Non-Vital Internal Tooth Bleaching using 35% Hydrogen Peroxide Gel: A Case Report

Abstract

Tooth discolouration affects esthetics and has a psychological impact on self-confidence and behaviour. Treatment modalities include polishing and bleaching. The purpose of this case report was to document the effect of walking bleach method using 35% hydrogen peroxide on esthetics, surrounding tissue. and psychological impact. A 39-year-old female patient reported with a discolored maxillary left central incisor. On examination, the tooth was asymptomatic and exhibited tooth discoloration. Radiographic findings indicated an acceptable root canal treatment. On the first visit, the tooth shade of the tooth was D3. Composite occluding the pulp chamber and 3 mm of the cervical radicular filling were then removed to allow for placement of a protective barrier. Then, 35% hydrogen peroxide was placed, and the cavity was sealed. The patient was recalled after five days and the change in shade of the tooth was recorded as A1. The bleaching agent was irrigated and flushed off the pulp chamber and the cavity was permanently filled with composite restoration. Recall sessions were scheduled at 1 & 4 months. In conclusion, management of non-vital tooth discoloration with the walking bleach method using 35% hydrogen peroxide was effective, safe, and had a positive impact on the patient’s self-confidence and self-perception.