Non-Vital Tooth Whitening: Options and Costs - Dentistry

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Non-active bleaching technique


I have had yellowish teeth since childhood, and they are not very yellow.
I know that there is a non-vital bleaching treatment that can improve this, but I'm not sure where I can get this treatment and whether it will be very expensive.
Is it the same as laser whitening?

Anson, 20~29 year old female. Ask Date: 2002/09/04

Dr. Xu Zhenglong reply Dentistry


Hello Anson: The so-called non-vital bleaching refers to teeth that have undergone root canal treatment or have experienced traumatic nerve necrosis—non-vital teeth.
Before bleaching non-vital teeth, it is advisable to first check whether the root canal treatment has been completed properly.
Only then can bleaching be performed for a lasting result.
You have had yellow teeth since childhood, which may be due to intrinsic factors or the teeth may still be vital.
Our clinic offers teeth whitening services, which are out-of-pocket expenses and are moderately priced.
Laser whitening is more expensive and is currently being introduced at our clinic.

Reply Date: 2002/09/04

More Info


Non-vital tooth whitening, also known as internal bleaching, is a dental procedure specifically designed for teeth that have undergone root canal treatment or have experienced trauma leading to non-vitality. If you've had yellowish teeth since childhood, it's essential to first determine whether your teeth are indeed non-vital or if they are still alive but discolored due to intrinsic factors.

Understanding Non-Vital Tooth Whitening
Non-vital tooth whitening involves the application of a bleaching agent inside the tooth, which can help lighten the discoloration that occurs when the tooth's nerve is damaged or has died. This procedure is particularly effective for teeth that have been treated with root canal therapy, as these teeth often become darker over time due to the breakdown of blood and nerve tissues inside the tooth.


Where to Get Treatment
To find a suitable dental clinic for non-vital tooth whitening, you should look for a dentist who specializes in cosmetic dentistry or endodontics (the branch of dentistry that deals with the treatment of the dental pulp). Many dental offices offer whitening services, but not all may provide internal bleaching. It's advisable to consult with your dentist to confirm whether your teeth are suitable for this treatment and to discuss the best options available.


Costs of Non-Vital Tooth Whitening
The cost of non-vital tooth whitening can vary significantly based on several factors, including the location of the dental practice, the complexity of the case, and the specific materials used. Generally, you can expect to pay anywhere from $300 to $800 per tooth for this procedure. It's important to note that this cost is often out-of-pocket, as many dental insurance plans do not cover cosmetic procedures.


Comparison with Laser Whitening
While non-vital tooth whitening and laser whitening both aim to improve the appearance of teeth, they are quite different procedures. Laser whitening is an external bleaching technique that uses a laser to activate a bleaching agent applied to the surface of the teeth. This method is typically used for vital teeth (those with healthy nerves) and can provide immediate results.
In contrast, non-vital whitening targets the interior of the tooth and may take several sessions to achieve the desired shade. Additionally, laser whitening tends to be more expensive than traditional whitening methods, often ranging from $500 to $1,500, depending on the extent of treatment and the dental practice.


Additional Considerations
Before proceeding with non-vital tooth whitening, it is crucial to have a thorough dental examination. Your dentist will assess the condition of your teeth and gums, ensuring that there are no underlying issues that could complicate the whitening process. If your teeth are still vital, other whitening options may be more appropriate.

Moreover, it’s essential to maintain realistic expectations regarding the results. Non-vital whitening can significantly improve the color of your teeth, but it may not achieve a perfect match with your natural teeth, especially if they are still alive and have a different shade.

In conclusion, non-vital tooth whitening can be an effective solution for improving the appearance of discolored teeth, particularly those that are non-vital. By consulting with a qualified dental professional, you can explore your options, understand the associated costs, and determine the best course of action to achieve a brighter smile.

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