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Medical Forum / General / Dentistry / May 2007Whitening a Tooth Discolored from Root Canal
Dear Dental Experts: I have a front tooth that is slightly darker than my other teeth due to severe bruxing trama - where the nerve basically exploded (this is what my dentist told me) as if I had been hit directly in the mouth with something quite hard. I don't brux anymore thankfully, but I am left with this tooth that is just a bit darker. I would like to try at least the over-the-counter whitening strips at first, but I am concerned that this tooth might not bleach like the other teeth and that the inside color of the tooth might make it stand out from the other teeth more than it does now. My teeth do need some whitening, they seem to be a little transparent as well, don't know if this is important in the decision. I cannot afford veneers at present, but have something very important coming up in a few months and need to look my very best. Any advice you can give would be most appreciated! Thank you in advance. Valerie IME, once a bruxer, always a bruxer (unless you move ahead to major clenching <G>). The endo tooth will not bleach as the others with any exterior bleach system. It may lighten some, but it will still not match the other teeth. It will need bleaching from inside the tooth (need to be careful not to cause root resorbtion) or a veneer/crown. A direct composite veneer can be done in one visit and look pretty good and you can go back with porcelain when it starts to fail. D > Dear Dental Experts: > [quoted text clipped - 19 lines] > > Valerie Does Colgate still make that bleaching product that looked like "white-out" ? You could just paint this on one tooth every day for a month. Dear patient, if you have not had the tooth checked for vitality (live or dead pulp), you need to do so, as the tooth could require root canal therapy (assuming that has not already been done). If RCT has been done and you get it bleached internally, listen to Darts who warns that the dentist must pay close attention to how he applies the chemistry inside the tooth, or it could damage the root system.  Signature/ Amatus / > IME, once a bruxer, always a bruxer (unless you move ahead to > major clenching <G>). [quoted text clipped - 34 lines] >> >> Valerie > Does Colgate still make that bleaching product that looked like > "white-out" ? You could just paint this on one tooth every day for a > month. Colgate Simply White has been discontinued. John Oh Signature/ Amatus / >> Does Colgate still make that bleaching product that looked like >> "white-out" ? You could just paint this on one tooth every day for a [quoted text clipped - 3 lines] > > John > Oh > [quoted text clipped - 14 lines] > > - Show quoted text - Thanks Amatus for the info. Sounds a bit dodgy to have it bleached from the inside...not sure if I want to take the chance that it might be done wrongly. Maybe I'll just try the Crest Strips or Aquafresh bleaching tray kit for a very short time and see if it starts to look better or stand out more. Just don't know what might happen. Perphaps better to just look a little dull than to have one dark tooth right in front! Thanks again for the replies. Valerie If you had a dental fabricate bleaching trays, you could place the chemical in the reservoir for only that one tooth until it lightens up close to the other teeth, then bleach all of them. Signature/ Amatus / >> Oh >> [quoted text clipped - 25 lines] > Thanks again for the replies. > Valerie Valerie, Tough situation, your fears are well founded. I think it would be difficult for anyone to say diffinitively what will happen if you try and bleach your teeth. I've seen wide varied results, sometimes great, sometimes, not so good. Even if you could afford a veneer, matching colors is difficult, and when your natural teeth change color, your veneer will not. Pro's and Con's to both situations. I think if you are brave enough, what you might consider is bleaching your natural teeth and then internally bleaching your darker tooth if it has had a root canal. Or if you have enough time, consider internally bleaching your discolored root canal tooth and see what happens. if it gets lighter than the rest of your teeth, then bleach your natural teeth until they match. i'm sorry i can't be more helpful, I find that it's sometimes difficult to predict bleaching results. C On May 16, 9:52 pm, "docta...@gmail.com" <docta...@gmail.com> wrote: > Valerie, > [quoted text clipped - 16 lines] > > C Thank you very much for your replies! I must admit that I'm a little afraid to to try internal bleaching as I don't have a lot of confidence it the way the root canal procedure was done orignally, the dentist had a difficult time with it and I'm afraid it might cause problems down the road if I tamper with it from the inside... Would there be a big possibility of it looking worse if I just use some Crest Strips a couple of times to see what happens? I really just want to lighten them a bit without highlighting the tooth more. Again, I appreciate your time and expertise. Thank you for any further replies. Aha ! You have had RCT on this tooth. If the person who did the RCT left gutta percha and sealer in the clinical crown, it will darken the tooth gray or brown. Often cleaning this out will lighten the tooth. The trick is that should an internal bleach be attempted, that the dentist knows to remove gutta percha and sealer down below the CEJ, and cover the canal with IRM or something impervious to super-oxal up above the height of connective tissue attachment. Otherwise, you stand a chance of experiencing external resorption of the root. Who remembers the poster named DAX ?? Signature/ Amatus / > On May 16, 9:52 pm, "docta...@gmail.com" <docta...@gmail.com> wrote: >> Valerie, [quoted text clipped - 29 lines] > Again, I appreciate your time and expertise. Thank you for any further > replies. |
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