Conservative Esthetic Rehabilitation of a Traumatized Tooth Using Internal Bleaching and Ceramic Veneer: A Clinical Case Report

Background: Traumatic anterior teeth may develop intrinsic discolouration and positional changes even after endodontic treatment. Internal bleaching followed by ceramic veneer restoration offers a conservative aesthetic approach. Aim: To describe the aesthetic rehabilitation of a traumatised, endodontically treated maxillary central incisor using internal bleaching followed by a minimally invasive ceramic veneer. Case Presentation: A 38-year-old male presented with greyish discolouration and mild incisal displacement of tooth #21 following trauma. Internal bleaching was performed using the walking bleach technique with sodium perborate and hydrogen peroxide. After satisfactory colour improvement, a minimally invasive facial preparation was performed, followed by placement of a lithium disilicate ceramic veneer. Conclusion: Internal bleaching followed by ceramic veneer restoration provided a conservative approach for improving the colour and aesthetics of a traumatised, endodontically treated maxillary central incisor while preserving tooth structure.

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Published
2026-10-30
DOI
https://doi.org/10.9734/ajds/2026/v9i1409
Primary Topic
Dental materials and restorations
Type
article
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article

Conservative Esthetic Rehabilitation of a Traumatized Tooth Using Internal Bleaching and Ceramic Veneer: A Clinical Case Report

Sachin Mangal, Richa Ranjan, N Vanamala, B. S. Keshava Prasad
3 links
Dental materials and restorations
article

Conservative Esthetic Rehabilitation of a Traumatized Tooth Using Internal Bleaching and Ceramic Veneer: A Clinical Case Report

Sachin Mangal, Richa Ranjan, N Vanamala, B. S. Keshava Prasad
article en

Abstract

Background: Traumatic anterior teeth may develop intrinsic discolouration and positional changes even after endodontic treatment. Internal bleaching followed by ceramic veneer restoration offers a conservative aesthetic approach. Aim: To describe the aesthetic rehabilitation of a traumatised, endodontically treated maxillary central incisor using internal bleaching followed by a minimally invasive ceramic veneer. Case Presentation: A 38-year-old male presented with greyish discolouration and mild incisal displacement of tooth #21 following trauma. Internal bleaching was performed using the walking bleach technique with sodium perborate and hydrogen peroxide. After satisfactory colour improvement, a minimally invasive facial preparation was performed, followed by placement of a lithium disilicate ceramic veneer. Conclusion: Internal bleaching followed by ceramic veneer restoration provided a conservative approach for improving the colour and aesthetics of a traumatised, endodontically treated maxillary central incisor while preserving tooth structure.

Vol. 9(1)
D A Pandu Memorial RV Dental College and Hospital (IN)
Good health and well-being
Openalex Percentile: Top 10%
Dental materials and restorations
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