Friday, July 31, 2009

Will teeth whitening work on darken tooth after root canal?

My front tooth is turning darker due to root canal treatment. Will professional teeth whitening such as Britesmile work or is getting a crown better? I was hesitated to get a crown because I am afraid it won't look natural on the front teeth.

Will teeth whitening work on darken tooth after root canal?
No, whitening will not work on this tooth. I think a porcelain crown would be your best bet. It will probably look more natural than any other option you have. Another choice though that hasn't been mentioned is nonvital bleaching. My husband had it done on a front tooth and it made the darkness lighter, but it still is a little bit darker than the rest of his teeth. I've seen mixed results with this procedure. If you go to the 1st link below and scroll down to the pictures and where it says nonvital bleaching, it will show a case that didn't work out, but that tooth was really dark to begin with. The second link shows one that worked out better. But talk to your dentist about it and he will be able to give you choices and help you make the decision that is best for you.
Reply:No, Unfortunately there is nothing you can do about that but get a veneer put on it if it bothers you. It is turning dark because it does not have any nerves in it and it is basically a dead tooth therefore it turns dark and unhealthy looking.
Reply:Whitening will not help with the tooth that has had a root canal; the crown will be the best way to go. Make sure that the dentist makes an all porcelain crown for this tooth!! A crown with a metal sub-structure will cause a dark line next to the gums %26amp; won't be very pretty when you smile! I also recommend that if you are interested in having a whiter smile, bleach your teeth with the Crest White Strips before you have the crown done. Because if you decide you want to bleach after the crown is done, it won't match your pretty, white teeth (crowns will not get lighter if you bleach them). Good luck!
Reply:There is a procdure dentists do called internal bleaching, they open the tooth and bleach it from the inside out. I will be honest, it is not that successful. If you have had a root canal, you need a crown anyway and they can make it match your other teeth. If you do not have the tooth crowned, it will break and possibly become nonrestorable.
Reply:The response just above mine is proof-positive that hygienists should just stick to cleaning teeth, and not give out dental advice. They don't know what the hell they're talking about.





The answer to your question is "yes". But you need your dentist to do it for you. There is such a process called "internal bleaching", a procedure that is used on endodontically treated teeth, which helps greatly with discolored teeth. Depending on the extent of discoloration, the bleaching material may need to be replaced a greater number of times. But it does work, and it works very well.





Your question is somewhat of a moot point, since endodontically treated teeth ought to be crowned anyway. I would still recommend the internal bleaching, however, because it will allow you to get a better cosmetic result...even with the crown over it. All-porcelain crowns typically look the best, but the downside to them is that the lab making them must take into account the shade of the tooth beneath the crown. If it is excessively dark, the lab will have to use more opaque porcelain on the inner layers of the crown to prevent it from showing through, which is less lifelike in appearance. We're talking very slight differences here, but if you're like me (very concerned with the appearance of your teeth), you should take every step you can to assure the most cosmetic result.





MODIFICATION: Just a moment ago, I went back and read all the responses to the initial question. Isn't it amusing to see how the dental student (probably a first-year student who hasn't taken endodontics yet), the hygienist, and the dental assistant all gave wrong answers?





I then happened to see that another dentist was the only one responding who knew about this well-known procedure called "internal bleaching".





If you want accurate information, you need to go straight to the source.



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