Incisor dyschromia: endo & resto
Treating dark teeth in anterior region can be easy if the approach is planned accordingly to the type of dyschromia suffered by the patient.
The patient is a 20 years old girl complaining about a fractured dyschromic central incisor; she reports the tooth was endodontically treated about 7 years ago, without using the rubber dam, and it soon became darker. It was also restored with a direct composite that was lost after a couple of years. This type of teeth problems are often related to a filtration phenomena or gutta-percha staining. Dark yellow and brown hues are related to filtration and blood, while dark grey is related to Gutta-percha, this second often not being a good candidate for bleaching.
Modern materials such as composites, adhesives and bleaching agents allow dental practitioners to achieve excellent, predictable results with less tooth structure sacrifice.
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