trauma, walking bleach, ceramic veneer, lithium disilicate, aesthetic rehabilitation