Internal tooth bleaching: a review

Authors

  • Fernando Rosas López Portillo Department of Graduate Clinic of Oral Rehabilitation, Autonomous University of Sinaloa, Mexico
  • Aurea Elizabeth Valle Urias Department of Teaching Clinic, Autonomous University of Sinaloa, Mexico
  • Tonantzin González Arredondo Department of Orthodontics, Autonomous University of Sinaloa, Mexico
  • Jesus Gamez Valenzuela Department of Pediatrics Clinic CIDOC. Autonomous University of Sinaloa, Mexico
  • Felix Manuel Manjarrez Guerrero Department of Orthodontics, Autonomous University of Sinaloa, Mexico
  • Ingryd Fabiola Molina Angulo Department of Periodontics Clinic, Autonomous University of Sinaloa, Mexico
  • Enedina Duarte Quintero Department of Teaching Clinic, Autonomous University of Sinaloa, Mexico
  • Patricia Medina Santos Department of Teaching Clinic, Autonomous University of Sinaloa, Mexico
  • Cristhal Duque Urióstegui Department of Orthodontics, NOVA, Mexico City, Mexico
  • Alan I. Valderrama Treviño Department of Biomedical Research, UNAM, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20251415

Keywords:

Dental bleaching, Intracoronal tooth whitening, Dental cosmetic enhancement, Non-vital teeth, Tooth discoloration, Aesthetic dentistry, Pulpal injury

Abstract

Intracoronal bleaching is a conservative, cost-effective aesthetic procedure designed to enhance the color of non-vital teeth over an extended period. The selection of bleaching agents, application methodologies, and comprehension of biological interactions with both soft and hard tissues are pivotal for achieving immediate treatment success. Presently, bleaching agents predominantly utilize peroxide-releasing compounds in diverse formulations applied to enamel and dentin. This review aims to provide a comprehensive overview of key aspects of intracoronal bleaching, including primary adverse effects and considerations essential for optimizing treatment efficacy.

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References

Patzer G. Improving self-esteem by improving physical attractiveness. JERD. 1997;9(1):44-6. DOI: https://doi.org/10.1111/j.1708-8240.1997.tb00915.x

Van Der Geld P, Oosterveld P, Van Heck G, Kuijpers-Jagtman Am. Smile attractiveness: self-perception and influence on personality. Angle Orthod. 2007;77(5):759-65. DOI: https://doi.org/10.2319/082606-349

Artigas A, González M, Saavedra CM, Guerra RE, Rivera CA. Recromía in non-vital teeth: A case report. Revista Latinoamericana de Endodoncia. 2018;22(4):757-65.

Zimmerli B, Jeger F, Lussi A. Bleaching of nonvital teeth. A clinically relevant literature review. Schweiz monatsschr zahnmed. 2010;120:306–20.

Maylen GJ, Elena GHM. Caracterización clínico epidemiológica de pacientes con discromía dental. Revista Cubana de Medicina Militar. 2020;49(4):200640.

Lukez a, pavlic a, trinajstic zrinski m, spalj s. The unique contribution of elements of smile aesthetics to psychosocial well-being. J oral rehabil. 2015;42(4):275-81. DOI: https://doi.org/10.1111/joor.12250

Cahuantico Carhuapoma Y, Cheng AL, Noborikawa Kohatsu AK, Tay LY. Internal bleaching: A case report. Revista Estomatológica Herediana. 2016;6(4):244-54. DOI: https://doi.org/10.20453/reh.v26i4.3031

Carey CM. Tooth Whitening: what we now know. J. Evid. Based dent. Pract. 2014;(14):70-6. DOI: https://doi.org/10.1016/j.jebdp.2014.02.006

Lippert, F. An introduction to toothpaste—its purpose, history and ingredients. Monogr Oral Sci. 2013;23:1–14. DOI: https://doi.org/10.1159/000350456

Greenwall-Cohen J, Greenwall LH. The single discoloured tooth: vital and non-vital bleaching techniques. Br Dent J. 2019;226:83949. DOI: https://doi.org/10.1038/s41415-019-0373-9

Marin PD, et al. Pulp revascularization and color regression. Dent traumatol. 2020;36(2):123-30.

Ahmed HM, Abbott PV. Discolouration potential ofendodontic procedures and materials: a review. Int Endod J. 2012;45:883-97. DOI: https://doi.org/10.1111/j.1365-2591.2012.02071.x

Gasmi Benahmed A, Gasmi A, Menzel A, Hrynovets I, Chirumbolo S, Shanaida M, Lysiuk R, Shanaida Y, Dadar M, Bjørklund G. A review on natural teeth whitening. J Oral Biosci. 2022;64(1):49-58. DOI: https://doi.org/10.1016/j.job.2021.12.002

Rasimick Bj, Nekich M, Hladek Mm, Musikant B, Deutsch AS. Interaction between chlorhexidine digluconate and edta. J endod. 2008;34(12):1521–3. DOI: https://doi.org/10.1016/j.joen.2008.08.039

González-López S, Camejo-Aguilar D, Sánchez-Sánchez P, Bolaños-Carmona V. Efecto de chx sobre el efecto descalcificante del ácido cítrico al 10%, ácido cítrico al 20% o edta al 17%. J endod. 2006;32(8):781-4. DOI: https://doi.org/10.1016/j.joen.2006.02.006

Ferracane J. Resin composite-state of the art. Dent mater. 2011;27(1):29–38. DOI: https://doi.org/10.1016/j.dental.2010.10.020

Attin T, Paqué F, Ajam F. Review of the current status of tooth whitening with the walking bleach technique. Int Endod J. 2003;36:313–29. DOI: https://doi.org/10.1046/j.1365-2591.2003.00667.x

Suchetha A, Khawar S, Mundinamane D, Apoorva S, Bhat D, Govindappa. All about dental stains: a review (part 1). Ann Dental Special. 2016;4(2):41–6.

Aoba T, Fejerskov O. Fluorosis dental: química y biología. Crit Rev Oral Biol Med. 2002;13(2):155-70. DOI: https://doi.org/10.1177/154411130201300206

Álvarez Rodríguez J, Clavera Vázquez TJ, Hernández Varea JC. Compendio de endodoncia. 2da ed. La habana: icbp victoria de girón. 2015.

Mamer. Intracoronal tooth bleaching: a review and treatment guidelines. Australian Dental J. 2023;68:(1):141–52. DOI: https://doi.org/10.1111/adj.13000

Tam Le, Cho W, Wang By, De Souza G. Effect of bleaching treatment on fatigue resistance and flexural strength of bovine dentin. J Esthet Restor Dent. 2015;27(6):374-82. DOI: https://doi.org/10.1111/jerd.12157

Ge C, Green Cc, Sederstrom D, Mclaren Ea, White Sn. Effect of porcelain and enamel thickness on porcelain veneer failure loads in vitro. J Prosthet Dent. 2014;111(5):380-7. DOI: https://doi.org/10.1016/j.prosdent.2013.09.025

Rotstein I, Zalkind M, Mor C, et al. In vitro efficacy of sodium perborate preparations used for intracoronal bleaching of discolored non-vital teeth. Endod dent traumatol. 1991;7:177–80. DOI: https://doi.org/10.1111/j.1600-9657.1991.tb00204.x

Nutting EC, Poe GS. A new combination of bleaching teeth. J calif dent assoc. 1963;2:289–91.

Ariadne Charis Frank, Philipp Kanzow, Tina Rödig, Annette Wiegand. Comparison of the bleaching efficacy of different agents used for internal bleaching: a systematic review and meta-analysis. JOE. 2022;48 (2):171-8. DOI: https://doi.org/10.1016/j.joen.2021.10.011

Kwon Sr, Wertz Pw. Review of the mechanism of tooth whitening. J Esthet Restor Dent. 2015;27(5):240–57. DOI: https://doi.org/10.1111/jerd.12152

Amato A, Caggiano M, Pantaleo G, Amato M. In-office and walking bleach dental treatments on endodontically-treated teeth: 25 years follow-up. Minerva Stomatol. 2018;67(6):225-230. DOI: https://doi.org/10.23736/S0026-4970.18.04190-0

Howell RA. The prognosis of bleached root-filled teeth. Int Endod J. 1981;14(1):22–6. DOI: https://doi.org/10.1111/j.1365-2591.1981.tb01055.x

Abbott PV, Heah SY. Internal tooth bleaching: An analysis of 255 teeth. Australian Dent J. 2009;54(4):326-33. DOI: https://doi.org/10.1111/j.1834-7819.2009.01158.x

Duschner H, Gotz H, White DJ, Kozak KM, Zoladz JR. Effects of hydrogen peroxide whitening strips on dental surface color, microhardness, surface and subsurface ultrastructure, and microchemical composition (Raman spectroscopy). J Clin Dentis. 2006;17(3):72-8.

Cobankara FK, Unlu N, Altinoz HC, Fusun O. Effect of home whitening agents on the roughness and surface morphology of human enamel and dentin. International Endo J. 2004;54(4):211-8. DOI: https://doi.org/10.1111/j.1875-595X.2004.tb00282.x

Worschech CC, Rodrigues JA, Martins LR, Ambrosano M. In vitro evaluation of the surface roughness of human dental enamel whitened with 35% carbamide peroxide and subjected to abrasive brushing with toothpaste. Pesquisa Odontológica Brasileira. 2003;17(4):342. DOI: https://doi.org/10.1590/S1517-74912003000400009

Titley K, Torneck CD, Smith D. The effect of concentrated hydrogen peroxide solutions on the surface morphology of human dental enamel. J Endodont. 1988;14(2):69-74. DOI: https://doi.org/10.1016/S0099-2399(88)80004-9

Plotino G, Buono L, Grande MN, Paneijer CH, Somma F. Nonvital tooth bleaching: A review of the literature and clinical procedures. J Endod. 2008;34:394-407. DOI: https://doi.org/10.1016/j.joen.2007.12.020

Dahl JE, Pallesen U. Tooth bleaching-a critical review of the biological aspects. Crit Rev Oral Biol Med. 2003;14(4):292-304. DOI: https://doi.org/10.1177/154411130301400406

Amaral C, Jorge A, Veloso K, Erhardt M, Arias V, Rodrigues JA. The effect of in-office in combination with intracoronal bleaching on enamel and dentin bond strength and dentin morphology. J Contemp Dent Pract. 2008;9(5):17-24. DOI: https://doi.org/10.5005/jcdp-9-5-17

Feiz A, Khoroushi M, Gheisarifar M. Bond strength of composite resin to bleached dentin: effect of using antioxidant versus buffering agent. J Dent (Tehran). 2011;8 (2):60-6.

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Published

2025-05-03

How to Cite

Portillo, F. R. L., Urias, A. E. V., Arredondo, T. G., Valenzuela, J. G., Guerrero, F. M. M., Angulo, I. F. M., Quintero, E. D., Santos, P. M., Urióstegui, C. D., & Treviño, A. I. V. (2025). Internal tooth bleaching: a review. International Surgery Journal, 12(6), 1053–1059. https://doi.org/10.18203/2349-2902.isj20251415

Issue

Vol. 12 No. 6 (2025): June 2025

Section

Review Articles
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