Bleaching Gigi Vital pada Gigi Anterior sampai Premolar Pertama Maksila dan Mandibula (Laporan Kasus)

Melaniwati Melaniwati

Abstract


Background: The discoloration of teeth is a common aesthetic concern for many patients. It can have a profound effect on their self-esteem, interaction with others and employability. Dental bleaching can be used as a treatment for teeth that are discolored due to intrinsic and extrinsic staining. Vital bleaching is an in-office procedure which utilize 25-40% hydrogen peroxides. Home-bleaching with gels containing 10%, 15%, or 20% carbamide peroxide is recommended after in-office procedure. Objective: To overview planning and treatment of vital discoloration teeth with combination in-office and home-bleaching procedure. Case: A 31 year old patient complained about her lack of confidence due to yellow looking teeth. The patient told the dentist she used to consume coffee at least twice a day. Measuring teeth color with Vitapan shade guide (VITA Zahnfabrik) resulted in A3 color for maxillary teeth and A3,5 for mandibular teeth as well as shade guide opalescence results in A3,5 color. The teeth were fully cleaned with brush. Gingiva area was isolated using opaldam, and it was activated using light curing unit  for 10 seconds in each servikal area. Bleaching material was applied to six anterior teeth and first maxillary and mandibular premolar in 20 minutes, it was activated every 5 minute by stirring bleaching material with tip brush. After done with the procedure, bleaching material was cleaned with suction, whipped by using cotton pellet. Color matching was done after in-office bleaching process using Vitapan shade guide (VITA Zahnfabrik), it was attained A1 color for maxillary teeth and A2 for mandibular teeth. Color matching using shade guide opalescence resulted in W3 color. The patient was instructed to use individual tray  through gel containing carbamide peroxide 10% for 8 hours on each day for 1 full week. Conclusion: In-office and home-bleaching procedure is the treatment of choice in vital discoloration of teeth.


Keywords


Discoloration Teeth, Vital Tooth Bleaching, In-Office Bleaching, Home-Bleaching.

Full Text:

PDF

Article Metrics

Abstract views : 117| PDF views : 0

References


Poyser NJ, Kelleher MG, Briggs PF. Managing discoloured non-vital teeth: The inside/outside bleaching technique. Dent Update. 2004;31(4):213-4. DOI: 10.12968/denu.2004.31.4.204.

Junior MT, Rodrigues CA, Bernardes VL, et al. Dental Bleaching and New Possibilities: Literatire review. Health Sci J. 2018;12(6):1-6. DOI: 10.21767/1791-809X.1000600.

Plotino G, Buono L, Grande NM, Pameijer CH, Somma F. Nonvital tooth bleaching: A review of the literature and clinical procedures. J Endod. 2008;34(4):394-407. DOI: 10.1016/j.joen.2007.12.020.

McLaughlin G, Freedman GA. Color atlas of tooth whitening. St. Louis: Ishiyaku EuroAmerica; 1991.

Kapadia Y, Jain V. Tooth staining: A review of etiology and treatment modalities. Acta Sci Dent Sci. 2018;2(6):67-70.

Hafez R, Ahmed D, Yousry M, El-Badrawy W, El-Mowafy O. Effect of in-office bleaching on color and surface roughness of composite restoratives. Eur J Dent. 2010;4(2):118-127.

Strassler HE. Vital tooth bleaching: An update. Cont Ed. 2006;1-12.

Alqahtani MQ. Tooth-bleaching procedures and their controversial effects: A literature review. Saudi Dent J. 2014;26(2):33-46. DOI: 10.1016/j.sdentj.2014.02.002.

Sulieman M. An overview of bleaching techniques: Night guard vital bleaching and non-vital bleaching. Dent Update. 2005;32(1):39-46. DOI: 10.12968/denu.2005.32.1.39.

Vaz MM, Lopes LG, Cardoso PC, et al. Inflammatory response of human dental pulp to at-home and in-office tooth bleaching. J Appl Oral Sci. 2016;24(5):509-517. DOI: 10.1590/1678-775720160137.

Maiti N, Das UK. Vital tooth bleaching: A case report. Am J Med Sci. 2014;2(1):1-6.

Almassri HNS, Zhang Q, Yang X, Wu X. The effect of oral anti-inflammatory drugs on reducing tooth sensitivity due to in-office dental bleaching: A systematic review and meta-analysis. J Am Dent Assoc. 2019;150(10):145-157. DOI: 10.1016/j.adaj.2019.05.023.


Refbacks

  • There are currently no refbacks.