AESTHETIC SOLUTION THROUGH THE INTERACTION OF ENDOGENOUS BLEACHING AND COMPOSITE RESIN RESTORATION

Abstract

The authors report a case of non-vital bleaching associated with a composite resin restoration for the aesthetic reestablishment. Female patient, 31 years, suffered trauma with 15 years old and reported darkening of the element 11 when she was 20. In that element was verified color C4 and elements 11 and 21 suffered loss of enamel on the incisal edge due to the trauma which has been reported by causing necrosis of element 11, leading him to a root canal treatment when the patient was 28. It was done a non-vital bleaching at the element 11 using a combination of mediate and immediate technique, where was made three applications of the temporary endodontic dressing (mediate technique) and two applications of whitening agent (immediate technique). After neutralization, the final restoration of the pulp chamber and the esthetic restoration of the elements 11 and 21 were made. With the conclusion of the case it was obtained an excellent cosmetic result with a conservative procedure the improved chromatic changes and replaced the dental tissue lost to trauma. DESCRIPTORS: Tooth Bleaching. Esthetics Dental. Tooth Nonvital.