Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (3): 249-255.doi: 10.7518/gjkq.2024045

• Expert Forum •     Next Articles

Clinical strategies for dental bleaching

Min Zhang(),Jiyao Li()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-11-30 Revised:2024-01-23 Online:2024-05-01 Published:2024-05-06
  • Contact: Jiyao Li E-mail:zhangmin0812@163.com;jiyao_li@aliyun.com
  • Supported by:
    Project on Teaching Reform of Graduate Education at Sichuan University(GSSCU2023116)

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Abstract:

Vital tooth bleaching is one of the effective methods for the minimally invasive treatment of discolored tooth. Tooth bleaching techniques is simpler than other dental treatments, but challenges are still encountered in clinical practice. For a successful treatment, some key issues must be addressed through doctor-patient communication before treatment, and personalized treatment plans based on the etiology and difficulty of cases and the planned prevention and management of potential clinical complications during treatment must be considered. This article combines literature review and the author’s clinical experience to discuss clinical strategies for tooth-whitening treatment, aiming to provide a reference for dental bleaching treatment in clinical settings.

Key words: dental bleaching, discolored tooth, bleaching planning, sensitivity, colour regression

CLC Number: 

  • R781.2

TrendMD: 

Fig 1

In-office bleaching for the discolored tooth with high enamel mineralization"

Fig 2

At-home bleaching for the discolored teeth with dental fluorosis"

Fig 3

The Vita Classical shade guide arranged according to brightness (left side: the bleached color)"

Tab 1

Arrangement of the Vita Classical shade guide units and corresponding scores"

分值色阶
1B1
2A1
3B2
4D2
5A2
6C1
7C2
8D3
9A3
10D4
11B3
12A3.5
13B4
14C3
15A4
16C4

Fig 4

Colour regression in a clinical case of in-office bleaching"

Fig 5

Combined bleaching of the discolored teeth with enamel hypomineralization"

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