Internal bleaching of discolored anterior teeth has not been without its issues. The short-term results were astounding; however, the long-term studies were not! The use of Superoxol and activated bleaching materials was discovered to cause resorptive defects and tooth loss. Since those findings, most practitioners reverted to a very slow process of sodium perborate bleaching. This process typically takes 2-3 visits at 2-week intervals.
A new solution:
I was introduced to Opalescence Endo Internal bleaching material several years ago from a colleague. After the tragic tooth loss from Superoxol, I was determined not to be an early adopter and I decided to wait for the product to be on the market and used successfully for years prior to jumping on that wagon.
The praises for this material kept rolling in and no negative outcomes have been reported. So last week, I decided to give it a try. We placed a barrier and placed Opalescence Endo, which is a hydrogen peroxide based material similar to external whitening products. I asked the patient to return in three days versus the typical two weeks. Upon her return, the tooth was brilliantly white and matched her neighboring incisor perfectly. The decreased number of patient visits and chair time is remarkable. I’m betting the value in cost and time compared to traditional sodium perborate bleaching will “wow” you just the same!
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