Question
Hello, doctor.
I have an upper tooth that has been filled and had a root canal, but the surface is gradually discoloring and showing some cracks.
Is the only option to reduce its size and place a crown? Can I choose teeth whitening as a way to improve it without grinding down the tooth? Thank you!
Wei Qi, 30~39 year old female. Ask Date: 2006/10/30
Dr. Zeng Guanghui reply Dentistry
Teeth that have undergone root canal treatment are gradually discoloring and showing signs of cracking.
It is recommended to reduce the size of the tooth and place a crown to protect the more fragile tooth structure, preventing future crown fractures.
While teeth whitening can restore the color of teeth after root canal treatment, it does not protect the more vulnerable teeth.
Therefore, the best approach is to create a crown to improve the aesthetics of the teeth and protect those with cracks.
Reply Date: 2006/10/30
More Info
Teeth whitening can indeed improve the appearance of discolored teeth without the need for grinding or extensive dental work, depending on the specific condition of the teeth. In your case, where you have a tooth that has undergone root canal treatment and is showing signs of discoloration and cracking, there are several options to consider before resorting to more invasive procedures like crowns or veneers.
First, it’s important to understand the nature of tooth discoloration. Teeth can become discolored for various reasons, including intrinsic factors (such as aging, trauma, or root canal treatment) and extrinsic factors (such as staining from food, beverages, or tobacco). In your situation, the discoloration is likely intrinsic due to the root canal treatment, which can cause the tooth to darken over time.
One of the most effective methods for whitening discolored teeth, especially those that have undergone root canal treatment, is internal bleaching. This procedure involves placing a bleaching agent inside the tooth after it has been cleaned and sealed. The bleaching agent works from the inside out to lighten the tooth. This method is less invasive than grinding down the tooth for a crown and can yield significant results.
Another option is to use professional at-home whitening kits provided by your dentist. These kits typically contain a lower concentration of bleaching agents compared to in-office treatments but can still be effective for mild to moderate discoloration. The advantage of at-home kits is that they allow for gradual whitening, which can be more comfortable for some patients.
Over-the-counter whitening products, such as strips or gels, can also be considered, but their effectiveness may vary, especially for intrinsic stains. These products are generally more suited for extrinsic stains and may not provide the desired results for teeth that have undergone significant changes due to dental procedures.
It’s crucial to consult with your dentist before starting any whitening treatment. They can assess the condition of your tooth, discuss the potential risks and benefits, and recommend the most appropriate whitening method for your specific situation. Additionally, if there are cracks in the tooth, your dentist may want to address those issues first, as they can affect the success of the whitening treatment and the overall health of the tooth.
In summary, teeth whitening can improve discolored teeth without grinding, particularly through methods like internal bleaching or professional at-home kits. However, it’s essential to have a thorough evaluation by a dental professional to determine the best course of action tailored to your needs. This approach not only prioritizes the aesthetic outcome but also ensures the long-term health and integrity of your teeth.
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