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At least 19 recordsLinked to original sources
PubMed1998

Simultaneous bleaching of vital teeth and an open-chamber nonvital tooth with 10% carbamide peroxide.

OBJECTIVE: The purpose of this study was to evaluate the effectiveness of bleaching a nonvital tooth with an open pulp chamber while simultaneously bleaching the other vital teeth with 10% carbamide peroxide. METHOD AND MATERIALS: Ten discolored nonvital teeth were treated. Each nonvital tooth was prepared as in the conventional "walking bleaching" fashion, so that the gutta-percha was sealed from the pulp chamber. The 10% carbamide peroxide was injected into the chamber of the nonvital tooth and loaded into the custom-fitted tray for all teeth. The nonvital teeth were bleached from both the inside and the outside. The patient closed the orifice with a cotton pellet during the day and changed the cotton pellet after meals. The patient applied fresh solution nightly. RESULTS: All teeth were successfully lightened. The time required to lighten the nonvital tooth was related to the duration of the discoloration. CONCLUSION: With proper patient selection and education, this technique can provide an effective way to lighten nonvital and vital teeth simultaneously, especially where extended treatment time may be required for difficult discolorations.

Adult↗
PubMed1997

Effect of nonvital tooth bleaching on microleakage of resin composite restorations.

Thirty-six extracted, noncarious, nonfractured human incisors were divided into four groups of nine teeth. Endodontic access cavities were prepared, the pulp chamber was debrided, the root canals were cleansed, and root canal treatment was completed. Pulp cavities of teeth in group 1 received a cotton pellet and were sealed with Cavit. Groups 2, 3, and 4 received a mixture of 30% hydrogen peroxide and sodium perborate for 3, 4, and 7 days, respectively, were sealed with Cavit, and were stored in a humidor until used. Cavit and the other materials were removed, and the cavities were rinsed and restored with Scotchbond Multipurpose and Silux. The teeth were thermocycled, stained with 50% silver nitrate, and sectioned longitudinally. Dye penetration was measured. Results indicated that bleaching adversely affected the marginal seal at the tooth-restoration interface, as evidenced by increased microleakage; the highest rate of microleakage was found after the 7-day application of bleaching materials.

Dental Leakage↗
PubMed1999

Nonvital tooth bleaching: a 2-year case report.

A discolored, nonvital maxillary right central incisor was bleached with sodium perborate and water, used as a "walking" bleach. An excellent result was obtained, proving the efficiency of both the intracoronal bleaching technique and the materials employed. A clinical evaluation performed 2 years later revealed that the tooth was slightly stained but esthetically satisfactory.

Adult↗
PubMed1995

Nonvital tooth bleaching: guidelines for the clinician.

The combination of intracoronal and extracoronal bleaching represents a conservative treatment to restore esthetics to darkened or stained nonvital teeth. Notwithstanding the eventual risks and difficulties accompanying such technique, nonvital teeth often can be successfully lightened. This article presents a few guidelines for bleaching nonvital teeth as well as a clinical case to illustrate the indications and clinical protocol for the technique.

Clinical Protocols↗
PubMed1986

Nonsurgical treatment of extraoral lesions caused by necrotic nonvital tooth.

Two cases of extraoral fistula on the chin--caused by necrotic pulp of lower anterior teeth--are being presented. A paste consisting of equal amounts of calcium hydroxide and iodoform mixed with glycerin was used. It is concluded that the positive results of this method of treatment were due to the therapeutic properties of the paste. The historical background of similar pastes is--in retrospect--briefly reviewed.

Adult↗
PubMed1980

Apexification in a nonvital tooth by control of infection.

Incomplete formation of roots in permanent dentition because of death of the pulps is fairly common. Various pastes are used in apexification procedures. It has been suggested that minimum mechanical intervention and removal of infection alone may be sufficient. A case is reported in which this was observed.

Child↗
PubMed1998

Nightguard bleaching to lighten a restored, nonvital discolored tooth.

Traditional techniques to lighten discolored endodontically treated teeth have used bleaching materials that had to be applied and directly monitored by dentists. These bleaching techniques have been associated with cervical resorption in nonvital teeth, and the treatment outcome is often difficult to predict. This article describes the use of nightguard bleaching to obtain an esthetic result for a restored nonvital tooth that had been treated with limited success with traditional office-based bleaching procedures.

Adult↗
PubMed1999

Apexification & apexogenesis.

When there is pulpal involvement of permanent teeth with incompletely formed roots, techniques for the induction of apical closure should be completed before endodontic therapy is begun. Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.

Adolescent↗
PubMed1995

Aesthetic treatment of discoloration of nonvital teeth.

Attempts to treat discoloration in nonvital teeth were first reported a century ago. This article discusses two potential causes of nonvital tooth discoloration-trauma and endodontic treatment-along with a step-by-step clinical procedure for treatment of the discoloration. In trauma, hemoglobin is released into the tissues; iron oxides, formed by oxygen and iron in hemoglobin, cause discoloration and swelling that infringes on pulp space, forcing the pulp to recede with a potential loss of tooth vitality. After endodontic treatment, either hemorrhaging, materials used, or incomplete removal and breakdown of necrotic tissue may cause staining. The learning objective of this article is to review the causes and the prevention/treatment of discoloration in nonvital teeth.

Adult↗
PubMedDate not supplied

Tooth fragment reattachment: an alternative for restoration of fractured anterior teeth.

The development of advanced adhesive systems has made it possible to bond various substrates, e.g., composite resin and vital or nonvital tooth structures. The management of coronal and coronoradicular fractures in the maxillary region with these adhesive materials is easier, safer, and more efficacious than the use of traditional treatment alternatives that involve the use of posts and cores and/or other mechanical devices to obtain retention. Ability to bond the dislocated segment of the fractured tooth constitutes a significant step forward in the management of this clinical condition.

Adolescent↗
PubMed1986

Is electrical stimulation of the rat incisor an appropriate experimental nociceptive stimulus?

The purpose of this study was to determine whether or not tooth pulp stimulation in the rat can selectively activate the pulp nerve fibers without excitation of the periodontium and to decide if the nerve fibers situated in the pulp of the rat's incisor are involved in the nociceptive reactions caused by an intrapulpal stimulation. The experiments were carried out on 20 awake and freely moving Sprague-Dawley rats. Bipolar stimulating electrodes were inserted into the pulp of the left lower incisor and in the right incisor after removal of the pulp. Special cares were taken to avoid, on the right side, direct stimulation of the stump of the apical nerve. The jaw opening reflexes were recorded from the digastric muscles ipsilaterally to the stimulated teeth and the thresholds were compared. Using the same animals, four typical and reproducible nociceptive behavioral reactions caused by a long tooth pulp stimulation were also observed (shock of 0.5 ms at 50 Hz during 1 s). The stimulus intensity was progressively increased, and the threshold of each reaction was recorded. For each of the 20 rats tested, the jaw opening reflex and the nociceptive reactions did not disappear after removal of the pulp, but the threshold of the responses to the stimulation of the nonvital tooth were significantly above the threshold of the responses to the stimulation of the vital incisor. The conclusion was tooth pulp stimulation activates the periodontal nerve fibers in the rat, and stimulation of the incisor pulp is significant in pain study in the rat because the thresholds of the jaw opening reflex and the nociceptive reactions were increased after the tooth pulp tissue was removed.

Animals↗
PubMed1978

Oral assessment of the "risk" patient.

Certain patients may be considered as being at "risk" with respect to the possibility of development of significant diseases of either a local or a systemic nature as a direct result of the presence of oral infection. The problems relating to the development of bacteremia subsequent to surgery in the patient with cardiovascular disease are well appreciated. Thought should be given to the possibilities of such developments in relation to the presence of periapical pathosis. It is demonstrated that a definitive evaluation of the status of the nonvital tooth cannot be made by the presently accepted methods of clinical and radiographic examination.

Disease↗