Traditional whitening methods do not always help restore white teeth. After treatment of advanced caries or canal filling, the crown may acquire a dark shade, which is due to internal changes. If previously it was impossible to do anything with such a tooth, today intracanal bleaching is carried out. This allows you to restore the natural color.
Lightening the enamel of most patients is possible with the help of traditional methods bleaching. But they are not even able to cope with changes in the color of teeth caused by internal processes.
Depulpated units often darken. This is due to the lack of trophism and innervation. Hard tissues change shade, so traditional approach does not give a positive effect.
In endodontic treatment, resorcinol-formalin paste is sometimes used to kill the pulp. The drug stains hard tissues pink. You can get rid of an unpleasant shade only with the help of intracanal bleaching.
Dyes may penetrate into deep tissue through microcracks in the enamel. Pigments found in tea, red wine and others coloring products, can penetrate so deeply that they are not removed during the traditional whitening procedure. Only the endocanal method can solve the problem.
The method is effective in patients with tetracycline teeth. Conventional whitening products do not solve this serious problem.
Discoloration may be a consequence of injury. When pulp vessels rupture, internal hemorrhage. The clot formed in the canal is visible through the enamel, and the crown becomes dark. Modern dentistry successfully copes with such problems.
The whitening procedure is simple, but it is not recommended during pregnancy and breastfeeding. During this period, dental treatment is carried out only when indicated. Aesthetic procedures can be postponed. The limitation is children's age. Manipulation is contraindicated under 16 years of age.
If the filling has darkened, intracanal bleaching is ineffective. It is necessary to replace the filling material or. The dentist will recommend the optimal tactics after an examination.
Contraindications:
The method is simple and safe. If previously darkened teeth were ground down, artificial crowns were installed, modern clinics Moscow will help you avoid prosthetics. The technique allows you to get a good effect and return the darkened enamel to its natural color.
Endobleaching is painless. The old filling is carefully removed; if the canal is properly sealed, there is no need to open it. The technique has a minimum of contraindications, so many patients can own experience evaluate its benefits.
The cost of lightening is affordable. Endobleaching costs less than installation artificial crown. The enamel returns to its original shade in 83-90% of patients.
In some cases, it is not possible to achieve perfect whiteness of the enamel. This is due to individual characteristics. With repeated endobleaching, the enamel may become less durable, so there is no need to overuse the procedure.
Several visits to the dentist are required to get results. The gel acts slowly, so it is impossible to get results in one day.
Whitening gels interact with hard tissues but do not react with composite materials. If fragments of the old filling remain in the cavity, the color of the photopolymer will not change after applying the composition. It is necessary to completely remove it and replace it with a new one of a suitable shade.
Before the procedure, the doctor conducts an examination. To assess the condition of the tooth, visualize the canals. The dentist examines for carious lesions and the presence of large cracks. The condition of soft tissues is assessed. If problems are identified, dental treatment is necessary. Only after sanitation of foci of chronic infection are teeth whitened.
Before the procedure, the patient rinses his mouth with an antibacterial solution. This helps prevent infection from entering the canal. If the rules of asepsis and antisepsis are not followed, an inflammatory process develops.
On initial stage the old filling is removed. This must be done carefully without damaging healthy tissue. If there is a risk of tooth destruction when opening a cavity, it is better to refuse whitening and install a crown. After opening the cavity, you need to examine the tooth to exclude an inflammatory process. The canal must be properly sealed. If there are no problems, it is separated from the cavity with a cement spacer.
For whitening, gels based on hydrogen peroxide, sodium perborate or carbamide peroxide are used. They release active oxygen, which helps remove pigments. The gel is applied to the walls of the cavity, a temporary filling is installed, and the patient is sent home.
After 14 days, he comes to the clinic again, the doctor evaluates the result. If the shade of the tooth does not match the neighboring ones, the gel is reapplied. To receive good effect 2-4 sessions are needed.
When the enamel acquires the desired shade, the cavity is cleaned. How long the result will last depends on individual characteristics. In most cases, the effect lasts for at least a year. If the tooth darkens again, the procedure can be repeated.
Intra-canal whitening allows you to restore the enamel to its original appearance. The cost of the procedure is less than installing an artificial crown. Thanks to modern techniques, it is possible to save a tooth and restore a beautiful smile.
Studies have shown that the procedure does not cause pain. Some patients experience discomfort and a feeling of fullness. According to statistics, in 83% of cases it is possible to return the original shade of enamel. In the remaining 17%, the tooth remains darker than its neighbors, but its appearance has improved compared to the original color, and the patients were satisfied with the result.
The result of intracanal bleaching.The durability of the result depends on the patient’s lifestyle and diet. For smokers, strong coffee and tea drinkers, the bleached area quickly darkens again. To maintain a snow-white smile, you need to give up bad habits, pay attention to oral care.
It is not recommended to repeat intracanal bleaching more than four times. This makes the enamel fragile and the tooth may break during the procedure. If you follow the dentist's recommendations, the resulting effect lasts 2-3 years.
A doctor who does not observe antiseptic measures during manipulation may cause an infection. This leads to an inflammatory process. Contact only good clinic, paying attention to the sterilization of instruments, having competent, responsible doctors.
If the filling is removed carelessly, the enamel may crack. The more whitening procedures performed previously, the higher the risk of damage. If a unit has been bleached more than four times, it is not recommended to use this technique again. An alternative is an artificial crown.
After applying the gel, the dentist will set a date for a follow-up visit. If you do not remove the composition in established deadlines, the tooth will be lighter than its neighbors, and the enamel will become fragile. Action active ingredients should last no more than a certain time, otherwise the composition will damage hard tissues and cause irreversible changes enamels.
In-canal bleaching - effective way restore the natural color of a pulpless or damaged tooth. Darkening is common, and is especially noticeable on the front incisors. The method allows you to get rid of deeply concentrated pigments and combat the consequences of hemorrhage into the pulp. The painless, relatively inexpensive procedure is in demand. She allows you to return hard tissues natural color, avoid installing an artificial crown.
Helps whiten teeth from the inside. The procedure is also called endobleaching. It is carried out using a special gel when the tooth darkens from the inside. Tooth enamel can darken from the inside after difficult dental treatment. In such a situation, no whitening strips, pastes or laser use will help - intracanal teeth whitening is required; at the Mine Clinic dental center, the price for intracanal tooth whitening is available to all patients. With us you will be able to save your money on endobleaching.
Intracanal bleaching is indicated in cases where other methods do not work. If the problem is caused by internal darkening of the enamel, only high-quality endobleaching can help.
The procedure is painless on a pulpless tooth. When the nerve is removed, intracanal bleaching does not cause discomfort or pain to the patient. The method is unique and does not provide negative impact per tooth The procedure does not use hydrogen peroxide. The gel used for intracanal bleaching contains a safer sodium perborate salt.
Main indications for endobleaching of teeth:
pulp death;
· termination metabolic process in dental tissue;
· fragile dark tooth enamel, devoid of minerals;
Unnatural shade of teeth.
The main reason for darkening of teeth is the dentist’s mistakes in treating dental tissues and the properties of filling materials. If a mixture containing silver was used in the treatment, the tooth enamel becomes dark gray. The tooth darkens when the pulp dies. Also, teeth can change their shade due to smoking and food coloring. You should not overindulge in strong black tea and coffee.
In our dental center you can perform high-quality teeth whitening at any time. convenient time by appointment - for intracanal tooth whitening the price (Moscow) varies in various limits. The procedure is carried out in several stages:
· the dentist widens the mouth root canal. Next, the cement barrier is installed. It is used to close the canal opening. This helps the whitening agents not damage the dental tissue;
· the root canal is filled with sodium percarbonate;
· the tooth is sealed with a sealed filling;
· after a few days, repeat whitening sessions are carried out;
· at the final stage, the dentist fixes the fiberglass pin in the root canal and performs filling.
The session lasts about half an hour and does not cause any discomfort to the patient. Doctors do not recommend using the whitening solution more than 4 times. Otherwise, you can cause burns and destruction of dental tissue.
In-canal whitening is the most gentle and safe method in comparison with others. The choice of teeth whitening should be made by a doctor, taking into account the characteristics of the patient’s tooth enamel and the defects present.
In our dental clinic in Moscow, you can have your teeth whitened completely inexpensively - the price for intra-canal whitening is without hidden fees and is available to every patient.
Price dental procedure is formed from several aspects. It includes:
· initial dental examination;
· cost of whitening gel;
· cost of temporary filling;
cost of cement dental material;
· price of permanent filling.
With us you can perform endobleaching in Moscow at a reasonable and not inflated price. On average, the cost of intra-canal bleaching is 1,500 rubles per tooth. This is much cheaper than installing ceramic veneers or a ground crown.
In-canal teeth whitening is not performed in childhood, during pregnancy and breastfeeding. Also, the procedure is not performed if there is an allergy to the whitening gel.
Teeth whitening is contraindicated in the presence of cracks in the enamel, severe tooth sensitivity, caries cavities and defects. Intra-canal teeth whitening is not carried out when there is an inflammatory process in the dental tissues or in the oral cavity.
It is necessary to carry out hygienic procedures for brushing your teeth as often as possible. The dentist will certainly recommend which toothpaste is best to use in the daily care of whitened teeth. Clean tooth enamel it needs to be done more carefully and for a long time. This will avoid re-staining the enamel. It is important to visit your dentist periodically and have inexpensive dental cleanings done at your dentist's office.
After teeth whitening, it is necessary to maintain their snow-white shade at the proper level. Caring for dental health should be carried out by both the patient and the dentist. You can purchase special gentle dental products on the recommendation of your dentist. Special gels and pastes will strengthen tooth enamel and prevent its darkening.
At our dental center you can always count on thorough medical examination And quick help. Hygienically clean dental offices with modern equipment and the best qualified dentists await you.
Pre-registration for teeth whitening is now open. You can sign up for the procedure with the administrator or by calling the phone number listed on the clinic’s website.
A snow-white smile is an indicator of health and success. It makes a person more self-confident, helping to reach new heights in work and relationships. But what to do if your teeth begin to darken, turning gray and brown? In addition, the root of the tooth darkens and the effect of “blue gums” is created. Until recently, this problem could only be solved by preparing the tooth and installing a crown. But aesthetic dentistry does not stand still and comes to the rescue - teeth whitening.
Intra-canal tooth whitening (endo-bleaching) is an innovative procedure that allows you to restore the natural color of a pulpless tooth. This technology is used when superficial cleaning and bleaching do not give the expected results. Why do teeth darken? How is the teeth whitening procedure performed? And what are the advantages and disadvantages? Let's try to figure it out.
Endobleaching of teeth is a technique in which lightening substances are introduced into the root canals. In order to improve the aesthetics of a smile, the procedure is carried out in modern dentistry.
Photo 1. Intra-canal teeth whitening
With the introduction of new technologies, there was a breakthrough in dental services, satisfying the aesthetic needs of patients. Various techniques Whitening gives excellent results on vital teeth. The same cannot be said about whitening non-vital teeth, since the result does not always turn out as expected. The first whitening of non-vital teeth was described long ago, back in 1864. But we achieved the desired results only recently.
In the 1960s, sodium perborate with water began to be used to carry out the procedure - intracanal endo bleaching. Previously, bleaching agents used in different years as independent drugs and their combinations, were constantly changing. Chlorine compounds, sodium perborate and sodium hypochlorite were also used with and without thermal activation.
Modern technique intracanal bleaching has changed and for the strongest bleaching effect, water has been replaced with hydrogen peroxide. But even today, for intracanal bleaching, preparations that include sodium perborate are used. It is this whitening agent that has proven itself better than others in teeth whitening.
Photo 2. Teeth endo-whitening process
Discoloration is various types of changes in the color of teeth. Discoloration may appear due to external influence on the surface of the tooth and internal problems with health. Discoloration of teeth may also be caused by the actions of the dentist.
Photo 3. Darkening of teeth
Discoloration and external reasons its occurrence
Frequent consumption of coffee, black tea, red wine refers to external factors affecting the color of teeth. Dark enamel With yellow tint appears under the influence of nicotine. Darkening of teeth also occurs as a result of irregular teeth brushing.
All these factors, of course, spoil appearance teeth. In addition to darkening, the healthy shine of teeth is lost and plaque provokes the occurrence of various diseases. But the ways to solve this kind of discoloration are quite simple; you need to give up your favorite habits that provoke darkening of the teeth. Spend more time on oral hygiene and regularly brush your teeth. All this will help improve the appearance of the tooth enamel surface.
Photo 4. External signs darkening of teeth
Photo 5. Pulp necrosis
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Photo 6. Dental filling
It is dangerous to use the bleaching composition during endobleaching more than four times; the tissue may be destroyed from the inside.
The whole process is absolutely painless, since pulpless teeth have no nerves.
Photo 7. Endo-teeth whitening procedure
The procedure must be repeated if the desired result is not achieved. The number of intracanal whitening procedures should not exceed 5 times. Whitening agents affect each tooth differently. In order to lighten the tissue of one tooth, one procedure is enough; with another, the dentist can work in five sessions. In-canal teeth whitening always requires an individual approach. The effectiveness and duration of the results are also individual.
Photo 8. Hemorrhage into the tooth pulp
Photo 9. Contraindications to intracanal teeth whitening
The advantages of this method include:
The disadvantages include increased fragility of the pulpless tooth after the procedure. If tooth whitening is carried out repeatedly, there is a risk of tooth decay.
It should be understood that intracanal teeth whitening is a medical intervention in the tooth cavity. And for effective and safe whitening, a highly qualified doctor is needed. At professional approach You can get rid of unwanted shade and darkening of the enamel without complications.
Photo 10. Teeth before and after endo-whitening
Many patients have already appreciated the effectiveness and safety of this technique, which can restore aesthetics problematic tooth. Reviews about the endobleaching procedure are most often positive. But not all dental clinics can offer the service of restoring the color of a pulpless tooth.
Table 1. Causes of darkening of teeth
Video: Intra-canal teeth whitening
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Today, intracanal bleaching takes place. This technology is used when superficial cleaning methods do not live up to expectations. The method is considered unique in its impact. It involves the introduction of a bleaching agent into the pulpless cavity. The result is a uniform and permanent staining of the tooth surface in a crystal white color.
Endo-bleaching is a method of intracoronal tooth lightening. A gel based on sodium perborate is placed into the pulpless cavity. Then a temporary filling is installed. After a certain time, the doctor evaluates the effect of the bleaching agent and either performs reintroduction gel, or completes the course.
As a rule, several procedures of intracanal tooth whitening are required. Their price is not so high: a dentist will require about 1,000 rubles for treating one tooth. This cost justifies the results, which you can evaluate by looking at the photos before and after the procedure. The next time intra-canal bleaching can be carried out no earlier than in a year. Indications for the use of this technique are:
The tooth becomes stained from the inside as a result of penetration various substances through cracks on its surface. The intensity and depth of pigmentation may vary, and these parameters do not affect the choice of whitening method. In the photo you can see what problems clients come to the dentist with, and how the intracanal tooth whitening technique changes their appearance.
You must understand a simple thing: there is no guarantee that your smile will be as snow-white as in the photo. The result that intra-canal teeth whitening gives depends entirely on the initial state of the enamel and the person’s lifestyle. Therefore, there is no need to expect magic from this technique.
When choosing endobleaching, you should consider weaknesses this technology. First of all, you should familiarize yourself with the contraindications to intracanal tooth whitening, including:
Internal tooth whitening cannot be performed more than 4 times. With each procedure, the risk of damage to the dental crown and subsequent fracture increases. The bleaching agent acts on protein components, breaking down their structure. As a result, the integrity of the fillings may be compromised.
An important disadvantage of this technique is the fragility of the result if certain rules are not followed. Whiteness lasts for a maximum of 2 years, after which you will need to repeat the session or search alternative ways. This only happens if the dentist’s recommendations are not followed, when coloring components constantly penetrate into the canals. If you take proper care of your oral cavity, repeat intracanal teeth whitening may not be necessary.
When considering endobleaching of teeth, one cannot omit its advantages, thanks to which this method has become quite popular. The results demonstrated by in-canal whitening are provided by: the following advantages procedures.
In some cases, aesthetic defects in the dentition can be eliminated only with the help of internal whitening. Unlike surface analogues, it does not injure the enamel and does not cause increased sensitivity of the whitened tooth to cold, hot and sour foods.
Patients leave mostly positive reviews about endobleaching. It's all about the high efficiency of the method. You can follow the dynamics of improvement of teeth that have undergone intracanal whitening by watching the final video.
When the enamel in the smile area darkens after caries treatment, it can be applied safe whitening teeth, also called endobleaching. This process appeared in dental clinics V recent years, previously the ugly incisor was ground down and covered with a crown.
Modern procedure helps preserve dental base, returning her light shade. Doctors often use intracanal bleaching or endoprocedure, which is the introduction special drug into the pulpless dental cavity. The injected product whitens tissues from the inside, returning them to their original shade. The advantages of such whitening include painlessness and high efficiency impact.
Internal teeth whitening can be done even with fillings in place, as long as they are not stained. During the procedure, only natural tooth tissue is whitened, so the fillings can remain the same. To carry out endo-whitening, you will have to remove the filling mass, clean the tooth cavity and put a whitening gel there. After a successful result, the cleaned cavity is filled again.
The proposed system assumes that the operation will be performed inside the crown. Only nonvital or nonvital incisors in which the pulp has been removed are suitable for this procedure. In this case, the process is carried out in the same way as the intracanal one, only the bleaching agent is not placed so deeply. The process is painless and effective.
Indications for intracanal bleaching are: following reasons, as a result of which the color of teeth darkens:
The intracanal whitening procedure is cosmetic, so there is no need to prepare for it, except as prescribed by your doctor. x-ray to assess the quality of root canal filling. To prevent unpleasant consequences the root canal must be airtight and properly sealed, otherwise it will be necessary re-treatment. At the appointment, the doctor checks the presence of fillings, their color, and replaces them if necessary. If there are no fillings or they do not affect the process, then simply clean the pulp chamber. If caries is present, it is necessary to remove the affected tissue.
The cost of intra-canal whitening cannot be called budgetary. but the reasons for carrying it out are always serious. The price of the procedure will be about 1000 rubles. Restorative teeth whitening as an intracanal method can only be carried out by a doctor, because at home it is impossible to achieve the desired professional result, and you can get consequences in the form of disadvantages.