Integration of Composite and Ceramic Restorations in Tetracycline‐Bleached Teeth: A Case Report
- 28 June 2006
- journal article
- case report
- Published by Wiley in Journal of Esthetic and Restorative Dentistry
- Vol. 18 (3), 126-134
- https://doi.org/10.1111/j.1708-8240.2006.00011.x
Abstract
The success of an esthetic rehabilitation depends on the understanding of the patient's need and expectation. The management of patients with moderate to severe tetracycline-stained teeth is very challenging. Tooth whitening may be a valid alternative to more aggressive treatments; however, patients should be aware of the limitations of tooth whitening therapy. Clinicians may select differing treatment plans; tooth whitening can improve intrinsic discoloration in a way so that no further treatment is required. Once tooth whitening is completed, direct or indirect restorative procedures may be afforded to match the existing restoration with the bleached tooth structure. This article describes a conservative clinical approach to rehabilitate the smile of a patient with moderate to severe tetracycline-stained teeth using a combination of tooth whitening and direct composite and indirect porcelain restorations in the maxillary anterior segment. The combination of tooth whitening and adhesive restorations allows clinicians a significantly more conservative approach to intrinsically stained teeth; tooth preparation for porcelain veneers and porcelain-fused-to-metal and full-ceramic crowns can be restricted to conditions in which persistent tooth discoloration or significant loss of both dentin and enamel exists.Keywords
This publication has 13 references indexed in Scilit:
- Two-Year Clinical Evaluation of Nonvital Tooth Whitening and Resin Composite RestorationsJournal of Esthetic and Restorative Dentistry, 2005
- Clinical evaluation of a combined in-office and take-home bleaching systemThe Journal of the American Dental Association, 2004
- Esthetic Correction of Anterior Dental Malalignment: Conventional versus Instant (Restorative) OrthodonticsJournal of Esthetic and Restorative Dentistry, 2004
- Novel Porcelain Laminate Preparation Approach Driven by a Diagnostic Mock‐upJournal of Esthetic and Restorative Dentistry, 2004
- Masters of Esthetic Dentistry.Journal of Esthetic and Restorative Dentistry, 2003
- Perspectives.Journal of Esthetic and Restorative Dentistry, 2003
- Nightguard Vital Bleaching of Tetracycline-Stained Teeth: 90 Months Post TreatmentJournal of Esthetic and Restorative Dentistry, 2003
- Masters of Esthetic DentistryJournal of Esthetic and Restorative Dentistry, 2001
- Efficacy of Six Months of Nightguard Vital Bleaching of Tetracycline‐Stained TeethJournal of Esthetic and Restorative Dentistry, 1997
- Bonding to glass infiltrated alumina ceramic: Adhesive methods and their durabilityThe Journal of Prosthetic Dentistry, 1995