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CASE STUDY
Intracoronal Bleaching
| Patient age |
23 |
| Patient sex |
Male |
| Tooth |
21 |
| Chief complaint |
My tooth is sore and changing colour |
| Medical history |
Nothing of note |
| Dental history |
Patient sustained a knock to the tooth during a brawl over 4 months prior |
| Clinical evaluation |
Virgin tooth that is tender to percussion & palpation. No response to sensibility testing |
| Diagnosis |
Necrotic pulp and acute apical periodontitis |
| Treatment Planned |
Orthograde root canal treatment and intracoronal bleaching |
| Alternatives |
Orthograde root canal treatment and veneer to mask discolouration |
| Prognosis |
Good |
| Treatment |
Orthograde root canal treatment over two visits |
| Chemomechanical debridement |
Instrumentation with k-file to produce a reproducible glide path, rotary NiTi to finish the preparation & irrigation with NaOCl. MAF X2 (ProTaper Next) |
| Dressing |
Ca(OH)2 for 1 week |
| Obturation |
With GP & AH Plus sealer. Warm vertical condensation technique. |
| Orifice barrier |
GIC |
| Bleach |
Sodium perborate for 2 weeks |
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