Oral Health and Dental science
Open AccessWalking bleach, an Approach to Treating Dyschromia in Temporary Dentition: Case Report
Authors: Diana Alejandra Torres Tavera, José Luis Ayala-Herrera, Gloria Anabel Godínez Pérez, Erika Cortés Guzmán.
Abstract
Traumatic dental injuries in primary dentition are associated with multiple dental, aesthetic, and psychological consequences. Dental dyschromia is the primary reason parents seek treatment for their children. The conservative approach of using the walking bleach technique is employed to address the aesthetic concerns of non-vital teeth. However, there is currently no reported data on the long-term effectiveness of this treatment in deciduous dentition. Two young male patients, aged 4 to 5 years, presented at the clinic with concerns about the appearance of their teeth due to dental dyschromia. Conventional pulpectomy was performed, followed by two sessions of the walking bleach technique as per the protocol. Follow-up examinations were conducted at 1, 3, and 6 months. The walking bleach technique demonstrated immediate satisfactory aesthetic outcomes in deciduous dentition; however, long-term recurrence was observed. This indicates that internal whitening by itself is insufficient to address the effects of pulp necrosis in cases of dental dyschromia.
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