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Non-vital bleaching or internal whitening comes in many forms, but it’s often confusing which exact protocol to adopt. When you learn this technique you can make a HUGE difference to a patient’s smile in a minimally invasive manner.
Restorative Specialist Dr. AJ Ray-Chaudhuri covered the all-important diagnoses and indications of internal bleaching as well as how to treat tooth calcific metamorphosis (the obliterated pulp). We answer the key question: do you always need to have a root canal treatment present?
The Protrusive Dental Pearl: When carrying out internal bleaching make sure to clean out the entire pulp chamber especially the necrotic pulp horns – clean the necrotic tissue inside using ultrasonics. Ensure the entire chamber is de-roofed – remember that these are mostly trauma cases and the pulp went necrotic in youth – hence large pulp chambers. No role for Ninja access here!
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Highlights of this episode:
- 3:03 The Protrusive Dental Pearl
- 5:55 Dr. AJ Ray-Chaudhuri’s journey into restorative dentistry
- 13:02 Internal Bleaching Protocol
- 15:45 Whitening obliterated pulp (Calcific Metamorphosis)
- 21:22 No prep veneer/Composite veneer VS Tooth Whitening
- 22:50 Q: Best time for Internal bleaching after Endodontics?
STAY TUNED for Part 2 Next week when it gets really spicy – we have a PDF infographic to follow!
If you enjoyed this episode, check out Post Operative Pain after Endodontics – Prevention and Management
[…] the cliffhanger from Part 1 where the theme was Diagnosis – we now discuss the two main protocols of internal bleaching: […]