Internal bleaching

Interested in internal bleaching after a root canal?

Internal bleaching is a procedure your dentist does to whiten a dark tooth after doing a root canal. The root canal may have been years ago or may be done at the same time as the bleaching.

What are the internal bleaching steps?

Internal whitening is a two visit dental procedure. First of all we access the inside of the tooth and place the whitening agent. Finally, we remove the whitening agent and place a post or filling.

Step 1 of the internal bleaching procedure

1. We take a photo to document pre-op shade of tooth.
2. Next we remove any filling and or any post in the tooth.
3. If the tooth has not had a root canal then one is done.
4. Remove some gutta percha to several mm below the crestal bone.
5. Mix a solution of EDTA with an endoactivator.
6. Place small layer of Vitrebond base over the gutta percha with a small syringe and a blue tip.
7. Place the bleaching agent.
8. Next place the bond and red flowable over the acess.
9. Check bite and smooth

Step 2 of the internal bleaching protocol

1. Check with he patient on the level of “whiteness”.
2. Post op photo if everyone is happy.
3. Remove filling covering the bleach and rinse it all out.
4. See step 1 above if not white enough.
5. Prepare post space
6. Seat post with Rely x unicem 2 or parapost cement
7. Cure
8. Etch
9. Bisco All Bond
10. Bleach Filtek composite
11. Check bite and smooth

What does internal bleaching cost?

The fee will vary depending on where you live and who you see, therefore the answer depends! Our internal bleaching cost in 2018 is $576 and that number does not include the filling or post that we place after we are done. A fair fee for your zip code can be found by typing in the dental code below in the fee site fair health consumer. org, the number will probably be close to ours though.

Some internal bleaching before and after photos.

Below is a normal example of a before and after result. There are more dramatic examples that you can see by clicking our before and after internal whitening link as well.

From dark tooth to white tooth!

What are the internal bleaching side effects?

A whiter tooth is a major side effect of this procedure, obviously! Real side effects are pain, and if you have ever whitened your teeth and gotten this pain then expect more. Another serious potential side effect is internal resorption. This is a possible but debatable side effect. Resorption comes from trauma, and teeth that need internal bleaching have always had trauma as well so may be a case of correlation and not causation.

What is the internal bleaching dental code?

The dental code to use is D9974 and the code is a per tooth dental code. Therefore, if you have two teeth next to each other that need this then you code for both teeth individually.

Internal bleaching products and materials.

Probably one of the biggest debates is what material to whiten with and many people prefer sodium perborate to hydrogen peroxide. I have no strong feelings on the issue. I really do not have any strong opinions on products to use other than be sure to use a glass ionomer liner at the base.

 

 

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