One-year clinical observation of the effect of internal bleaching on pulpless discolored teeth

doi:10.7518/hxkq.2023.2022349

Abstract

Abstract:

Objective This study aimed to observe the color rebound and rebound rates of non-pulp discolored teeth within 1 year after routine internal bleaching to guide clinical practice and prompt prognosis. Methods In this work, the efficacy of bleaching was observed in 20 patients. The color of discolored teeth was measured by using a computerized colorimeter before bleaching; immediately after bleaching; and at the 1st, 3rd, 6th, 9th, and 12th months after bleaching. The L*, a*, and b* values of the color of cervical, mesial, and incisal parts of the teeth were obtained, and the color change amounts ΔE*, ΔL*, Δa*, and Δb* were calculated. The overall rebound rate (P*) and the color rebound velocity (V*) were also analyzed over time. Results In 20 patients following treatment, the average ΔE* of tooth color change was 14.99. After bleaching, the neck and middle of the teeth ΔE* and ΔL* decreased in the 1st, 3rd, 6th, 9th, and 12th months, and the differences were statistically significant. Meanwhile, from the 9th month after bleaching, the rebound speed was lower than that in the 1st month, and the difference was statistically significant. The incisal end of the tooth ΔE* and ΔL* decreased in the 6th, 9th, and 12th months after bleaching, and the differences were statistically significant. No significant difference was found in the rebound speed between time points. However, this rate settled after the 9th month, with an average color rebound rate of 30.11% in 20 patients. Conclusion The results indicated that internal bleaching could cause a noticeable color change on pulpless teeth. The color rebound after bleaching was mainly caused by lightness (L*), which gradually decreased with time, and it was slightly related to a* and b*. The color of the teeth after internal bleaching rebounded to a certain extent with time, but the color rebound speed became stable from the 9th month. Clinically, secondary internal bleaching can be considered at this time according to whether the colors of the affected tooth and the adjacent tooth are coordinated and depending on the patient’s needs.

Key words: internal tooth bleaching, pulpless discolored teeth, color, teeth rebound

CLC Number:

R 781.05

Peng Bibo, Huang Jialin, Wang Jian.. One-year clinical observation of the effect of internal bleaching on pulpless discolored teeth[J]. West China Journal of Stomatology, 2023, 41(2): 190-196.

Figures/Tables 6

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References 26

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时间	颈部				中部				切端
时间	ΔE*	ΔL*	Δa*	Δb*	ΔE*	ΔL*	Δa*	Δb*	ΔE*	ΔL*	Δa*	Δb*
漂白前	0	0	0	0	0	0	0	0	0	0	0	0
漂白后
0月	16.95±1.29	15.51±1.26	-3.57±0.91	-1.12±0.99	17.03±1.20	15.53±1.14	-3.63±0.85	-2.89±0.94	10.98±0.98	8.83±1.04	-2.35±0.79	-1.42±1.04
1月	15.56±130	13.83±1.19	-4.05±0.82	-2.60±1.04	15.67±1.34	13.88±1.32	-4.07±0.70	-3.58±0.83	10.45±0.99	8.20±1.08	-2.24±0.73	-2.22±0.98
3月	14.48±1.23	12.31±1.32	-4.25±0.69	-2.60±1.04	14.56±1.25	12.25±1.29	-4.31±0.65	-4.07±0.94	9.88±0.96	6.41±1.34	-2.60±0.72	-2.21±0.98
6月	12.82±1.22	10.63±1.29	-4.09±0.77	-2.25±0.88	12.79±1.13	10.46±1.07	-4.21±0.68	-3.79±0.91	8.88±1.03	5.76±1.16	-2.60±0.75	-1.97±1.00
9月	11.81±1.26	9.29±1.34	-4.09±0.77	-2.45±0.90	11.67±1.07	9.17±1.08	-4.17±0.67	-3.43±0.86	8.35±1.04	5.59±1.22	-2.65±0.65	-1.47±0.85
12月	10.69±1.25	8.29±1.26	-3.87±0.79	-1.83±0.89	10.63±1.03	7.94±1.10	-3.98±0.65	-3.14±0.84	7.63±0.98	4.47±1.18	-2.70±0.54	-1.51±0.90

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