A patient recently visited our office with a concern that had been troubling them for years. When they were around 10 or 11 years old, they had a fall that resulted in chipping the bottom part of their central front incisor. Over time, they had bonding procedures done to repair the damage. However, as the years passed, the natural portion of the tooth began to discolor, turning yellow and darker compared to the rest of their teeth. This discoloration became even more pronounced, making the tooth appear darker than the bonding material itself.
Recently, they noticed that the tooth had become sensitive, though a pulp test confirmed that the pulp was still alive. With these symptoms in mind, they were concerned about whether a root canal was necessary and what might be causing the discoloration if the pulp was still healthy. They also wanted to know their options for restoring the tooth to match the rest of their smile.
After listening to their story and conducting an examination, here’s what Dr. Mobasser recommended:
First, it’s crucial to have a dentist take an X-ray to rule out any underlying issues, especially since you’re experiencing sensitivity in that specific tooth. This will help us determine if there’s any need for a root canal.
If a root canal is needed, internal bleaching can be performed right after the procedure. This method usually restores the tooth’s color to its original shade within a few days.
However, if the X-ray reveals that a root canal isn’t necessary, you have a few treatment options to consider:
Tooth Whitening: You might start with a professional bleaching and whitening treatment, either for just the affected tooth or for all your teeth. Once the whitening is complete, it may be beneficial to replace the old bonding to ensure a uniform color. For more details, visit our page on teeth whitening.
Dental Bonding: Another approach is to redo the bonding. This is akin to applying a composite veneer. While dental bonding is less invasive than porcelain veneers, it can stain over time and isn’t as durable. It’s a cost-effective option that conserves more of your natural tooth structure. Learn more about dental bonding.
Porcelain Veneer: Depending on your bite, a porcelain veneer might be the most durable and aesthetically pleasing solution. It does require more preparation and two office visits, but it offers lasting results. Even if the tooth requires a root canal in the future, the veneer will remain intact. Due to the complexity, it’s crucial to choose a highly skilled cosmetic dentist who works with an excellent ceramist. For more information on veneers, see our section on dental veneers.
If you’re seeking expert care in Los Angeles, Dr. Anthony Mobasser offers over 30 years of experience in cosmetic dentistry. With advanced techniques and a long list of satisfied clients, Dr. Mobasser can help you achieve the perfect smile.
We offer free consultations to discuss your options and start you on the path to a more confident smile. Contact our office today to schedule your appointment.
