Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents -Alyson Wray and Richard Welbury. INTRODUCTION Intrinsic discoloration can be defined as discoloration which is incorporated into the structure of either enamel or dentine and which cannot be removed by prophylaxis with toothpaste or pumice. Intrinsic tooth discoloration can be a significant cosmetic, and in some instances, functional, problem.
Loss of vitality secondary to trauma or infection frequently results in tooth discoloration which is not responsive to conventional endodontic therapy. Similarly fluorosis, tetracycline staining, localised and chronological hypoplasia, and both amelogenesis and dentinogenesis imperfecta can all produce a cosmetically unsatisfactory dentition and,in the latter two examples a structurally “at risk” dentition as well. These Guidelines are designed to outline…
