Management of discolored maxillary anterior teeth with/without pulp canal obliteration: a case series Tratamento de dentes anteriores superiores descolorados com/sem obliteração do canal pulpar: uma série de casos
Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial, cilt.67, sa.2, ss.99-110, 2026 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 67 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.24873/j.rpemd.2026.06.1578
- Dergi Adı: Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
- Sayfa Sayıları: ss.99-110
- Anahtar Kelimeler: Aesthetics, dental Dental pulp calcification Hydrogen peroxide Tooth bleaching Tooth discoloration
- Süleyman Demirel Üniversitesi Adresli: Evet
Özet
Discoloration of the anterior teeth with pulp canal obliteration (PCO) presents a significant clinical and aesthetic challenge, often impacting an individual’s quality of life. This case series describes the clinical application of the walking bleaching technique in discolored maxillary anterior teeth with PCO, and reports the observed clinical outcomes and patient-reported aesthetic perceptions. This case series comprised 7 patients (6 females, 1 male) aged 19 to 42 years. A total of 9 teeth were treated. The chief complaint of all patients was discoloration. Discolored maxillary anterior teeth were managed with walking bleaching. A cervical barrier of 2-mm glass ionomer cement was applied. 35% hydrogen peroxide was placed for 1 to 5 appointments, 3 days apart, followed by calcium hydroxide [Ca(OH)2] for one week. Then, composite restoration was performed. Follow-up periods of up to 14 months showed no symptoms. In all teeth, improved tooth appearance was clinically observed, and patients reported satisfaction with the aesthetic outcome. The technique was applied in complex clinical scenarios, including cases with total PCO confirmed by conebeam computed tomography, where conventional endodontic access was not feasible. No clinical or radiographic evidence of symptomatic inflammation or cervical resorption was observed during follow-up. Within the limitations of this case series, walking bleaching with 35% hydrogen peroxide is a minimally invasive treatment option for discolored maxillary anterior teeth, including in total PCO. While clinicians must adhere to regional safety regulations, including the placement of a cervical barrier and Ca(OH)2, this approach offers a conservative alternative to prosthetic rehabilitation. (Rev Port Estomatol Med Dent Cir Maxilofac. 2026;67(2):99-110)