Abstract
Objective: Review the literature on techniques for treating darkened and devitalized teeth. Literature Review: There is a variety of techniques, including internal bleaching and aesthetic restorations. It has been shown that internal bleaching with oxidizing agents is a promising approach for devitalized teeth, yielding satisfactory results in many cases. Additionally, restoration techniques like porcelain veneers have demonstrated effectiveness in enhancing dental aesthetics, especially in cases of pronounced discoloration. However, limitations were also identified. Post-treatment sensitivity was a recurring concern, and instances of inconsistent outcomes were noted. These findings underscore the importance of carefully evaluating treatment options, considering individual patient characteristics. Final considerations: This study underscores the need for a personalized approach, discussing realistic expectations and potential complications, such as sensitivity. Moreover, continuous research is crucial for refining approaches, aiming for satisfactory aesthetic results and patient satisfaction in the treatment of darkened and devitalized teeth.
References
BANOMYONG D. Clinical considerations for non-vital tooth walking bleaching. Thai Endodontic Journal, 2022; 1(1): 33-42.
BARBOSA JS. Abordagem restauradora direta em dentes escurecidos: revisão de literatura. Research, Society and Development, 2021; 10(15): e500101523130-e500101523130.
BOSENBECKER J, et al. Tooth discoloration caused by endodontic treatment: A cross‐sectional study. Journal of Esthetic and Restorative Dentistry, 2020; 32(6): 569-574.
BECK F, et al. Devitalization of adjacent teeth following maxillary sinus floor augmentation: A retrospective radiographic study. Clinical Implant Dentistry and Related Research, 2018; 20(5): 763-769.
CANUTO LC, et al. Clareamento dental interno: relato de caso. Revista Eletrônica Acervo Saúde, 2020; 48: e3236.
CORREIA A, et al. Clinical performance of whitening on devitalized teeth: a retrospective observational study. Brazilian Dental Science, 2020; 23(1): 7.
CLAUDINO DL, et al. Effect of pigmenting agents on tooth enamel staining during immediate tooth whitening: an in vitro study. Revista de Odontologia da UNESP, 2020; 49.
De MORAES PALMA FA, et al. Análise da utilização de dessensibilizante no uso prévio ao clareamento dentário: revisão narrativa. Revista Eletrônica Acervo Saúde, 2021; 13(5): e7242.
DUBAL R e PORTER RW. An update on discolored teeth and whitening part 1: the etiology and diagnosis of discolored teeth. Atualização Odontológica, 2018; 45(7): 601-608.
ELHAKIM A, et al. Preserving the vitality of teeth adjacent to a large radicular cyst in periapical microsurgery: a case report with a 4-year follow-up. BMC saúde bucal, 2021; 21(1): 1-7.
FILIPPO DEL CURTO DDS, et al. Restoration of endodontically treated discolored anterior teeth: a minimally invasive chemomechanical approach. Int J Esthet Dent., 2018; 13: 2-17.
IRUSA K, et al. Tooth whitening procedures: a narrative review. Dentistry Review, 2022; 100055.
MACHADO AC, et al. Bleaching of severely darkened nonvital tooth case report—48 months clinical control. Journal of esthetic and restorative dentistry, 2021; 33(2): 314-322.
NAIDU A, et al. Over-the-counter tooth whitening agents: a review of literature. Brazilian dental journal, 2020; 31: 221-235.
ORSINI G, et al. Modern trends in dentistry: an update for internists. The American Journal of Medicine, 2018; 131(12): 1425-1430.
RODRÍGUEZ‐MARTÍNEZ J, et al. Tooth whitening: From the established treatments to novel approaches to prevent side effects. Journal of Esthetic and Restorative Dentistry, 2019; 31(5): 431-440.
SINGH N, et al. Management of discolored nonvital tooth by walking bleach technique: A conservative approach. Journal of the International Clinical Dental Research Organization, 2020; 12(1): 67-67.
TANUMIHARJA M, et al. Dentin microhardness and porosity of wistar rats teeth following herbal-based devitalizing agent application. Journal of Dentomaxillofacial Science, 2022; 7(2).
TSUJIMOTO A, et al. Influence of light irradiation for in-office tooth whitening: A randomized clinical study. American journal of dentistry, 2021; 34(4): 201-204.
YANIKIAN CRF, et al. Direct composite resin veneers in nonvital teeth: a still viable alternative to mask dark substrates. Operative dentistry, 2019; 44(4): E159-E166.
