Internal bleaching is a method of whitening a tooth from the inside out. First, a root canal is performed to remove any pulp that is infected. Then, safe sodium perborate paste is placed deep inside of the tooth. This material reacts with stains and dissolves their particles, making the teeth appear whiter. After a root canal, your tooth is sealed to prevent further damage.
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There are different processes for internal bleaching, depending on whether the tooth in question is stained because of prior root canal treatment, or because it’s in need of root canal treatment. If a tooth requires a root canal, your doctor would conduct surgery on the tooth in the typical fashion, excavating the tooth’s pulpal chamber of dead or dying tissues, and preparing it for a crown or temporary filling. So, in this instance, prior to applying the temporary filling, you doctor would first deposit a bleaching agent to alter the tooth’s color from the inside-out. Typically, this solution is allowed to remain within the tooth for a period of up to two weeks to obtain maximum results, after which you’ll return to the office for an exam to see how things progressed.
The bleaching process differs dramatically if the tooth is discolored because of a prior root canal treatment. In these cases, the process generally only requires the drilling of a small access hole to the tooth by which the doctor can insert a cotton pellet soaked with the bleaching agent. In this scenario, the pellet would also remain within the tooth for some time. Additionally, a patient may be sent home with bleaching trays to further encourage thorough whitening.
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While an internal bleaching treatment can leave an affected tooth several shades whiter, its results are not permanent.
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