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All Journal Bionatura Indonesian Journal of Applied Sciences Sosiohumaniora MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM ODONTO Dental Journal Dental Journal (Majalah Kedokteran Gigi) Jurnal Kedokteran Gigi Universitas Padjadjaran Padjadjaran Journal of Dentistry Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Padjadjaran Journal of Dental Researchers and Students Odonto dental journal Sonde (Sound of Dentistry)
Dudi Aripin
Departemen Konservasi Gigi, Fakultas Kedoktreran Gigi, Universitas Padjadjaran, Bandung, Jawa Barat
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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Aesthetic Rehabilitation of Maxillary Anterior Teeth Following Internal Bleaching with Direct Composite Veneers: Aesthetic Rehabilitation of Maxillary Anterior Teeth Meuthia Sari; Hendra Dian Adhita Dharsono; Dudi Aripin
SONDE (Sound of Dentistry) Vol. 11 No. 1 (2026): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

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Background: Intrinsic discoloration often present significant aesthetic challenges, particularly in patients with a history of an inadequate endodontic treatment. In such cases, a combining internal bleaching, endodontic therapy, and aesthetic rehabilitation is required to restore both function and appearance. This minimally invasive approach supports long-term aesthetic outcomes while preserving tooth structure. Objective: To present the management of intrinsic discoloration and anterior tooth asymmetry using internal bleaching, endodontic retreatment and direct composite veneers. Case Report: A 24-year-old female came to the Department of Conservative Dentistry, Padjadjaran University presented with discoloration of tooth 21, which had undergone an inadequate endodontic treatment several years using a zinc oxide-based root filling material. Internal bleaching was performed using the walking bleach technique with 35% hydrogen peroxide. Meanwhile, on tooth 11 presented with a periapical abcess and root canal treatment was presented. After achieving a shade match, old composite restoration on teeth 11,21 were removed and replaced with new direct composite veneers. Additionally, both maxillary lateral incisors received direct composite veneers to correct tooth shape and achieve aesthetic balance. Results: The combination of internal bleaching and endodontic retreatment successfully eliminated the discoloration and resolved the infection. Composite veneers provided an aesthetically pleasing and balanced outcome. Conclusion: Internal bleaching, when combined with endodontic therapy and direct composite veneers, offers a conservative and effective solution for managing complex anterior aesthetic cases. Addressing both discoloration and morphological imbalance can significantly improve the final aesthetic outcome.  
Internal Bleaching As An Esthetic Management For Discolored Non-Vital Tooth Post-Endodontic Treatment: Case Report Alvinny Ganeshaputri; Opik Taofik Hidayat; Dudi Aripin
SONDE (Sound of Dentistry) Vol. 11 No. 1 (2026): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

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Abstract Background: Dental trauma may lead to pulpal necrosis, resulting in internal degradation of dental tissues and subsequent discoloration of the affected tooth. This discoloration is commonly associated with degradation of pulp remnants, penetration of obturation materials into dentinal tubules, or hemolysis of erythrocytes during endodontic procedures. Internal bleaching offers a minimally invasive and biologically conservative approach for esthetic rehabilitation in these cases. Objective: To present a clinical case demonstrating the application of internal bleaching using the walking bleach technique for the esthetic management of a non-vital, endodontically treated maxillary central incisor. Case Report: A 25-year-old female visited RSGM Unpad with a discolored maxillary left central incisor (#21) and worsen her appearance. The patient’s previous history of trauma five years ago. Clinical and radiographic examinations confirmed pulp necrosis, with asymptomatic apical periodontitis. Root canal treatment was performed using standar protocol. Two weeks post obturation, internal bleaching was initiated using the walking bleach technique with 35% hydrogen peroxide. The coronal seal was ensured using a 2 mm cervical barrier of resin-modified glass ionomer cement to prevent cervical resorption. After two bleaching sessions, a satisfactory shade match with adjacent teeth was achieved without any complications. Conclusion: Internal bleaching with the walking bleach technique provides an effective, conservative, and predictable solution for managing discolored in non-vital teeth. The use of a proper cervical barrier and careful case selection are essential to minimize risks. This approach provides favorable esthetic results while preserving tooth structure. Keyword: Internal bleaching, esthetics, non-vital tooth, tooth discoloration, endodontic
Co-Authors A. Azhari, A. Achmad Syawqie Agung Wibowo Alfira, Sarah Vania Alvinny Ganeshaputri Amalina Ahmad Ame Suciati Setiawan Amida, Aya Andini Dimyati, Andini Anne Agustina Suwargiani Ardena Maulidia Hamdani Asty Samiaty Setiawan Ayu Trisna Hayati Badi Soerachman, Badi Beactris Lamria Simanjuntak Cahyanto, Arief Cucu Zubaedah Cut Soraya Danny Hilmanto Dela Armilda Dewi - Dikdik Kurnia Disa Ratna Nurhasanah Djuastina, Nina Endang Sukartini, Endang Erry Mochamad Arief, Erry Mochamad Ervin Rizali Euis Julaeha Fadil, Mohammad Richata Fidya Meditia Putri Fidya Meditia Putri, Fidya Meditia Fourier Dzar Eljabbar Latief Gilang Yubiliana Hendra Dian Adhita Dharsono Hendra Dian Adhyta Dharsono Henry Octovianus Hong, Steven Tan Jun Inne Suherna Sasmita Irna Sufiawati Jenny Krisnawaty, Jenny Kadir, Rahimah Abdul Kosterman Usri Laela, Dewi Sodja Lutfi Yondri Mardhian, Deby Fajar Marhazlinda, Jamaludin Marry Siti Mariam Meuthia Sari Mieke H Satari Milly Armilia Mirza Aryanto Mohammad Richata Fadil Mohd Yusof, Zamros Yuzadi Muhammad Abdul Halim Murnisari Dardjan, Murnisari Netty Suryanti Nina Djustiana Nugraha, Rega Mahesa Nuni Maharani Nurmala Gustina, Nurmala Opik Taofik Hidayat Opik Taofik Hidayat Popy Rufaidah Puspita Kania Dewi Richata Fadil S. Sabrina, S. Sanjaya, Azlina Nuur Setiawan Natasasmita Setiawan Natasasmita Sri Mulyanti Sri Susilawati Sri Tjahajawati Sukotjo, Cortino Sunardhi Widyaputra Susilo, Fania Syakira Tenny Setiani Tenny Setiani Dewi Vidyana Pratiwi Wazillah Nasserie Yohannes, Gabriel Yolanda Y., Yolanda Yolanda Yolanda, Yolanda Yubiliani, Gilang