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.
Authors
- Sachin Mangal
- Richa Ranjan (ORCID: https://orcid.org/0009-0003-4766-7355)
- N Vanamala (ORCID: https://orcid.org/0000-0003-2473-3308)
- B. S. Keshava Prasad (ORCID: https://orcid.org/0000-0002-7411-6714)
Institutions
- D A Pandu Memorial RV Dental College and Hospital (IN)
Publication Details
- Published
- 2026-10-30
- DOI
- https://doi.org/10.9734/ajds/2026/v9i1409
- Primary Topic
- Dental materials and restorations
- Type
- article
- Field-Weighted Citation Impact
- 0.00